First Reports of Injury can be accepted electronically through a state-of-the-art case management system, telephonically through a 24/7 Injury Reporting Hotline or via EDI interface with existing safety and/or workers' compensation systems. How the injury is reported is less important than the timeliness of the report. We work closely with our clients to implement, promote and monitor immediate injury notification and case management intervention. 

The 24/7 Injury Reporting Hotline provides a mechanism for immediate notification of appropriate agency and medical case management professionals in the event of an emergency requiring urgent intervention or a potentially high profile situation requiring immediate attention.

Our nurse case managers initiate case management activities within 24 hours of a first report of injury, which promotes expedited return to work, prompt access to medical care, shorter lengths of disability and lower costs per claim. 

Managed Care Advisors Claims Coordinators work with Agency Representatives to ensure the efficient management of the Agency Workers' Compensation Program. Available services include supervisor training, electronic claims filing, claims monitoring and coordination with the Office of Workers Compensation Programs (OWCP). 

First and foremost, case managers are advocates for the injured employee, assisting them and their selected physicians in navigating the maze of the federal workers' compensation system with a focus on a full recovery and safe and timely return to work. Injured workers are empowered to take responsibility for their own recovery, while we work to remove barriers to a safe return to work. Our team expedites necessary medical care by assisting the treating provider's office staff in understanding and navigating the federal claim authorization and billing process. Additionally, our relationships with ancillary service networks provide injured workers and their providers immediate access to diagnostic radiology and prescription drug services.

Our clinical team, with expertise in ergonomics and vocational rehabilitation, works with the employing agency and indirectly with the claims examiner to develop and review appropriate job assignments for employees returning to work with restrictions. 

Our team of physicians is available to review medical documentation to evaluate diagnostic evidence related to reported injuries to identify progression, prognosis for return-to-work and whether medical evidence suggests a need for continued disability. In addition, MCA Medical Directors will correspond with treating physicians as needed to assist injured workers in accessing the care they need.

We work with our clients to systematically review long-term claims, including those on the periodic rolls, using criteria to identify cases with the highest potential for resolution. Our nurse case managers obtain and review medical documentation, and our physicians provide case reviews as needed. Identification of current work potential and available work options permit closure of a high percentage of periodic roll claims.

WebOPUS®, developed and managed by MCMC, is an Internet-based case management system that serves as the nexus of our case management process. The system provides a highly secure, efficient platform for case-related communications between our case managers and clients and provides a paper-free document storage system and enables real-time reporting.

MCA has developed comprehensive training modules covering a wide range of federal workers' compensation case management and clinically-oriented topics, which can be delivered in person, via conference call, or online.

1. We understand FECA. 
   We know what we can and can't do according to FECA rules. 
   
   
2. We know this is a personnel program. 
   We support client agency workers' compensation and claims staff with clinical expertise they need for review and planning.
   
   
3. We measure what matters. 
   We have an excellent web-based information system for data collection and analysis.
   
   
4. We emphasize early intervention. 
   Our 24/7 injury reporting hotline provides a mechanism for prompt reporting and immediate initiation of case management.
   
   
5. We have credentials. 
   Our experienced and board-certified physicians provide medical guidance in the form of written reviews for complicated and/or challenging cases.
   
   
6. We're your neighbors. 
   Our regional organization facilitates the development of local relationships with clients and providers.
   
   
7. We help injured workers get better. 
   Injured workers and their doctors find our nurses invaluable in facilitating authorization and access to needed care.
   
   
8. We believe temporary limited duty should have an end point. 
   Returning an employee to work on limited duty is only a partial success, and we continue to work these cases to true resolution.
   
   
9. We know how to work older claims. 
   We do not believe in the myth that periodic roll = nothing an agency can do and have developed a successful approach to resolving older claims. 
   
   
10. We are patient but persistent. 
    We use protocols and our experience to guide next actions and keep cases on track.