"Payers see a 20 percent reduction in overall spend on supplies with our Supply Recovery program," said Cara Barde, president of TMS. "Specializing in complex and catastrophic work-related injuries gives us insight into the relatively small incremental costs that add up over time." She cited catheters as an example.
Continue reading "TMS Rolls out Supply Recovery Service"
]]>ATLANTA (June 21, 2010) -- Broadspire, a Crawford Company and leading third party administrator of workers compensation claims, liability claims and medical management services, has introduced the BOLD network, a custom preferred provider organization (PPO) strategy that includes targeted selection of medical networks on a state-by-state basis to produce superior outcomes for clients.
"For decades, traditional PPO network solutions have been a steadfast component of the workers compensation industry. But while preferred provider discounts still help reduce claim costs, they do not completely address today's complex challenges," said Danielle Lisenbey, chief operating officer, medical management services. "Our new state-stratified, multi-tiered approach allows us to partner with the best network by region, industry and sometimes even by company."
]]> The BOLD - Broadspire's Original Landmark Design - network features:• Regional networks - Broadspire works to find the best network in each state or region. Regional networks typically have better relationships with local providers, which often translate into more favorable rates.
• Specialty networks - Broadspire also contracts with special networks that concentrate on workers compensation needs such as durable medical equipment (DME) and physical therapy.
"Instead of casting a wide net in hopes of a good outcome, this level of customization can produce superior penetration rates and savings when compared to the rest of the industry," Lisenbey said.
Included among Broadspire's networks and partners are: Aetna, Align Networks, Black Diamond, Express Scripts, Healthcare Solutions, HFN, MedFocus, MTI, Next Imaging, Rockport, Signature Networks, Three Rivers, Total Medical Solutions, Universal Smart Comp and United Health. Broadspire's PPO website, www.BroadspirePPO.com, features the ability to search for providers and networks by state.
In addition, through the use of objective metrics, Broadspire is able to identify needs and cost drivers to build network solutions that are unique and specific to clients. Some examples of cost-saving solutions include:
• A DME formulary with integrated clinical protocols
• Physical therapy protocols and utilization review guidelines
• Diagnostic imaging unmanaged & retrospective guidelines
• Clinical home health guidelines and vendor integration
• Coding methodology for medical and non-medical transportation.
"The key to our documented success is working with the right strategic partners and applying proprietary clinical intervention triggers to make the greatest difference in reducing claim costs," Lisenbey said. "We measure our success by our ability to improve our clients' bottom line, and our medical network strategy continues to evolve to meet the ever-changing demands of managing workers compensation costs."
About Broadspire
Broadspire, a leading international third party administrator for large self-insured organizations, offers a broad array of customized claim and medical management services designed to increase employee productivity and contain costs. Broadspire's U.S. offering of workers compensation, auto and general liability claims administration, medical management and absence and care management, is available bundled or individually. In addition, Crawford provides liability, motor and property claims management services in Europe under the Broadspire brand. Broadspire is based in Atlanta, Ga., with a network of 85 locations throughout the United States (www.choosebroadspire.com) and Europe (www.Broadspire.eu), including the United Kingdom (www.BroadspireTPA.co.uk).
About Crawford
Based in Atlanta, Ga., Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workers compensation claims and medical management, and legal settlement administration. The Company's shares are traded on the NYSE under the symbols CRDA and CRDB.
]]>Workplace accidents resulting in permanent disabilities are the most expensive workers' comp claims. Fortunately, only about 1.1 percent of workers' comp indemnity claims involve permanent disability.
However, these cases represent 11.4 percent of the costs of claims, according to a 2005 study by the National Council of Compensation Insurers titled "Demographic Factors to Consider: Calculating Lifetime Awards on Workers' Compensation Claims," by John Robertson and Dan Corro.)
The high medical cost of permanent disability claims comes as no surprise. Most insurance companies provide for a lifetime award to compensate injured workers for lost wages but continue to pay medical costs for the life of the claimant. The injuries are usually complex--defined as involving more than one body system and separate diagnoses, physicians and treatments for each system. Permanent disability claims usually require home healthcare services and products, including big-ticket items, like power chairs, home modifications and vehicle modifications.
]]>Come visit us at our booth, we would love to share with you our latest news!
For more information about this conference, please click here.
The 9th annual Pennsylvania Workers' Compensation Conference will be held at the Hershey Lodge and Convention Center from June 7 to 8, 2010.
Experts in the field of workers' compensation, including representatives from the Bureau, the Office of Adjudication, the insurance industry, employers, claimant and defense counsel, labor and the health care industry come together to share their knowledge and experience with the workers' compensation system.
It's a conference you shouldn't miss. Total Medical Solutions will be there so come and visit us to get our newest services updates.
For more information, please click here.
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Total Medical Solutions will be there, please come and visit us!
For more information about this conference, please click here.
]]>Come visit Total Medical Solutions at booth # 7. We look forward to the opportunity to share more about our services and our newest updates.
]]>Workcompcomplexcare.com covers treatment techniques, emerging technologies and more
ORLANDO, FL (March 10, 2010) -- Total Medical Solutions (TMS) has launched an aptly named blog www.workcompcomplexcare.com that focuses on issues surrounding the provision of medical services in complex workers' compensation cases. It is aimed at everyone who participates in the workers' compensation industry: payers, nurse case managers, medical providers, adjusters, rehabilitation and disability professionals, home health nurses and complex care patients.
Workcompcomplexcare.com features updates on assistive technologies for people with disabilities and the latest in home modifications and home health care practices along with news and events in the workers' compensation industry. To sign up for email alerts of new postings or an RSS feed, go to www.workcompcomplexcare.com.
"We are all excited about how this dynamic tool will help us engage more with our customers and potential customers," said Cara Barde, president of TMS. "Workcompcomplexcare.com includes stories about caring for complex injuries, common sense suggestions for reducing the costs of long-term care and many other interesting facts and features related to our industry."
To continue reading more about TMS' Blog Launch, click here!
]]>Mattress selection is an aspect of complex medical care that few workers' compensation payers -- or providers, for that matter -- take seriously enough. Rehab mattresses provide positioning, support, comfort, and protection against wounds. Their pressure controls, inflation/deflation rates, rotation, bellow designs and materials (foam, gel, layered foam, sand, fluid, and combinations of these) are the details that make the difference.
There are hundreds of rehabilitative mattresses on the market, all addressing specific issues. However, most workers' compensation mattress scripts are limited to a couple of manufacturers and models. This is partly due to physicians' familiarity only with brands used in hospitals and partly to durable medical equipment (DME) companies' limited access to manufacturers and distributors.
With long-term disability claims comprising more than 11 percent of the workers' compensation medical dollar, mattresses are important cost considerations.
Continue reading "Resting Easy: Mattresses Make a Difference in Complex Comp Care"
Glennon, along with Lisa Pervin, RN, CRRN, PhD, clinical manager for Sarasota Memorial Hospital and president of Best Business Practices Consulting, Inc., will present a two-hour seminar on "Domestic Violence and Lateral/Workplace Violence" on Wednesday evening, May 5, starting at 6 p.m. Open to all registrants, this session provides two Nursing Contact Hours and its cost is covered by the conference registration.
Craft will present with Carolyn F. Sithong, MS, OTR/L, CAPS, on the topic of "Advanced Technology in Rehabilitation to Promote Functional Independence." This session is scheduled for 11 a.m., Friday, May 7.
The Region III and FSARN 33nd Annual Conference "2010...A Rehabilitation Odyssey" will be held from May 5 through 7 at the Regal Sun Resort in Lake Buena Vista, Florida. Attendees can earn 12 Nursing Contact Hours that meet the requirement for mandatory relicensing education. For more information on the conference, including registration information, contact Kevin Glennon at 407-448-5879 or ktgrnnewtms@yahoo.com or click here.
With the increasing speed at which technology advances nowadays, it is no surprise that devices used in therapy have evolved quite a bit from what they were 20, even 10 years ago. Brand-new gadgets and new models of existing gadgets are constantly being introduced to the market. While most of these advances are geared toward patient comfort and convenience, sometimes it takes a little bit of education and training to make these seemingly autonomously-functioning tools work for the patient instead of against him.
The sheer number of items that can fall under the assistive technology category is astonishing. Anything from wheelchairs and canes to verbal communicators and speech-recognition devices can be considered assistive technology. Despite whatever form the item happens to take, be it the latest high-tech gadgetry or something as basic as a walking cane, each device requires a certain amount of training to be able to use it correctly and effectively. Depending on the individual, sometimes a motorized wheelchair requires just as much training to operate as a speech device.
Click here to read the full article at TherapyTimes
]]>Marsau oversees TMS' sales and account management staff and efforts.
"Mike's focus on consultative sales and relationship building fits perfectly with our business development and customer service approach," said Cara Barde, president of TMS. "He is a great addition to our team."
To read the article: http://www.businesswire.com/portal/site/home/permalink/?ndmViewId=news_view&newsId=20100112005251&newsLang=en
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