Benefits
- Track and manage claims from first report to closing.
- Measure results against official guidelines.
- Track and apply benefits.
- Track internal and external medical visits.
Features
- Designed by and for Case Managers.
- Third Party Administrator (TPA) interface eliminates copying, faxing and emails.
- TPA interface provides claim decisions and updates to case managers.
- Sets and assigns task reminders.
- Summary report provides latest updates to case.
- Integrated with Medical Management, Safety, and Job Link solutions.
pihms Work Related Case Management provides a wide range of tools to actively manage work-related injury and illness cases.
Included are best practice case management features such as 3-Point Contact, Case Diary Notes and the Case Summary Report.
The Case Diary section tracks every detail of the claim from start to finish, logging the user’s name, date and time with each note entered. Interface this functionality with your third party administrator and put real time information at your case manager fingertips. Independent Medical Examination and referral physician reports can also be recorded. A hyperlink to the Case Summary allows the user to quickly access each package’s complete details to facilitate case management.
This solution also tracks employees with work restrictions and their restricted duty assignments to assure that they are working safely within their restrictions, yet maximizing their work capabilities.
Interfacing this package with pihms Leave Management allows for absences to be carefully tracked and managed. Links to the Job Link, Medical Management, and Safety solutions enhance communication to improve employee case and productivity management.
