ODG Treatment is designed for clinical practice as well as utilization review/management. The overall objectives of users of ODG Treatment are:
Check out available formats & cost, complete background info & samples, explanation of WLDI medical literature ratings, the Editorial Advisory Board, place your order now, or sign up for a 30-day free trial. ODG Treatment is integrated with Official Disability Guidelines, truly an integrated strongbox for protocols on medical treatment, disability duration, and utilization review/management. Review an outline of methodology used for both sets of guidelines, and the unique and major advantages of Official Disability Guidelines – Treatment in Workers Comp (ODG).
ODG demos/training: New: #1 recommendation for ODG training, a free self-paced Web based demo called ODG: Good to Go! -- Has all the benefits of a live demo, but also lets users spend more time on sections of interest, and skip features where training is not needed. To access this new tool, go to www.odg-disability.com/demo/
Crosswalk UR Advisor file: This is a new tool
that has just become available, which is based partially on ODG Treatment
and is designed to improve the efficiency and effectiveness of the UR process by
automating claims management decision-making.
It should be a significant enhancement for claims management in workers'
comp. The complete file contains
every possible combination of ICD9 diagnosis code and CPT procedure code seen in
workers' comp, a total of over 425,000 records, based on over 2 million claims
and 50 million medical invoices.
For each ICD9-CPT combination, it provides information on frequency as
well as number of visits, plus recommendations from ODG Treatment.
The last column is called, "Bill Review Payment Flag,"
and this is Green, Yellow, Red, or Black. Here
is what they mean:
= OK to auto-pay up to ODG CAA max number of visits [indicated based on
appearing in ODG Treatment Codes for Automated Approval]
= May be OK to auto-pay up to 25th percentile (or 50th
depending on policy) number of visits [defined by either (1) Frequency over 10% & Incidence over .05, or (2) Frequency over 2% & average total cost per claim under $200 for all use of this CPT code in the claim & Incidence over .03, or (3) Frequency over 1% & average total cost per claim under $50 for all use of this CPT code in the claim & Incidence over .01]
= Need to review [defined by not selected above]
or Not listed = Not approve [(a) Black = Incidence Rate less than .10 &
Frequency under 2%, meaning should be very rare, or (b) Not listed = should
here to view sample data from the new ODG Crosswalk UR Advisor
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