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MM&R EARLY INTERVENTION
INDICATORS
- Crisis or catastrophic cases
- Lost time cases/more than 30 days
- Coordinate medical treatment at the
onset of injury to ensure positive outcomes resulting to a quicker
and less costly recovery
- Access current treatment plans, identify
medical needs based on objective findings, and monitor progress
- Determine anticipated return to work
date, and verify medical restrictions and capabilities obtain
maximum medical improvement
- Evaluate future medical expenses,
negotiate discounts where applicable, utilize the most reputable
and cost-effective service providers
- Cases requiring medical file analysis,
and chronology development and documentation
- Clients that are non-compliant with
treatment
- Cases with multiple providers
- Multiple health problems unrelated
to the work injury yet interfering with return to work
- Providers who over-utilize treatment
services or lack cooperation with recognized treatment protocols
- Multiple injury types, spinal conditions,
surgical cases, head trauma, and multiple conditions affecting
the progress of the client
- To help determine causality, diagnosis
and causal medical relevance to the injury
- When social and psychological factors
influence recovery
- Supplemental criteria established
by the client, such as high dollar claims, or the potential
for permanent disability due to injury
- Hospitalization coordination; discharge
planning; and facilitate/assess Home Care
- Coordination of Independent Medical
Exams, Consultations, and diagnostic services with experts in
the field
- Coordination of Vocational Evaluations
- Establish treatment requirements that
will enable claimant to gainful employment
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