Most case management
service providers monitor their cases by phone or in person. At
Med NY we deliver an integrated service model, combining both field
and telephone-based case management services.  This unique combination
helps maximize outcomes and minimize expense.
Whether
on the phone or in person, our skilled case managers take the lead
role in managing the injured worker back to work. They develop
and manage a plan of action that ensures appropriate, timely medical
care, while facilitating access to an extensive medical support
network.
Med NY’s case managers act as an extension of your organization,
providing early intervention and quality communication with your
injured workers, to convey your concern and commitment to your
injured workers' full, fast recoveries.
 Field Case Management
Med NY’s field case managers are strategically located across
New York State, to provide expert, on-site service at the local
level.
- Prompt and personal contact with the injured
worker, his/her healthcare providers, and the employer-within
24 hours of referral-ensures that all parties are working together
to develop and expedite a plan of action that helps promote a
prompt return to work.
- Our certified case managers are trained to provide a
full spectrum of field-based services – from
abbreviated task assignments to full-scale, catastophic
case management.
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Telephonic Case Management
 Our extensive telephonic case management team, centrally located
at our corporate office in Syracuse, NY, work alone or as a team
with our field-based case managers.
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Centralized intake of claims provides the
benefits of early intervention by our telephonic team. Initial
contact is made within 24 hours.
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Following the same three-point contact as
our field-based managers, our telephonic case managers develop
a plan of care and manage access to our extensive medical support
network.
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Where field-based intervention can improve patient outcomes,
our telephonic team will refer assignments to our field-based
team.
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In any case, Xclaim claims management software serves as the
central resource for up-to-date claims information.
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Return-to-Work Programs
A complete return to safe, gainful employment is the ultimate
goal of our case management services.
Med NY Case Management can help you create, implement,
and monitor a customized return-to-work program to meet your specific
needs. Our case managers are trained to focus on return-to-work
from the initial assessment to final case closure.
Med NY works
closely with the employer to explore realistic options for a timely
and safe return to work. Light duty, modified duty, and temporary
transitional work options are discussed. Worksite evaluations are
performed and accurate job descriptions are developed. The attending
physician is educated as to the physical requirements of the job,
to ensure a safe and appropriate return to work.
Med NY’s case
managers and our senior management team have the experience and
the creativity to provide return-to-work solutions that get your
employees back on the job, enhance your productivity, and to save
you money.
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Vocational
Services
If the injured worker cannot return to work with the employer
of injury, then Med NY is able to provide assistance in vocational
rehabilitation and job placement services. Certified, master’s
level vocational counselors are utilized to perform vocational
assessments, transferable skills analyses, plan development, job
readiness coaching, and direct job placement assistance. Our
goal is to assist the injured worker in a timely and safe return
to gainful employment.
Med NY is also able to provide Hypothetical Vocational
Evaluations, to assess an individual’s level of employability. Whether
it be an abbreviated vocational assignment, or full-scale vocational
rehabilitation assistance, Med NY has the range and flexibility
to meet your needs. We utilize the telephone and the Internet
as fully as possible to maximize efficiency & minimize expense. Our
state-of-the-art technology — Xclaim — is an Internet based, paperless
system, and offers secure interfacing to our clients.
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Utilization
Review
Med NY Case Management can provide a complement
of utilization review services including pre certification, concurrent,
and retrospective reviews.
- A Medical Review Board compares requested treatment plans to
national practice standards for medical necessity, treatment
setting, and frequency and duration of care to ensure that appropriate
treatment is being recommended.
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Safety
Education and Ergonomic Evaluations
 Med
NY has a staff of qualified safety and loss control and certified
engineering specialists that will work with employers to improve
workplace safety and employees' interaction with their work space.
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On-site safety assessments to identify potential and existing
risk areas
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Client customized safety and loss control education programs
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Personal workspace evaluations to maximize employee ergonomic
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Ongoing claims analysis to identify consistent occurrences
that should be addressed in order to control future losses
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Fee Schedule Compliance Checks
Med NY performs
regular audits of the medical fees charged by its extensive network
of healthcare professionals to ensure they are in compliance
with the New York State fee schedules.
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