Injury Management - IMO - Med-Select® Networks, Industry Care Services, Medical Management Services, Cost Containment Services

Summary of Services

Medical Case Management Services | IMO Med-Select® Network | Industry Care Services | Cost Containment Services

E-intelemed early intervention programs
An early intervention approach for each reported injury to obtain a medical triage, return-to-work status and medical prognosis
Field/ Occupational Case Management services
Act as a bridge between the occupational and medical elements of an injury
Vocational Case Management services
Vocational goals established for return-to-work placement
Catastrophic Case Management services
For all cases that are high-cost exposure medical cases and emergency-type cases

Proven Results: For every $1 spent, $20 dollars is saved on medical costs. IMO results indicate that medical management costs range from $900-1,200 per case, and reward that over 85% of the cases are closed within 90 days of the referral date. IMO is prepared to provide qualified and certified case management services as required by Texas HB7.

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Quality improvement and advisory panel
Selective and customized Texas provider selections
Integration of cost containment services that encompass medical utilization review, medical case management, medical bill analysis, return-to-work programs and evidence-based guidelines
Network administrator for carriers and employers (in- and out-of-network)

Proven Results: The effectiveness for RTW, selective and qualified providers and medical management integration in the customized networks proven results and up to 75% of medical savings and up to 30% reduction of lost work days

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On-site occupational medical programs
Early intervention programs / stay-at-work programs
Ergonomic / work assessments and job site analysis
Employee education and injury prevention programs

Proven Results: Early intervention programs are utilized by over 70% of employers and are an instrumental cost containment tool that has reviewed and refunded results and significant bottom line savings.

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Medical bill review services encompassing all medical bills, pharmacy and hospital
Medical screen assessments for bill profile criteria
Web-based software with electronic integration with claims
Utilization Review / Pre-Authorization
Medical Bill Review (IMOmbr product)
Peer review and RME

Proven Results: Over 70% of medical charges saved with less then 1% of medical bills disputed.

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