Injured Worker Compensation Claims Uncover Relief

The results from a recently released report identified promising results in some of 26 state workers’ compensation systems. Using data comprising over 400,000 nonsurgical injured worker compensation claims with more than seven days of lost time, and over 2 million prescriptions are associated with these claims from 26 states, a new study from the Workers Compensation Research Institute (WCRI) observed considerable decreases in the prevalence of longer-term dispensing of opioids to injured workers in a number of states studied.

Cyber-attacks: Not A Matter Of “If”, But “When”

The KPMG 2017 Cyber Healthcare & Life Sciences Survey of providers and health plans found a dramatic rise in computer system breaches, cyber-attacks, and data compromises, which include patient records, over the past two years. Despite that increase, more executives, who oversee protecting patient records and other information, say they are better prepared than two years ago to protect themselves against cyber-attacks.

2017-08-01T20:12:11+00:00 By |Healthcare IT, Services|

Behavioral Health Documentation: Tips And Trends

Behavioral health documentation is often the communication tool used by and between professionals. Records not properly documented with all relevant and important facts can prevent the next practitioner from furnishing sufficient services. The outcome can cause unintended complications.

Reducing Behavioral Health Readmissions:
Strategies and Lessons Learned

Behavioral healthcare cuts both ways for payers and providers. Shortages of qualified expertise makes filling positions difficult to impossible, while the need for services grows on many fronts and in many populations.  The Daily Briefing How 2 health systems are rethinking mental health care for a value-based world, from the Advisory Board, reinforces the connections between behavioral and physical health. This identifies tangible targets, like reducing behavioral health readmissions, for improving patient care and institutional  financial health.

Lacking Mental Health Expertise Lands 2nd On Scarcity List Two Years Running

Payers and providers spend significant energy recruiting and retaining all levels of behavioral health professionals. The access to psychiatrists acts as the 'canary in a coal mine' signalling the impending challenges. Lacking mental health expertise hits organizations at a time of increasing use spurred on by value-based care.

Who Decides Medical Necessity For Mental Health?   Massachusetts State Bill Challenges Notion

Massachusetts bill (H 1070/S 1093) adds to the definition of “medically necessary services” and challenges the notion of who decides medical necessity. Medical necessity criteria sits at the center of case and claim determinations. Laws, policies, and procedures evolve through time and the various administrations both locally and nationally.

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