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ICS - Integrated Services  Total Service Solution  Overview Prepared for :
Overview of Integrated Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ICS - Integrated Services Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Call Center Services
Call Center Services - Component Benefit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Call Center Utilization
For Client A, new injuries that are reported 8 Days of Greater incurred roughly 140% more in medical costs than those cases that are reported the Same Day.  Average Medical Cost by Lag Time Category
Early Intervention Nurse Case Management/EPO Network Services
Early Intervention/Telephonic Case Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early Intervention/Telephonic Case Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monthly Saved Days Analysis - Comparison to National Benchmark For this national client, the average monthly “saved” lost time days has increased by nearly 200% over the past 2 full calendar years.  The “saved” days is measured on closed Lost Time cases and the number of lost time days incurred measured against the expected disability duration using national best practice benchmarks
Transitional Duty Outcomes - New Employees Entering Program For this national client, since FY02, there have been over 1,700 new employees who have benefited from the Transitional Duty Program.
Average Lost Time Days by Lost Time Claim CY 1999 was full year prior to implementation of current TCM Program
Exclusive Occupational Health Network Overview ,[object Object],[object Object],[object Object],[object Object],[object Object]
Exclusive Occupational Health Network Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre Certification/Utilization Review Services
Utilization Review  - Component Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Bill Review & PPO Fusion Services
Medical Bill Review Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Bill Review Components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Bill Review – Service Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Network Solutions – The ICS Fusion
PPO/Specialty Savings & Penetration Breakdown ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Case study: National retail client with warehousing and distribution centers 2009 New Jersey Results: 75% PPO Penetration resulting in 50% Gross Savings
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The ICS Health Ticket
IC_Solutions – Specialty Bill Review Services
[object Object],[object Object],[object Object],[object Object],IC_Solutions – Specialty Bill Review Services
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Specialty Review/Negotiated Savings
[object Object],IC_Solutions – Specialty Bill Review Services
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IC_Solutions – How To Refer, Manage, Save
Independent Medical Evaluation & Physician Review Services
Medical Evaluation Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Independent Peer Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Independent Peer Review
Medicare Set Aside
Medicare Set Aside Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fraud Abatement & Record Retrieval Services
Fraud Abatement Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Record Retrieval Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Proprietary Technology – WebOPUS Case Management Portal
Overview of WebOPUS -  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WebOPUS Capabilities - Roles Supported ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WebOPUS Capabilities - Modules Supported ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WebOPUS Capabilities - Core Section Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WebOPUS - Browser Tool ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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ICS_services overview_template

Editor's Notes

  1. Tillingast Towers Perrin Other Notable events CIRMA Acquisition of RHH Satellite Claims office in Meriden Move of Claims to New Haven Linda Brooke to Ken Martino to Mike Rhyner to Bruce Bette Slother to Dave D to Bruce Clinger Claims dept reorgs // new SW implemented Softening of insurance market CareSys Sold from Value to Anthem. From Anthem to Continuum Many operational work flows changes
  2. Navarro
  3. 2 Paul
  4. 2 Paul