Story From the Case Management Trenches

Ms. Brown was in a skilled nursing facility for rehabilitation of a work-related injury.  She was receiving physical therapy at the facility, but needed transportation to and from her MD appointments.  The account was advised of the client’s needs and provided the case manager with the name and number of their preferred transportation vendor.  A precursory search for transportation was made by the case manager prior to being advised to use the carrier's preferred vender.  When the pricing was obtained from the preferred vendor it was questioned by the nurse case manager--it was significantly higher than the transportation company utilized by the nursing facility.  Not all venders improve the bottom-line cost of the claim!