STATUS MEDICAL MANAGEMENT | MANAGING INJURED WORKER CLAIMS

In the rapidly changing world of healthcare, stability is a valuable commodity. The Status Medical Management Nurse Case Management was created in 1997 by our parent company in response to escalating medical costs. Status Medical Management improves cost containment while increasing measurable outcomes.

Status Medical Management employs a staff of Nurse Case Managers (NCM) fully skilled in Return to Work Issues and the Workers’ Compensation arena. Our Managers are trained to assist the Primary Treating Physician (PTP) in facilitating a Plan of Care appropriate to the needs of the individual. NCM are able to assess the Plan of Care and move forward to facilitate authorization in a timely manner therefore saving valuable time. The Nurse Case Managers are trained to identify red flags that could result in extended treatment and/or recovery.

Status Medical Management NCM focus on areas that are frequently associated with high dollar costs such as litigated cases, problem treaters, Total Temporary Disability (TTD), inappropriate body parts, unnecessary diagnostics, facilities where financial gain is an issue, and excessive treatments, therapies, and/or medications.

All NCM activity is initiated at your discretion. The managers maintain three-point communication with the client, patient, and physician. NCM goals and the plan developed to achieve those goals are discussed with the client as well as documented in a comprehensive written report.

To accomplish the agreed upon goals, improve outcomes and contain costs, the NCM utilizes many resources. These resources include, but are not limited to, verbal and written communication with physicians and their staff, field visits with the patient and physician together or independent of each other, negotiation with the physician and employer to secure Temporary Modified Duty (TMD) which allows a safe transition back to work while decreasing TTD costs, and utilization of contracted facilities.

Maintain contact, validate emotions, and offer support to the injured employee. Fostering the well being of the individual and assuring them that someone cares decreasing the likelihood of litigation.
Reviews PTP reports for correctness of body part and diagnosis.
This review prevents addition of body parts and migration of injuries.
Review for over utilization of therapies as well as appropriateness of treatment/procedures. Careful monitoring in this area reduces costs by questioning and decreasing abuse/over utilization.
Maintain open communication with PTP and staff to facilitate appropriate Plan of Care with anticipated Permanent and Stationary (P&S) date.
Prompt treatment authorization utilizing contracted PPO Network providers.

Timely treatment reduces the individual’s fears and facilitates recovery.
Referrals to PPO Generates an estimated savings of 15 - 30% below Workers’ Compensation Official Medical Fee Schedule (OMFS).
Aggressively addressed diagnosis specific physical restrictions with PTP within practice guidelines as set forth in the Presley Reed Disability manager (diagnosis specific copy attached).

Enables the individual to return to a safe work environment within physical restrictions set by the PTP.
Addressed Temporary Modified Duty (TMD) with Primary Treating Physician (PTP).

Saving costs on number days of Total Temporary Disability (TTD) days.
Negotiate with PTP for appropriate return to TMD or U&C.

Saving costs by decreasing TTD.
Address P&S status absent surgery without improvement.

Educate PTP on plateaued conditions thus P&S which saves time and cost
Review P&S report for specific future medical needs.
Decreases long term over all medical costs.

We know there are many choices when considering which NCM company to hire. If you are looking for an experienced company dedicated to quality and focused on your particular needs, at Status Medical Management you have found that company. We are certain that our reputation and experience will set us above the rest.

Early Medical Intervention
Long-Term Care Management
Managed Workers' Compensation
Medical and Disability Management
Medical Bill Review & Reporting
Utilization Review
Telephonic Nursing
PPO Network

Call us today for more information (209) 574-2990.



	Status Medical Management , Modesto P.O. Box 5038 Modesto , CA 95352 Tel: (209) 574-2990 Fax: (209) 575-3130 Status Medical Management, Fresno 2547 W. Shaw Ave. Suite 113 Fresno , CA 93711 Tel: (559) 230-2800 Fax: (559) 241-6055 Office Hours: 8AM - 5:30PM Monday - Friday Email: info@statusmedical.com JACKIE SMITH , DIRECTOR of OPERATIONS	In the rapidly changing world of healthcare, stability is a valuable commodity. The Status Medical Management Nurse Case Management was created in 1997 by our parent company in response to escalating medical costs. Status Medical Management improves cost containment while increasing measurable outcomes. Status Medical Management employs a staff of Nurse Case Managers (NCM) fully skilled in Return to Work Issues and the Workers’ Compensation arena. Our Managers are trained to assist the Primary Treating Physician (PTP) in facilitating a Plan of Care appropriate to the needs of the individual. NCM are able to assess the Plan of Care and move forward to facilitate authorization in a timely manner therefore saving valuable time. The Nurse Case Managers are trained to identify red flags that could result in extended treatment and/or recovery. Status Medical Management NCM focus on areas that are frequently associated with high dollar costs such as litigated cases, problem treaters, Total Temporary Disability (TTD), inappropriate body parts, unnecessary diagnostics, facilities where financial gain is an issue, and excessive treatments, therapies, and/or medications. All NCM activity is initiated at your discretion. The managers maintain three-point communication with the client, patient, and physician. NCM goals and the plan developed to achieve those goals are discussed with the client as well as documented in a comprehensive written report. To accomplish the agreed upon goals, improve outcomes and contain costs, the NCM utilizes many resources. These resources include, but are not limited to, verbal and written communication with physicians and their staff, field visits with the patient and physician together or independent of each other, negotiation with the physician and employer to secure Temporary Modified Duty (TMD) which allows a safe transition back to work while decreasing TTD costs, and utilization of contracted facilities. Maintain contact, validate emotions, and offer support to the injured employee. Fostering the well being of the individual and assuring them that someone cares decreasing the likelihood of litigation. Reviews PTP reports for correctness of body part and diagnosis. This review prevents addition of body parts and migration of injuries. Review for over utilization of therapies as well as appropriateness of treatment/procedures. Careful monitoring in this area reduces costs by questioning and decreasing abuse/over utilization. Maintain open communication with PTP and staff to facilitate appropriate Plan of Care with anticipated Permanent and Stationary (P&S) date. Prompt treatment authorization utilizing contracted PPO Network providers. Timely treatment reduces the individual’s fears and facilitates recovery. Referrals to PPO Generates an estimated savings of 15 - 30% below Workers’ Compensation Official Medical Fee Schedule (OMFS). Aggressively addressed diagnosis specific physical restrictions with PTP within practice guidelines as set forth in the Presley Reed Disability manager (diagnosis specific copy attached). Enables the individual to return to a safe work environment within physical restrictions set by the PTP. Addressed Temporary Modified Duty (TMD) with Primary Treating Physician (PTP). Saving costs on number days of Total Temporary Disability (TTD) days. Negotiate with PTP for appropriate return to TMD or U&C. Saving costs by decreasing TTD. Address P&S status absent surgery without improvement. Educate PTP on plateaued conditions thus P&S which saves time and cost Review P&S report for specific future medical needs. Decreases long term over all medical costs. We know there are many choices when considering which NCM company to hire. If you are looking for an experienced company dedicated to quality and focused on your particular needs, at Status Medical Management you have found that company. We are certain that our reputation and experience will set us above the rest. Early Medical Intervention Long-Term Care Management Managed Workers' Compensation Medical and Disability Management Medical Bill Review & Reporting Utilization Review Telephonic Nursing PPO Network Call us today for more information (209) 574-2990.