Understanding Work-Related Injuries Part 2

Understanding Work-Related Injuries Part 2 - Understanding...

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Understanding Work-Related Injuries Understanding Work-Related Injuries University of Phoenix Claims Preparation II: Footing the Bills (AXIA) Kimberly Jacobs HCR 230 October 30, 2011
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Understanding Work-Related Injuries Understanding Work-Related Injuries When an on-the-job injury occurs the incident should be reported to the employer in a timely manner and statements should be in writing. When notification is delivered to the state the employer must inform the insurance carrier and the state workers' compensation office as well. In most instances, the physician who treats the employee is provided a medical service order. Generally, the employer or insurance company chooses the facility or physician the employee uses. Most managed care companies have contracts with employers for services. Because of these contracts, the employee must be examined and treated by a physician within the managed care plan's network. If the employee refuses to agree with the demand, According to the severity of the injury, the company physician or physician of record is the first to treat the ill or injured employee. Significant changes in an employee's condition, which affects the employees ability to perform effectively at his or her workplace is monitored and recorded by the physician of record. The return-to-work date, the management of the employees disability, and the decision of the severity of the injury is the responsibility of the physician of record. In addition, a report with the insurance status will be filed by the physician of record or filed when mandatory by state rules and regulations. Costs are conferred to the workers’ compensation insurance carrier and are immediately reconciled by the carrier. Established fee schedules limit rates. Rates are limited to an established fee schedule and medical costs may not be passed onto employees. Likewise, any charges or fees greater than the established fee for the service provided may Depending on the state, generally between 24 hours to 10 days of when the injury or illness occurs;
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Understanding Work-Related Injuries Part 2 - Understanding...

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