Reasons for Termination of WC PPO Nurse Case Management (NCM)
- Claim controverted – by law, WC PPO can no longer manage
- Terminated Employee – WC PPO cannot direct the care of a terminated employee
- Injured Worker Opt-Out – after 30 days the Injured Worker can opt-out of program. (Over 20 years of operation, UHS’ opt-out rate is less than 2 %.)
- Injured Worker engages attorney who requests termination of Nurse Case Management
(Employers report a 75% decrease in litigated claims)
WITH ALL THE ABOVE CIRCUMSTANCES THE CLAIM WOULD BE RETURNED TO TPA/Carrier FOR MANAGEMENT
UHS News
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UHS Population Health director receives Emerging Leader award from BUOctober 01, 2025Annie DePugh, director of our UHS Population Health team, was recently honored with the 2025 Emerging Leader Award from Binghamton University Decker College of Nursing and Health Sciences.
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Dr. Rajesh Davé honored with President’s Award from Upstate Medical UniversitySeptember 30, 2025Rajesh Davé, MD, executive vice president for Clinical Integration and chief medical officer at UHS, was recently presented the President’s Award for Distinguished Service from SUNY Upstate Medical University.