Physicians and Specialties
What is physician review
Our Physicians
The Concentra Physician Review program includes hundreds of affiliated doctors practicing in primary care medicine. Many of our affiliated review doctors are primary care physicians in Concentra's national network of medical centers. Others are drawn from outside the Concentra organization, especially for specialty disciplines outside the practice of primary care, occupational medicine.
The doctors in Concentra's Physician Review program are Board-certified, licensed, and have special certificates required by the state in which they practice.
Doctors become part of our program in one of three ways: we approach them, they approach us, or others refer them to us. Physicians have to meet basic criteria to be eligible; they must:
- be Board certified by the AOA (American Osteopathic Association) and the ABMS (American Board of Medical Specialties)
- be licensed
- have any special certificates required by the state in which they practice
Concentra performs additional credentialing by carefully reviewing their curriculum vitae, checking the National Practitioners Data Bank (NPDB) and Healthcare Integrity and Protection Data Bank (HIPDB) for information on candidates, and having their applications reviewed by our National Medical Director.
Specialties
Because not every claim is straightforward, Concentra can draw from our pool, hundreds of affiliated physicians to address an impressively wide range of specialty areas:
Medical
- Aerospace Medicine
- Infectious Diseases
- Otolaryngology
- Anesthesiology
- Internal Medicine
- Pain Management
- Cardiology
- Neurology
- Pediatrics
- Emergency Medicine
- Neurosurgery
- Physical Medicine and Rehabilitation
- Endocrinology
- Obstetrics
- Podiatry
- Family Practice
- Occupational Medicine
- Preventive Medicine
- Gastroenterology
- Ophthalmology
- Psychiatry
- General Surgery
- Oral / Maxillofacial Surgery
- Pulmonology
- Gerontology
- Orthopedic Surgery
- Urology
- Gynecology
- Osteopathy
Other
- Acupuncture
- Massage Therapy
- Physical Therapy
- Chiropractic Care
- Occupational Therapy
- Psychology / Neuropsychology
- Dentistry
Contact us at (800) 563-1705 for more information on Concentra's physicians or specialty areas.
Case review technology
Available to Concentra's affiliated physician reviewers is a highly customized operating platform that supports the process.
This secure web-based system, which participating physicians enter using a username and password, is their direct data connection with Concentra's Physician Review program headquarters. In it, reviewers learn of new assignments, record medical notes, and record case status and closure information.
This powerful on-line quality monitoring and reporting tool offers the following benefits to Physician Reviewers:
- A robust data platform for managing medical claims
- An environment for paperless, comprehensive, and automatic tracking of all activities involved in the management of medical care and return to work
Training and resources
The Physician Review program provides the following training and access to medical and educational resources:
- Detailed on-line training and orientation of the process designed by the national medical director
- Periodic monitoring of new physicians to answer questions and advise them on procedural matters
- A semi-annual newsletter from the National Medical Director informing members about the program, legislative issues, patient outcomes information, and best practices
Concentra provides a range of logistical training and guidelines/literature resources to assist you in your work as a physician reviewer.
Guidelines and Literature Resources
Specific online guidelines and peer-reviewed literature resources include:
