Standards of Care- Medical Case Assessment & Management
In 2011, NCCI determined on average that approximately 65% of workers' compensation claims' costs were tied up in medical treatment and management within the claim. Dedicated to improving the cost effectiveness of medicine and creating more efficiency for processors and providers, InMedEx has developed a service to assist Claims professionals to minimize medical claims costs in Worker's Compensation cases.
The InMedEx Standards of Care Program is much more than a simple reporting tool. This program provides a comprehensive oversight and alert system with tools that work in tandem with your current process and resources that can be available "on demand". We use the national Official Disability Guidelines (ODG) and State statutes as the parameters for our alerting system.
Our Standards of Care program has been proven to be easily inserted within the standard claims process. Through regimented case study, the program has documented results showing the ability to:
- decrease the number of malingerers,
- reduce overall claims management time & costs,
- significantly minimize the number of claims heading to outside attorneys, and
- greatly reduce the need for moving a claim into the Independent Medical Exam process.
In addition to the review and alerting process, the program takes things to the next level of effectiveness by having the ability to use our panel for a like specialty Physician speaking with the treating Physician on your behalf. Nothing is as efficient as a physician making a call to another like specialty physician. Claims professionals and Nurse Case Managers often may often get put on the back burner for days or even weeks trying to get a return call. One Doctor to another, the call gets taken, necessary treatment and regimens can be agreed on and wasted time and effort in the claims process is reduced.
A quote from the WC Claims Director at a 14,000 employee PEO and current client-
"The InMedEx Standards of Care program helped us save over 40% on our TOTAL Claims expense by helping us more effectively control the prevailing medical evidence".
Call InMedEx today and give us the opportunity to help your company begin to do the same.
(855) G0 INMDX
(855) 404-6639