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Regenexx and Workers’ Compensation

What are the benefits to partnering with your local Regenexx Provider to treat employees that have been injured on the job?

  • Minimally invasive procedures do not decrease range of motion
  • Avoid orthopedic surgery
  • Reduced or zero impairment ratings
  • Minimal downtime
  • Reduced Physical Therapy visits
  • Faster recovery
  • 50% reduction in orthopedic spend
  • Access to the most advanced orthopedic stem cell procedures available in the United States
How do I gain access to Regenexx for Workers’ Compensation Claims?
  1. Notify workers’ compensation carrier that you are electing to cover Regenexx procedures delivered by your local Regenexx Provider within your plan – notice example available
  2. Direct your workers’ compensation TPA and/or case manager(s) to refer orthopedic cases to your local Regenexx Provider – notice example available
  3. Direct Occ/Med clinic to refer orthopedic cases to your local Regenexx Provider
  4. Complete Client Services Agreement
  5. Corporate results reporting system – quarterly recommended

Case Managers and Adjusters

Regenexx Corporate Education Specialists are able to provide you and your team a thorough overview of the benefits of utilizing the Regenexx Procedures instead of orthopedic surgery. If you would like to schedule an educational session please contact us at…

What Does the Regenexx Workers’ Compensation Process Entail?

Regenexx has developed a process to make it easy to refer. Patients can follow these steps, depending on their location:

  1. Employee will see his local Regenexx Provider/PCP/OCC MED physician
  2. If an orthopedic case, Regenexx will initiate a one-trip new patient evaluation process:
    1. Risk Manager/Claims Adjuster will provide their Regenexx Provider with all medical records including operative/injection records and orthopedic consult records.
    2. Risk Manager/Claims Adjuster will work with the employee to provide the Regenexx Provider with MRI/X-Ray images and diagnostic reports.
    3. Your Regenexx Provider must be notified if the evaluation is for a spinal injury, as we will set up an MRI for the employee after the evaluation.
    4. Regenexx Physician will review records to determine evaluation time.
    5. Employee will be scheduled for evaluation.
  3. Employee will be scheduled for a procedure with approval from Risk Manager/Claims Adjuster.
  4. Follow up and Permanency rating
    1. Follow up appointments with Nurse Case Manager if applicable
    2. 2 weeks by phone
    3. 6 weeks
      1. Physical exam and patient interview (by physician assistant)
      2. Work restrictions determined (by treating physician)
    4. 12 weeks (if still on restrictions)
      1. Physical exam and patient interview (by physician assistant)
      2. Work restrictions determined (by treating physician)
      3. Full duty release considered (by treating physician)
    5. 6 months
      1. Physical exam and patient interview (by PA)
      2. Work restriction determined (by treating physician)
      3. Full duty release considered (by treating physician)
      4. Permanency and MMI determined
      5. The patient or case manager may request a follow up anytime between 3 and 6 months or 6 and 12 months if patient feels capable of returning to full duty.
  1. Employee will see his local provider PCP/OCC MED physician
  2. If an orthopedic case, your local Regenexx Provider will initiate a new patient evaluation performed over the phone (phone consultation):
    1. Risk Manager/Claims Adjuster will provide the Regenexx Provider with all medical records including MRI/X-Ray images, diagnostic reports, operative/injection records and orthopedic consult records. *An MRI is required for a phone consult.
    2. Your Regenexx Provider will review records to determine evaluation time.
    3. Employee will be scheduled for a phone consultation.
  3. Employee will be scheduled for a procedure with approval from Risk Manager/Claims Adjuster.
  4. Follow up and Permanency rating
    1. Follow up appointments with Nurse Case Manager if applicable
    2. 4 to 6 weeks
      1. Physical exam and patient interview (physician assistant)
      2. Work restrictions determined (treating physician)
      3. Full duty release considered (treating physician)
    3. 8 to 24 weeks
      1. Physical exam and patient interview (physician assistant)
      2. Work restrictions determined (treating physician)
      3. Full duty release considered (treating physician)
      4. If full release –permanency rating is determined (treating physician)