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Workers' Compensation Management

MedWatch offers a Worker's Compensation review program that gets involved at the beginning of care!  We provide medical review prior to any admission for scheduled, non-emergency hospital confinements, and also continued stay review for emergency hospital confinements for medical or surgical admissions involving the worker's compensation recipient.

We determine if the case can be certified, using only established medical criteria.  We immediately involve the Physician Advisor in these cases to assure that certification is without question.  The Advisor may choose to discuss the case directly with the attending physician.

Our certification process is unique in that it addresses the relationship between current working conditions and the medical situation under review, and/or the possible aggravation of a pre-existing condition by the work environment or the work itself.

All information collected and processed during the episode of care is directly and regularly communicated to the claims adjustor.

All aspects of the claim are included in the review process, and our nurses routinely negotiate for appropriate services until the case is no longer under review.

 

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