January 2025 Newsletter – MTI America
ClaimsPulse

January 2025 Newsletter

January 2025 Newsletter

ClaimsPulse360

ClaimsPulse is a monthly newsletter packed with insights and interesting information.
Signup Today!

Untitled Document
Issue: January 2025
HealthLink360 Newsletter

Anticipating Challenges in Complex Workers’ Compensation Claims

Harnessing AI In Work Comp Dental Claim Management

Managing complex workers’ compensation claims requires a strategic and proactive approach. These claims often involve severe injuries, multiple medical providers, extended recovery periods, and various legal or jurisdictional considerations. Claims adjusters and nurse case managers play a crucial role in navigating these complexities to ensure timely and cost-effective resolutions while supporting the injured worker’s recovery and return to work. Understanding the challenges and anticipating key issues can enhance case management effectiveness.

Key Factors in Complex Claims

Severe or Catastrophic Injuries

  • Injuries such as traumatic brain injuries (TBI), spinal cord injuries, amputations, and severe burns require long-term medical management.
  • Working with your managed care provider to coordinate with multiple specialists, rehabilitation facilities, durable medical equipment (DME) providers, and a managed care vendor to streamline services and ensure comprehensive care is necessary.
  • Long-term disability considerations and vocational rehabilitation planning must be integrated early.

Extended Recovery and Long-Term Medical Needs

  • Complex claims often involve multiple surgeries, extensive therapy, and pain management.
  • Monitoring treatment adherence and preventing complications such as infections, non-compliance, or delayed healing is essential.
  • Utilization of independent medical exams (IMEs) may be required to assess ongoing medical necessity.

Psychological and Behavioral Health Considerations

  • Injured workers with complex claims may experience depression, anxiety, PTSD, or chronic pain syndrome.
  • Collaboration with behavioral health specialists is crucial to address mental health barriers to recovery.
  • Early identification and intervention can prevent claims from becoming unnecessarily prolonged.

Read More

MTI America Strengthens Leadership to Accelerate Growth and Innovation

MTI America is pleased to announce the appointment of three accomplished industry leaders to its Executive Team: Pamela Landefeld as Chief Client Officer, Jill Monday as Executive Vice President, Head of Operations, and Victoria Smith as Senior Vice President, Head of Talent. These strategic appointments underscore MTI America’s commitment to delivering exceptional service, operational excellence, customer-centric solutions, and cultivating a culture focused on talent development, performance, and the care of injured workers.

Read More >>

Preventing Simple Claims from Becoming Medically Complex

Workers’ compensation claims can begin as simple injuries but may evolve into medically complex cases due to delayed recovery, comorbid conditions, or lack of proactive management.

Read More >>


Sign Up for CE Webinar Alerts >>


EVENTS

Webinar
February 27, 2025
Efficient Strategies for Durable Medical Equipment Cost Containment

Register Today

LABI February 4 – 5, 2025
ASIA- Alabama Self-Insurers Winter Workshop
View All Events

Stay Sane in the Claims Game
The Ultimate Health Update for Professionals

Top 5 Foods to Eat While Working at Your Desk
That Won’t Make You Sleepy

Working at your desk for long hours can be mentally exhausting, and what you eat plays a huge role in maintaining your focus and energy levels. While certain foods can leave you sluggish and ready for a nap (hello, heavy pasta lunch), others can keep your brain sharp and your productivity high.

If you want to power through your workday without hitting an afternoon slump, here are the top five foods to eat at your desk that provide energy without making you sleepy.

1. Nuts and Seeds

A handful of almonds, walnuts, pumpkin seeds, or sunflower seeds is a perfect desk snack. They are packed with healthy fats, protein, and magnesium, which help sustain energy levels and improve brain function. Unlike sugary snacks, nuts and seeds provide a slow, steady release of energy without causing a crash.

2. Greek Yogurt with Berries

Greek yogurt is high in protein, which helps keep you full and focused. When paired with antioxidant-rich berries like blueberries, raspberries, or strawberries, you get an added boost for brain function and energy. The natural sugars in berries provide a quick but steady source of fuel without the spike and crash of processed snacks.

3. Dark Chocolate

Yes, chocolate can be a smart desk snack! Dark chocolate (at least 70% cocoa) contains natural caffeine, antioxidants, and flavonoids that enhance cognitive function and focus. It also boosts serotonin, helping to keep stress levels in check during a busy workday.

4. Hummus and Veggies

Hummus is an excellent source of protein and fiber, which keeps you satisfied and prevents energy dips. Pair it with crunchy vegetables like carrots, cucumbers, or bell peppers for a low-calorie, nutrient-dense snack that helps keep your mind sharp.

5. Hard-Boiled Eggs

Eggs are a powerhouse of protein and healthy fats that provide long-lasting energy without making you feel sluggish. A hard-boiled egg is easy to prepare and eat at your desk, giving you a quick and satisfying boost without the need for processed foods.

When working at your desk, it’s tempting to reach for sugary snacks or heavy meals, but these can leave you feeling drained. Instead, opt for high-protein, healthy-fat, and fiber-rich foods that sustain energy and improve focus. By making smarter snack choices, you can power through your workday with better concentration and fewer energy crashes.

Point of Care
Solutions that
Meet Your Needs

MTI America's 360-degree approach to care delivers a comprehensive set of ancillary services to insurers, self-insured employers and TPAs and offers quick coordination with a quality focus.

Physical Medicine MTiRide Transportation Language
Post-Acute Care Home Health & Catastrophic Care Medical Equipment
Diagnostic Imaging Hearing Dental
Phone: 800-553-2155
Visit:
MTIAMERICA.COM
Copyright © 2025 MTI America. All Rights Reserved.