Category Archives: Uncategorized

Talking About the Opioid Epidemic

I am always honored when an organization asks me to speak on the Opioid Epidemic.  I am not a professional speaker by any means.  I don’t travel around the country speaking at conference after conference on this topic. I mainly speak at the regional or local level, with a sprinkling of national venues. My main…
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What did I learn from the Solar Eclipse today?

I usually only write about workers’ compensation topics and for sure, I NEVER get political on our company blog or twitter account. Today however, I am going to venture out of my comfort zone, and most likely I am going to stumble a bit as I try to express what is in my heart after listening…
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URAC Is Seeking Comments on Proposed Revisions to Case Management Standards

June 13, 2017 As you may know, CompAlliance is URAC accredited for Case Management. I recently participated in a Case Management Advisory Group that reviewed the proposed revisions to the Case Management Standards. We met twice weekly from April through May. This was quite an undertaking and I do believe we were able to add clarification as…
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What Should an Adjuster Expect From Case Management

I just received my CMSA Today magazine (the magazine of the Case Management Society of America) and noticed the magazine this month was focused on the role Case Management plays in a variety of healthcare situations. It made me think about the role we as case managers play in workers’ compensation and what an adjuster…
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Nurses Can Do It

National Nurses Week begins each year on May 6th and ends on May 12th, Florence Nightingale's birthday. In honor of National Nurse’s Week, I thought I would reflect on  ome of the changes in nursing just since the 1970’s. That doesn’t sound so long ago, right? But there is a sea change in so many…
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Could Case Managers be Replaced by Robots

Fukoku Mutual Life Insurance in Japan is about to replace claim adjusters with a software robot from IBM. The computer will scan hospital records and other documents to determine insurance payouts, factoring injuries, patient medical histories and procedures administered. Could that be the future of case management? Manufacturing jobs have been decimated by robots.  A…
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April 5, 2017 Why is Heart Disease Presumed Compensable for Firefighters?

Over the past few years I have read about legislation in many states beginning to cover heart disease, heart attacks and hypertension.  I noted some states were more liberal in their interpretation than others.  For example in Florida, The Presumptive Disability Law for public officers states, Any condition or impairment of health of any Florida…
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Jennifer Jordan’s article for LexisNexis – Fifteen Years Since the Patel Memo and Medical Secondary Payer Issues Continue to Mystify

  Jennifer Jordan of MEDVAL writes an article for LexisNexis reviewing: the misunderstandings that persist re: MSAs and the issues re: Medicare Advantage private cause of action.  https://www.lexisnexis.com/legalnewsroom/workers-compensation/b/recent-cases-news-trends-developments/archive/2016/08/08/fifteen-years-since-the-patel-memo-and-medical-secondary-payer-issues-continue-to-mystify.aspx?sthash.mR8A9eCx.mjjo
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Are you attending The Alliance of Women in W/C Session at WCRI?

I am looking forward to attending this pre-session on Creating an Advocacy-based claims model on Wednesday prior to the full WCRI conference.  The topics in general resonate with me as a case manager.  While we at CompAlliance train our staff to be objective third parties when working with the employer, claims professional and the injured…
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Does Nonmedical Abuse of Opioids Lead to Heroin Abuse?

I have been doing some research for an upcoming presentation and for a research paper for an organization I recently joined.  Everything I have been reading lately points to concerns that decreased opioid prescribing will lead to an increase in heroin abuse.  I have shared this information in numerous talks at conferences and with clients grappling with…
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