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Crystal's Small Task Saves Big Bucks!

A very special customer to JMS requested a small task in obtaining an impairment rating from a physician. There seemed to be some communication issues, between the adjuster and the physician. The file initially did not have any case management services to help guide the treatment. and at the end of the process nearing file closure, there was a very high impairment rating assigned by the treating physician.

Crystal Gilbert, RN got to work! Performing a file review, she found discrepancies with the past surgical history of the injured worker.  The injured worker had failed to give an accurate  medical history.  We gathered and provided the treating physician with medical records showing a prior WC injury to the same extremity and prior surgery to the same extremity of injury. Crystal was able to get a face to face meeting with the physician - because she's just that awesome - and review the medical records and providing documentation of the prior impairment rating from the prior injury.  Based on Crystal's diligent work, the physician opined there was no justification to assign additional impairment for the current injury.

This "small" task saved the adjuster more than 2:1 return on investment for case management services!  Never under estimate the power of the JMS Case Managers, for any size task - we are effective at saving big bucks!


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  1. Apu MridhaNovember 25, 2016 at 2:18 PM

    Hey,
    Thank you for sharing such an amazing and informative post. Really enjoyed reading it. :)

    Apu

    Medical Case Management

    ReplyDelete

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