Reduce Spine Care Costs and Improve Claims Decisions with Conservative Care Solutions
At Spine Care Partners, we offer training and support to ensure your team is well-equipped to manage spine care claims effectively. From front desk staff to claims adjusters, we provide the tools and education needed to reduce unnecessary costs and deliver better outcomes. We're endorsed by major payers like Excellus BCBS and BCBS of Rhode Island.
Here's How We Tackle This Problem:
Phase 1
Engage, Train, and Support Claims Personnel →
Enhance Evidence-Based Claims Management →
Reduce Costs & Improve Outcomes 📊
The SCP program targets early contact providers & personnel - claims adjusters, PCPs, DCs, and PTs, educating and engaging them virtually. It scales easily, while reducing:
Phase 2
Independent Documentation Review:
Cost-effective approach to combat waste, fraud and abuse. Nationally-Recognized Experts in musculoskeletal care provide professional documentation review and help prevent code-creep, overutilization and unnecessary care.
3 Steps To Reduced Spine Care Costs & Improved Outcomes:
Direct Patients to Chiropractic & Physical Therapy
Chiropractic and PT offer effective, non-invasive treatment options that reduce the need for expensive surgeries. For claims adjusters, this means approving cost-effective, evidence-based care that resolves back pain issues early, preventing costly escalations in treatment.
Encourage Self-Management Tools for Patients
By empowering patients with self-management tools, you reduce the need for costly interventions. For claims adjusters, this means fewer long-term, high-cost claims, as patients can manage their conditions more effectively and avoid unnecessary treatments. These tools support better decision-making when approving conservative care.
Train & Educate Your Team
Equip your team with the knowledge to assess and manage spine care claims efficiently. With proper training, claims adjusters can better identify appropriate conservative care options, reducing unnecessary interventions and controlling costs.
Sample Tools We Provide To Train & Support DCs, PTs, PCPs, Patients and Administrators:
Reduce wasteful surgical referrals
The cost of spine care is rising each year, and experts report that 30% of the $200 billion spent on the management of these conditions does not lead to improved outcomes. In addition, it may lead to iatrogenic injury and harm.
Using a Using a Spine Care Partners (SCP) tool called "Do I Need A MRI?", Excellus BlueCross BlueShield in Upstate New York has implemented a simple approach to reducing unnecessary MRIs. A companion tool SCP uses to change provider behavior is "Do I need a surgical referral?"
If you are interested in more information regarding our Spine Care Partners Toolbox and our complete solution to improve value in spine care, please message us below, or call Dr John Ventura +1 (585) 943-7680
Are Your Providers Correctly Identifying Red Flags Early Enough in Back Pain Cases?
Early identification of red flags in back pain helps reduce unnecessary treatments and claims costs. With our tools, claims adjusters can feel confident that providers are following evidence-based guidelines, ensuring only necessary care is approved.
On this page, you’ll find our Red Flag Assessment tool, which helps providers identify serious conditions and guide patients toward appropriate care, preventing costly and wasteful interventions.
If you'd like more info about our Spine Care Partners Toolbox and our complete solution to improve value in spine care, please message us below, or call Dr John Ventura +1 (585) 943-7680
Are your providers giving patients the right exercises for chronic nerve root pain?
Getting patients on the right track for recovery, even with chronic pain, can reduce wasteful, inappropriate care and reduce spine episode costs.
Spine Care Partners is focused on advocating for appropriate spine care through our clinically valid spine care pathway and a suite of solutions that enable practitioners to provide patient-centered, evidence-based, high-quality spine care, while reducing inappropriate, wasteful and costly care.
On this page, you'll see the printable tool we provide to our providers to help them easily educate patients about this common condition.
If you'd like more info about our Spine Care Partners Toolbox and our complete solution to improve value in spine care, please message us below, or call Dr John Ventura +1 (585) 943-7680
This short document will help you to understand how important language can be in spine care, and the simple changes that can have profound effects.
This tool is used in a provider training program that Spine Care Partners uses to influence provider attitudes, beliefs and behavior to help them deliver simpler, easier & better spine care that improves quality while reducing costs.
If you would like to learn more about our complete solution, please contact John Ventura on +1 (585) 943-7680 or email john.ventura@spinecarepartners.com
How Provider Wording with Their Patients Affects Back Pain Chronicity
How many of your providers pay particular attention to the language that is used when interacting with their patients?
Language is a powerful tool that can leave lasting impressions on the patient, to help recovery or to catastrophize even a minor episode. Perhaps nowhere is that more evident than in spine care.
This tool is used in a broader provider training program that Spine Care Partners uses to influence provider attitudes, beliefs and behavior to help providers deliver simpler, easier & better spine care that improves quality while reducing costs.