Patient Management

Advocating Care® for Injured Employees

CorVel’s suite of patient management solutions are designed to combine personal attention, professional expertise and technologies to offer the most comprehensive capabilities to injured workers. Our services include telephonic and field case management, early intervention, utilization review and vocational rehabilitation through local branch offices and Case Managers. We work side by side with injured workers to assist them though their episode of care, working to achieve timely recovery and increased savings. 

Case Management
Our program proactively focuses on reducing medical costs through the efficient medical management of all claims to make sure the injured worker follows the most appropriate care path. Our Case Managers gather and analyze medical treatment information, discussing with the employer current job requirements of the injured worker, accommodations for modified work, and any further relevant information. This service positively impacts injured workers’ cases by utilizing proactive measures throughout the episode of care.

By tailoring service delivery, we are able to create the perfect solution by knowing your needs. CorVel offers web enabled service delivery and reporting to interface with customers on a virtual basis, 24 hours a day, 7 days a week. Once an employee is injured, the claim is put into our database in CareMC and routed to the appropriate office and Case Manager. Electronic case notes provide real time access to information and status on a claim anytime, day or night. With a nationwide service delivery network, CorVel is where your claims are located.

Utilization Management
With access to our experienced utilization review professionals, you can reduce over utilization, streamline the coordination of care and control costs while ensuring quality care. Our experts can participate in a well-defined dispute resolution process and provide all supporting documentation for care. CorVel is URAC accredited for Workers’ Compensation Utilization Review and Health Utilization Review Management.

Medicare Set Asides
CorVel has a long standing relationship with the Centers for Medicare and Medicaid Services (CMS). We are experienced in the Medicare Secondary Payer (MSP) requirements and provide a one on one relationship with every referral to assist customers to achieve complete MSP compliance. CorVel’s Medicare Set Aside Certified Consultants are all registered nurses and members of the National Alliance of Medicare Set Asides Professionals (NAMSAP), a nationally recognized trade organization.