| Clinical Services |
OrthoNet's Medical Management services include:
- Pre-authorization services
- Retrospective Reviews
- Concurrent Review/Discharge Planning
- Utilization management
- Quality management and Outcomes (subjective and objective measures)
- Disease management
- Low back pain
- Osteoporosis
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| Administrative Services |
- Network administration
- Provider Services
- Network Development
- Credentialing
- Member Services
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| Claims Services |
- Reimbursement design
- Claims audit
- Claims administration
- Claims payment
- Benefit Management
- Accumulators and Tracking
- Pre-existing benefit exclusion management
- Revenue Recovery (COB/TPL/Subrogation)
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| Provider Specialties |
- Orthopaedic Surgeons
- Physical/Occupational and Speech Therapists
- Physiatrists
- Podiatrists
- Neurosurgeons
- Others
- Rheumatology
- Neurology
- Pain Management
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| Sites of Care Managed |
- Inpatient hospitals
- Acute rehabilitation facilities
- Subacute rehabilitation facilities
- Skilled Nursing Facilities
- Home Health Care
- Durable Medical Equipment
- Outpatient clinics
- Physician Offices
- Ambulatory Surgical Centers
- Orthopaedic Diagnostic Imaging (CT, MRI)
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