Making
a Referral Within U.S.
Insurance constraints have made difficult referral authorizations made by physicians and nurse care managers for chronic pain management services, especially pain rehabilitation programs and clinics. In California and other states insurance carriers are increasingly resorting to guidelines and criteria promulgated by the Medical Treatment Utilization Schedule (MTUS, 2009), the American College of Occupational and Environmental Medicine (ACOEM, 2004), Genex, and the Official Disability Guidelines (ODG). This is especially true of worker's compensation cases. To simplify your efforts at referral we have summarized the most frequently accepted criteria for referral to comprehensive pain management programs.
If you wish to make a referral
to Pacifica for comprehensive
pain management services, it
is recommended that you consider
using our referral form which
complies with the above criteria.
Please click
here to review the referral
form. You may download and print
this form for your direct use
if you so desire
Given the way of limited availability
of pain programs in the United
States, which follow the below
treatment standards, we are more
frequently assisting in the referral
and treatment of patients from
diverse regions:
- multidisciplinary
staff
- in-patient hospital based
evaluation
- residential out-patient
treatment coordinated
with in-patient care
- strictly non-narcotic
approach
- 40 day residential program
- one year follow-up available
coordinated with community
M.D.
- over 25 years of continuous
pain clinic operation
Please click
here for contact information
in the event you desire discussion
regarding your case or would
like to fax or mail you referral
form. |
