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How to Use Nurse Case Management to Improve Outcomes and Lower Workers' Comp Costs
Know when nurse case management pays and when it only adds cost
Playbook content
Introduction
- PDFPlaybook outlineDownload · PDF
- NCM is One of WCs Most Often Used and Misunderstood ServicesVideo · 6:24
Section 1
- When to Use & When Not to Use NCMVideo · 31:10
- Protocol check 1Pass at 70%
Section 2
- NCM Best PracticesVideo · 10:30
- Protocol check 2Pass at 70%
Section 3
- Implementing NCMVideo · 11:53
- Protocol check 3Pass at 70%
About this playbook
Nurse case management is a widely used and often misunderstood service in workers' comp. Used well, it improves outcomes and lowers cost. Used poorly, it adds expense with little value. This playbook sets the criteria for when to assign a nurse case manager, the standard to hold the provider to, and how to bring the nurse into your team.
You will be able to
- Apply clear criteria for when to use nurse case management
- Hold your provider to a defined set of best practices
- Coordinate the nurse case manager as part of your team
- Spot billed hours that run too high
- Compare typical fee ranges and billing options