1. Axiom Medical Consulting, LLC
The Benefits of
Immediate Intervention
Axiom Medical Consulting, LLC
Caring is the Best Medicine®
25511 Budde Rd., Suite 801, The Woodlands, TX
(281)
© Axiom Medical Consulting, LLC. All rights reserved.

2. Injury Case Management Topics
Who Are We
Services
Injury Management Process
Stats on Immediate Intervention
Benefits
Closing
© Axiom Medical Consulting, LLC. All rights reserved.

3. Who We Are Full Service Medical Department Physicals – OSHA, DOT
Drug Testing - DOT, non-DOT
Wellness
Case Management
© Axiom Medical Consulting, LLC. All rights reserved.

4. Medical Staff Our staff consists of: Board Certified Physicians (MD)
Occupational and Environmental Medicine
Internal Medicine
Family Practice
Medical Review Officers (MRO)
Qualified Medical Examiners (QME)
Masters in Public Health (MPH)
Board Certified Physician Assistants (PA-C)
© Axiom Medical Consulting, LLC. All rights reserved.

5. Medical Staff Continued . . . Psychologists (Ph.D.)
Registered Nurses (RN) with Bachelor or Masters of Science - Nursing (BSN / MS)
Certified Case Managers (CCM)
Certified Disability Management Specialists (CDMS)
© Axiom Medical Consulting, LLC. All rights reserved.

6. Medical Staff Continued . . .
Certified Occupational Health Nurses (COHN)
Certified Occupational Health Nurses-Specialist (COHN-S)
Certified Occupational Health Nurses-Specialist/Case Manager (COHN-S/CM)
© Axiom Medical Consulting, LLC. All rights reserved.

7. Axiom Different From a TPA
We are NOT a Third Party Administrator (TPA)
We do not process Workers’ Comp claims
We do not negotiate or pay work comp bills
Axiom fills the crucial 24-48hr gap before TPA potentially gets involved
Case Managers, not Case Trackers
© Axiom Medical Consulting, LLC. All rights reserved.

8. How TPA Different From Axiom
We are 24/7 - We don’t close at 5
We understand OSHA and its importance to our clients
All Case Managers (CM) are medically licensed (minimum of RNs)
Our CMs carry a case load of less than 15 – 20 cases (compared to 100 – 200)
© Axiom Medical Consulting, LLC. All rights reserved.

9. Injury Management Process
If the injury is critical or life threatening call 911 and then contact Axiom
Never delay treatment in the event of an emergency
If the injury is not an emergency contact Axiom before you transport the employee to a medical facility – this is important and will be explained
© Axiom Medical Consulting, LLC. All rights reserved.

10. Injury Management Process
Call comes into Call Center and received by our Intake Specialists
Basic info taken and case is assigned to Case Manager (CM)
CM calls injured employee within 10 – 15 minutes
© Axiom Medical Consulting, LLC. All rights reserved.

11. Injury Management Process
CM discusses incident and injury with employee
CM gather critical medical info
Supervisor is removed from treatment decisions
Determines if employee requires evaluation at medical facility
© Axiom Medical Consulting, LLC. All rights reserved.

12. Injury Management Process
If a medical facility is indicated, CM directs employee to appropriate medical facility and provides initial info on case to health care provider
Speak with medical facility before employee leaves
Assist in getting post-accident drug and alcohol test –per company policy
© Axiom Medical Consulting, LLC. All rights reserved.

13. Injury Management Process
If a medical facility is not indicated, CM will provide 1st aid recommendations and monitor employee’s condition
50% of cases never require clinic visit
CMs do NOT diagnose, nor do they need to in order to provide 1st aid measures
© Axiom Medical Consulting, LLC. All rights reserved.

14. Injury Management Process
Employee and person calling in case (i.e., HSE, supervisor) must be in agreement with CM’s 1st aid recommendations)
If not, employee will be sent to medical facility for evaluation
© Axiom Medical Consulting, LLC. All rights reserved.

15. Injury Management Process
CM provides a direct number to employee and supervisor to call with any questions, problems or changes
First goes out within 2 hours after treatment is completed
First follow-up call is usually made within first 4 hours; then 24 hours
© Axiom Medical Consulting, LLC. All rights reserved.

16. Injury Management Process
This may mean calls in the evenings or weekends
Keep mgmt and HSE updated via phone and during entire process
Follow employee until able to perform regular duties or until W. C. insurance adjuster assigned – depends on client’s preference
© Axiom Medical Consulting, LLC. All rights reserved.

17. Injury Management Process
Ongoing dialog with employee, supervisor and treating doctor
Transitional duties (light duty)
Will assist with return to work exam, FCE, etc. if indicated
Important to determine if employee can safely perform all aspects of their job
© Axiom Medical Consulting, LLC. All rights reserved.

18. Immediate Intervention
75% of cases - notified same day
14% of cases - the following day
11% of cases - notified 2 days or greater
40% of these were over 1 week
80% of those were placed on OSHA 300
Simple injuries that receive no immediate medical treatment and/or are late reports can easily become a Lost Time case!
© Axiom Medical Consulting, LLC. All rights reserved.

19. Immediate Intervention
If case received within 24 hrs of injury the average time to close was 7 days
If case received within 2 days of injury the average time to close was 14 days
If case received on 3rd day or greater following the injury the average time to close was 32 days
© Axiom Medical Consulting, LLC. All rights reserved.

20. Benefits To Employees
Immediate access to Medical Professional 24/7 for injuries – Workers Comp usually gets involved 2 days or more after initial injury, Axiom is involved within minutes
Employee can call CM at any time should medical condition change or if question comes up
Axiom Case Manager is not a “Company Doctor”
© Axiom Medical Consulting, LLC. All rights reserved.

21. Benefits To Employer
Immediate access to Medical Professional 24/7 for injuries
Supervisor removed from treatment / medical decisions
Communication
Lower Claims Frequency/Severity
Reduction in Incident Rate, Reduction in Costs, Reduction in Modifier
© Axiom Medical Consulting, LLC. All rights reserved.

22. Closing
It’s important to report injuries immediately – no matter how minor
A delay of reporting and treating injury by 1 day increases recordability by 60%
24 / 7 /365 coverage - (this is crucial)
Have only one number to call
(877) ( AXIOM)
© Axiom Medical Consulting, LLC. All rights reserved.