The Agile approach to Workers' Comp
Our approach is to aggressively manage an emplyees care within the workers’ compensation environment. The Patient-Physician relationship is a critical component of the workers’ compensation claim, and the right management of care can have a significant impact on the overall duration, cost, and lost time in a claim.
We manage care within ACOEM and ODG guidelines, assuring compliance with authorizations and billing. At the same time, we are aggressive in our efforts to schedule timely visits and monitor the expected vs. actual progress of the patient. It is our fundamental belief that positive workers’ comp claims outcomes start with quality health care.
We also deliver quality care in a manner that aggressive drives claim resolution and reduces potential litigation by making sure the patient is aligned in their personal health goals and receives the care and support needed to keep them on track to a speedy recovery.
Our role in reducing the likelihood of litigation:
- Connect with the patient with an emphasis on making sure they feel heard, understand their injury, and have clear expectations of the treatment and recovery process
- Partner with managed care and insurance company to make sure patients receive timely care with approved doctors
- Track expectations for improvements in function and progression toward full duty or return to work, and provide consultation with employers and patients when this is not being achieved. (Idea here would be reduce the communication gap by getting the doctor, the patient, the employer, and the nurse case manager all on a conference call at the same time to discuss progress when patient is starting to come off the rails)
- Don’t lose control of the patient when specialists are involved. Stay engaged in the care – follow up with the specialists and maintain the role of centralizing documentation and work restrictions.
Agile's approach is an aggressive scheduling and case management process where our goal is to make sure patients get timely care and their progress toward recovery stays on track.