Workers Comp



Workers compensation related materials, such as: Return to work programs, WC fraud, claim management guides . Case law and review board opinions. Self-insurance guidance. Steps designed to audit the total process for workers comp. Ratemaking agencies. Premium audit in WC. Medical fee schedules. Workers compensation state laws. Workers compensation state agencies, competitive state funds. State workers compensation forms. Sample risk management programs for WC. Federal WC laws. WC statistics.


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Claims Management

Activities to control disability costs. Guides to work-relatedness of occupational diseases. IME. How WC settlements are viewed in each state and the various forms of settlements. Cost and reserving guidelines for quadriplegia, massive injury, traumatic brain injury.

Decisions

Workers compensation case law. State WC board decisions, administrative law judge opinions, WC Amicus Curiae briefs. Workers comp court decisions.

Drug Free Programs

State programs offering WC discounts for establishing drug-fee programs

EDI

State workers compensation Electronic Data Interchange (EDI) requirements for claim submission.

Federal Laws

Federal workers compensation for the federal workforce. Balancing obligations under ADA, FLMA & WC. US Longshore & Harbor Workers Compensation Act.

Fee Schedules

State mandated medical fee schedules for WC. Not all states provide online access to their fee schedules. For those states, information is provided as to where to order their fee schedules. Note the short description under the title with (fees) - indicating these must be purchased elsewhere. A few states base their computation of WC fee schedules on Medicare rates which are available in our library in the Managed Care - Medical Costs section under Medicare Payment Systems. The following states allow payment of Workers' Compensation claims at usual and customary rates: Delaware, District of Columbia, Indiana, Iowa, Missouri, New Hampshire, New Jersey, Virginia, Wisconsin

Fraud

Statistics, guidelines to spot WC fraud, case studies of fraud, etc. Full text of a training manual on fighting workers compensation fraud.

Insurance

Insurance industry and workers compensation profitability. Residual market overview. 24 hour coverage.

Managed Care

Challenging hospital and doctor costs. Entire text of the results of California's survey of workers compensation managed care practices.

Premium Audit

Warning signs of overcharges. Workers compensation audit. Classification system and pricing.

Publications

Newsletters, news articles, magazines, etc. of interest to professionals interested in workers compensation insurance.

Ratemaking

State workers compensation rating boards and inspection bureaus.

Return to Work

Full text of return to work (RTW) programs for the USA federal government, a university and the state of Georgia. Steps to take to establish a return to work program. Forces that adversely affect RTW.

Self Insurance

State WC self insurance insurance requirements. IAIABC study results of state survey.

Statistics

State workers comp agency statistical reports & analysis of worker claims. Statistics such as average total cost per case, lost time reports, fatalities, workplace safety reports, fraud activity, etc.

WC Agencies

Links to the home pages of state workers compensation-related agencies.

WC Forms

Download state workers compensation forms such as first report of injury. Obtain access to workers compensation forms for those states who provide them on their websites. The majority can be downloaded.

WC Laws

Direct links to the full text of state workers compensation laws for those states who provide the information on their websites.

WC Programs

Manual of procedures for workers comp programs. Steps to audit the total process for workers compensation. Ways to reduce risk and lower losses. Claim checklist. Designation of physician form.
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