ICC's Risk Management Programs are designed to reduce your company's risk exposure for:

 

	Hospital Liability/Exposure
	Workers' Compensation
	Health Disability
	Professional Liability

At Insurance Claims Consultants we view the development of your Organization’s Risk Management as a step by step decision process in which we incorporate these four essential steps:

          

 

At Insurance Claims Consultants we view the development of your Organization’s Risk Management as a step by step decision process in which we incorporate these four essential steps:

Identifying and Analyzing Your Organization’s Loss Exposures

Helping Select Your Organization’s Risk Management Techniques

Implementing Your Organization’s Risk Management Program

Monitoring Your Organization’s Risk Management Program

Identifying and Analyzing Your Organization’s Loss Exposures

ICC understands that Risk Management requires a systematic approach so that all loss exposures are identified and analyzed. The first Step in Risk Management is the identification of the potential loss exposures. Potential loss exposures is one of the hardest and painstaking steps involved in the development of Risk Management.

Organizations cannot decide how to manage loss exposures without knowing what the components are that are involved in the Risk Management process.

Identifying Loss Exposure

 

ICC is able to identify loss      exposures by the development of a thorough working knowledge of how the organization operates. ICC supplements a physical inspection of the organization with tools that aid in the identification process, such as loss exposure surveys and operations flowcharts.

Physical Inspection

A clear picture of an hospital ’s loss exposure cannot be accomplished by simply filling out questionnaires and typing a report from an office. The most successful and straightforward method of identifying loss exposures is for ICC to inspect the operation.

However, a physical inspection alone will not identify all the exposures. ICC uses additional tools to uncover hidden exposures. Additional tools such as surveys, operational flowcharts,  interviews and review of contract with HMO and Managed Care Providers.  

 ICC provides proper understanding of Medicaid and Medicare  program  for hospitals to receive maximum returns.

 

ICC employees the use of "Loss Exposure" surveys. ICC has provided   a document that lists many of the potential loss exposures that organizations, in general, may face. The actual "Loss Exposure" survey, that ICC will use for a specific organization, will vary according to the type of organization.

Operations Flowchart

In coordination with the "Loss Exposure" survey, ICC also uses an operations flowchart. This tool complements the survey and provides a clearer picture of loss exposures from certain operations and their connections and relations to other areas and department of an organization.

ICC uses the operations flowchart for two distinct reasons

1) Emergency Room Exposure

By charting the flow of operations, ICC can determine what risk exposures may occur and procedures to prevent such  exposures

2) Reveals Interrelationships and Interdependencies

By charting the flow of the operations, ICC is able to reveal the interrelationships and interdependencies among all departments of your organization.

Analyzing Loss Exposure

When ICC analyzes the loss   exposures it involves measuring the financial impact of the potential loss to the organization. With an ICC analysis, this will give an organization the ability to assign priority to the most significant loss exposures.  

In the analyses, ICC will:

1) Measure the frequency of the Loss  (Mal Practice Exposure)  
2) Measure the severity of the Loss, and
3) Show the impact of the Loss.

Selection of the Organization's Risk Management Techniques

Once ICC has identified and analyzed the loss exposure an appropriate technique can be developed for treating the exposures. There are basically five possible techniques that ICC is able to initiate. Each organization is different and ICC may employee a combination of one or more of the following techniques:

                                                              1)    Avoidance
                                                                                 2)    Non insurance Transfer
                                                        3)    Control
                                                           4)    Retention
                                                            5)    Insurance

 

Implementing the Risk Management Program

Once ICC has identified and analyzed the loss exposures and then developed a customized and treatment method design specifically for an organization, the process of implementing the Risk Management Program begins.

Through ICC programs an individual within the organization will be trained as a Risk Manager to help with the implementation. Depending upon the treatment program that was design for the organization, a coordinated effort between ICC and the organization’s Risk Manager will allow the smooth introduction and implementation of the Risk Management Program.

ICC will work with, and on the behalf of the organization during the entire Risk Management Program Installation to ensure a successful installation.

 

Monitoring the Risk Management Program

In any effective Risk Management Program there must be goals and objectives that are to be met to be able to measure the successfulness of the program. ICC, in conjunction with the organization, will develops realistic standards that the Risk Management Program must meet.

ICC programs all, not only meet the standards that are established, but exceed these standards to bring a challenging Risk Management Program to the organization.

ICC and the Risk Management Program

Risk Management is an integral part of any organizations ability to, not only stay in business, but to grow. ICC understands that it is of vital importance that an organization protect its assets and with the ICC’s Risk Management Programs an organization is able to protect their assets to ensure growth.

ICC realizes that it is financially import to an organization that a successful Risk Management Program meet and maintain these following criteria:

1) Successfully developing an aggressive Loss Control Program

2) The Loss Control Program does not exceed the cost of implementing such a program

3) That the Loss Control Program remains within a preset annual budget

4) That the Loss Control Program remain flexible enough to adapt to new problems

 

 

 

 

ICC 'S  RISK MANAGEMENT  SERVICES CONSIST OF CONSULTING  AND PROVIDING SERVICES IN :

1. Risk Management.
2. Risk management in managed care.
3. The Risk manager's role in the integrated delivery system.
4. Integrating Risk management, utilization management and quality management: Maximizing benefits through integration.
5. Incorporating quality improvement strategies and benchmarking into risk management .
6. Benchmarking in risk management.
7. Risk management strategic planning for a changed health care delivery system
8. Developing tools to identify and manage the risk of managed care.
9. Setting up a risk management department.
10. Understanding the need for a corporate compliance program.
11. Developing a risk management manual.
12. Risk management program development
13. The risk manager's responsibility for off- premises locations.
14. Managing the data needs of managed care .
15. Education as a valuable risk management tool .
16. Consent issues in the medical environment.
17. A basic insurance primer.
18. Understanding provider excess and stop- loss insurance
19. Self-Insurance for physicians/surgeons and how to protect hospital interest allowing physician to become self-insured.
20. Insurance products to minimize financial risk of managed care.
21. Risk financing: an important risk management function.
22. Risk financing issues facing medical providers.
23. Guidelines for in- house claims management.
24. Risk management issues associated with Anesthesia.
25. Developing a comprehensive risk management program in obstetrics.
26. Risk management issue in the emergency department.
27. Risk management in the pediatric settling.
28. Risk management in the psychiatric settling.
29. Managing the risk associated with clinical research.
30. Managing the risk associated with telemedicine.
31. Managing the risk of home health care .
32. Legal issues associated with the use and development of practice guidelines.
33. Managing the risk of workers compensation.
34. Credentialing issues and managed care.
35. The physician as Gatekeeper- what are the risks .
36. Ethics, accreditation, and managed care: a guide for risk managers .
37. Legislative and regulatory issues.
38. Cobra risk and managed care .
39. Managed care contracting.