Medical Cost Containment

We oversee treatment by integrating treatment guidelines into the claims handling process. Each case will be evaluated to ensure approximation and adherence to the new SB899 guidelines and MPN and Utilization Review criteria.

Registered Nurse case management team intervenes when:

• 1) there are multiple specialists involved in a complex case
• 2) multiple providers rendering duplicate services
• 3) Catastrophic cases
• 4) an employee with multiple claims and injuries

Physical Therapy

We reduce physical therapy utilization. Move client/employers to non-physician owned physical therapy clinics in order to remove the conflict of interest utilization incentive. Provide oversight to ensure that the most cost effective medical treatment is being provided to assure that the employee is well taken care of and that they are returned to work as rapidly as possible.

Onsite Medical Intervention - We provide onsite early intervention support services. Before the need for a recordable claim our medical support staff will intervene to provide:

• 1) management strategies
• 2) job specific ergonomic analysis and recommendations
• 3) Modified Duty and "Light Work" Strategies that will allow the employer to maintain control and save thousands of dollars on pending injury cases

 

Streamlined Medical Provider Network

Working side by side with  Occlink Medical Provider Network , we have created what many in the industry call the most unique and streamlined medical provider network with built in cost saving mechanisms.