Custom Case Management received the referral 3-months post injury with the injured worker still off work, and the same complaints since the injury date. After the NCM reviewed the file, she determined based on the mechanism of injury and symptoms of the claimant, the injured worker needed to see a general surgeon. The initial diagnosis from the treating MD was an abdominal wall strain. In fact, the patient was misdiagnosed.
THE CUSTOM IMPACT:
The Case Manager was able to help the claimant find a great general surgeon who repaired a missed hernia and got the claimant back to full duty 8 weeks after surgery. The NCM’s knowledge of mechanism of injury and symptoms helped facilitate an accurate treatment plan resulting in a full duty return to work, saving the employer time and money.