Workers Comp » Claims Management
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.
A Guide to the Work Relatedness of Disease [5088] 
Download a guide to decision-making as to whether or not a disease is work-related
Download a guide to decision-making as to whether or not a disease is work-related
Affirmative Defenses in Industrial Deaths [2765]
Affirmative defenses to death claims where threshold determination of injury AOE/COE has been met
Affirmative defenses to death claims where threshold determination of injury AOE/COE has been met
Americans with Disasbilities Act and Workers Compensation [20040]
Questions and answers about the ADA as related to WC
Questions and answers about the ADA as related to WC
Cal/OSHA Serious Claim Reporting Requirements [27044]
Which California WC claims must be report to your local Cal OSHA office
Which California WC claims must be report to your local Cal OSHA office
Chronic Pain Claims [25761]
Maine's use of an Individualized Multi-Disciplinary Treatment Program to deal with intractable pain claims
Maine's use of an Individualized Multi-Disciplinary Treatment Program to deal with intractable pain claims
Claims Coordinator Handbook [11178]
Full text of a guide to help coordinators file WC claims for state employees in Texas
Full text of a guide to help coordinators file WC claims for state employees in Texas
Claims Coordinator's Checklist & Subrogation Checklist [11179]
Checklist used by claims coordinators employed by the state of Texas
Checklist used by claims coordinators employed by the state of Texas
Claims Defense Counsel Guidelines [27417]
Litigation Management Guidelines for Claims Defense Counsel
Litigation Management Guidelines for Claims Defense Counsel
Consumer Financial Issues in Complementary and Alternative Medicine [5767]
Discusses the issues of alternative medicine insurance coverage
Discusses the issues of alternative medicine insurance coverage
Employer Workers Compensation Claims Management Guide ![[pdf]](graphics/file_pdf.gif)
[33865]
An employer's guide to recognizing a work injury and managing a WC claim
[33865] An employer's guide to recognizing a work injury and managing a WC claim
IME - Appointment of Independent Medical Examiners [2767]
Guidance regarding IME appointment in California
Guidance regarding IME appointment in California
IME - Independent Medical Evaluations [3905]
Provides an overview on what an independent medical evaluation (IME) is
Provides an overview on what an independent medical evaluation (IME) is
Medicare Second Payer Overview [33323]
Medicare Secondary Payer (MSP) is the term used by Medicare when Medicare is not responsible for paying first
Medicare Secondary Payer (MSP) is the term used by Medicare when Medicare is not responsible for paying first
Medicare Secondary Payer Manual [33322]
MSP provisions prohibit Medicare from making payment if payment can be expected by workers compensation
MSP provisions prohibit Medicare from making payment if payment can be expected by workers compensation
Medicare Workers Compensation Agency Services [33324]
The portion of CMS that handles Workers Compensation Medicare Set-aside Arrangements (WCMSAs)
The portion of CMS that handles Workers Compensation Medicare Set-aside Arrangements (WCMSAs)
Occupational Diseases: A Guide to Their Recognition [5089]
Download a NIOSH guide for recognizing occupational diseases
Download a NIOSH guide for recognizing occupational diseases
OR-Oregon WC Claims Audit [23169]
Audit of insurers and self-insured employers WC claims processing activities in Oregon
Audit of insurers and self-insured employers WC claims processing activities in Oregon
Report WC Claims Within 3 Days [27415]
Studies of claims show the cost of filing in the 1st week compared with the cost of waiting
Studies of claims show the cost of filing in the 1st week compared with the cost of waiting
Second Injuries & Pre-existing Conditions [27908]
Second or Subsequent Injury Funds (SIFs) funds are still operational in about 20 states
Second or Subsequent Injury Funds (SIFs) funds are still operational in about 20 states
Second Injury Fund Best Practice Checklist [29995]
A self-assessment that allows you to measure whether your current recovery practices match up to best practice standards
A self-assessment that allows you to measure whether your current recovery practices match up to best practice standards
Social Security & Workers Compensation [29997]
How Workers' Compensation And Other Disability Payments May Affect Social Security Benefits
How Workers' Compensation And Other Disability Payments May Affect Social Security Benefits
Special Case - Injury Checklist [24611]
Back injury, assault, cardiac, horseplay, hernia, occupational disease cases
Back injury, assault, cardiac, horseplay, hernia, occupational disease cases
State Workers Compensation Benefits & Occupational Hearing Loss [30013]
A chart of state WC benefits related to workplace hearing loss
[30013] A chart of state WC benefits related to workplace hearing loss
State Workers Compensation Benefits for Survivors [30012]
A chart of state WC Benefits for Surviving Spouses and Children in Death Cases
[30012] A chart of state WC Benefits for Surviving Spouses and Children in Death Cases
State Workers Compensation Burial Allowances [29999]
A chart of each state's compensation allowance related to burial
[29999] A chart of each state's compensation allowance related to burial
State Workers Compensation Disfigurement Benefts [30005]
A chart of jurisdictions which provide for disfigurement
[30005] A chart of jurisdictions which provide for disfigurement
State Workers Compensation for Selected Permanent Partial Disabilities [30000]
A chart of each state's compensation allowance related to maximum benefits and periods of payment for PPD
[30000] A chart of each state's compensation allowance related to maximum benefits and periods of payment for PPD
State Workers Compensation Law Offset Provisions [30008]
A chart of each state's offset provisions in WC laws
[30008] A chart of each state's offset provisions in WC laws
State Workers Compensation Laws & Agricultural Workers [30010]
A chart of state WC coverage of agricultural workers
[30010] A chart of state WC coverage of agricultural workers
State Workers Compensation Laws & Domestic Employees [30009]
A chart of Jurisdictions in Which Workers' Compensation Laws Apply to Domestic Employment
[30009] A chart of Jurisdictions in Which Workers' Compensation Laws Apply to Domestic Employment
State Workers Compensation Laws & Medical Benefits [30011]
A chart of state WC medical benefits and physician selection
[30011] A chart of state WC medical benefits and physician selection
State Workers Compensation Methods of Payment of Scheduled Awards [30007]
A chart of each state's method of payment of scheduled awards for WC
[30007] A chart of each state's method of payment of scheduled awards for WC
State Workers Compensation PPD Benefts [30001]
A chart of each state's benefits related to Permanent Partial Disability (PPD)
[30001] A chart of each state's benefits related to Permanent Partial Disability (PPD)
State Workers Compensation PTD Benefts [30002]
A chart of each state's benefits related to Permanent Total Disability (PTD)
[30002] A chart of each state's benefits related to Permanent Total Disability (PTD)
State Workers Compensation Rehabilitation Provisions [30006]
A chart of jurisdictions which provide rehabilitation benefits for injured workers on state WC laws
[30006] A chart of jurisdictions which provide rehabilitation benefits for injured workers on state WC laws
State Workers Compensation TTD Benefts [30003]
A chart of each state's benefits related to Temporary Total Disability (TTD)
[30003] A chart of each state's benefits related to Temporary Total Disability (TTD)
Subrogation Checklist for Workers Compensation [29996]
To assist in a self-assessment of your effectiveness in this area
To assist in a self-assessment of your effectiveness in this area
Subrogation Rights Against Personal Auto Uninsured Motorists Coverage [25679]
The statutory right of subrogation as affected by the rights to personal auto UM/UIM benefits
The statutory right of subrogation as affected by the rights to personal auto UM/UIM benefits
Temporary Total Disability Benefit [1957]
Lists the maximum weekly benefit and average weekly wages in covered employment by state
Lists the maximum weekly benefit and average weekly wages in covered employment by state
The National Registry of Workers Compensation Specialists [25754]
Information about the Registered Workers' Compensation Specialist (RWCS) designation and the application
Information about the Registered Workers' Compensation Specialist (RWCS) designation and the application
Understanding Brain Injury [5313]
Provides an overview & statistics on demographics, cost, morbidity, causes, consequences, etc.
Provides an overview & statistics on demographics, cost, morbidity, causes, consequences, etc.
Understanding Spinal Cord Injury [5312]
Provides an overview & statistics on demographics, cost, morbidity, causes, consequences, etc.
Provides an overview & statistics on demographics, cost, morbidity, causes, consequences, etc.
WC Claim Adjuster Checklists [13028]
Provide assistance on claimant interview, special injuries and WC investigations
Provide assistance on claimant interview, special injuries and WC investigations
WI-Wisconsin Tiebreaker Medical Examinations [6306]
The WC department may order a tiebreaker medical examination
The WC department may order a tiebreaker medical examination
Workers Compensation Claim Settlements [138]
Discusses how WC settlements are viewed in each state and the various forms of settlement
Discusses how WC settlements are viewed in each state and the various forms of settlement
Workers' Compensation Claim Fraud Red Flags [20934]
These red flags serve only to alert as to the possibility of fraud
These red flags serve only to alert as to the possibility of fraud
Workers' Compensation Under State Laws [1964]
Information about the benefits available through workers' compensation in each state & other info
Information about the benefits available through workers' compensation in each state & other info
Related Categories within rmLibrary
View All Related Categories throughout the Libraries & Directories
Ergonomics / Medicine
Clinical practice guidelines, patient handouts on low back pain, CTS, etc.
Health / Code Sets
DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates
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
Risk Mgt / Claims Management
Bad faith, structured settlements, large losses, etc.
Workers Comp / Managed Care
Guidance on managed care in workers compensation to control medical costs
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