Return to Work vs. Return to Function - Insurers Part 4 In Part 3 of this series, dated 9/28/2018, I discussed the “What’s in It for the Caregiver/Provider” regarding RTW. Today I will discuss the common perceptions, misconceptions and the “What’s in it for the Insurers”, the results of [...]
In Part 2 of this series, dated 9/27/2018, I discussed the “What’s in It for the Injured Worker and the Union” regarding RTW. Today I will discuss the common perceptions, misconceptions, the “What’s in it for the Caregiver/Provider” and a best practice statement by the IAIABC. Please refer to [...]
In Part 1 of this series I discussed the completion of the IAIABC Return to Work paper and whether we as a workers’ compensation community need to ultimately focus on Return to Function or Return to Work. We also defined the stakeholders we believe that are in the Workers’ [...]
This week I was honored to present at the NAOHP (National Association of Occupational Health Professionals) 32nd National Conference in Nashville, TN on a paper prepared by the IAIABC on RTW. It was my second time presenting at this conference. The NAOHP is a group of healthcare professionals [...]
The URAC Accreditation Committee met on August 14, 2018 and reviewed the CompAlliance application for re-accreditation for Workers’ Compensation Utilization Management Version 7.3 Program. The Accreditation Committee voted to grant CompAlliance FULL Accreditation pursuant to the Workers’ Compensation Utilization Management, Version 7.3 Program. This award is effective from September [...]
Workers that do not Return to Work (RTW) experience a significant reduction in their overall income. There is a potential for delayed RTW and/or RTW to an inappropriate position due to absent or delayed communications with employers or the claims professional. As case managers, we refer to the Case [...]
Article prepared by: Glenda Garrard, Jay Garrard and Linda Van Dillen. SB1160 addressed a wide-ranging array of issues in Workers’ Compensation, and was signed in 2016 by California Governor Jerry Brown; it addressed delays and denials of medical care for injured workers and contained reforms assuring the highest [...]
Article submitted by Jean S. Goldstein, JD, Senior Legal Counsel, MSP Compliance, MEDVAL Last July, the Centers for Medicare & Medicaid Services (CMS) released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide. This guide is essentially the go-to-resource, for everything WCMSA related when choosing to submit a [...]
I don’t need to quote statistics on opioid misuse disorder to set the tone for this article. That’s a good thing I guess; it must mean our overall awareness of the topic is current. When I first started talking about this topic at conferences, about 70% of my [...]
The IAIABC Disability Management and Return to Work Committee (an all-volunteer committee) formulated a paper titled, “Return To Work: A Foundational Approach To Return To Function” Founded in 1914, the International Association of Industrial Accident Boards and Commissions is a not-for-profit association representing most of the government agencies charged [...]
This week I have been working on CompAlliance’s re-accreditation for Utilization and Case Management, and as a result have been examining in detail our processes, protocols and procedures. It made me think of an article I recently read on LinkedIn by someone who performs file reviews and analysis [...]
