Our nurse case management team works to achieve positive medical outcomes, minimize litigation and increase employee productivity. They use a four-point communication method involving injured worker, physician, employer and claims handler, keeping all parties informed of treatment plans and current status. Early intervention results in early and timely treatment and facilitates informed decision-making. These services include full and task assignments as well as coordination of Utilization Review and a Controlled Prescription Drug Triage Program.
- Description of Medical Case Management Services
- Medical Case Management Teams
- Nominate a Provider Form
- Case Management Referral Form
Certified vocational staff assist employees when return to their previous duties following a work injury is not feasible. The CompAlliance vocational team offers career planning, skills analysis, job development and placement. We are proud to announce our Alternative Transitional Duty Early RTW program. Additionally, CompAlliance provides labor market surveys, residual wage earning studies and wage earning capacity testimony. The CompAlliance vocational staff provide detailed documentation of adherence or non-adherence to the vocational rehabilitation plan. Our Certified Ergonomic Assessment specialist provide detailed Job Analyses and Ergonomic Assessments.
On-call nurses provide medical advice over the telephone to employees at all hours of the day. They assist with symptom assessment, urgent and non-urgent health advice, medical explanations, recommendations and information.
Surgical Cost Projections
Workers’ compensation experts provide a comparison of surgical costs among various providers to give you a clear picture of your injured worker's expected care selections to assist you in projecting, calculating, and setting accurate reserves.
IT staff design and build customized systems for managing and submitting claims. They will work with your current platform, build and maintain your EDI connection, set up an FTP site, email and even facilitate paper solutions.
Medical Bill Review
The bill review team works to maximize your benefit assuring you receive significant savings. They monitor the impact of claims, provide utilization and saving reports so you can actively manage and improve your outcomes.
PPO Access Network
Our broad geographic coverage offers access to high-quality physicians, specialists, MRI centers, occupational, physician clinics, and rehabilitation centers and facilities providing you with choices and quality services at discounted rates. Our network consists of 5639 facilities and 32,149 physicians across the Midwest. The CompAlliance PPO network provides coverage across Kansas, Missouri, Iowa, Arkansas, Nebraska, and Illinois.
PPO Lease Network
Our strategic partnerships with PPO lease networks means you have access to a comprehensive network of credentialed hospitals and clinics, across Kansas, Missouri, Iowa, Arkansas, Nebraska and Illinois for increased coverage.
Medicare Set Asides
Provided by MEDVAL. The MEDVAL approach - proprietary, completely integrated, and focused on in-depth medical review and attorney oversight - offers our clients simple, cost-effective settlement solutions for even their most complex cases.
Additional Medicare-Related Services
Services offered to worker's compensation, STD/LTD carriers, employers and attorneys include medical and vocational case management, "expert witness" and loss of earning capacity assessment, and ergonomic assessment and consultation. In addition, we assist employers with return to work program development and program enhancements.