A Healthesystems publication

Fall 2013

Red Flags in Opioid Therapy

Analyzing each claim from multiple perspectives can reveal risky situations if data are readily available and you know what to look for. and Environmental Medicine and the Official Disability Guidelines.

The large number of workers’ compensation claimants receiving prescriptions for opioid therapy requires payers to dig deeper into the data to uncover inappropriate behaviors – whether it is risky prescribing practices, questionable claimant behavior or activities that are indicative of fraud, drug abuse or medication misuse. Often the signs that a claim is veering off course escape notice because the details may seem insignificant and unrelated.

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