Medical
Case Management
Full Case Management, Catastrophic
Case Management, Coordination of Treatment Program,
Medical Monitoring, Specialty Facility Referral, Task
Assignments, IME/Peer Review Coordination, Return to
Work Coordination
Vocational
Case Management
Vocational Evaluations, Vocational
Testing, Labor Market Surveys, Employment Counseling,
Job Placement, Training Coordination, Job Analysis,
Job Modification, Expert Testimony
Telephonic
Case Management
Early Intervention, Medical Status
Updates, Return to Work Coordination, Provider Negotiations
Life
Care Planning
Life Care Plans, Medical Cost Projections,
Expert Testimony
Pre-Certification
Hospital Admissions, Outpatient Procedures
& Diagnostics, Concurrent Review, Discharge Planning,
Second Opinion Recommendations, Home Health Services,
Durable Medical Equipment, Psychiatric Reviews, Pre-existing
Determination
Hospital
Bill Audits
File Review & Desk Audits,
Provider
Bill Review
Claims Editing by Professionals, Regulations
& Guidelines Per All 50 States, Coding Accuracy, Customized
Reporting Capabilities, Fast turn-around Time, PPO Reductions
(National and In-State), Fee Schedule/Usual & Customary
Repricing),
Group
Health Telephonic Case Management
Large Case Management, Disease Management,
Negotiated Discounts, and Discharge Planning |
