workers compensation medical - broward county...rx3 q-c cu > o proven process talented...

Workers Compensation MedicalCost Containment and Case

Management Services

October 18, 2018

PRESENTATION AGENDA

INTRODUCTION

MEDICAL MANAGEMENT

PROVIDER NETWORKS

COST CONTAINMENT

CONCLUSION

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Confmnce Chronicles

2015 Nellonal Workers'Conipent*tlon& DtssbilttyConference, MecyO'OonDthue, VicePresident. Medical

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CERTIFICATE OF AWARD

HSIS, Inc. dba AmeriSys5728 Major Blvd, Suite 450

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ura^Workers' Compcnsniion I'lilizntion Mansigemeni, 7.3 Accrediiaiion

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COST CONTAINIVIENT

Turnaround ReportFiscal Year End: October 2016 - September 2017

Average Days from Average Days Average Days Average Days

Count Bf""Receipt toASI from ASl Receipt from Bill Review fromBrowardReceipt to Posted Receipt to Export Received to Paid

4,091

Medical BDI Fliiitg Parromunee

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PPO/CONTRACTED SAVINGS

Fiscal Year End: October 2016 - September 2017

GRAND TOTAL Bilts Btll ChargesFeoSclu'dul,'

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Physicians 3,965 8,109 $1,971,032.69 $996,909.36 $191,623.76 $13,460.95Hospital inpAlicr^t 15 228 5644,505.80 $335,311.69 $25,217.46 $7,376.89Hospitjl Oulpjtienf 182 1,130 $1,047,769,37 $415,781.19 $92,495.85 $41,522.26Ambuialotv St.tglcdl 62 178 $840,674.47 $412,638.11 $62,756.90 $14,163.02Physk^lTheraoy 2490 5,773 $543,987.01 $210,284.30 $5,636.60 $77,635.98Didgnostics 124 135 $174,471.66 $109,866.03 $3,177.17 $12,669.98Chiropractic 4 24 $1,457.12 $821.12 $0 $0DME 179 307 $104,531.84 $23,302.98 $4,189.40 $27,902.12Prescriptions 1,217 1,713 $438,687,37 $13,893.55 $14,953.30 $79,136.68Other 336 1,072 $134,576.06 $44,398.06 $17,085.49 $10,226.27TOTAL 8,474 18,669 $5,901,688.39 $2,563,226.39 $417,135.93 $284,094.15

Savings

Reduction %43.43K 7J)7K

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(9.72K belowfee sdiidula)

PPO/Contracted Savings Billed Charges% of Overall Redjction reialed to PRO/

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PPO/Contracted Savings Billed Charges Fee Schedule and Other Savings % of PPO Savings below Fee Schedule

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INFORMATION SYSTEMS

> Setup of your systems

> Software for adjusters

> Software for First Report Notice of Injury

> Security protocol

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AmeriSys hascontracted and

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behalf of Broward

V P CLAIMS

Since 2016, USIS

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handlingBroward County

VIP claims

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OPTIONAL SERVICES

USIS/AmeriSys will contract with the service providers ofBroward County's choice.

OCCUPATIONAL, MEDICAL, DRUG, AND ALCOHOL POLICIES

DRUG AND ALCOHOL SCREENS

OCCUPATIONAL MEDICAL CONSULTATION

SUBSTANCE ABUSE SERVICES

INVESTIGATIVE SERVICES AND SURVEILLANCE

SAFETY AND OCCUPATIONAL HEALTH SERVICES

ALL-LINES CLAIMS ADJUSTING

^ USIS currently provides VIP claims adjusting services

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USIS/AmerTSys take PridejrtPrdvidi% Custorrier^Getitrici

THANK YO

workers compensation medical - broward county...rx3 q-c cu > o proven process talented...

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