Request for Case Review
We provide a checklist of materials and information required to complete the review.

Nurse Case Manager Triage
A Nurse Case Manager reviews all available case information, verifies the treatment plan and evaluates disability duration against national guidelines, documents case status, recommends next steps, and identifies significant clinical indicators for physician review.

Physician Review
One of  MCA's Board-Certified Occupational Medicine physicians analyzes the clinical information, providing a written review based on the case management issue. MCA physicians provide assistance to the treating physicians in understanding and obtaining authorization for care, and provide perspective related to clinical practice guidelines for occupational injuries and illnesses. Reviews may be used by federal agencies to support claim challenges based on medical evidence, obtain second opinion exams, and help resolve treatment authorization problems.

Case Summary and Recommendations
Within 10 business days of the referral, the Agency will be provided a full summary with clear case recommendations, followed up by a conference call with the Nurse Case Manager and Medical Director.

Ongoing Case Management Support
On a case-by-case basis, the agency can opt to retain MCA for an additional 90 day period to assist in the implementation of recommendations. During this time the Agency will have access to the Medical Director and assigned Nurse Case Manager to assist in bringing the case to resolution.