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.
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