Strategies most often used by State Workers Comp programs to contain medical costs include provider choice, treatment guidelines, medical fee schedules, utilization review and managed care. When proposed treatments are determined not to be medically necessary, and an alternative level of care is not agreed upon, an opportunity to review the requested treatment with a clinical peer is called for.

At Rapid Care Medical Review your peer review process is facilitated in many ways including a review of the IW medical records to ensure a complete understanding of the case and review proposed treatment against the State mandated guidelines. The review is consistent with level of urgency in clinical presentation and in compliance with State law. determinations are communicated in the desired report format. Objective review halts unproductive and unnecessary treatment and ensures injured workers receive the medical care they need to resolve their injuries.

Our process is staffed by resources that effectively utilize evidence based guidelines to facilitate timely communications and are expeditious in turning out customized reports in time.

Our Determination facilitates the review process to ensure the right medical treatment is provided at the right time, for the best possible cost and outcome for each injured worker.

To optimize treatment at any stage of the claim and to determine if patient requires further treatment and to comply with mandated State guidelines, the review can be prospective, concurrent or retrospective.