Telephonic case management is intended to lower costs and increase overall efficiency in communications and the delivery of services. However, problems begin when communication delays affect the progress of a case. Knowing the time to directly contact patients and doctors and professionals in the field to accelerate an injured worker’s case is critical. In many cases, calling the injured worker and doctor does not produce the timely results required. Replacing telephonic case management with field case management and medical case management services where nurses visit the injured worker on day one of the case saves time and money and can result in injured workers returning to work 40% faster.