We provide the most comprehensive cost containment strategy in the Workers Compensation industry. Our call command center is located just outside of Charlotte, NC and is staffed 24/7 with medical assistants, nurses and EMT’s to coordinate care. When calls from injured workers come in, the coordinator immediately notifies the on-call Emergency Physician licensed in the state of the patient. Once required information is gathered, the injured worker is joined in a virtual consultation room with the attending Physician.

All calls are recorded in a HIPAA compliant portal as the Physician assesses the injured worker, determines the appropriate clinical plan and when necessary provides prescription or referral into the preferred provider network.

The call coordinators scribe the call into a compliant First Report of Injury. Upon completion of the call, the coordinator contacts the employer to notify the employer that an event has occurred and to provide an oral Work Status. The coordinator then submits a written Work Status Report to the employer.  As soon as the FROI is signed by the attending Physician, it is submitted via FTP portal to the carrier for efficient and effective implementation of risk management protocols.

MedCall Advisors Workers Compensation Cases

Delivery truck driver contacted MedCall presenting a severe upper arm injury.  The driver heard his arm “snap or pop” while carrying a sofa upstairs.  The physician on staff asked for a quick photo to be uploaded into the portal.  The photo revealed an obvious torn bicep muscle.  The physician explained that while a trip to the ER is usual for this type of injury, the fact is there is really nothing the ER can do for this type of injury except to perform an MRI to confirm the injury.   The physician recommended the driver go home, put an ice pack on the injured area and take ibuprofen to control swelling.   He instructed the call coordinator to make appointment with orthopedic surgeon ASAP and let the surgeon coordinate the MRI and next steps.   Patient is to follow up with Med Call with any changes.

Supervisor from a machine shop contacted MedCall regarding a worker who sustained a serious forearm laceration.  The supervisor had already called 911 and an ambulance was on the way.   The physician asked how the injury happened and for details on the status.  The supervisor stated that the laceration was quite deep and that he had seen exposed tissue.  They were applying firm pressure with a towel wrap.  The physician said the biggest concern would be a severed tendon and in this situation the tendon could dry out before the patient could be treated in the ER.   They physician suggested soaking the wrap with water and continue pouring water over the wound to keep the tendon as moist as possible.  This would increase the likelihood of a successful tendon repair reducing the loss of motion and reducing the risk of a long-term disability resulting from the injury.

Electric company crew working remotely.  > 4 hours rough road drive to small town. 47 year old male stepped out of basket and fell, dislocating shoulder.  Established no circulatory or nerve injury by directed exam.  Talked foreman through the “Eskimo” type shoulder relocation and immobilization with a T-shirt.  The bumpy drive with a dislocated shoulder would have been quite painful and may have resulted in further injury.  He saw the occ med physician next day and was given a proper sling.  Saved ER visit, potential further damage, and much pain avoided.

22 year old male called in for rapid hearing loss left ear.  Thought was due to wax from wearing earplug protection.  On history and directed exam it became obvious that this was nerve deafness not conduction deafness from wax or middle ear fluid.  He was referred same day urgently to ENT with diagnosis of permanent deafness that ear, however was able to avoid same fate for other ear by early treatment.  Savings?  Total deafness avoided, and case subrogated to medical coverage.

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