There are two separate legal entities under the Coventry umbrella that handle products and services in Minnesota, each with their own role and function.
Coventry Workers’ Comp Services (Coventry)
Coventry understands the challenges the current workers’ compensation environment and regulations present to our customers, and that developing a comprehensive solution to contain health care and disability costs can be a complex undertaking. Coventry provides employers, insurers and claims payors a variety national and state-specific medical management solutions that can help. These services include in-network and out-of-network medical claims review and re-pricing, access to specialized Preferred Provider Organizations ("PPOs"), early intervention and other cost management and related services. Coventry provides claims agent services and related activities; Coventry Rehabilitation Services, Inc. (“CRS”) provides Qualified Rehabilitation Consultant Services, as described in detail below.
Coventry Rehabilitation Services, Inc. (“CRS”)
CRS is a registered Qualified Rehabilitation Consultant Firm (“QRC Firm”) in Minnesota that provides statutory vocational rehabilitation services performed by Qualified Rehabilitation Consultants (“QRCs”) as well as disability case management (“DCM”) services. All services provided by CRS and its QRCs in Minnesota comply with state mandated rules, statutes and regulations.
A QRC is an objective participant, and conducts the rehabilitation consultation, writes the rehabilitation plan, including return to work goals and estimated costs for the claims adjuster, provides rehabilitation services, and guides the delivery of rehabilitation services by others. More specifically, the QRC may provide the following services: rehabilitation consultation, medical management, on-site job analysis, coordination of return to work (same or new employer), job modification, functional capacity evaluation, transferrable skills analysis, work evaluation, work hardening, job seeking skills training, job development, post placement follow-up, academic skills enhancement, vocational counseling, vocational testing, on the job training, labor market surveys, exploration of retraining, administrative duties (i.e., letter, reports or forms), attend legal proceedings, or incur other expenses. Examples of QRC prohibited activities include: authorizing medical services, auditing bills, promoting independent medical exams, among others.
CRS may also provide DCM services for workers’ compensation claims when the qualifying criteria for QRC services have not been met on a claim but are provided pursuant to the parties’ agreement. DCM services may include: medical management, on-site job analysis, coordination of return to work (same employer), job modification, or other administrative duties (i.e., letters, reports or forms). Any individual performing DCM services on a claim that also holds a QRC registration should conform to the same standards of practice outlined above.
To learn more about workers’ compensation functions in Minnesota, please click these links below: