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MEDICAL MANAGEMENT WSIB-WCB-INSURANCE 

APCM’s medical management emphasis will be on providing evaluations of injured workers, reporting, and rehabilitation care with emphasis on returning injured workers to early and safe Return To Work programs. We have physicians with the clinical abilities and expert medical examination knowledge to ensure full recovery. APCM’s medical management will exceed the expectations of our clients with diagnostic and rehabilitation services and medical programs.

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Medical Management of Injured Workers

APCM’s medical management emphasis will be on providing evaluations of injured workers, reporting, and rehabilitation care with emphasis on returning injured workers to early and safe Return To Work programs. We have physicians with the clinical abilities and expert medical examination knowledge to ensure full recovery. APCM’s medical management will exceed the expectations of our clients with diagnostic and rehabilitation services and medical programs.

APCM’s medical evidence-based examinations with strong diagnostic knowledge ensures that your Workers Compensation costs will go down. APCM is confident that after 25 years of servicing clients, our expertise in the management of injured workers will result in higher profits and lower costs to your Company.

APCM can provide independent specialists in hospitals, medical CT scans and MRI appointments. APCM’s medical management programs, services, and consulting is designed in such a way that you can use our process and program if you wish to manage claims yourself. All you need to do is purchase parts or all of your process and program from our website for a very small cost, and you are on your way to a strong claims management program, or you can purchase one of APCM’s following programs and let APCM do it for you:

APCM -   Gold Program
                Silver Program
                Bronze Program

APCM Workers Compensation GOLD Administration Package

- Manages workplace claimed injuries
- Manages communication and medical documentation with WSIB/WCB, employees and doctors
- Full Return To Work – Work Hardening and Modified Work programs
- Provides forms/letters/FAF/PDAs required to manage workplace claimed injuries
- Ensures the client meets its’ obligation related to Modified Work WSIB/WCB
- All WSIB/WCB revenue, audits, appeals
- Reviews Accident Cost Statements
- WSIB need – CAD-7 and map statements to ensure that there is no overcharging
- Watches “overhead costs” and “future costs” carefully
- APCM will provide Monthly Status Reports for each client allowing progress information on each workplace claimed injury
- APCM will act in all WSIB/WCB mediation, Hearing Appeals, and Tribunal Hearings
- APCM will, after discussion if necessary, provide surveillance and investigation at an additional cost
- APCM Programs come in either flat monthly cost or hourly rate

APCM Workers Compensation SILVER Administration Package
- Manages workplace claimed injuries
- Provides communication and medical documentation WSIB/WCB, employees and doctors
- Full Return To Work and Modified Work programs
- Provides forms/letters/FAF/PDAs required to manage workplace claimed injuries
- Reviews WSIB, NEER, CAD-7, and map statements
- APCM will provide complete Monthly Status Reports for all claims to client

APCM Workers Compensation BRONZE Administration Package
- Manages workplace claimed injuries
- Provides communication and medical documentation WSIB/WCB, employees and doctors
- Full Return To Work and Modified Work programs
- Provides forms/letters/FAF/PDAs required to manage workplace claimed injuries
- APCM will provide complete Monthly Status Reports for all claims to client

APCM’s five pronged proven medical approach will as follows – reduce your workers compensation costs:

• Management of Stress in the Workplace
• Management of Absenteeism Program
• Management of Chronic Pain
• Job Re-Entry Work Hardening Program
• Medical CT Scan and Imaging Program

APCM’s medical management process and programs will prevent injured workers from re-injuring after returning to work. Reduce WSIB/WCB costs such as pensions, future cost, overhead costs, limited claim costs and LMR programs – increasing profits – sales – production and quality of products.

APCM medical management consulting services

APCM’s medical evaluation that provides independent, impartial diagnostic services for who sustained a complex injury to the brain or central nervous system, musculoskeletal, or psychological trauma associated with a violent personal assault workplace accident. APCM’s certified medical and psychological clinicians conduct objective, evidence-based examinations to predetermine thresholds, rehabilitation procedures, and potential clinical outcomes.

Clinical examinations can be provided by a single medical, psychological, or paramedical professional or a highly integrated, multidisciplinary team of specialized clinicians with significant expertise in disability legislations and statutory regulations. This level of clinical expertise ensures examination integrity, with decisive reporting. APCM’s clinical diagnostic services are concentrated on five pronged medical approach for injured workers.

• Chronic Pain Management Program
• Job Re-Entry/Work Hardening Program
• Stress Management Program
• Absenteeism Management Program
• Medical Imaging Program

Preventing further disability and disease, and providing the highest level of quality care for injured worker are our primary goals, resulting in lower WSIB/WCB insurance costs for your clients.

APCM’s Clinical Medical Management Services

APCM’s certified physicians, psychologists and medical specialists conduct objective, examinations to predetermine the following health issues:

• Clarification of the diagnosis – in assessment terminology identifying the “impairment.”
• Estimating the prognosis – what the future holds.
• Linking impairment to disability.
• Making recommendations with respect to the necessity for further specialists.
• Providing opinions and recommendations on the necessity for additional treatments.
• Opinions on whether the conditions for a specific benefit has been met; for example, if the impairment has reached a threshold based on a specific definition disability.
• Documentation of the patient complaints, appearance and behaviour.
• Where appropriate, a recording of findings in still photographs or video investigation.
• Providing a clearly understandable summary in terminology appropriate to the circumstances.
• Adhering to the principles of moral and ethical conduct by demonstrating utmost respect for the client.
• APCM can also arrange independent specialist evaluation in hospitals and medical imaging appointments.

APCM’s process and program will reduce the risk of surcharges, future costs, Workers Compensation, and overhead costs.

APCM’s medical management services include the following documents, which you can purchase online at listed prices, if you wish to manage the process yourself.


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MM01 Medical Treatment Plan
Hourly $75.00
MM02 Functional Abilities Review
Hourly $75.00
MM03 Medical Restriction
Hourly $65.00
Suitable Modified Work Program
Retail $190.00
Suitable Light Duties Program
Retail $190.00
MM06 Report to Both WCB/Insurance/WSIB
Hourly $65.00
MM07 Weekly Worker Progress
Hourly $37.00
MM08 Review all medical information supplied weekly
Hourly $37.00
MM09 Review all APCM’s Documents Re-Injury
Hourly $75.00
MM10 Flagging System For Injured Workers
Hourly $75.00

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Advantage Prevention & Claims Management will provide you with this in the form of onsite/online training sessions, communication programs, complete reference and procedural manuals custom designed to your company’s needs and locations. We will provide training for both your managerial staff and employees to help with the implementation of managing our process from start to finish in your location. As an industry leader in prevention & claims management, we host seminars throughout the year to help employers stay abreast of the current trends. Contact our office for more information.

Please Note: Since we provide our services across Canada, USA and Ireland, we use the term “W.C.B.” throughout our text. Please Note: Items followed by * indicate an additional cost.

 
 
 
 
 

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