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 [...]

2020-06-18T13:21:35-05:00June 2nd, 2017|

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 [...]

2020-06-18T13:22:18-05:00May 10th, 2017|

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 [...]

2020-06-18T13:22:42-05:00May 9th, 2017|

Penicillin, Pacemakers, Milk Duds & Alternative Transitional Duty

Sometimes, discoveries happen when we least expect them or processes evolve in ways we hadn't anticipated.  One case in point would be the invention of penicillin, and Pacemakers were a byproduct of research on hypothermia. Serendipity happens with all kinds of everyday products, too.  One of my personal favorite is [...]

2020-06-18T13:24:10-05:00April 10th, 2017|

CompAlliance Speaking at the Iowa Occupational Health Symposium April 20, 2017

CompAlliance is honored to be speaking at the Iowa Occupational Health Symposium on April 20, 2017.  Linda Van Dillen will be discussing issues related to opioids and marijuana in the workplace, and best practices to employ when designing a Drug Free Workplace. There are some really interesting sessions detailed [...]

2020-06-18T13:24:42-05:00April 6th, 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 [...]

2020-06-18T13:25:13-05:00April 5th, 2017|

Why Use Clinical Practice Guidelines?

CompAlliance received a letter from a petitioner's attorney requesting we provide our rationale for utilizing the clinical practice guidelines we currently use as "the National Guideline Clearinghouse has withdrawn approval."  In addition, the "guidelines are neither dictated nor mandated in Illinois." To answer the second part of this attorney's [...]

2020-06-18T13:25:46-05:00February 8th, 2017|

New Year – New Direction?

I have been in the occupational health/case management field for over 30 years.  When I first started, carpal tunnel surgery required hospitalization at least overnight and if you wanted to send information quickly you used one of those new-fangled facsimile machines (but only if you got permission to send it [...]

2020-06-18T13:26:48-05:00January 4th, 2016|

Effective Case Management Referrals

When are full onsite case management referrals effective? Currently we at CompAlliance are seeing a trend towards more Task Assignments for episodic case management intervention in workers’ compensation cases.  In our post yesterday we discussed when we believe a Task Assignment can be effective.  Today we are going to review [...]

2020-06-18T13:27:39-05:00November 14th, 2015|

Are Case Management Task Assignments Effective?

Task assignments can be a cost-effective method of obtaining information or file movement when a workers’ compensation case only requires limited activity or a “snapshot” of information.  Typically these assignments request attendance at one physician appointment to obtain information that has been difficult to obtain, one visit to a [...]

2020-06-18T13:28:02-05:00November 14th, 2015|
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