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TRISTAR
Managed Care (TMC) offers all services necessary to successfully
manage your health care program, including:
Medical
Case Management
TRISTAR Case Management is defined as the establishment
and coordination of a treatment plan that is medically
appropriate and cost effective. We are further able to
enforce the application of the treatment plan through
our Bill Review component. We are committed to improving
the quality of care and controlling costs while managing
treatment to ensure optimum outcomes.
We provide our clients with medical case managers who
maintain contact with employees, providers, and claims
professionals to control medical utilization, obtain enhanced
injured employee compliance with optimal treatment protocols,
and expedite return to work.
Case Management consists of the following services:
Early
Intervention
Utilization
Review
Telephonic
Case Management
Field
Case Management
Peer
Review
To learn more about TRISTAR Medical Case Management click
here.
Medical
Bill Review
TRISTAR Managed Care (TMC) provides medical bill review
services, access to local and regional PPO Networks and
Medical Case Management. TMC’s managed care program
can, by our estimate, effectively reduce the current medical
losses at least 10% above industry benchmarks because
of TMC’s high level bill review, BillChek and superior
PPO discounts.
To learn more about TRISTAR Medical Bill Review click
here.
MPN
or PPO Access
TRISTAR
accesses various networks and has the ability to develop
a network for our clients that serve to drive higher penetration
rates and higher savings. Many of our inpatient facilities
have HMO discounts that are the deepest discounts available.
In addition to a national network of medical providers
and facilities, TRISTAR provides access to a Durable Medical
Equipment, Radiology, and Pharmacy Network. Our networks
may be accessed via the Internet, and information regarding
providers can be given to the client members. Bill Review
and PPO Network Access reports are given to the client
that demonstrate to the client the billed charges, fee
schedule reductions, PPO Discounts, penetration and utilization
statistics.
To
learn more about TRISTAR MPN or PPO access, click
here.
Our vision
is to become the country's most respected provider of
managed care services.
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