One purpose of a claims risk manager is to provide the best possible care while controlling the total cost of risk. The goal is to help injured workers recover from injuries and return them to work quickly with transparency all while managing the cost-effectively through results, not process.
All we have been hearing and seeing are the absolute negatives of the COVID-19. Of course the impact has been absolutely overwhelming! I have searched my mind daily looking for a reason to be positive about this situation. It has impacted our health resources, economic viability and our mental stability.
Psychosocial behaviors have a significant impact on the management of the injured worker. Clinical research has addressed much of the role of psychosocial factors in recovery and rehabilitation outcomes. However, it is essential to identify and classify the behaviors to better understand how to respond to them.
If one of your employees is injured, what do you as an employer do? Has your human resources department written protocols, so your employees know exactly what to do? Communicating the proper information and process is important so that the injured employee receives the most immediate and appropriate care.
As the Medical Director of a physician-driven utilization review organization, I can attest our reviewers understand the business of medicine and how the virus has impacted the utilization review process in workers’ compensation.
ARISSA – Cost Management Solutions 73% Savings on average on implantable medical devices. With workers’ compensation charges making up more than 50% of an average surgical bill, the industry is facing a daunting challenge. Outdated and ineffective reimbursement cost management... View Article
Arissa Cost Strategies was recently selected randomly for a routine Utilization Review investigation by the DWC. Once completed, our final score was 100%. Our success is due to the diligence and dedication of our UR staff, with specific attention paid... View Article
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