Utilization Review takes on a strong outlook as Unity Solutions enters the market with a new approach, “Proactive Cost-Savings: Placing greater emphasis on reducing treatment costs, while improving patient outcomes”. While the cost of UR continues to increase, the requested treatment is often delayed, and cannot be delivered until authorized by UR. Meanwhile, the patient continues [...]
DATACAREʼS CASEBOOK™ is a web-based paperless, workplace for case managers. It works with your claims system or standalone, to eliminate redundant processes and save 25% of your case managersʼ time with key time saving features. REAL-TIME WINDOW INTO YOUR CASE MANAGEMENT • Complete visibility – quickly track all cases; identify late reports, upcoming deadlines, court [...]
This letter is to address the impact of Senate Bill 1160 (or SB1160) pertaining to self-insureds, TPA’s or third-party-administrators, employers, and utilization review organizations across California. On September 30, 2016, SB1160 was signed by Governor Jerry Brown, which is set for implementation beginning the first of January in 2018. The result of this bill will [...]
DataCare UR++SM reduces utilization review program costs by enabling claims adjusters and trained administrators to routinely approve 80% or more of all treatment requests and by significantly reducing the number of referrals to more expensive nurse or physician reviews. Quick approvals also shorten the time it takes for employees to return to work. With the UR++: [...]
Companies involved in Workers’ Compensation will typically use Utilization Review, Case Management and Claims Management software independent of one another. The Ahshay core software platform achieves higher efficiency, savings, and detailed reporting by combining these modules under one platform. Within DataCare‘s core platform Ahshay, Utilization Review, Case Management, and the claim enhancing Medical Process Manager [...]
Source: WorkCompWire San Jose, CA – DataCare’s recently announced that its web-based workers’ compensation case management software is integrating the Reed Group® MDGuidelines. MDGuidelines offers: Real-world and physiological return-to-work duration Predictive modeling of return-to-work duration Medical monographs for clinician reference and patient education State treatment guidelines for workers’ compensation Leave of Absence Advisor™, a resource [...]
Reed Group® MDGuidelines are featured in DataCare's latest whitepaper "Calculating Hard-Dollar Returns on Return-to-Work Case Management". In today's competitive business climate, a managed care company must provide empirical data that supports its ability to control costs, increase efficiency, and increase the quality of care. The key metrics that the company can focus on are Return-to-Work [...]
SAN JOSE, Calif., May 14, 2013 /PRNewswire/ Reed Group® MDGuidelines are featured in DataCare's latest whitepaper "Calculating Hard-Dollar Returns on Return-to-Work Case Management". In today's competitive business climate, a managed care company must provide empirical data that supports its ability to control costs, increase efficiency, and increase the quality of care. The key metrics that [...]
DataCare UR++ reduces utilization review program costs by enabling claims adjusters and trained administrators to routinely approve 80% or more of all treatment requests and by significantly reducing the number of referrals to more expensive nurse or physician reviews. Quick approvals also shorten the time it takes for employees to return to work. With Express Approval: [...]