Cutting Complexity in Workers’ Compensation Utilization Review Programs

DataCare UR++SM reduces utilization review program costs by enabling claims adjusters and trained administrators to routinely approve 80% or more of all treatment requests and by significantly reducing the number of referrals to more expensive nurse or physician reviews. Quick approvals also shorten the time it takes for employees to return to work. With the UR++: [...]

2017-06-07T20:09:17+00:00June 7th, 2017|

Track Bills with Increased Visibility

The Bill Review or BR process consists of several stages that require close monitoring to ensure repricing and payments meet the state mandated turnaround times. BR Specialists may keep track of when bills come into the system during the KFI or Key-for-Information stage, but the high volume of reviews can make it difficult for them to monitor [...]

2017-05-26T15:03:06+00:00February 23rd, 2017|

Busting Myths in Workers’ Comp

Here are some of the common myths of workers' compensation.   Bill review only pays for approved treatments. We see overpayment of 10-14% of medical costs after bill review reduction when UR enforcement is not automated. Are you paying for unauthorized treatments? When was the last time you did a bill review audit? UR is [...]

2017-08-31T15:51:26+00:00February 4th, 2014|

Workers’ Compensation Biggest Problem in Bill Review has been Solved by DataCare Four Years Ago

DataCare Customers Ahead of the Curve in Latest Survey of Workers’ Compensation Bill Review The 2012 Survey of Workers’ Compensation Bill Review by Heath Care Associates ( ) reports that the single biggest problem for Workers’ Compensation Bill Review is “the need to better and more completely link medical management determinations to the actual payment [...]

2017-08-31T15:47:55+00:00September 3rd, 2013|

Bill Review Silos Cost Payers Over $2 Billion

SAN JOSE, Calif., March 8, 2013 /PRNewswire/ — The failure of workers’ compensation claims payers to properly audit medical bills for prior approval of treatment is costing upwards of $2 billion or more annually, in unwarranted medical payments.  This estimate is based on one firm’s analysis of medical payments over the past four years. In [...]

2017-08-31T15:45:53+00:00March 8th, 2013|

DataCare, EK Health Partner with Large Employer to Decrease Workers’ Comp Medical Spending by 20%

Company Experts Present Case Study at National Workers’ Comp Conference November 9-11 LAS VEGAS & SAN JOSE, Calif.--Wasting medical payments in workers’ compensation is avoidable, according to a panel of experts presenting at the National Workers' Compensation and Disability Conference® & Expo November 9-11 in Las Vegas. “Our panel will demonstrate how this connectivity can [...]

2017-08-31T15:37:43+00:00January 28th, 2011|