Datacare

What's New at DataCare
DataCare Case Management Software Integrates Reed Group Guidelines to better manage Return-to-Work

DataCare web-based workers' compensation case management software now integrates the Reed Group® MDGuidelines.MDGuidelines offers:

  • Real-world and physiological return-to-work durations
  • Predictive modeling of return-to-work durations
  • Medical monographs for clinician reference and patient education
  • State treatment guidelines for workers’ compensation
  • Leave of Absence Advisor™, a resource for easy navigation of--and best practices expertise for--FMLA, state, and other job-protected leave laws

Jon Seymour, MD, Reed Group President, Guidelines says, “DataCare has done a phenomenal job with the comprehensive integration of MDGuidelines into their software system. This tool gives return-to-work stakeholders the functionality they need to achieve better outcomes, reduce costs, and help employees return to their normal productive endeavors."

According to Dr. Douglas Benner, Chief Medical Officer at EK Health, who provided medical oversight to the DataCare development team, “DataCare’s integration with Reed Group is part of a growing trend to put easy-to-use predictive modeling tools in the hands of nurses and physicians. This will enable them to employ return-to-work guidelines that are more closely tailored for each patient based on factors such as age, job class, and the presence of additional (co-morbid) health conditions.”

According to Denise Glessner, Director of Managed Care at Total Managed Care, who has implemented the new software, “DataCare’s enhanced RTW capabilities will help us achieve our mission of providing fast, effective treatment for injured workers.”

Return-to-work guidelines from the Reed Group are based on the world’s deepest database of millions of disability cases and covering over 1,300 medical topics, many of which cover multiple diagnoses or procedures. They are the result of rigorous statistical analysis and the up-to-the-minute clinical expertise of leading physicians.

MDGuidelines provides the most trusted and highest quality return-to-work data on the market with:

  • A robust tool data set for managing disabilities including definitions, diagnosis and prognosis, rehabilitation, disability durations, and restrictions and accommodations for over 5,000 of the top disabling conditions
  • The deepest and highest quality data
  • The most reliable recommended disability durations
  • Superior user interface for administrative savings
  • Consistent and defendable return-to-work recommendations

Mike Allen, Director of Business Development at DataCare, says, “We are committed to bringing our client’s the most advanced tools that help them provide injured workers with timely and effective treatment. As a result of our work with Reed Group, our clients can now seamlessly integrate the most recently updated versions of disability durations, predictive recommendations, and referential content into their case managers’ workflow.”

About DataCare Corporation (http://www.datacare.com)

Headquartered in San Jose, California, DataCare software supports evidence-based treatment decisions with defensible supporting documentation for workers’ compensation claims. DataCare supports the highly specialized workflows for workers’ compensation claims management, case management, utilization review, and bill review systems. DataCare’s web-based solutions enable reviewers to be twice as productive as those using legacy paper-based workflows, and offer managers much better visibility into status, quality, and workload issues.

About Reed Group
Reed Group® is the world’s most trusted source of return-to-work information, helping companies improve employee absence outcomes. Reed Group’s data, tools, customized solutions, and case management services help reduce absence incidence and duration, and get employees back to normal, healthy lives and full productivity. Reed Group is headquartered in Westminster, Colorado. More information at www.reedgroup.com and www.mdguidelines.com.

 
Looking Forward to Connecting at RIMS 2012

RIMS 2012 header

Great ways to connect with us at RIMS 2012

    Visit us at booth #2611

    Follow on TwitterReach us on twitter @DataCareCorp

    Attend our Cheese & Wine Reception

    Tuesday, April 17th

    5:30 - 8:30PM

    Congress Room C of Loews Philadelphia Hotel

Wine & Cheese Invitation 2012

 

 
Heading to Disneyland

This year March 12 & 13 is our favorite time of year! We're going to Disneyland for the Spring CSIA 2012 conference which is the annual California Self-Insurers Security Fund members' update. Hope you see you there!

 
Mitchell Announces Significant Enhancements to SmartAdvisor(TM) Utilization Review

Mitchell Workers' Compensation Solutions Further Automates and Optimizes Common Lengthy and Error-Prone Manual Medical Bill Review Process

SAN DIEGO, CA, Feb 07, 2012 (MARKETWIRE) -- Mitchell, a leading provider of technology, connectivity and information solutions to the Property & Casualty claims and Collision Repair industries, today announced significant enhancements to the SmartAdvisor(TM) Utilization Review (UR) Decision Manager(TM), an industry-leading solution that automatically integrates utilization review decisions within the bill review process, empowering insurance claims payers with the ability to reduce unauthorized treatment losses, improve efficiency with automated and accelerated treatment decisions, and optimize investment in UR technology.

"The Mitchell SmartAdvisor UR Decision Manager, like all our claims management solutions, is continually enhanced and improved in order to substantially increase straight-through processing rates. The UR Decision Manager automatically applies utilization review recommendations to a bill, allowing manual intervention only when needed, which enabled one of our clients to reduce medical bill processing time by an impressive 30.6 per cent. The market interest for UR Decision Manager is strong and we look forward to working with our clients to help them improve operational efficiency," said Nina Smith-Garmon, senior vice president and general manager of the Mitchell Workers' Compensation Solutions Division.

Now, the Mitchell SmartAdvisor UR Decision Manager offers insurance payers further improvements in operational and financial efficiency with the ability to customize UR exceptions at the client, policy or claims systems level; automate compliance with New York and California treatment guidelines; and access an enhanced user interface with more granular visibility into bill entry and Explanations of Review (EOR) applied UR decisions.

In addition, SmartAdvisor now supports the integration of third party systems such as Unimed, DataCare, CID Management and others into the UR Decision Manager, in order to simplify and optimize claims handling while containing costs.

SmartAdvisor is a comprehensive bill review solution for workers' compensation that contains a unique combination of performance software, client services and best-in-class partnerships. SmartAdvisor's distinctive capabilities include customizable workflow modeling, a robust business decision rules engine, data analytics and reporting tools, Claims Examiner Portal for fast, secured, real-time access to bill data and a proven technology platform that delivers on average 50-70% straight-through processing for improved efficiencies and lower costs. Visit www.mitchell.com/smartadvisor  for more information or contact 1-800-421-6705 to schedule a demo of the SmartAdvisor bill review system.

About Mitchell Mitchell empowers clients to achieve measurably better outcomes. Providing unparalleled breadth of technology, connectivity and information solutions to the Property & Casualty claims and Collision Repair industries, Mitchell is uniquely able to simplify and accelerate the claims management and collision repair processes.

As a leading provider of Property & Casualty claims technology solutions, Mitchell processes over 50 million transactions annually for over 300 insurance companies/claims payers and over 30,000 collision repair facilities throughout North America. Founded in 1946, Mitchell is headquartered in San Diego, California, and has 1,700 employees. The company is privately owned primarily by the Aurora Capital Group, a Los Angeles-based investment group. For more information about Mitchell, visit www.mitchell.com .

About Mitchell Workers' Compensation Solutions Division Mitchell Workers' Compensation Solutions (WCS), a division of Mitchell, is a leading provider of workers' compensation cost containment technologies and solutions. Insurance payers and other clients rely on Mitchell's medical bill review solution, the SmartAdvisor(TM) Software Suite, to improve their medical cost savings results. For more information, please visit www.mitchell.com/workerscomp .

SOURCE: Mitchell International

 
Great Time At National WC 2011

We had an exciting time at National Workers' Compensation and Disability Conference® & Expo November 9-11 in Las Vegas.

We got to meet many new workers' comp experts as well as visit with a few old friends. It is always great when we get the chance to explain the benefits of our case management and utilization review software while we explore the options for improving our performance and products to better serve the workers' comp industry.

In case you missed our "Using Technology to Control Medical Cost Leakage" presentation you can download and read the article at http://www.datacare.com/case-study-at-national-wc-conference.html. Please let us know if you are interested in a personal briefing on it.

 
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