1 (888) 962 5246 Email Us!

Opioid Analgesics Subpar for Chronic Back Pain

via Medscape Medical News Despite the prevailing public view, opioid medicines are not powerful analgesics for low back pain, according to a meta-analysis of 20 randomized controlled trials. The drugs are commonly prescribed for chronic low back pain, but the review finds that they...

Read More

Proposed Opioid Tax Could Be Big Hit to Comp Payers

via WorkCompCentral Six U.S. senators have introduced legislation that would tax prescription opioid drugs to provide funding for substance abuse treatment, a move that would create substantial additional cost in workers’ compensation, where opioids are the most highly used class of medication. The bill,...

Read More

I Must Be Missing Something…

Dr. Adam Richardson Director of Physician Services Claims Eval Inc. A Medscape article from 6/3/16 shared the details of a JAMA – Internal medicine article by Shaheed et al. (http://archinte.jamanetwork.com/article.aspx?articleid=2522397) – meta-analysis level research which demonstrated that opioid analgesics provide modest short-term pain relief,...

Read More

Back Pain Prevention

via WorkCompCentral Not only is low back pain a major cause of absence from work, it’s also a condition that’s likely to return, with the rate of recurrence within the first year estimated at 50%. But there hasn’t been a lot of definitive research...

Read More

Eight Medical Smartphone Apps Worth Having

Eight Medical Smartphone Apps Worth Having* Guido R. Zanni, PhD** Licensed Psychologist, Health System Consultant Over 40,000 health-related apps exist—a number that is expected to double over the next few years.1 Smartphone apps generally fall into two categories: clinical information (the focus of this...

Read More

Regulatory Corner Comments

Director of Physician Services: Regulatory Corner Comments CA: The CA DWC is moving forward with updating the chronic pain section of the MTUS as well as adding a new chapter for opioid treatment guidelines. According to an executive summary published by the DWC, the...

Read More

Accentuate the Positive

  by Dr. Adam Richardson Director of Physician Services Claims Eval, Inc.   During the early part of my career, I had a plaque on my desk which read, “In God we trust, everyone else must document.” The plaque helped to remind me that...

Read More

Prescription Costs Per Claim Increased 7.4% in 2014

Excerpted from WorkCompAcademy.com While the average cost per workers compensation claim increased in 2014, the number of prescriptions per injured worker and the average morphine equivalent dose per script declined, Coventry Workers’ Comp Services said Tuesday. In 2014 the significant increase in generic AWP...

Read More

The Art of Successful Debate

The Art of Successful Debate Written by Claims Eval’s own Dr. Adam Richardson During the early part of my career, I had a plaque on my desk which read, “In God we trust, everyone else must document.” The plaque helped to remind me that...

Read More

New Drug Dampens Radiculopathy Pain

PALM SPRINGS, California — A new sodium channel blocker, CNV1014802, reduces neuropathic pain from lumbosacral radiculopathy, a phase 2 trial shows. Patients taking the drug improved by about 1 point on the Pain Intensity Numerical Rating Scale (PINRS), where is no pain and 10 is the greatest possible pain. “We know we’ve got a

Read More

Joint Implant News

Recent improvements in joint replacement devices may not be worth the risk, according to a systematic review published online September 9 in the BMJ. The authors found no evidence to recommend 5 newer designs over their more established counterparts, and some of the newer...

Read More

Opioid Use Trends Decreased?

In last week’s edition of the New England Journal of Medicine ( http://www.nejm.org/doi/full/10.1056/NEJMsa1406143#t=article ) Richard Dart, MD et al. published that opioid diversion and abuse trends have “plateaued and or decreased between 2011 and 2013.” – which is wonderful news. But, Claims Eval remains...

Read More

Worker’s Compitis

January 26, 2015 By:  Dr. Adam Richardson Director of Physician Services Claims Eval, Inc. It’s official. I have “workers’ compitis.” For those of you unfamiliar with this ailment, it’s an incurable process which attacks the mind rendering its victim incapable of viewing life’s everyday...

Read More

Hysingla ER Alert

December 02, 2014 By:  Dr. Adam Richardson Director of Physician Services Claims Eval, Inc. The U.S. Food and Drug Administration (FDA) approved the original formulation of OxyContin in Dec. 1995.(1) Within three months, Claims Eval noted significant penetration into the workers’ compensation industry. In...

Read More

Prescribing Patterns

Many group practices have placed restrictions upon samples and “gifts” from pharmacy representatives since various publications have shown a link between prescribing costs and the presence (or absence) of these representatives {i.e. Caudill TS et al. Physicians, pharmaceutical sales representatives, and the cost of...

Read More

New APS Guideline on Safe Use of Methadone

December 02, 2014 Measures can be taken to promote safer user of methadone, including better physician education and patient counseling about methadone safety and cardiac monitoring to identify patients at high risk for these problems, a new Clinical Practice Guideline on Methadone Safety from...

Read More

Urine Drug Screening (March 5, 2014)

I believe that we can all agree that over the last decade, prescription of opioid medications has been on the rise due to a variety of factors – not the least of which is the threat of regulatory sanction for inadequately addressing complaints of...

Read More

Preoperative Testing ODG

The Official Disability Guidelines (December, 2013) recently updated the Low Back Chapter to include recommendations for preoperative testing. These recommendations have caused some concerns by our surgical specialty reviewers. Some have requested information on the position of the American Society of Anesthesiologists. Their web...

Read More