NURSE FAQs

UNDERSTANDING THE BASICS


What does Objective Surgical do in the Work Comp space?
How does the program work exactly? From start to finish.
Why would a Nurse Case Manager need your services?
What does Objective Surgical do in the Work Comp space?

Objective Surgical is a specialty program, offering services that focus on WC surgical cases. We have processes in place designed to address the most common pain points associated with WC cases:  overall cost, pricing predictability for reserves estimating and proper care & attention to get employees back to work.

How does the program work exactly? From start to finish.
  1.  A worker gets injured and needs medical attention.
  2.  A diagnostic is performed.
  3.  If there is an objective finding, the referral is sent to Objective Surgical to see a specialist.
  4.  With conservative care, a treatment plan is put in place.
  5.  With surgical care, a global quote is issued for the entire episode of care. The adjuster signs off and agrees to pay the global invoice within 10 days of receipt, not to exceed 30 days.
  6.  Upon quote approval, the adjuster/NCM determines the level of assistance they need from our care coordination team and a plan is put in place. (The Care Coordinators can handle all aspects involved with the coordination of care through MMI, keeping the adjuster/NCM in the loop the entire time.)
  7.  Upon completion of the surgery, Objective Surgical verifies all CPT codes and sends a global bill 2 weeks post-op.
  8.  A PPI rating is provided by the surgeon upon MMI.
Why would a Nurse Case Manager need your services?
  • We understand the role of NCMs and we do not serve as a substitute for your medical expertise.
  • We offer you administrative support by tracking down paperwork and handling all billing components. We push all documentation to you. Upon your request, we can also schedule appointments and communicate with the patients. You are kept in the loop every step of the way. Our support allows you to focus on the patient.

PROVIDERS


How do you select your providers?
What if my preferred providers are not in Objective Surgical’s network?
How do you select your providers?

We are very selective in the provider groups we choose to partner with, focusing on outcomes. We understand that WC offers many challenges.  As a result, we choose to work with physicians who specialize in WC.  We go above and beyond basic credentialing.  We engage peers and others in the industry for feedback regarding outcomes, bedside manner, timely work status and clinic notes, office staff, etc.  We listen to our clients and are always open to feedback and suggestions.

What if my preferred providers are not in Objective Surgical’s network?

We love referrals!  If your surgeons are not currently in our network, we can reach out and start the vetting process.

THE GLOBAL BUNDLE AND PRICING


What all is included in the global bundle?
What all is included in the global bundle?
  • Initial evaluation, causation is addressed
  • Surgeon/Asst Surgeon
  • Facility
  • DME
  • Hardware/implants
  • Anesthesia
  • All post-op care including Physical Therapy
  • PPI rating

THE REFERRAL PROCESS


How does the referral process work?
At what point, do we make a referral?
How does the referral process work?
  • The referral process is easy.  You can submit a referral in the following ways.
    • Website
    • Email – referrals@objectivesurgical.com
    • 800# – 800-639-5191
    • Fax – 855-809-9989
At what point, do we make a referral?

You can refer a diagnostic through Objective Diagnostics.  The study is scheduled within 4 hours ​of receiving the referral and results​ are sent within 24 hours ​of the study.

If the diagnostic has already been scheduled elsewhere ​and there is an objective finding,​ send us the surgical referral and​ we will facilitate schedul​ing with one of our ​in-network surgeons.

With our program​’s proactive approach, it is more efficient for us to be involved prior to the patient seeing a specialist. ​In some situations, we can make exceptions.

We are proud of the unique service we offer and our client satisfaction.
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