FAQs - Claims Management
Questions and Answers for Nurse Case Managers
What Type of Patients Does Kura MD Treat?
Kura MD treats employees injured on the job with non-life threatening injuries.
What Types of Injuries Does Kura MD Not Treat?
- Actively bleeding lacerations.
- Patients with 8/10 pain or greater.
- Patients reporting gross deformity of an extremity.
- Head injury with loss of consciousness, vomiting, weakness, or vision changes.
- Initial lower extremity injury with inability to bear weight.
- Patients with back injury reporting loss of bowel or bladder control, or new onset numbness.
- Patients with significant force in mechanism of injury (fall from >10ft, front or side collision MVA at >45mph, MVA rollover, or similar).
- Patients that for any reason may require immediate imaging.
Can Workers’ Compensation Patients Be Referred to Kura MD if They Have Already Visited a Brick-and-Mortar Medical Facility?
Yes. Common situations where a transfer of care is recommended are:
- Follow-up for MSK injuries (sprains, strains, and nonspecific anatomic pain).
- Post-surgical follow-up.
- Other post-procedural follow-up (laceration repair, splinting/casting), or similar.
- Emergency department follow-up.
- Patients with care longer than 8 weeks (may need evaluation for impairment rating for non-progression or need bio-psycho-social evaluations).
- Transfer of care for a patient known to require an impairment rating.
What are Some Common Issues Using a Brick-and-Mortar Medical Facility That Would Indicate Telehealth as an Option?
- Follow-up from initial care at an Urgent Care or ER and the patient needs to find a primary treating physician.
- The injured worker is dissatisfied with their current care provider.
- Long wait times at the clinic and too much time between appointment availability.
- In-office appointments are problematic due to transportation, distance, or childcare issues.
- Clinic hours are not convenient.