The title of this article, “No X-Ray … No Problem,” yes, that can be the case! Because of the current situation, this is the top reason to give us a call right now prior to assisting your injured employee in seeking medical treatment. • Not all injuries require x-rays. The common assumption is they do but in reality, providers are driven by their thorough medical exam to determine if an x-ray should be ordered or not. • The emergency room always has x-rays, right? Yes, that may be true, but it is not always the right choice for several reasons: • Emergency rooms are for emergencies – nonemergencies “clog” up the system and keep the flow of care from those needing it most. • Emergency room visits can cost up to 10 times more than an urgent care visit. • Emergency room wait times can be endless. This means time lost from work for the injured worker as well as their ride in some cases. • Emergency room visits often end without answers; many patients not in an emergency situation will be evaluated and referred back to their primary care providers or other care settings. • Emergency rooms lead to more lost time from work. Not only is there the time spent at the emergency room, but very often the provider will write the injured worker out of work rather than releasing them to light-duty pending their re-evaluation with an outside provider. To sum this one up; a simple medical-only claim can become a lost-time claim for you; which ultimately may affect your Experience Modification Rate and your rebate. • If the x-ray is necessary and there doesn’t happen to be a technician on duty; what happens? • Providers who temporarily do not have x-ray capabilities have a plan in place. It may be having the x-ray done at another location. This is OK. A short drive to another facility for the x-ray is far less of a burden time-wise and financially than a drive to the emergency room. • In the case of same-day treatment at two similar providers for the purpose of an x-ray doesn’t mean double the cost. The urgent care that assessed the injured worker will charge for the exam and the site used just for the x-ray will only charge for the x-ray. • The x-ray may be deferred to the next day; in this case, often the acute phase of the initial injury may have passed and a repeat exam shows the x-ray is no longer indicated. We are certainly experiencing some crazy times recently between COVID-19 to shortages of some necessary items to high gas prices; lack of a radiology tech doesn’t have to be a problem. This is one thing we can help fix or at least have a solution that will not mean increased medical costs or lost time from work. Remember; we are here to assist with all things workers’ comp; especially these little bumps in the road. We are constantly communicating with providers and by being kept up on what they are dealing with we can better assist our members in always being able to access the highest quality medical care for your injured workers. Give the claims team a call anytime at 603-224-2369; we are happy to help. Continued from page 15 WHAT DO DEALERSHIP TRANSACTIONS IN NEW ENGLAND LOOK LIKE? The Phillips Report is the only publication that specifically speaks to auto dealership transaction values, trends and trajectories in the New England and New York market areas. DOWNLOAD THE REPORT WWW.NANCYPHILLIPS.COM/BLOGS D R I V E 16
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