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Workers' Comp Case Study

Price Opportunist List and Smart PA Program Drive Decrease in Topical Utilization and Spend

Struggling with skyrocketing medication costs despite stable volumes? One workers’ compensation carrier reduced spending on dermatological/topical medications from $232k to $50k and eliminated them from their Top 10 spend categories. Discover how Enlyte’s innovative solutions made it possible.

Auto Casualty Case Study

AuditPro Corrected Inflated Medical Billing

A client encountered billing challenges with an outpatient ASC bill concerning a procedure that involved removing a bony growth or "osteophyte." The billing problem arose when fluoroscopy, an imaging technique used during the procedure, was incorrectly billed separately instead of being included in the overall procedure cost. This error by the surgery center led to billing challenges that required correction since the fluoroscopy should not have been charged as an additional service.

Workers' Comp Case Study

From Machine Operator to Medical Assistant

Discover the inspiring transformation of a machine operator to a medical assistant after a workplace injury. Learn how Genex’s vocational services, career counseling, and a customized rehabilitation plan helped rebuild a career.

Auto Casualty Case Study

AuditPro Delivered 92% Reduction in Billing Errors

Workers' Comp Podcast

Selecting the Right MSA and Regs to Know for 2025

Explore the different types of Medicare Set-Asides, learn about the CMS submission process, and stay ahead with key new reporting requirements for 2025. Tune in to our latest podcast today!

Workers' Comp Article

Health Coaching and Employee Engagement

2 MIN READ

Learn how our case managers use tools and education to empower employees, promoting faster recovery and optimal health.

Workers' Comp Article

Specialty Solutions Spotlight: Charging Medical Devices Safely

2 MIN READ

Medical devices such as hearing aids, electrical stimulation devices, sleep apnea machines, glucose monitors and insulin pumps play a crucial role in injured employee care and wellness. However, understanding how to safely charge these devices is essential to prevent the risks of overheating, which can lead to fires, minor injuries or even serious burns. Failure to properly maintain and use these devices can lead to costly replacements and potential gaps in treatment or care an injured employee may need.

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