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Case Management

Support Injured Employees and Manage Costs with Effective Case Management

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Book a demo with us now to experience a tailored solution that specifically addresses your current business needs.

Reduce Compliance Risk

Implement an all-in-one digital cloud platform to be always ready to meet compliance needs.

Increase Efficiency​

Replace standalone applications and paper trails with fully customized digital solutions.

Reduce Cost by 30%

Compliance Embedded, Quality Engrained, Data Integrity Assured

Emidence Case Management Software Features

Integrated Database with Real-Time Access

Xybion’s Workers’ Comp Cloud for employers integrates with their respective HR Databases to collect the incident/injury details, such as the location of the injury, witness available, and the cause and environmental factors.

Here, Xybion’s digital platform allows case managers to access the data in real-time to create the first action-post-incident report using Bio-Psycho-Social information of employees. This report will also help Payors analyze the validity of the claim.

Real-time Access to Prior Authorizations (RFA)

Xybion’s digital platform for Case Management provides a complete digital process for prior authorization between the provider and the payor, where the system generates compliant Requests for prior Authorization (RFA) in line with various State guidelines.

Additionally, Xybion captures evidence based (ACOEM, MTUS, and other State Guidelines) information.

Reduce Medical Costs via Evidence-Based Care Path

Xybion’s evidence-based care platform improves efficiencies, accuracies, and controls of a workers’ comp system by integrating disparate systems, such as claim management, absent/leave management, and care management systems through configurable workflows.

The case managers can analyze the injured employee’s fitness level by comparing incident reports and the diagnosis report of providers. Further, the report can be discussed with the employee and the providers. This process can help the employee in early return-to-work.

Automated Rules Engine for Case Assignment and Routing

Using multiple modules of Emidence, the automated rules engine helps streamline the case management workflows, such as incident reporting, patient-intake during the clinic visit, diagnosis reports, and injury claim reports.

Additionally, by capturing the bio-psycho-social information of an injured employee, Xybion’s digital platform mitigates the workload of case managers, where the information is used to consolidate, track, verify, and generate return-to-work reports in adherence to State and Federal rules.

Electronic Case Notes

The automated workflows allow case managers to avoid tedious data entries by capturing all the reports in electronic format with secured e-signatures. In addition, the case managers can reduce data errors by auto-populating patient and providers’ electronic data by integrating the claim management system with the patient portal of Xybion.

How Emidence Case Management Can Help Provider Assignment