Includes full medical management (injured employee, physician, employer contact) or flexible arrangements for specific requests.
Includes file assignment to a dedicated Case Manager for complete medical case management services via telephone. This type of case management is a very cost-effective tool for claims that are not complex enough to require extensive onsite medical management.
Vocational Assessments which includes aptitude testing, interest inventory, and vocational exploration with recommendations for further job development and/or placement. Job Placement services that will include documentation on client participation and compliance.
A MSA report identifies the amount of settlement dollars to be “set aside” for injury-related medical expenses typically covered by Medicare in order to avoid the shifting of burden from the primary payer to Medicare.
Conducted to determine viability of employment in a particular geographic area. A vocational case manager will contact prospective employers whose work environments match the client’s vocational abilities and physical restrictions to determine job availability and salary levels. A report with recommendations will be provided and the file will be closed unless the carrier requests further activity.
Review of a file and/or bill to render a nursing opinion on such issues as appropriateness of treatment to claimant’s diagnosis or accident and subsequent related costs.
A comprehensive plan forecasting the future financial costs of the medical needs for a catastrophically injured person or a person with a devastating illness, throughout the life expectancy of that individual.
A report that details chronologically the medical treatment of the claimant. The nurse offers recommendations to the adjuster/claims examiner with regard to future treatment protocols and cost effective procedures currently available. This report includes a Medical Cost Projection upon request.
Paragon Case Management will coordinate and schedule an IME with appropriate physician. We will send a letter to the physician confirming the IME and listing requested information to be addressed by the physician. A letter will also be sent to the client to confirm the IME. The physician’s office will also be contacted for confirmation. With client approval, we will attend the IME appointment to get the needed medical information from the client and physician. A report will then be generated providing the requested information and the file will be closed unless the carrier requests further activity.