Companies in the workers' compensation industry have strict security requirements for the software their partners use, which houses HIPAA-sensitive and patient/injured worker information that needs to be protected. This will be reflected in the bidding and sales process as DataCare's SOC 2 Certification guarantees that the following can be provided with confidence: Security Details System Availability [...]

Express authorizations can be performed faster and more easily with the use of drug formularies. The recent release of the California Drug Formulary uses a very objective language suitable for fully- or partially-automated approval of requests. For example, after entering a medication request in DataCare’s UR++ system, the system can easily determine if the request [...]

Utilization review (UR) organizations need to coordinate the efforts of highly skilled professionals on a tight timetable. This makes modern technology a requirement for a top-performing team. According to Dr. Doug Benner, who led Kaiserʼs occupational health services for 30 years and now serves as medical business product development officer at EK Health, the [...]

DataCare is proud to present its latest release for Adjusters and Claims Professionals: UR++ 1.4 WHAT'S NEW Adjusters/ Claims Professionals come across several Request for Authorizations (RFAs) each day, and some cases may require additional attention. For this reason, the latest version of UR++ enables clients to incorporate a best practices ruleset to make [...]

Companies involved in Workers’ Compensation will typically use Utilization Review, Case Management and Claims Management software independent of one another. The Ahshay core software platform achieves higher efficiency, savings, and detailed reporting by combining these modules under one platform. Within DataCare‘s core platform Ahshay, Utilization Review, Case Management, and the claim enhancing Medical Process [...]

Time after time, adjusting offices find themselves asking the same question: “Should we approve this request for physical therapy, or is it worth sending to UR? We usually just go ahead and approve these, but we have been seeing PT requests for this patient pop up an awful lot this past month… Let’s just [...]

Workers comp administrators receive 200 to 300 bills a day which need to be directed to adjusters. However, the adjusters don't necessarily review the bill, even though numerous incidents occur when they are sent out for the wrong reason. Some of these reasons may include a bill for unnecessary treatments, fee schedules changing frequently, or even [...]

Since January 1, 2013, DataCare has been SB 863 Compliant. SB 863 is changing the face of workers’ compensation in California and DataCare has worked hard to ensure that our clients are ready to handle 2013 claims. SB 863 has two changes that may require significant amount of labor and additional costs to payers [...]