Ohio Managed Care Organization
As a BWC-certified Managed Care Organization in Ohio, Frank Gates Managed Care Services coordinates managed care for Ohio State Fund employers through the Ohio Bureau of Workers’ Compensation. Click here to learn more about our MCO Roles & Responsibilities.
Medical Cost Management
Our Claims Managers coordinate medical and return-to-work plans through proactive collaboration with all parties involved in a workers’ compensation claim. Your Claims Manager will be the single point of contact on all open claims. Our medical cost management services include:
- Medical Utilization Review
- Fee Bill Adjudication and Processing
- Treatment Authorization
- Peer Review and Second Opinions
- Dispute Resolution
Nurse Case Management
Frank Gates Managed Care Services utilizes certified Nurse Case Managers to develop and oversee all medical and return-to-work plans. Our plans and interventions are directed by evidenced-based treatment and disability benchmarks.
Disability Management
Our staff promotes immediate return-to-work plans with all parties to the claim, utilizing:
- Diagnostic-Based Expectation
- Temporary Restricted Duty Job Offers
- Limited Wage Continuation
- Full Duty Closure
Our Outcomes
98% of our pre-authorized medical decisions go unchallenged by the treating physician.