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OUR PRODUCTS | |
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Since 1970 Intracorp has successfully helped companies balance their cost savings with optimal medical outcomes and claimant satisfaction. We are the proven leader in providing URAC accredited utilization management programs. Our services are the most comprehensive and customer-focused for reviewing workers' compensation treatment requests.
Our Utilization Review Services Include:
- Outpatient Utilization Review
- Inpatient Utilization Review
- Nurse Summary Complex Medical Records/Claims File Review
- Nurse Bill Review
- Strict compliance with state jurisdictional requirements and guidelines, supported by Intracorp's nationally recognized guidelines
- State-of-the-art criteria and technology to ensure consistent and sound recommendations.
- Physician decision support as needed including peer-to-peer clinical discussion with providers prior to any non-approval decision
- Clearly communicate appeals procedures, including the right to an expedited appeal when necessary
- Timely written notification to all parties (adjusters, providers, treating facilities and ill/injured worker) of complete determinations
- Extensive and secure reporting accessible via the Web
- Identify over-utilization of medical treatment and pre-existing acute and chronic conditions
- Give direction and recommendations on files in the process of settlement
- Pre-screening of bills by nurse auditor for the purpose of identifying unsubstantiated charges, excessive length of stay, data input errors as well as treatments, which appear unrelated to the documented injury
- Identify any pre-existing or secondary medical conditions that were treated during hospitalization
- Physician advisors are readily available for decision support and recommendations
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Click here to download our Utilization Review/Physician Advisor Fact Sheet PDF document |
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