Workers’ Compensation Case Management
Using Case Management Reduces Workers Compensation Costs!
Comp1One is an injury management service company based in Huntsville, AL that began in 1989. Our staff of Registered RNs, Telephonic Case Managers and Bill Review/Re-pricing Specialists work with self-insured employers and their injured workers to identify medical services needed, recommend and schedule procedures with facilities/providers, communicate with adjuster/employer/employee/providers/attorneys and any involved parties to assure quality medical care and facilitate timely return to work.
Customize your Injury Management Program
Comp1One staff support the efforts of the employer and insurance adjuster to manage all aspects related to the work injury. Our experience coupled with our knowledge of local medical providers, suppliers, facilities and community resources enables our staff to control costs and move cases towards a successful resolution and return-to-work. Employers can select from the service menu below to create a customized Injury Management program:
| Service: | Benefits and ROI: |
| Field Case Management | Fewer lost work days, enhanced communication, fewer lawsuits and medical/pharmaceutical cost savings associated with timely return-to-work. |
| Telephonic Case Management | Early injury management and contact with the injured worker has a tremendous impact on outcomes and cost savings. TCM facilitates modified duty, reduces lost work days, and enhances effective communication between the all contacts involved. |
| Task Assignment | Results can help clarify the employee’s back-to-work status and provide details needed to close a claim. |
| Job Analysis | Assists treating physician in determining whether an injury is related to employment or whether the injured worker can return to their position. |
| Supervisor Training | Supervisors and Managers typically do not want to be a part of the workers’ compensation process, however, 70% of lawsuits result because the injured workers feels the supervisor or employer did not care. This service is included with field case management services. |
| Medical Bill Re-pricing/Review | Hard dollar cost savings result due to network discounts and bill review services. Bill Re-pricing/review reduces eligible medical bills for workers’ compensation injuries to below the state-mandated fee schedule. Comp1One has contracted with a continuum of facilities, providers and clinics that advocate and deliver quality care, attention, and support for employees while offering deep discounts to our clients. Bill review follows industry guidelines to eliminate duplication and inappropriate billing practices. |
| 24 Hour Injury Line | Injuries are triaged 24/7/365 and provide immediate employer notification. Results include fewer ER visits, fewer ‘first fill’ out-of-network pharmacy charges, and fewer unauthorized prescriptions. |
Best Practices:
Comp1One has been recognized for best practices in injury management by Midwest Employer’s Casualty Company for six consecutive years. Midwest reports utilize national benchmarks based on expected vs. actual outcomes. Huntsville Hospital System, along with the Comp1One Case Management Program, outperformed national benchmark targets as follows:
- 66% fewer indemnity claims than the benchmark;
- 13% less severity than the benchmark in lost time claims;
- Outperformed 70% of hospitals nationally in total direct costs;
- Outperformed 87% of hospitals nationally in severity;
- Averaged $8,100,000 less than composite benchmark.