REPORTING
ICS generates a wide array of standard and ad hoc reports to meet the specific needs of our clients. There is no additional cost for reports. We have flexibility to dynamically change the Reporting Metrics as the Program matures or new metrics are identified. Reports can be generated by injury classifications, duration of loss time, claim administration/ processing stages, etc. to facilitate easy review and analysis to identify situations that warrant additional attention & action.
Clients have access to our web‐based technology platforms, ReviewStat Browser, CEP, and SmartReports that will provide 24/7 access to all data, images, and the ability to leverage over 100 canned reports as well as creating their own ad hoc reports. These programs allow complete up to the minute access to its claims, the ability to interact electronically.
SmartAdvisor Software – Medical Bill Review
ICS leverages the software technology SmartAdvisor, for Medical Bill Review/PPO services. The software utilizes highly flexible technologies for an extremely powerful and robust pricing engine, carefully balancing the efficiency of automated pricing functions with the opportunity for intervention, control, and customization as required to meet the diverse needs of the industry.
SmartAdvisor incorporates SmartReports as one of the key components. SmartReports allows users to access current standard reports, create customized ad hoc reports, and perform desktop analysis in a web-based environment. A variety of reports can be generated by SmartReports.
| Bill Inventory | Bill Tracking | Non‐posted Detail Bills | Operations Summary | Pend Aging |
| Pend Summary | Pend TAT Detail | PPO Bridge Tracking | PPO TAT Vendor Summary | State EDI Tracking |
| Throughput | Turnaround Detail | Capstone Rule Fire Report | User Activity | User Statistics Detail |
| Bill Status Detail | Management Savings Summary | Turnaround Detail | Bill Detail by Adjuster | Bill Detail by Claim Number |
| Bill Detail by Diagnosis Code | Bill Detail by PPO Network | Bill Detail by Provider Name | Patient History | Line Detail by Claim |
| UR Savings | Analysis by Diagnosis | Claim by Cost Provider | Summary by Service Code Charges | Claim Calendar |
ReviewStat Software – Case Management, Utilization Review & Vocational Rehabilitation
We enjoy a strong reputation within the industry performing case management, utilization review and vocational rehab services supported with their industry leading software, ReviewStat. ReviewStat’s advanced technology gives clients the control they need to integrate best practices into a workflow that works specifically for the outcomes intended.
ReviewStat Browser provides real time access to case management information. Using highly sophisticated security, users can log on, check the status of specific claims, review case management
notes, access, and print case summary reports, create custom reports. Authorized users will also have the capability to communicate directly with the ICS nurse handling an individual case.
We customize our system to accommodate client specific data elements without an additional charge. ICS provides reports inclusive of:
| Worker name and claim number | New developments in care |
| Report date and reporting period | Recommendations for future actions |
| Date of birth and date of injury | Ability to positively impact a claim |
| Worker contact information | Case notes with details of actions taken, dates, and time/units utilized |
| Primary spoken language of worker and caregiver(s) | Psychosocial/economic issues |
| Assigned NCM and provider number | Vocational profile |
| Health care provider(s) name and contact information | Plan that addresses short-term and long-term worker centered needs |
| Reason for referral | Progress in meeting short-term and long-term goals including barriers to goal attainment (treatment, functional, return to work) |
| ICD-10 Codes and up-to-date problem list | Plan revision as new barriers are identified |
| Organ-systems based functional assessment | Amount of time/units spent completing the report |
| Summary of current state of worker | |
REGULATORY COMPLIANCE
ICS provides program management following the scope of service presented as well as compliance with any State regulations and/or specific Service Level Agreements. We help clients realize significant bottom-line savings because of our highly experienced technical staff, our ability to adapt quickly to situational changes, and our commitment to staying current with the latest industry information and advances in technology.
Our dedicated team of management and professional staff is active in the industry and regularly monitors trends, change in laws and regulations and their potential impact on the organization and our clients. If risks are identified, updates to control activities are implemented by the executive team. ICS uses the following strategies to keep up with industry and legislative changes.
- Stay Informed with Training– we keep up with all regulatory changes which affect our business and industry and monitor websites of governing agencies.
- Attend Webinars and Events – Our staff is required to attend periodic refresher courses using our software as well as monthly “lunch and learn” sessions that encompass current trends like Opioid Management, Tele‐Medicine etc. These sessions are hosted by organizations like WCRI, NAMSAP along with other peer organizations.
- Review Internal Processes – we perform internal audits to assess the current level of compliance and look for potential gaps in existing practices compared to new requirements. ICS is a Service Organization Controls (SOC) Type II certified organization. Being SOC certified our clients feel confident that ICS is operating in an ethical and compliant manner.
- Use a Compliance Software – ICS utilizes industry leading software with flexible technologies to carefully balancing the efficiency of automated pricing functions with the opportunity for intervention, control, and customization as required to meet the diverse needs of the industry.
