eManagedCare™

Services

Bill Review

Catastrophic Case
Management


Ergonomics

Field Case Management

Functional Capacity Evaluation

Future Medical & Rx Review

Life Care Planning

Non-Occupational Absence Management


Peer Review

Peer-to-Peer Intervention

Qualified Rehabilitation Consulting (QRC)

Return-to-Work Interactive Search Process

Technology

Telephonic Case Management

Task Assignments

Utilization Review


     
 

Excel Managed Care offers eManagedCare™ at no additional fee that allows the claim staff via a password protected portal to view, copy or print utilization review and case management information on any case. It provides a multitude of ad hoc reporting capabilities and seamlessly integrates UR decisions into the case manager’s workflow.

Unique features of eManagedCare™ and how the web based Portal will improve your current UR and nurse case management program:

  • Role-based security
  • Billing: access to UR (Utilization Review) and Case Management invoices.
  • Adjuster: ability to view assigned UR and NCM referrals and associated documents in Laserfiche.
  • Peer Review Reports: ability to view assigned UR referrals and view reports in Laserfiche.
  • Automated Email Notification: Emails are generated and automatically sent to adjusters when a referral is created or assigned to a nurse.
  • Crystal Reports Integration: Data driven reports are generated using Crystal Reports, and can be stored in Laserfiche as TIFF’s. Report templates can be edited in the Crystal Reports designer.
  • Ability to Customize List: All entities (clients, adjusters, employers etc…) and lookup lists (CPT codes, review types, Review statuses etc…) that are used in eManagedCare can be customized to suit your needs. A list of industry-standard medical codes is provided with the eManagedCare™ application.
Excel Managed Care has made a significant investment in operational and data security. We have co-located our servers and virtualization infrastructure at a secure off-site location. This site provides precision-controlled, managed, redundant environmental systems, 24x7 power back up systems for all our equipment – no downtime or disruption due to utility power failures or black-out periods, state-of-the-art dry-pipe, pre-action fire suppression – no losses due to fire. Having the IT systems and data located and replicated in a data center helps Excel achieve compliance with Sarbanes/Oxley, HIPAA, SAS 70, etc.
 
     
     
Case Management Services Utilization Review Non-Occ Absence Management eManagedCare
Ergonomics Rx Reviews Bill Review RTW Services
   

   

 

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