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MM2 | Medical Roundtables for Resolving Tough Issues Hindering Claim Resolutions
(
Room
Islander I
)
05 Dec 18
2:30 PM
-
3:45 PM
Tracks:
Medical Management
Speaker(s):
Suzy Braden, Workers' Compensation Claims Manager, Encompass Health;
JJ Schmidt, SVP, Managed Care, CareWorks Managed Care Services
Traditional claim reviews give limited attention to medical-cost drivers, even though clinical services generate most claim expenses. That wastes opportunities to improve injured-worker outcomes in medically challenging cases. Claim medical roundtables, in contrast, gather physicians, pharmacists, medical case managers and claim-team members to identify and address clinical issues delaying recovery. They provide information needed to identify and address specific medical challenges holding up a claim. Hear how Encompass Health leveraged the approach to develop strategies that speed claim resolutions.
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