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Industry Insights

Time Management for Claims Examiners - Part 2 09/02/2002
State: FL | Segment: | 926 | 0
The first part of this series started off with some basic concepts on time management, applied to the claims examiner's special duties. Of course, there are more techniques to implement, otherwise this wouldn't be a two part series! Daily Task Management, as noted in the prior article, is si...Read More
Defending Against Medical-Legal Liens 08/18/2002
State: CA | Segment: | 2196 | 0
In our last article we looked at defending against medical treatment liens, and discussed going back to basics with the facts and the law. Defending against unscrupulously billed medical-l...Read More
Managing Medical Treatment for the Employer 08/18/2002
State: CA | Segment: | 978 | 0
Dramatically increasing workers' compensation prices are a fact, and have been for the past 3 years, with no relief in sight any time soon. The biggest cost driver in workers' compensation, according to several studies lately, is the medical component. There are several options available to the work...Read More
IMC Guidelines and Reimbursement - Neck 08/18/2002
State: CA | Segment: | 953 | 0
My last three articles in this series discussed the IMC Guidelines relative to diagnosis and treatment of low back injuries. The IMC has published guidelines for neck injuries independently of the back, so they need to be reviewed as well. The guidelines introduction tell the practitioner w...Read More
Preparing for a Formal Conference 08/18/2002
State: CA | Segment: | 955 | 0
When an applicant attorney files an RU-103 requesting dispute resolution by the Unit, many claims examiners assume the attorney submitted copies of all documents relevant to the dispute. While they should do so, many attorneys file only those documents supporting their position; the obligati...Read More
Time Management for Claims Examiners - Part 1 08/18/2002
State: FL | Segment: | 809 | 0
Being a claims examiner is a demanding job. Not only is there the stress of dealing with people who are injured and need your help, but time deadlines are constantly looming while the case load seems to always increase. That's why learning proper time management techniques is such an important part ...Read More
Medical Privacy is Your Concern - Keep It That Way 08/03/2002
State: CA | Segment: | 931 | 0
While most people think that only medical information that is relevant to the condition for which workers' compensation benefits are being provided are discoverable by the insurance company, in fact the standard is much broader.Once you bring a workers' compensation claim, any medical inform...Read More
Martinez May Justify VR Beyond 5 Years Post DOI 08/03/2002
State: CA | Segment: | 939 | 0
We know that failure to send required forms or notices can be costly; it seems especially so when a missed mandatory form or notice results in a requirement to provide VR services after the 5-year statute. We know of at least one recent case where an applicant's attorney successfully used ...Read More
Defending Against Medical Treatment Liens 08/03/2002
State: CA | Segment: | 1154 | 0
If you are a regular reader of workcompcentral you may have noticed recently some discussions in the articles on IMC Guidelines, and medical management from the claims examiner perspective. If you are a defense attorney, quite often you are called upon to assist in the resolution of disputed medical...Read More
IMC Guidelines and Reimbursement - Part 3 08/03/2002
State: CA | Segment: | 1062 | 0 | Popular with Medical
In part 2 of this series we began looking at the guidelines published by the California Industrial Medical Council and how these can affect the payment of medical bills. We dealt with the primary assessment of low back issues. Now we will look at secondary assessment of low back problems.Sec...Read More
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