Alternative Services Concepts, LLC: Managed Care Case Management

 

Managed Care Case Management

General Liability Claims Service, Commercial Property Claims Service

Adjusters screen all first reports of injury. Those meeting select criteria established by the client are referred to medical management professionals. The case manager initiates the case management process by contacting the treating physician to:

General Liability Claims Service, Commercial Property Claims Service

  • Establish a treatment plan and discuss appropriateness of care General Liability Claims Service
  • Review treatment or recommended tests that require pre-certification General Liability Claims Service
  • Schedule follow-up consultation

Services requiring pre-certification are reviewed to confirm:

  • Medical necessity and appropriateness of proposed treatment
  • Recording of authorization for future reimbursement activity
  • Scheduling of follow-up consultations
  • Transmission of notification to all appropriate parties

liability claims service

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