Track: Regulary, Legal, Military, and Governmental OEM Practice
Marianne Cloeren, MD, MPH, FACOEM*, Managed Care Advisors, Inc, Bethesda, MD
The federal workers' compensation system permits claimants free choice in selecting treating providers. This, when combined with very limited medical case management by most federal agencies, can result in poor outcomes if employees select physicians with little experience or interest in injury care and disability prevention. Use of occupational medicine case reviews can be used by federal agencies to provide additional clinical perspective for Department of Labor claims examiner consideration and support agency requests for actions by the Department of Labor, such as second opinion exams or claim closure. Such reviews can also form the basis for physician to treating physician correspondence, which can be invaluable in steering cases back on track toward recovery and return to work. This session will describe the effective use of such reviews in a national contract case management program supporting several federal agencies, with examples of reviews and correspondence and the outcomes. This is a little used approach, even by federal agencies with internal occupational medicine resources, with great potential impact. The target audience for this session would be workers' compensation and disability managers, occupational medicine consultants, federal, military and government sector. This session is sponsored by the Federal and Military Occupational & Environmental Medicine Special Interest Section.