SPECIALTY MANAGED CARE SERVI CES WORKERS’ COMP...
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Complete Workers’ Comp Services and Solutions Priority Financial Guarantee™ Therapy Transparent™ Outpatient Therapy Complex Care Discharge Coordination Durable Medical Equipment Home Health Modifications Physician Reviews Diagnostics Transportation & Translation Pharma Priority Care Solutions, LLC 3802 Corporex Park Drive, Suite 100 Tampa, FL 33619 866.932.5779 Referral Line: 866.932-5779 Orders - [email protected] Basic Info - [email protected] Quotes - [email protected] SPECIALTY MANAGED CARE SERVICES WORKERS’ COMP NETWORKS MODERNIZED. REIMAGINED. 151117 MODERNIZING THE WORKERS’ COMP PROCESS PROVIDING TRANSPARENCY, COMPLIANCE, AND COMMITMENT Priority Care Solutions (PCS) is an innovative, national specialty managed care services and network provider for the workers’ compensation industry. We are privileged to play a role in helping injured workers return to health. As important is our commitment to shape and define how specialty managed care and network providers evolve and rise to meet marketplace needs. We credit our strength and endurance to a consistent approach to managing our business, and to the character of our people. Our commitment to the physical health of workers and the financial health of their companies is paramount, and supported through the introduction of modernized solutions. Backed by our robust U.S. based support infrastructure, we provide unrivaled expertise, commitment, and compassion. We tailor solutions to match your unique needs to ensure injured workers receive the highest level of care, quality outcomes, and optimal return-to-work results. ALWAYS INNOVATING We were the first to introduce a technology solution to bring compliance and transparency to workers’ comp cases. With this industry-first technology powered by medical outcome indicators and physician developed protocols, all parties across the case can communicate and collaborate to compress costs, speed payments, and achieve the highest quality outcome for the injured worker.
Transcript of SPECIALTY MANAGED CARE SERVI CES WORKERS’ COMP...
Complete Workers’ Comp Services and Solutions
Priority Financial Guarantee™
Therapy Transparent™
Outpatient Therapy
Complex Care
Discharge CoordinationDurable Medical Equipment
Home Health
Modifications
Physician ReviewsDiagnostics
Transportation & TranslationPharma
Priority Care Solutions, LLC3802 Corporex Park Drive, Suite 100 Tampa, FL 33619 866.932.5779
Referral Line: 866.932-5779 Orders - [email protected] Basic Info - [email protected] Quotes - [email protected]
SPECIALTY MANAGED CARE SERVI CES WORKERS’ COMP NETWORKS
MODERNIZED. REIMAGINED.
151117
MODERNIZING THE WORKERS’ COMP PROCESS PROVIDING TRANSPARENCY, COMPLIANCE, AND COMMITMENT Priority Care Solutions (PCS) is an innovative, national specialty managed care services and network provider for the workers’ compensation industry.
We are privileged to play a role in helping injured workers return to health. As important is our commitment to shape and define how specialty managed care and network providers evolve and rise to meet marketplace needs. We credit our strength and endurance to a consistent approach to managing our business, and to the character of our people.
Our commitment to the physical health of workers and the financial health of their companies is paramount, and supported through the introduction of modernized solutions.
Backed by our robust U.S. based support infrastructure, we provide unrivaled expertise, commitment, and compassion. We tailor solutions to match your unique needs to ensure injured workers receive the highest level of care, quality outcomes, and optimal return-to-work results.
ALWAYS INNOVATING
We were the first to introduce a technology solution to bring compliance and transparency to workers’ comp cases. With this industry-first technology powered by medical outcome indicators and physician developedprotocols, all parties across the case can communicate and collaborate to compress costs, speed payments, and achieve the highest quality outcome for the injured worker.
Our seasoned, progressive leadership team coupled with a patient-firstapproach provides an unmatched advantage.
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PriorityCareSolutions.com 866.932.5779
PCS is the only provider that can guarantee cost certainty. Exceed your overall annual budget on approved services, and we paythe first 25% of the overage.
INSTANT BUDGET REDUCTION
To understand injury trends and how the budget was developed, we review analytics on the previous three years’ spend on the pre-determined ancillary lines. We also factor in anticipated employment changes and other outliers that impact budget. Using this analysis, we can determine areas of savings based on our provider network and recommend a new reduced budget. Spend is reduced by at least 10% - money that can be allocated to other areas. The program can begin during any financial cycle, and will be set for 12 months.
TRANSPARENCY CONTROLS LEAKAGE
To control leakage, we provide monthly reports to review adjusters’ activity to ensure they align with the program. These reports are a key element in understanding budget trajectory.
PRIORITY FINANCIAL GUARANTEE™
- Bob Smith
CEO, Priority Care Solutions
COMPLETE SOLUTIONS CAREFULLY CURATED NETWORK
INDUSTRY-FIRST, GAME CHANGING SOLUTIONS
MORE THAN OVERSIGHT: CONTROL & TRANSPARENCY
The Therapy Transparent platform provides transparency, compliance adherence, and efficiency over every aspect of rehabilitative services, from course of treatment to payment. Using Therapy Transparent, payers, providers, practitioners, and adjusters use a single platform to:
• Enable direct payer-to-provider payments• Ensure provider neutrality • Confirm patient compliance • Track treatment and progress • Run up-to-the-minute reports• Access provider network information • Securely manage the entire claim
MORE THAN DATA DRIVEN: EVIDENCE-BASED DECISIONS
Therapy Transparent utilizes Medical Outcome Indicators™ to develop the most efficient continuum of care. Leveraging physician-developed protocols and evidence-based medicine guidelines, injured workers receive quality outcomes, and:
• Receive the best possible care • Streamline the rehab process • Avoid time consuming overtreatment • Return to work in a compressed timeline
BENEFITS
• Providers paid 60% faster • Financial transparency • Ensure treatment compliance • Coordination across practitioners • Centralized treatment records • Direct connectivity between payer and provider
THERAPY TRANSPARENT™
For the first time, all parties can manage a case using the same platform from any device.
OUTPATIENT THERAPYPowered by
Therapy Transparent™ COMPLEX CARE
DISCHARGE COORDINATION
DURABLE MEDICAL EQUIPMENT
HOME HEALTH
MODIFICATIONS
PHYSICIAN REVIEWS
DIAGNOSTICS
TRANSPORTATION& TRANSLATION
PHARMA
