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KENTUCKY’S EMERGENCY UR AND BILL REVIEW REGULATION: WHAT YOU NEED TO KNOW Last week, the Kentucky Division of Workers’ Claims (DWC) published an emergency regulation that introduces changes to the way that utilization review (UR) will be conducted – and reported – in Kentucky’s workers’ compensation claims. This comes after the General Assembly passed SB …
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Five Things to Remember Under Phase 2 of New York’s OnBoard Limited Release

Phase 2 of OnBoard Limited Release (OBLR) begins on Monday, April 4. As part of Phase 2, the Board will be introducing a new durable medical equipment (DME) fee schedule and introducing new requirements for submitting prior authorization requests (PARs) for DME. Here are some things to keep in mind: The old DME reimbursement formula …
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Why is the CDC Updating Their Opioid Prescribing Guidelines?

I recently finished reading the book Empire of Pain, by Patrick Radden Keefe. This best seller is an exhaustive chronicle of the Sackler family, the owners of Purdue Pharma and creators of the highly addictive painkiller Oxycontin. The publication details 3 generations of the family and provides a vivid picture of a lineage that, time …
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New York is Changing How Medications are Managed

The change goes into effect in two weeks. Here is what you need to know: Since 2020, the New York Workers’ Compensation Board has been promising to implement an entirely new, online process for requesting and approving authorization for tests in treatments in worker’s compensation claims. After more than a year of delay due to …
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Tennessee’s Certified Physicians

What’s Happening? On May 27, Tennessee’s Bureau of Workers’ Compensation (BWC) issued an email bulletin that, among other things, provides updated information on the BWC’s REWARD program. This includes the upcoming Certified Physician Program and associated training that will be offered to those physicians who wish to become certified. Physicians who complete the training would …
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Delays Announced to Major Changes in New York

What’s Happening? On May 24 the New York Workers’ Compensation Board released Subject Number 046-1408 that announces the postponement of several changes that were previously planned for June 7. The Board has not yet announced a new implementation date but expects that it will be sometime in the summer of 2021. There are three changes …
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Launch of The Transitions Addresses Talent Crisis

 (Preferred Medical is proud to be part of the founding of this important group) New movement to help the workers’ compensation industry address generational shift kicks off 2021 webinar series on January 21 ATLANTA, Georgia (January 19, 2021) – A free national webinar on January 21 at 3:00 p.m. EST will officially launch the year-long …
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Between Two Coasts – Episode 3

Tim Benak (QLI) and I hosted Episode 3 of our Between Two Coasts podcast on December 19. Our guests were Rafael Gonzalez of Cattie & Gonzalez and Claire Muselman of Continental Western Group. Our theme was “Having Fun in a Suit” and they both epitomize what that means. They take their jobs very seriously (and …
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An unforeseen connection can lead to a new understanding

I began work on a new project this year that has become an evolving resource for our company’s clients and of which I have become very proud. Since I have only been at Preferred Medical for a little over a year – the same amount of time that I’ve been involved in work comp – …
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The Final Ten Percent

This is a feel good story for the holidays that offers lessons for every single person. I published an article on October 15, 2020 entitled “A Woman of Integrity” (originally published on April 4, 2018) that focused on Justine Irizarry. She saw it on LinkedIn and reached out to me. Her profile showed her being …
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