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Catastrophic Case Management: An Inside Look by Michele Ritchie, Marketing Communications Manager GENEX Services, Inc.
Part two of a two-part report.

We continue this report on Catastrophic Case Management, with a look at a case manager’s typical day; how a positive attitude can be contagious, and how an employer’s support can create better outcomes: The Role of the Case Manager. Read More (PDF)

Catastrophic Case Management: An Inside Look by Michele Ritchie, Marketing Communications Manager GENEX Services, Inc.
Part one of a two-part report.

Fires…explosions…serious car accidents…traumatic brain injuries. These are the tragedies you see on the news, or perhaps you know someone who has experienced serious injury. But for catastrophic case managers, they handle the most tragic and severe injuries on a daily basis. We wanted to find out just what happens in a catastrophic case, so we sat down with some of our Catastrophic Case Managers. Prepare to be enlightened, and have your tissues handy! Read More (PDF)

WCGuru Articles and Editorial

The Rotator Cuff Mystery... Solved! Presented by Craig S. Phillips, MD with Illinois Bone & Joint Institute

Understanding that acute and chronic tears are very different entities is helpful in assigning responsibility and ensuring patients and case managers have realistic expectations regarding outcomes for the future. Read More (PDF)

The "Traveling Employee" Concept Pushes the Envelope on WC Coverage For Injuries During “Romance.” Presented by Gene Keefe, Esq, Keefe & Associates (PDF)

As we have advised our readers the two most controversial topics in workers' compensation across our state and maybe our planet are causation and the expansion of coverage of off-work injuries following the wildly controversial concept of the "traveling employee."

Prescription Opioid_Narcotic_ Drugs in the Injured Population Part III. Misuse, Abuse and Diversion Featured Content Expert: Robyn Satterfield, Pharm D., Director Clinical Pharmacy Services, Modern Medical, Inc. (PDF)

Prescription Opioid (Narcotic) Drugs in the Injured Population: Part II. Treating Pain with Opioids Featured Content Expert: Robyn Satterfield, Pharm D., Director Clinical Pharmacy Services, Modern Medical, Inc. (PDF)

Prescription Opioid (Narcotic) Drugs in the Injured Population: Part I. Utilization Trends Featured Content Expert: Robyn Satterfield, Pharm D., Director Clinical Pharmacy Services, Modern Medical, Inc. (PDF)

How investigations can help in an IME

Author: Anthony Van Gorp, CEO of Investigate Solutions and Consulting Services

During these tough, financial times, all of us have learned to stretch a dollar to make our resources go a little further. As the owner of an investigative company I have noticed more insurance professionals are utilizing medical investigations unit (MIU) to obtain information regarding pre-existing injuries, treatments, etc… prior to sending a claimant for an IME. Read more Guru Editorial

Additional Workers' Comp Articles

New - H.R. 5284 - ‘‘Medicare Secondary Payer and Workers’ Compensation Settlement Agreements Act of 2012’’
The new Medicare Secondary Payer bill became available over the weekend and, as expected, is almost identical to H.R. 2641 as it died in the 111th Congress. Read more

New - Section 111: Applying Reasonable Standards to MSP Recovery
In December of 2007, Congress enacted Section 111 of the Medicare, Medicaid & SCHIP Extension Act, which mandates that insurers and self-insureds participate in an automated exchange of medical claims and settlement data. Read more

FMLA: Count reduced-hours accommodation

Here’s something to consider when you approve a disabled employee’s request for a reduced work schedule as a reasonable accommodation: You can count the hours not worked against her FMLA entitlement. Read more

It's a mod, mod, mod, mod world: split plan creates chance to reduce premiums by Nancy Grover, Risk & Insurance

Assessing experience ratings is about to change in most states. Contrary to what many employers believe, they can control their premiums by controlling their experience modifications, according to a veteran experience rating analyst. Read more

Get ready for a perfect storm in Worker's Compensation by Ryan Colvin, Gibson Insurance Agency, IN
Worker’s Compensation rates are on the rise and this time they will inspire a connection between safety and wellness programs. Read more

Medical Management: Fact or Fiction? By John V. D'Alusio for Risk & Insurance
There is no "easy button" for implementing a truly effective medical management program for workers' comp, but it that hard work should lead to better treatment, shorter duration of lost time and lower costs in the long run. Read more

Show Me the Savings by Mark Walls, Safety National Read more

Clinical News Alert from the American Academy of Orthopaedic Surgeons Journal of Bone and Joint Surgery. Read more Obesity and Workers Compensation: Strategies to Improve Claims Outcomes

Obesity problems weigh on workers comp presented by Roberto Ceniceros, Business Insurance Read more

Safe Bets: Know the Rules to Avoid Costly Workers’ Compensation Risks Read More

Can light-duty work be 387 miles from home?
One way companies have cut down on workers’ comp costs is by getting injured workers back on the job through light duty.

How wellness programs can impact workers’ compensation costs and how new grants can help
Employers today are experiencing escalating health care costs associated with the significant increase in health risk factors, such as obesity, chronic disease and an aging work force. Read more

How employers can focus on successful back-to-work initiatives Read more

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Have an article or want to contribute to WCGuru? Contact Jackie, Content Manager at jackie@wcguru.com