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Clinical Oversight: Monitoring Claims to Avoid Unnecessary Treatment and Costs

2 months ago

Clinical Oversight: Monitoring Claims to Avoid Unnecessary Treatment and Costs

A message from SVP of Clinical Operations Kim Radcliffe, MHA, PT

Dear Friends and Colleagues,

Clinical oversight is one of five key elements of our physical therapy program, and as the head of that program, I want to take a moment to demonstrate why.

As a starting point, it’s important to understand that approximately 20 percent of workers’ compensation claims make up 80 percent of costs. These costly claims are often caused by unnecessary or excessive care, which could be flagged and avoided with proper clinical oversight.

My team of more than a dozen, full-time licensed physical and occupational therapists works hard to avoid this situation. We automatically flag cases that exceed expected treatment guidelines and offer courtesy clinical reviews to ensure appropriate care and utilization. In doing so, we reduce unnecessary care by an average of six visits per referral.

Please take a moment to watch my short video message to discover how this approach is changing lives:

Kim Radcliffe Discusses How to Keep Injured Workers on the Path to Recovery with Clinical Oversight

 

Upon discharge from our PT program, this approach leads to impressive results for injured workers including decreased pain, increased functional strength and range of motion, and ultimately, the ability to return to normal work duty.

Thank you for the opportunity to serve your injured workers. Together, we will get them the care they need so they can return to work AND LIFE.  

For more information about our clinical oversight approach, or our PT program in general, please feel free to contact me at Kim_Radcliffe@onecallcm.com

Sincerely, 
Kim Radcliffe

 

UPCOMING WEBINARS

Clinical Management of Physical Therapy in Workers’ Compensation
October 28, 2020
1 p.m. EDT
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