Services
Medical Case Management
CompResults Introduces Medical Management Services
Case Management services support the efforts of adjusters and employers to facilitate
the timely, efficient and cost effective treatment of work related injuries. Our
approach to case management is consistent with our philosophy in all aspects of
our business; offering comprehensive solutions with personal service. If you would like to refer a case to our managers please use the form provided below.
Case Management Service Areas and Product Lines:
Serving Missouri, Eastern Kansas and Western Illinois
- Field Case Management
- In person management and interaction with all involved parties on an existing claim to assure quality medical care is received and return to work is successful, resulting in decreased claim cost
- Field Case Management TASK Assignment
- One time consultation with the claimant, provider, employer, OR delivery of medical records
- Telephonic Case Management
- Strategic management of a claim file telephonically to assure quality care is being rendered and return to work is timely and successful
- In-house Case Management
- Dedicated internal Nurse Case Management provided to a specific partner to assure first report of injury and timely medical care is rendered and continued to closure
- Life Care Planning
- Comprehensive tool to identify future medical needs for individuals sustaining catastrophic or complicated injuries/illness
- Medical Cost Projections
- Detailed analysis to assess future appropriate medical care costs aiding our customers in setting adequate reserves and provide avenue for moving towards resolution and settlement out of court
- Medicare Set-Asides
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- Limited (non-surgical diagnosis)
- Standard (surgery rendered)
- Complex (traumatic incident)
Expert analysis to assist in determining the appropriate set-aside amount based on the condition, current treatment, projected future treatment, and life expectancy of an injured worker that would otherwise be processed by Medicare.
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- Utilization Review
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RN review of out of network and in network medical bills to assure cost are related to claim and care
- Prospective Review – pre-certification
- Concurrent Review – during episode of care
- Retrospective Review – after charges are billed
- Peer Review, if mandated by state laws
- Pre-Admission and Continued Stay Review
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CompResults is pleased to introduce field case management services to Kansas City and Saint Louis area employers. CompResults Case Management consists exclusively of registered nurses, whose experience in coordinating the treatment of injured workers serves to maximize medical outcomes and to reduce claims costs.
Introducing the CompResults Medical Management Team
Optimized Medical Outcomes
Workers' compensation claims are one of the biggest problems employers face today. Proactive intervention is often needed to facilitate employee recovery, maximizing their medical outcome and accelerating their return to work.
CompResults field case managers are aimed at accomplishing these goals. Our nurses have experience in corporate settings, backgrounds in occupational health and strong ties to the physician community. We foster cooperative partnerships with medical providers, educating them about expected disability and providing the necessary expertise to help define work restrictions. In these ways, CompResults can assist you in achieving more positive medical outcomes, minimizing litigation and increasing productivity.
The CompResults Difference
- CompResults Case Management is operated by registered nurses with over thirty years of combined field case management.
- 24-Hour/7-Day NurseLine ensures that claimants have access to registered nurses all day, every day, and even on weekends.
- Full PPO integration is available for employers concerned with maximizing cost containment without sacrificing quality of care.