Medical Case Management Services

Field Based Medical Case Management
Field based medical case management is ideal cases that meet the “red flag” criteria. Momentum’s “Red Flags” are measurable milestones that may occur during the course of treatment for an occupational illness or injury. These “Red Flag” warning signs may delay or prevent an injured person from returning to work or other normal life functions. Field based medical case management is highly individualized and may be task or case focused. Momentum protocols allow for close coordination of
services with Momentum Vocational Case Managers, if authorized for such services.

Telephonic Medical Case Management
Like field based medical case management, telephonic case
management services are specifically targeted at minimizing “Red Flag” indicators. Telephonic case management services is a more cost effective alternative to field based services provided the level of complexity of the case would not make telephonic services less effective. Telephonic medical case services highly individualized. Momentum protocols allow for close coordination of services with Momentum Vocational Case Managers, if authorized for such services.

Medical File Review Services (Retrospective)
Retrospective file review services provide an independent opinion of the clinical course a particular case has taken since inception. This can be an informal review followed by a discussion with the adjustor, or a formal review with development of a medical timeline or chronology. In utilizing this service a payer or claims representative is able to identify developing trends and consisteny in symtpoms and treatment.