OCCM offers the only comprehensive program of its kind to maximize client savings throughout our combined, free-of-charge consulting and delivery services portfolio that includes:
Age of Injury Services
This value-added service* on tests scheduled by One Call Care Management is offered to all Claims Adusters, Nurse Case Managers and other customers to provide assistance in determining if the results of the radiology findings are acute, chronic or indeterminate. In situations where the results are normal/unremarkable or where the patient has had surgery on the injury site in question, aging cannot be determined. Service Benefits:
* Available in limited states. Please contact us to determine if this service is available in your area.
- Initial reading of the patient's original films
- Reading radiologists are licensed in the state of the study
- Free service if requested at the time of the referral
- Turnaround time is less that 7-10 business days
- RNs available to clarify/educate
- Medical terminology for abnormal results
- Educational in-services with CEUs available
OCCM also provides, at no charge, in-services with clinical personnel (Physicians, and/or other clinicians). We have a team of professionals who develop in-services and CEU programs which can be specially designed for your personnel. For information on setting up educational in-services, please visit the Webinars/CEUs section of the Knowledge Center.
Clinical Medical Report Review
OCCM also offers a unique service through our EMG product. Each of our network physicians undergoes a stringent credentialing process and is continually monitored using our own proprietary standards that were developed using the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) Guidelines. This ensures the highest quality provider network. Each EMG/NCS medical report is reviewed for consistent, valid and substantiated data against the HCFA. OCCM disallows billed CPT codes that are not consistent with procedures detailed in the corresponding medical report which ensures billing accuracy and can lead to reduced costs for treatments that are medically unnecessary.
Customized Data Mining and Reporting
OCCM also has the most enhanced reporting capabilities in the industry. Combined with sophisticated IT system support and design capabilities, OCCM is able to provide a full array of general management, cost savings and utilization reports that can be customized to each client’s specific needs. OCCM’s current reporting system can accommodate various customized reports that can be used for data analysis. In the past, we have developed reports to show trends and other measurements that can be used to save costs and increase productivity. Reports are available on any timeframe required by the customer and at no additional charge.
Early Referral Notification Program
One Call and You’re Done!
Identify patients prior to discharge or with upcoming surgeries and relieve your administrative burden. Providing us with the claim, physician and/or facility information will allow OCCM to be proactive in reaching out to the appropriate parties to coordinate the necessary products and services. One call to us and you’re done; an OCCM team member will handle the patient’s injury related needs from that point forward.
In-house Training and Support
Through OCCM’s extensive local and regional account team, OCCM is able to conduct initial training on-site at your offices for all levels of personnel at no cost. In these training sessions OCCM addresses the referral, scheduling, billing and medical report processes and eResponse capability. Ongoing support is also maintained at a national account level, and on a local claim office level through our national account and regional support team.