IMMEDIATE MEDICAL MANAGEMENT

On site emergency measures in place.
Reporting and documentation assistance to supervision.
Specialist referral resources in place.
Toll-Free-24 Hour medical expertise available to all.
Providers pre-approved based on quality of services.
Management involvement in treatment plan formulation and alternatives at the time of first treatment.
Review and approval/denial of diagnostics, treatment and therapies prior to services being rendered. (CT Scans, Myleograms, MRI Scans, Bone Scans, Angiograms, Physical therapy and other). All approvals must be based on medical necessity and appropriate treatment criteria.
Employee/patient assistance in dealing with the injury and plans to return to work.

EARLY MEDICAL MANAGEMENT

All of the above can be accomplished except:
Very little reporting and documentation assistance to supervision.
Specialist referrals must come after several primary care visits.
"Buddy" referrals are commonplace and expensive.
Toll-Free communication may be available-too late to change much.
Many large (and sometimes unnecessary or inappropriate) diagnostic procedures are done within hours or days of the occurrence of injury, No way to deny those after the fact. The employee/patients injury has had time to take on a "life of it's own".

LATE MEDICAL MANAGEMENT

Fee reviews and AUTOPSIES of the medical issues may take place. Savings opportunities are essentially lost.