Nurse Case Management Services
Successful and simplified Return To Work programs start with Nurse Case Management. Our Nurse Case Managers protect your company’s interests by serving as an advocate for your injured employee, ensuring they receive timely and appropriate medical treatment.
Our Nurse Case Management services assist claimants in their medical treatment plan, to work with the medical providers to obtain accurate disability ratings and to effectively return the injured employee to the workforce as soon as possible. Nurse Case Management will be assigned to files where they can have an impact. In addition our Nurse Case Managers review MG-2s and C-4 Authorizations for appropriateness of medical treatment.
Your Nurse Case Manager will review the employee’s current medical records as well as their medical history to identify possible complications; this allows us to provide an informed recommendation for medical management and a plan for the employee’s return to work. The Nurse Case Manager will oversee each step in the employee’s medical treatment and assist them by arranging therapies and treatments as needed. Making arrangements for medical treatments not only typically shortens the employees waiting time but also allows us to ensure compliance with medical treatment guidelines.
In-house Medical Bill Processing
- Reduce medical bills per New York State fee schedule
- Ensure the services rendered are causally related to the subject accident
- Verify appropriateness and applicability of associated medical codes.
- Deny duplicate bills and those bills for services unrelated to the accident
