BILL REVIEW
Utilizing state of the art technology that is flexible and scaleable, OHARA offers Bill Review services that assure cost containment and superior savings. The efficient workflow, trained personnel, and deep network penetration in each state results in a 5-15 % savings beyond the competition.
PEER REVIEW
OHARA utilizes ‘like’ specialists as peers of attending medical providers on individual claims. This can help claims handlers have confidence in current treatment plans and eliminate inappropriate treatments, thus reducing claim costs.
JOB SITE ANALYSIS
OHARA has ‘best in class’ experts available to perform ergonomic assessments of work sites. Prevention of initial injury is the most cost effective form of controlling workers’ compensation costs.
SECOND MEDICAL OPINION
Many times a diagnosis or treatment can be clarified by obtaining a qualified Second Medical Opinion from a qualified practitioner. OHARA has in depth knowledge of providers in our service areas who will assure that a quality exam will be obtained clarifying any claim questions.
ON-SITE CASE MANAGEMENT
Approximately 30% of all lost time injuries will benefit from an On-Site Case Managers involvement. OHARA has experienced case managers who are adept at managing injured workers, coordinating cost effective medical care and promoting early, safe return to work.
VOCATIONAL REHABILITATION
Vocational Services can be provided to injured employees who are unable to return to their original job. Our specialist can assess the claimant’s abilities and local job market.
PHARMACY BENEFITS PROGRAM
Pharmaceutical costs continue to skyrocket as a percentage of healthcare costs. Pharmacy costs now represent over 15 % of the national healthcare budget and remain the fastest growing cost component of medical care. OHARA utilizes a rich pharmacy benefit program to control all aspects of medication costs.
TELEPHONIC CASE MANAGEMENT
OHARA utilizes URAC Accredited processes to help control and reduce costs associated with inpatient and outpatient procedures. Guided by nationally recognized treatment guidelines, OHARA monitors the medical necessity of recommended treatment, and procedures.
CATASTROPHIC CASE MANAGEMENT
At times when an injury is severe, OHARA will provide catastrophic case management to insure optimal treatment and recovery. Our goal is to assure that the claimant receives the medical care and long term vocational planning early in the file history.
INTEGRATED DISABILITY MANAGEMENT
Employers in the past have ignored the costs of medical absence and concentrate only on workers’ compensation absenteeism. OHARA will evaluate and manage absence no matter what the cause. Significant savings can be achieved by an employer who integrates a program to manage disability whether the cause is occupational or non-occupational.
OSHA & ADA COMPLIANCE CONSULTATION
Familiarity with regulatory requirements is key to understanding compliance. OHARA has staff who are experienced in employment and workplace compliance and will keep your organization within the law.
NATIONAL DISCOUNTED PROVIDER NETWORK
OHARA utilizes national proprietary and customized networks throughout the United States to help control costs of employers and payors. Coupling an extensive discounted network and aggressive bill review, medical costs are controlled and claimants receive appropriate, cost effective care.
INDEPENDENT MEDICAL EVALUATION SERVICES
OHARA will coordinate an Independent Medical Evaluation with appropriate and qualified providers that will offer you an objective assessment. This evaluation will help clarify diagnosis, treatment and other specific claims concerns.