CCS helps to identify the potential “problem” cases by using a variety of components. These special services may be used individually on a case by case basis, or combined in a program. We train the claims professional to recognize potential complex cases at no charge, and offer a telephonic resource 24 hours a day to answer questions and direct medical care.
In workers’ compensation today, most cost is associated with long-term cases. In fact, the 10% of cases that last for one year or longer account for 80% of the total costs. This reinforces the importance of early identification of cases likely to have medical problems.
The integral components are:
- On site nurse advisor for complex medical issues
- Experienced Medical Bill Analysts that know the medical fee schedule
- Comprehensive ad hoc reporting capabilities
- State of the art software with advanced technology for data analysis
- Telephonic and field case management availability
- Physician to Physician Peer Review
- Utilization Review
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