Telephonic Medical Case Management

ACCURATE’s telephonic case management (TCM) program focuses on a proactive review and evaluation of treatment options, a strategy that stresses early intervention to successfully manage medical issues and contain costs, and may be utilized when appropriate to facilitate file movement.

Telephonic Case Management Referral Criteria:

  • Inpatient hospitalizations
  • Cumulative trauma with anticipated loss time
  • All cases with over 14 days anticipated TTD
  • Inconsistent medical findings, including subjective complaints that cannot be supported by objective findings
  • Multiple treating physicians
  • Frequent change of primary treating physician
  • Pre-existing conditions that may prolong treatment (i.e., diabetes, hypertension, heart problems)
  • Non-compliant treating physicians
  • Continued treatment with no MMI in sight
  • Roving diagnosis-continually changing diagnosis
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