
Risk Mgt, Claims & Ins
Claims Management
WC Claims
Guides to work-relatedness of occupational diseases. Activities to control disability costs. 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.
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Download a guide to decision-making as to whether or not a disease is work-related
Affirmative defenses to death claims where threshold determination of injury AOE/COE has been met
Certified Independent Medical Examiners, CIME
Questions and answers about the ADA as related to WC
An explanation of a Stipulated Finding and Award and a Compromise and Release
Which California WC claims must be report to your local Cal OSHA office
Maine's use of an Individualized Multi-Disciplinary Treatment Program to deal with intractable pain claims
Full text of a guide to help coordinators file WC claims for state employees in Texas
Litigation Management Guidelines for Claims Defense Counsel
Discusses the issues of alternative medicine insurance coverage
State chart indicating whether or not illegals are covered by WC
Guidance regarding IME appointment in California
Provides an overview on what an independent medical evaluation (IME) is
An employer's guide to recognizing a work injury and managing a WC claim
Download a NIOSH guide for recognizing occupational diseases
Audit of insurers and self-insured employers WC claims processing activities in Oregon
Second or Subsequent Injury Funds (SIFs) funds are still operational in several states
A self-assessment that allows you to measure whether your current recovery practices match up to best practice standards
How Workers' Compensation And Other Disability Payments May Affect Social Security Benefits
A chart of state WC benefits related to workplace hearing loss
A chart of state WC Benefits for Surviving Spouses and Children in Death Cases
A chart of each state's compensation allowance related to burial
A chart of jurisdictions which provide for disfigurement
A chart of each state's compensation allowance related to maximum benefits and periods of payment for PPD
A chart of each state's offset provisions in WC laws
A chart of state WC coverage of agricultural workers
A chart of Jurisdictions in Which Workers' Compensation Laws Apply to Domestic Employment
A chart of state WC medical benefits and physician selection
A chart of each state's method of payment of scheduled awards for WC
A chart of each state's benefits related to Permanent Partial Disability (PPD)
A chart of each state's benefits related to Permanent Total Disability (PTD)
A chart of jurisdictions which provide rehabilitation benefits for injured workers on state WC laws
A chart of each state's benefits related to Temporary Total Disability (TTD)
To assist in a self-assessment of your effectiveness in this area
The statutory right of subrogation as affected by the rights to personal auto UM/UIM benefits
Lists the maximum weekly benefit and average weekly wages in covered employment by state
Information about the Registered Workers' Compensation Specialist (RWCS) designation and the application
Sometimes a work-related injury will support both a workers' compensation claim and a personal injury action
Is it ever advantageous to not report medical only claims?
Provides an overview & statistics on demographics, cost, morbidity, causes, consequences, etc.
A series of articles on topics related to workers compensation claims management
The WC department may order a tiebreaker medical examination
There are four basic types of workers' compensation benefits paid by insurance companies
These red flags serve only to alert as to the possibility of fraud
Information about the benefits available through workers' compensation in each state & other info
Related Categories & Information
- rmis.com rmLibrary : Related Categories (15)
Claims Management / Claims Administration
Bad faith, structured settlements, large losses, etc.
Claims Management / Health Claims Code Sets
DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates
Claims Management / WC Managed Care
Guidance on managed care in workers compensation to control medical costs
Ergonomics / Medicine
Clinical practice guidelines, patient handouts on low back pain, CTS, etc.
Health / Privacy
Medical record privacy, patient confidentiality, etc.
Health / Stress
Mental health stress including stress resulting from workplace conditions
Health / Wellness Programs
Workplace health promotion and wellness programs
Human Resources / Layoffs
Industry layoff guidance, reports, laws
Legal / Insurance Law
Case developments, articles, resources related to insurance law
Legal / Litigation
Legal case mgt, use of computer-generated evidence, attorney-client priviledge
Managed Care / Outcomes
Quality outcome studies and measurements - utilization review
Managed Care / Report Cards
USQA Quality Reports. NCQA accreditation. CVO certification and more
Medicine / Brain Injuries
Traumatic brain injury reference materials
Medicine / Clinical Guidelines
Full text of clinical practice guidelines for numerous specialties in medicine
Medicine / Occupational Medicine
Large number of reference materials on occupational medicine
