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 Provider Relations
Provider
Programs
Provider Benefits
Join Our Network
Provider Education
Referral Process
Provider Claim Status
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Align Networks is a national physical medicine program, focusing on the unique delivery
of medically necessary care exclusively in the workers’ compensation industry. We
have over 30,000 physical medicine providers in our national network and are growing
in all states. If you are a prospective provider group interested in joining our
network please contact our Provider Relations department for credentialing and contractual
requirements. Below are features that set Align Networks apart as an industry leader
in network management and the ways we strive to serve you, our partner-the treating
provider.
Scheduling:
Align Networks recognizes the importance of prompt scheduling and regular attendance
of each patient in order to optimize your treatment efforts. Align Networks scheduling
and visit management teams strive to serve you and the patient by ensuring appropriate
communication between the patient and your facility, contacting the patient to schedule
the initial evaluation and assist in visit compliance and reporting.
Provider Education:
When you join Align Networks, you are given a Provider Education Manual and advised
to participate in the Align Networks Online Clinical Management Training. The provider
education focuses on the unique aspects of workers’ compensation therapy, particularly
on how to incorporate return-to-work focused treatment and goals; on appropriate
utilization management strategies; and on discharge planning and discussion with
claimants. Our goal at Align Networks is to optimize clinical care and outcomes.
We help train your clinical staff on clinical management strategies to help your
facility perform better.
Timely and Regular Therapy Documentation:
Securing clinical documentation timely and regularly from our treating providers
is a critical component of managing care. This is important because Align Networks
provides our clients with regular updates on the clinical status of the patient’s
care. As a provider, we expect regular clinical updates on each patient and at Align
Networks, our team will help by reminding you of when patient progress reports are
due, informing you of updates in authorization status, and making our team of clinical
experts available if you should have any questions regarding treatment guidelines,
treatment planning or clinical challenges.
Medically Necessary Care:
The Align Networks' program focuses on the delivery of clinically appropriate care,
based on individual patient needs, to ensure maximum quality and cost efficiencies
during the entire therapy process with us. We seek providers who share the same
treatment philosophy.
Best Practice Clinical Guidelines:
Align Networks adopts the industry’s best practice standards and guidelines. We
help you to manage your therapy care and outcomes in accordance with these industry
best practice guidelines. This empowers you, the treating therapist, to optimize
your treatment planning, goals and clinical outcomes. Our
Expert Clinical Advisory Panel is always available for questions regarding
clinical guidelines, clinical reviews or any clinical concerns.
Clinical Oversight with Expert Panel Peer Reviews:
Align Networks has an Expert Clinical Advisory
Panel that is available to you and which performs our clinical reviews.
The process of expert peer review has a significant positive impact on clinical
outcomes, utilization and care dispute resolution, thereby ensuring your facility
achieves optimal outcomes.
Customized Billing:
Align Networks offers a Provider Claim Status portal
with real time bill look-up function. That way you can log in and easily
view the status of bills. Our team is here to help should you have any additional
questions.
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