PROFESSIONAL SERVICES

​Ancillary care refers to the wide range of healthcare services provided to support the work of a primary physician. Ancillary care is currently one of the fastest growing sectors of healthcare, representing nearly 30 percent of medical services today. With today's rising healthcare costs, ancillary providers are frequently an essential, cost-saving alternative to outpatient hospital and physician services.

Included in its comprehensive network of services, AWC offers a wide range ancillary care to support its specialty providers in their recommended course of treatment. These services can be classified into three categories: diagnostic, therapeutic, and custodial. Diagnostic services include laboratory tests, radiology, genetic testing, diagnostic imaging, EMG and more. Therapeutic services range from rehabilitation to physical and occupational therapy, as well as massage, chiropractic services, and speech therapy. Custodial services include everything from hospice care and long-term acute care to nursing facilities and urgent care.

HOSPITAL GATEKEEPER SERVICES

The Medical Director is an essential component to providing the highest level of quality health care and is a vital contributor in maintaining quality assurance. Each of our Medical Director's are board-certified and highly-regarded in their specialty, offering objective determinations of medical necessity and clinical oversight of hospital admissions. The Medical Director will give provider oversight, regular training & education of current trends and best practices, and scheduled quality reviews for efficiency and consistency across the medical program.

Services offered by the Medical Director:


  • Medical File Review
  • Independent Medical Evaluations
  • Peer Reviews
  • Provider and Network Oversight
  • Intervention in Utilization Management
  • Evaluation and Benchmarking of Medical Practices
  • Consultant for Clients, Disability and Risk Managers
  • Monthly ‘Talk to the MD’ – Educating Clients and Providers of Current Trends and Best Practices
  • Pre-existing medical conditions
  • Severe burns
  • Psychological & Psychiatric problems
  • Uncoordinated multiple Physician intervention
  • Home Care
  • Unclear or non- specific diagnosis           

The Hospital Gatekeeper is a board-certified physician with special hospital privileges, having access to every department within a hospital. The Gatekeeper will direct and oversee the entire inpatient stay to ensure efficient admissions, a proper treatment plan, an accurate “length of stay”, and the patient’s overall continuity of care. 


As an early intervention and cost-saving method, the Gatekeeper was initially designed to monitor and if required, decrease a patients ‘length of stay’ in the hospital, according to national medical standards. Today, the Gatekeeper is an onsite physician that interacts closely with each medical specialist providing care to a patient - from admission to discharge - to ensure the best quality of care is being received. In addition, the Gatekeeper will oversee the ‘plan of discharge’ to ensure the patient transitions from the hospital back to their home or other facility in a comfortable and efficient manner. On call 24/7/365, the Gatekeeper oversees medical treatments, medications, tests, x-rays and any other recommended ancillary services.

The effectiveness of the Gatekeeper method has results?

  • 32% average decrease in hospital ‘length of stay’ and any unnecessary or duplicate medical charges (i.e. tests, X-rays, Rx, etc.)
  • 15% average decrease in overall costs associated in complete hospital care.

NURSE CASE MANAGEMENT 

MEDICAL DIRECTOR SERVICES & UTILIZATION REVIEW

  • All lost time cases
  • Head Injury
  • Spinal Cord Injury
  • Surgery incurring lost time
  • Chronic Pain 
  • Excessive Drug use

ANCILLARY SERVICES

​AWC Networks’ comprehensive healthcare services combine to create dynamic strategies for improving client care management. Our company began in case management, and continues to expand its areas of expertise.  Our focus remains constant in early intervention, optimal medical treatment and quality medical care. With a group of highly-skilled and certified professionals, with notable experience in medical and vocational specialties, we are committed to the highest standards of care, efficient results and successful outcomes.  AWC realizes that each patient is different and should be treated as such. 


AWC is committed to the continuous improvement of its managed care principles, leading to a more beneficial outcome for the patient.  The following core services may be modified to meet  you at your needs. 


​AWC Case Managers help to ensure the injured person receives the health services and benefits they need to make the best recovery possible. While early intervention is key in successful medical management and cost control, the Case Manager works seamlessly with the patient to oversee a combination of time-consuming treatments and other complex efforts.  As a result, patients find significant value in the assistance of a Case Manager acting as a personal advisor or mentor throughout the recovery process. 


AWC offers case file review and URAC accredited precertification services, along with several of the best TCM and FCM professionals in the area.  Our goal is to develop and implement the best treatment plan for an injured person to 'return to life' - resuming all normal activities. Below are common criteria of TCM and/or FCM intervention.