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Utilization Review

https://www.bunchcare.com/clinical-programs/utilization-review.aspx

TX and OK Nonsubscribers. North Carolina Preauthorization Program. Bunch CareSolutions is URAC-accredited for its workers’ compensation utilization management program. Our utilization review services facilitate the timely and appropriate treatment of injured employees while providing employers with greater financial controls. Components of our utilization review program include:. Clinical peer review (physician advisor/peer-to-peer review services).

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Field Case Management

https://www.bunchcare.com/clinical-programs/field-case-management.aspx

TX and OK Nonsubscribers. Submit an FCM Referral. At Bunch CareSolutions, we believe telephonic nurse case management is an efficient and cost effective way to resolve the vast majority of workers’ compensation cases. Yet, we also understand the need for field case management services. As patient advocates, our field case managers provide on-site support to assist with the quick and effective resolution of challenging and catastrophic claims. Highly skilled clinicians:. Our field case management services...

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Ancillary Services

https://www.bunchcare.com/clinical-programs/ancillary-services.aspx

TX and OK Nonsubscribers. As a premier managed care provider, Bunch CareSolutions has earned national recognition for superior clinical innovation and our demonstrated ability to implement these services. Our approach to managed care tailors innovation with clinical creativity to enrich medical outcomes that increase claim closure ratios and reduce indemnity, medical and administrative costs. Presenting our actionable analytics to clients often leads to the development of customized, stand-alone ...

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Fee Schedules/U&C

https://www.bunchcare.com/medical-bill-review/fee-schedulesuc.aspx

TX and OK Nonsubscribers. Bunch CareSolutions utilizes a sophisticated and proprietary bill processing system,. When state-mandated reimbursement rates are not automated, Bunch CareSolutions has developed its own business rules to identify bills that may be candidates for additional reductions. Bills captured by our customized rules are manually reviewed to ensure that they are reduced as permitted by state guidelines. Below Fee Schedule Reductions. We support a variety of network configurations, which c...

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Nurse Audit

https://www.bunchcare.com/medical-bill-review/nurse-audit.aspx

TX and OK Nonsubscribers. Medically managed bill review is a cost control mechanism employed by Bunch CareSolutions to maximize savings for employers. Using a team of nurses to perform specialized bill review ensures that all treatments billed are medically necessary and related to the compensable claim. As part of the nurse review process, the system uses sophisticated rules to identify medical bills that qualify for specialty nurse review.

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Vocational Rehabilitation

https://www.bunchcare.com/clinical-programs/vocational-rehabilitation.aspx

TX and OK Nonsubscribers. Bunch CareSolutions has a team of certified rehabilitation consultants with extensive experience in short-term and long-term disability management, personal injury and auto liability. We offer a full line of vocational services to assist in the acceleration of return to work for injured employees, including:. Vocational evaluation and case management (telephonically, onsite or record review). Transferable skill analysis/loss of earnings assessment.

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Nurse Case Management

https://www.bunchcare.com/clinical-programs/telephonic-nurse-case-management.aspx

TX and OK Nonsubscribers. Our telephonic case management model focuses on early clinical intervention, effective communication and aggressive case management to achieve the best possible return-to-work and financial outcomes in the industry. With almost 25 years of experience medically managing claims, we are not distracted by claims administration. All Bunch CareSolutions telephonic nurse case managers are licensed, registered nurses and hold one or more of the following URAC-accredited certifications: ...

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Company

https://www.bunchcare.com/company.aspx

TX and OK Nonsubscribers. Drawing upon almost 25 years of experience in the workers’ compensation industry, Bunch CareSolutions offers innovative bundled and unbundled managed care programs to large national and mid-sized employers, municipalities, carriers and third-party administrators (TPAs). Mining clinical and claim data to identify patterns, trends and root causes. Employing medical return-to-work experts. Deploying high-tech, high-touch employer solutions. At Bunch CareSolutions, we deliver outsta...

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BunchCare Home

https://www.bunchcare.com/default.aspx

TX and OK Nonsubscribers. Latest News and Events. Read the latest edition of our Regulatory Bulletin. Sign Up for Bunch CareSolutions eNews. Want the latest news on legislative changes and industry trends? E-Mail Address has invalid characters or is not in the correct format. Innovative Thinking. Intelligent Systems. Expert Care.

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Account Management

https://www.bunchcare.com/company/account-management.aspx

TX and OK Nonsubscribers. The role of the account manager underscores our commitment to provide each client with superior customer service, expansive industry expertise, effective and clear communication, as well as rapid responsiveness and efficient issue resolution. In a more consultative role, the account manager monitors program outcomes and identifies enhancements and operational initiatives to strengthen a client’s risk management program. Every Bunch CareSolutions account manager possess...As a co...