Dane Street is the industry’s fastest growing URAC Accredited IRO focused exclusively on Physician Reviews. Combining the strength of 700+ board certified, active practice physicians across 70+ specialties – along with an experienced and passionate clinical team – delivers expert decisions and outstanding outcomes for its client base of Carriers, TPAs, MCOs and Utilization Review Organizations. Dane Street is proud to offer inbound & Outbound integration with EHS’s BaseLine.

Los Angeles, CA  (Nov. 15, 2011) Effective Health Systems (www.effectivehealthsystems.com) and The Reed Group (www.reedgroup.com) announced an agreement to integrate the ACOEM and MTUS guidelines into the BaseLine Workers Compensation Medical Management Platform.  The ACOEM and MTUS guidelines will become available to users of BaseLine’s UR management and auto-authorization applications.

James Schlueter, Effective Health Systems’ President stated, “The consummation of our agreement with the Reed Group and ACOEM completes BaseLine’s medical protocol resource.  Earlier this year we integrated the ODG guidelines in BaseLine.  With this agreement, BaseLine delivers a single-source medical protocol technology for workers compensation medical management.  Effective Health Systems’ BaseLine is now truly national in scope, covering virtually every workers compensation jurisdiction in the country.”

Schlueter said, “BaseLine’s Medical Management Platform includes a Utilization Review (UR) Assistant that engages a digital crosswalk that is able to instantly target medical requests that are medically efficacious and reasonable.  BaseLine instantly certifies and handles all communication and audit requirements for targeted requests.  For those that need a higher-level review, the system immediately identifies the payer’s preferred vendor and electronically submits the request directly into that vendor’s technology. Our website (www.effectivehealthsystems.com) identifies a number of our current medical management partners that can instantly receive referrals through BaseLine.”

Reed Group President Jon Seymour, M.D. said, “The key to rapid and successful adoption of state guidelines is to make it easy to incorporate them into everyone’s daily workflow. Our partnership with Effective Health Systems is significant in that it puts our guidelines in the hands    of hundreds of claims and medical managers in the simple and easy to use technology known as BaseLine.  We are most impressed with the innovations Effective Health Systems are bringing to market that further extend the access to the ACOEM guidelines to an ever increasing market.”

“Effective Health Systems’ UR Assistant allows workers compensation payers and medical management companies to expedite the processing of the requests at a fraction of the cost of traditional UR.  Today, BaseLine is processing tens of thousands of UR requests each month.” according to Effective Health Systems’ Schlueter.

Effective Health Systems’ COO, Gregg Bernhard said, “The UR Assistant is saving millions of dollars for insurance payers by reducing operating costs associated with UR as well as cutting thousands of unnecessary disability days created by the delays associated with the traditional UR methodology that is task and paper-intensive.”

“But, most importantly,” Bernhard said, “with the BaseLine technology claims and medical professionals can do what they do best.  The result is that injured workers get the treatments they need quicker and with less interference so they can get well and return to work with less trauma and frustration.

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About Effective Health Systems

Effective Health Systems (www.effectivehealthsystems.com) specializes in web-based applications to improve workflows and add value to services already provided by the health care community. Its mission is to enable participants to operate at a more elevated level by furnishing evidence-based support for the decisions they make.

About Reed Group

Reed Group® is the world’s most trusted source of return-to-work information, helping companies improve employee absence outcomes. Reed Group’s data, tools, customized solutions, and case management services help reduce absence incidence and duration, and get employees back to normal, healthy lives and full productivity.  For more information visit www.reedgroup.com and www.mdguidelines.com.

Media Contact

James A Schlueter
Effective Health Systems
818-790-2392
jschlueter@effectivehealthsystems.com

James Schlueter, Effective Health Systems’ President, said “BaseLine’s Pre-Authorization Application streamlines the approval process in workers’ compensation medical management and eliminates the guesswork from deciding which medical treatments, procedures, drugs, DME’s should be approved at the frontline level.  It quickly identifies which requests should be approved versus those that should be escalated to a higher-level medical review.  Thereby, injured workers can get the treatment they need with less delay and administrative costs.”

The core of BaseLine’s NDC Database is supported by on-going research conducted by the Work Loss Data Institute (WLDI) and is regularly updated.  Phil LeFevre, a Senior Executive with WLDI, said, “We are excited to be working with Effective Health Systems.  Their BaseLine technologies deliver WLDI and ODG research effectively and efficiently across the industry.”

Schlueter said, “The NDC acts as a universal product identifier and includes additional information such as dosage and drug form.  Within the BaseLine Pharmacy Database, the NDC codes are linked with the ODG Workers’ Comp Drug Formulary.  The database links information on Drug Class, Generic Name, Brand Name, Generic Equivalent and the ODG proprietary Preferred Drug Status.  Thus, users can easily identify whether specific drugs are recommended as first-line treatment in ODG based on evidence-based recommendations at the same time they review any other medical procedure, service or DME product.”

Gregg Bernhard, Effective Health System’s COO, stated, “BaseLine’s Pre-Authorization Application contains hundreds of thousands of rows of data from multiple sources aimed at facilitating best practices in healthcare.  Our goal is to expedite needed care to injured workers, contain costs and control questionable and/or unnecessary medical treatments.”

About Effective Health Systems

Effective Health Systems (www.effectivehealthsystems.com) specializes in web-based applications to improve workflows and add value to services already provided by the health care community. Its mission is to enable participants to operate at a more elevated level by furnishing evidence-based support for the decisions they make.

Media Contact
James A Schlueter
Effective Health Systems
818-790-2392
jschlueter@effectivehealthsystems.com

UniMed Direct is a national provider of utilization review and physician peer review services. Our experts provide defensible evidence-based recommendations supporting your medical processes. UniMed Direct receives your initial or escalated reviews through its integration with BaselineTM. Let us be your answer for Evidence-Based Decisions, Experts to Back You Up®.