RISK / CLAIM MANAGEMENT

Risk Management and Risk Assessment

Positive Physicians takes an aggressive, team-oriented approach to risk management with the goal of reducing the frequency of claim submissions and the potential risk associated with each claim.

Our Integrated Risk Management programs are designed to help physicians and their staff recognize potential compensatory events (PCE). When a PCE is reported our Risk Manager will assist the practice to do what is necessary to prevent the incident from becoming a claim. We ask that a current practice employee be designated the Risk Management Coordinator ("RMC") for the practice. The RMC is asked to monitor any potential risk concern within the practice and serves as a liaison between the practice and Positive Physicians.

After your practice assigns a Risk Management Coordinator, Positive Physicians’s Risk Manager will train that person as to our notification process for potential compensation events. In addition, we will provide ongoing consultation including quarterly conference calls to discuss any malpractice issue or concerns. The risk management program is also designed to enhance communication between the front and back office staff to ensure a comprehensive umbrella of support. A suite of support services are available to assist in controlling physicians’ exposures to risk, including the services of Gateway Risk Services, one of the industry’s most recognized experts in claims handling and loss control.

A FREE Risk Assessment is available to your practice which will involve review and evaluation of:

  • Policies/Procedures
  • New staff training activities
  • Phone/message logs
  • EMR (if applicable) – Templates
  • Chart documentation
  • Operative/Informed consents
  • Infection control practices
  • Patient grievance process
  • Physician communication with the group
  • Complication notification process
  • High Risk Patients – How to Identify and Handle
  • Medication management
  • Facility (cleanliness/obstacles/maintenance of equipment)

Claim Management

The focus of the Positive Physicians philosophy is not to simply process the claim, but to develop a strategy designed to extricate the insured without an indemnity payment in a timely manner. If early extrication is not possible, then Positive Physicians will obtain the support necessary to provide the best possible defense for our insured.

Positive Physicians has the advantage of an integrated Claim management program which utilizes exceptional defense attorneys who are familiar with each geographic region. We also utilize the services of Kurt Gingrich, Esq. our Third Party Administrator (TPA), to oversee the defense and implement a strategy designed to win.

Kurt Gingrich and Janet McCrossen are well known to our insureds.  They provide 24/7 resources for risk and claim management. Kurt and Janet offer a wealth of legal knowledge that guides both our defense team and defense experts in a way that is unique to our company. As a physician driven medical malpractice company we have access to medical experts not available to the general marketplace. This is a unique component of our ability to protect our insureds.

Contact Us
  • Contact Us