WorkWell case managers use our proprietary care guidelines and management control mechanisms in order to determine whether the treatment prescribed is reasonable and necessary. If any treatments fall outside of allowable parameters the case is flagged for discussion with the patient, providers and clients. WellNet physicians routinely follow-up with other treating physicians at your request to insure treatment goals are met. Moreover, providers not in compliance with WorkWell's policies are removed from WellNet.
WorkWell's care guidelines are based on over 10 million cases collected throughout the 30 year history WorkWell. The care guidelines are specific to occupational medicine. It is our philosophy that occupational injuries have unique characteristics that should only be managed according to guidelines specific to occupational medicine. WorkWell has collected demographic, diagnostic, duration, work status, and common treatment information to construct its proprietary care guidelines. Our care guidelines provide immediate notice for cases that fall outside of allowable limits thereby allowing case managers to act immediately on these cases to correct problems before they can no longer be managed. Also our care guidelines allow for a much more objective analysis of cases reducing the confusion created by subjective analysis. By using our care guidelines case managers can act earlier than they would otherwise be able to. Quicker and more efficient action results and dramatically lower cost and dramatically reduced lost work time.
