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Home > TPA > Who We Are > Managing Costs

Managing Costs

Expertise: In today's challenges you need a trusted partner

SFM Risk Solutions manages costs for the best bottom-line results.

In-house occupational medicine physicians:

  • Consult with claims representatives on complex medical issues
  • Review treating doctor's diagnoses and treatment plans
  • Identify injuries not related to work
  • Keep treating doctors current on successful ways to treat occupational injuries
  • Identify inaccurate ratings for disability benefits

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In-house nurses and occupational therapists:

  • Work directly with employers, injured workers and treating doctors
  • Keep treatment and return-to-work plans on track
  • Are highly effective in reducing costs of expensive work comp wage-replacement benefits

Medical bill review:

  • Provides thorough, careful review through multi-level professional bill review systems
  • Includes reviews from first dollar billed
  • Results in substantial reductions in medical billings, thus lowering long-term costs for employers

Preferred provider networks:

  • Help control medical costs at the point of purchase
  • Offer employers quality medical care at discounted rates through a network of preferred medical service providers through CorVel
  • Manage prescription costs through negotiated pricing and prescription management in partnership with Express Scripts

Investigations and recoveries:

  • Special investigations staff combine active pursuit of fraud with other monetary recovery efforts such as subrogation
  • Key staff examine questionable claims in partnership with your attorney as necessary
  • Recovery efforts result in direct savings for you

 

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