The Kingstree Group is a disability management firm founded to deliver better service than competitors and save customers money. They focus on achieving positive outcomes and significant savings for employer-customers through a proprietary medical management platform. Kingstree's staff delivers an unmatched service model through triage, predictive modeling, telephonic disability management, field case management, network management, FMLA management, short/long term disability management, and at-risk claims identification. Their internal K-Biz application increases information sharing and reporting capabilities. Kingstree aims to reduce indemnity costs up to 50%, medical costs up to 50%, benefit delivery costs up to 20%, and increase claims closure rates up to 20% through early intervention strategies.
Billing for Anesthesiology and Pain Management Practices
The Kingstree Group Solutions and Platform
1. 900 West Valley Road, Suite 300
Wayne, PA 19087
888.853.6412
www.kingstree.net
2. Note from Kingstree
The Kingstree Group, Inc., a disability management firm, was founded with a single-minded
drive, to deliver a better service than our competitors and to save our customers money. We do
that every day, skillfully, efficiently and consistently.
At the Kingstree Group, the employer is our customer. Our proprietary medical service
delivery platform focuses on achieving positive outcomes and significant savings for our
customers.
Our commitment to our customers allows them to manage the cost of their risk without
jeopardizing the integrity of care required for their employees.
The Kingstree staff comes together with a variety of uniquely qualified backgrounds and
wealth of experience to deliver a service model that is unmatched by our competitors. We
understand the need for a custom fit and provide it. We know that “customer service” is not
just a buzzword and deliver it. We believe in our programs and people and it shows.
We invite you to call us to find out how to make the Kingstree difference work for you.
3. Work Solutions
Triage
“Medical drives Indemnity”…It’s become a catch phrase in managed care.
We at the Kingstree Group Inc. however understand the impact
on you, your injured worker, your bottom line.
Our triage team:
• The first step in setting the course for claims resolution
• Identifies the issues and develops the most expeditious plan for the claim from day one
• We do it every day, every claim, expertly, seamlessly and efficiently
Predictive Modeling
“20% of claims represent 80% of the costs”
• Science, evidence based questions were identified to measure claim cost and longevity
• Psychosocial indicators are inherent in the process and show predictive patterns with certain claim outcomes
• Early identification allows early intervention for medical resolution
• Predictive medical data mining means better medical outcomes and thus better claims outcomes
The 80/20 rule demystified.
Telephonic Disability Management
Triage identifies the issues and our telephonic division establishes
the plan to resolve them, expertly and seamlessly.
• Immediate identification of and plan for medical and claims issues
• Reserve detailing that saves you money
• Compliance to recommended course of action
• Return to work timeline, clearly and concisely detailed and achieved
Exceptional communication… a pre-requisite.
Field Case Management
The most difficult balance to achieve is the transition
from telephonic disability management to the field.
• Field team staff ready when and where needed
• Manage the cost of the risk without jeopardizing the integrity of the care needed
• Quick response in coordination with telephonic counterparts – seamlessly
• Clear, concise, goal focused communication with your entire team
Creatively and efficiently managing care… expected.
Network Management
Creative implementation of specialty networks that
cut your costs and streamline targeted, specialized care for your injured worker.
• Increased network penetration
• Exceptional treatment results – consistent follow up
• Focus on results…increased productivity and decreased costs
Finding the “right” provider… a must.
4. FMLA
Kingstree works directly with internal HR, General Counsel or other designees
to structure the optimal program.
• Data analysis to identify appropriateness of the leave request
• Seamless coordination of information
• Clear, fast and comprehensive reports
Determining appropriateness… critical.
Short/Long Term Disability
Kingstree understands the policy driven issues that drive your costs
and endeavors to resolve them.
• Analysis of the policy constraints so that only appropriate steps are taken
• Customized programs based on the policy constraints and claim specific issues
• Custom plan with report to resolve/mitigate the issues
Policy constraints… a reality.
At Risk Claims
When questionable claims/treatment are an issue,
Kingstree will immediately identify high risk medical issues and behaviors.
• Clear multi-option strategies are outlined
• Unnecessary or inappropriate claims are swiftly identified
Ability to see the “red flags”… essential.
KBIZ
Our experience produces superior results...
our technology provides superior performance
K-Biz, the proprietary internal web application for the Kingstree Group Inc.:
• Developed to increase the speed of information • System modification can be done with less
gathering to manage claims cumbersome programming and thus more
• Designed to create a central information point efficiently
for multiple users to handle medical/claims data • Standard and customized reporting for our
seamlessly; internally or remotely clients
• Utilizes a scripting language that allows for • User friendly environment
flexibility of technology integration • Secure data storage
5. Kingstree Service Delivery Platform
Goal: Implement an innovative, customized strategic medical management platform that will directly reduce
workers compensation losses. This results driven approach will dramatically impact your claims.
HOW IT WORKS
CUSTOMER THE TEAM ADJUNCT TEAM
KINGSTREE Claims Data Management
Pro-tailored Provider Panels
Specialty Networks
• Pharmacy Benefit Managers
BROKER / AGENT • All therapies
• Durable Medical Equipment
• Drug testing
- post accident
- medication compliance
ULTIMATE CONTROL CLAIMS • Language Services
ADJUSTER
Your Cost Controlled
• Average Indemnity Costs: Kingstree’s collaborative approach on early medical and return to work strategies
reduce average indemnity costs up to 50% per claim.
• Average Medical Costs: Kingstree’s collaborative approach involving ongoing medical management has
proven to reduce medical utilization and duration. Average medical costs on indemnity claims are reduced by
up to 50% per claim.
• Identify Hidden “Benefit Delivery” Costs: Benefit Delivery services such as out of network medical
management and legal related costs can be up to 25% of the total loss. Drive down average costs per claim
up to 20% for benefit delivery services and target proactive management strategies.
• Medical/Indemnity Claim Split: Early claim and medical management initiatives reduce claims paying lost
time benefits up to 25%.
• Claims Closure Rates: Early medical and return to work strategies increase the percent of claims closed
up to 20%, reducing both medical and indemnity costs on high dollar claims.