Inside Workers’ Comp Blog

On the Border - State Regulations & Comp Costs

Posted on October 19, 2017

Did you know if a worker gets injured in one state, but lives in another, he may be restricted from receiving case management services from a nurse in the state he resides? Genex’s Chikita Mann, MSN, RN, CCM, Branch... Read More

States Get to Work on Workers’ Comp

Posted on July 19, 2017

As the Senate continues to work overtime to tackle its health care agenda  — among other initiatives — the majority of state legislatures have managed to adjourn despite passing substantial bills that could significantly... Read More

Managing Catastrophic Cases: Best RTW Strategies for the Worst Workplace Injuries

Posted on June 29, 2017

Catastrophic workplace injuries present far-reaching complexities that go beyond the severity of injury, making these cases at-risk for claim derailment. Genex’s Laney Bond, BSN, RN, CCM, National Catastrophic Program... Read More

Rigorous vs. Permissive Utilization Review: Beyond the ‘Rubber Stamp’

Posted on June 14, 2017

All utilization review (UR) programs are not created equal, and picking the inferior program can cause big problems for workers’ comp payers, especially with UR programs taking on a more prominent role in claims management.... Read More

Treating LGBTQ Injured Workers: Gaining Cultural Competence, Building Trust

Posted on April 6, 2017

Health care disparities based on sexual orientation have become more prevalent, with statistics to prove it. Lack of trust between patient and provider can have a significant impact in workers’ comp, says Genex branch... Read More

Veterans Day Salute

Posted on November 11, 2016

In this special Veterans Day edition of Inside Workers’ Comp, we talk to case manager Nicole Hurley, RN, BSN, CDMS. Aside from being a Genex Heart of Case Management Award winner, Lt. Col Hurley also proudly serves in the... Read More

Case Severity: What Factors are You Missing in Delayed RTW Cases?

Posted on July 21, 2016

Case severity tools like the ODG calculator play a big role in helping workers’ comp professionals predict return-to-work timing and costs based on the total claim picture. However, if you fail to look beyond the compensable... Read More

Bill Review: Digging Deeper to Fight Fraud and Attack Overall Medical Spend

Posted on June 7, 2016

Most people don't think of bill review as a component of fraud detection in workers' comp, yet in this edition of Inside Workers’ Comp, Genex’s Tom Sebold says it sometimes plays an integral role in the process. Through a... Read More

Utilization Review: Addressing the Issues

Posted on April 25, 2016

Utilization review has received its share of criticism in workers’ compensation. In this edition of Inside Workers’ Comp, Genex’s Todd Andrew answers the tough questions regarding UR and explains why it’s a valuable... Read More

Program Integration: More Than Just an Industry Catchphrase

Posted on March 17, 2016

Program integration is an oft-used phrase in workers’ comp, yet the substance behind those words is often lacking. In this edition of Inside Workers’ Comp, Ron Skrocki identifies disconnects that can affect program cohesion... Read More

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