Reed Group Guidelines

MDGuidelines with AMA CPT® codes

MDGuidelines with CPT®, RBRVS, and hospitalization cost databases and calculators delivers the right information to case managers more efficiently and quickly than ever, helping them make the right decisions fast.

The AMA is the world’s most trusted source for official Current Procedural Terminology (CPT®)—the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programs.

Reed Group has partnered with the AMA to offer the AMA CPT® codes as an additional option when you license MDGuidelines, the world’s leading provider of return-to-work guidelines. This partnership enables MDGuidelines users to search on any of the over 9,000 CPT® codes for procedures/treatments to identify Medicare RBRVS values (Resource Based Relative Value Scale)—an essential feature for states’ worker’s compensation boards.

Fully integrated into MDGuidelines, the CPT® codes enable case managers to quickly and efficiently estimate the cost of various procedures and treatments. MDGuidelines with AMA CPT® codes also provides a powerful calculator functionality to adjust RBRVS values by zip code and additional state-specific modifiers and provide access to hospitalization data on all ICD-9-CM codes where the HSS agencies collect such data.

And of course, in addition to the predictive modeling capabilities, you get the same superior quality and depth of information that MDGuidelines has been delivering for over 18 years:

MDGuidelines also is available to software providers and content aggregators in an easy-to-integrate XML-based web services format. With web services, customers are able to seamlessly integrate the most recently updated versions of disability durations, predictive recommendations, and referential content into the workflow of their end-users.


The deepest and highest quality data

The MDGuidelines database comprises over 2 million workplace absence cases culled from internal experience, multinational companies, and government organizations. This data is examined by a Medical Advisory Board that verifies its accuracy and adds up-to-the-minute clinical insights to the topics. With its meticulous process of collecting and enhancing outcomes data, MDGuidelines summarizes the latest thinking on treatment, return to work durations, and restrictions and accommodations for disabilities.

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Shorter disability durations

MDGuidelines disability durations are based on physiological recovery time--the time takes to recover from a given injury or illness, providing one has prompt access to medical care. ODG, another provider of return-to-work guidelines, uses publicly available worker’s compensation data to develop its disability durations. The worker’s comp system introduces variables into the management of a case that, for a range of reasons, often extends an employee’s absence from work beyond physiological recovery time. Therefore, our focus on physiological recovery often results in disability duration recommendations that are significantly shorter than our competitor’s.

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Superior user interface for administrative savings

Quintas, an independent user experience consulting firm, found that, on average, users were able to access the right information twice as quickly with MDGuidelines than with ODG’s return-to-work product.

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Consistent and defensible return-to-work recommendations

Because MDGuidelines is based on millions of clinical cases that are rigorously complied, then physician reviewed, your case managers have the information necessary to provide fair, consistent, and defensible recommendations, lowering the risk of litigation and union grievances.

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