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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 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 medical staff
- in-patient hospital based evaluation (for 26 day program)
- residential out-patient treatment coordinated with in-patient care
- strictly non-narcotic approach
- two program options: 14 day or 26 day program
- one year follow-up available coordinated with community M.D.
- over 23 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
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