MEDICAL CASE MANAGEMENT

Medical Case Management:
Including Workers' Compensation cases, Long Term Disability, Jones Act, Longshore, Auto, Liability cases, and Elder care. Case Management involves working closely under the direction of the claim adjuster including:

• Attending medical appointments with ill/injured person
• Arranging, managing, and facilitating medical care for injured person
• Holding conferences with physicians to discuss treatment plans and medical necessity issues.
• Obtaining bids for Durable Medical Equipment (DME), and purchasing equipment on behalf of the claim adjuster
• Arranging for referrals to other physicians
• Following up on physician recommendations and implementing authorized treatments
• Arranging transportation, when appropriate
• Evaluating home modification needs and arranging for modifications
• Providing consulting opinions and recommendations to claim adjuster
• Providing counseling to ill/injured claimant
• Medical Record Reviews for any type of claim
• Medical/Legal File Reviews
• Future medical cost projections, life care plans
• Coordinating return-to-work with supervisor, physician, and claimant to assure claimant's successful return-to-work
• Arranging, obtaining, and implementing Peer Reviews or Medical Record Reviews by appropriate physicians
• Job placement

Vocational Case Management

• Providing detailed job analysis
• Assisting employer in developing modified jobs
• Facilitating return to work
• Coordinating return-to-work with supervisor, physician, and claimant to assure claimant's successful return-to-work
• Workers' Compensation Re-employment Assessments
• Labor market surveys
• Job placement
• Life Care Planning for Future Medical Expenses
• Future medical cost projections
• Life Care Plans    

Durable Medical Equipment Services
At ABL Case Management, we are truly different than the competition. We pass the major cost savings on to our while providing you with the highest quality of DME services.

We carry and service a large variety of DME products Nationwide including but not limited to: Wheelchairs, walkers, TENS Units, Home and Bath Safety Products, Electrotherapy Equipments, Orthotics/Prosthetics, and Thousands of other products.
Some of the Benefits of using our DME Services include:

• Delivery by a specialized technician
• No charge for fittings
• Speedy delivery
• Cost Savings
• Services available Nationwide

Medicare Set Aside Services
Evaluate the Need for a Medicare Set-Aside Report and Allocation- 
Social Security and Medicare status determination
Determine the necessity of a Medicare Set-Aside based on the requirements of The Center for Medicare and Medicaid Services’ (CMS)

Medicare Set-Aside Report and Allocation-
Review and Summary of Medical Records
Future Projected Treatment Plan
Cost Projection identifying Medicare Covered Items
Cost Projection identifying Non-Medicare Covered Items

Medicare Set-Aside Proposal and Approval with CMS-
Prepare Medicare Set-Aside Proposal to CMS
Compile all necessary documents required by CMS
Submit Medicare Set-Aside Proposal to CMS for Approval

Medicare Set-Aside Report and Allocation Revision/Update-
Review new information and make appropriate changes to previously completed Medicare Set-Aside Report and Allocation

RUSH Medicare Set-Aside Requested-
Medicare Set-Aside Report and Allocation completed within 5 to 10 days of receiving all necessary documentation.