WORK COMP FAQs

Objective Surgical is a specialty program, offering bundled surgery 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.

Objective Surgical offers complete management of a WC surgical case for the entire episode of care – from time of injury through MMI.

This includes:

• A hand-picked network of WC-savvy doctors selected specifically to properly treat injured workers.
• Aggressively negotiated rates for each component of the surgical process, resulting in significant savings.
• A global quote prior to surgery to help adjusters set reserves.
• Handling of all bills so you write ONE check for the entire episode of care.
• As a general rule, our care coordination team handles all communication with patients, providers, adjusters and nurse case managers. They can schedule all appointments and send reminders.  They can arrange everything associated with the episode of care, including DME, PT, etc.  They can also handle all “housekeeping” items, including requesting and tracking down paperwork.  (Adjusters/NCMs determine what level of assistance is needed.)
• Complete simplification of the surgical process for adjusters and NCMs.

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.
7.  Upon completion of the surgery, Objective Surgical verifies all CPT codes and sends a global bill 4 weeks post-op.
8.  A PPI rating is provided by the surgeon upon MMI.

TPAs, NCM companies, insurance carriers and self-insured employers.

IN, IA, MO, KS, OK and regional AZ.

We are open to opportunities to expand our services and make an impact in additional states.

We work hand in hand with NCMs with several of our clients. (Some of our clients are actually NCM companies.) We understand the role of NCMs and we do not serve as a substitute for the nurses’ medical expertise.

We are able to provide support to the NCM – tracking down paperwork, pushing it to the NCM/adjuster and handling all billing components.

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.

Upon request, we are happy to provide a list of providers for the states/regions where we have existing networks, detailing the provider groups and individual surgeons.

In regions where we do not have established networks, we can still offer services. We utilize the same vetting process to identify top quality providers, work with clients on referrals and offer recommendations.

Because of the quality of providers we utilize, it is not uncommon for our clients to have existing relationships (and direct pricing) with surgeons in our network.

Let’s say that the rates Objective Surgical secures with a provider are the same as the rates in a client’s existing contracts (or even a little higher). We can still save you money!  How?  We aggressively negotiate each component of the surgical process, not just the provider piece.  This includes facilities, anesthesia, DME, hardware/implants and PT.  We also include PPI/PPD rating.

We feel confident we secure the best rates with providers. We offer them volume, pay promptly and offer them T-ed up surgical cases.

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

• Initial evaluation, causation is addressed
• Surgeon/Asst Surgeon
• Facility
• DME
• Hardware/implants
• Anesthesia
• All post-op care including Physical Therapy
• PPI rating

Yes!  We are able to provide global invoice pricing information upon request.

Absolutely!  We are happy to provide a quote to illustrate the benefits of our all-inclusive bundled pricing.

• The referral process is easy.  You can submit a referral in the following ways.
  • Website
  • Email – referrals@objectivesurgical.com
  • 800# – 800-639-5191

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 performed and there is an objective finding, send us the surgical referral and we will facilitate scheduling per your directive to 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 save our clients money!
• We save adjusters/nurse case managers hours per case.
• We streamline the process.
• We provide predictable costs allowing adjusters the ability to set reserves.
• We become the responsible payer. We handle all bills.  You write ONE check.
• We ensure patients receive excellent, timely care – allowing for proper healing and a quicker return to work.
• We ensure patients, adjusters, nurse case managers and providers receive superior customer service, compliments of our care coordination team.