NSG’s Therapy Management Program is a unique pay-for-performance reimbursement model that produces superior clinical outcomes and significant claim cost reduction.
The result is an individualized patient treatment plan, based on medically-necessary care, that focuses on the restoration of functional capacity, not customary treatment guidelines. Clients save on improved productivity and reduced medical costs and indemnity benefits, while also ensuring the patient receives the best treatment. Providers are paid for performance, encouraging successful clinical outcomes. Outcome expectations are established when the therapy is initiated and include an intense focus on the end result.
NSG specializes in the achievement of exceptional rehabilitation outcomes. We contract with therapy providers to coordinate and provide physical and occupational therapy services. NSG's operational and clinical expertise ensures that the therapy providers produce exceptional functional outcomes, high patient satisfaction, and substantial cost savings. NSG's in-house, peer-to-peer utilization management is beneficial to patients, clients, and participating therapy network providers.
What is the Therapy Management Program?
NSG promotes individualized therapy for your injured patients, empowering our providers to treat for as long or as short as medically necessary with a collective goal of a rapid return to work. Our Condition Rate Program is based on a flat rate fee schedule for physical therapy. Therefore, your financial exposure is reduced from the traditional fee-for-service model that fosters excessive utilization and fees. Our Visit Rate Program provides a fixed cost per visit with the same exceptional treatment outcomes and utilization controls.
What is the Visit Rate Program?
NSG’s Visit Rate Program is designed to support clients’ goals to deliver the best and most appropriate physical therapy treatment to their employees.
NSG’s Visit Rate Program pricing model is based on a discount below the state fee schedule with a price cap per visit. This pricing methodology prevents unnecessary modalities from being charged and supports NSG’s commitment that our clients receive the best possible outcome.
The Visit Rate Program is powered by NSG’s scheduling and quality network delivering superior customer service. This model ensures patients are scheduled within 48 hours of a referral being received. NSG’s extensive network of providers also ensures that the patient is scheduled with a therapist within a convenient distance to work or home. This helps maximize treatment outcomes by ensuring patients consistently complete their treatment plan.
NSG also provides clinical oversight of the physical therapy treatment plans ensuring therapists develop individualized treatment plans designed to return patients to work as quickly as medically possible. NSG’s team of qualified in-house therapists work closely with treating therapists to monitor patient files and perform peer-to-peer reviews of ongoing treatment plans.
NSG also supports our providers by guaranteeing they are paid no more than 28 days after an appropriately submitted invoice is received regardless of whether NSG has received reimbursement. This reimbursement model also helps encourage providers within the network to maintain the high level of service our clients have come to expect.
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