The Best Tidbits of News from the Workers Comp Community

 

For 20 years, the National Workers' Compensation and Disability Conference® & Expo has been the industry's leading training event. It offers cutting-edge, yet practical solutions for your workers' comp, disability management and RTW programs. This year's event is promised to take it to the next level – see the agenda posted here.

 

 

A "permanently disabled" person finds his way back to ability

Watch this inspirational video posted to the Workers Comp Roundtable by Dr. Marianne Cloeren, Medical Director at Managed Care Advisors. She states "This video is worth the time to watch. The transformation of this disabled vet is inspirational. Here is our challenge: how can we help the clients/claimants/ patients/injured workers (people) we work with grasp that the power to change rests within them?"[WCx]

 

 

VIDEO: Never Give Up 

 

Lexis Nexis Communities Top Stories:

 

Posted by
The AMA Guides generally disfavors grip loss as a measurement for rating a whole person impairment (WPI). (See AMA Guides Fifth Edition, page 508.) However, a series of recent WCAB panel decisions indicate that there may be circumstances when the grip loss metric is the most accurate tool for assessing an injured worker’s (WPI). Use of the grip loss measurement generally results in a much higher permanent disability (PD) rating for the injured worker.  Read More…

 

 

Larson’s Spotlight on Recent Cases: Civil Action Against Supervisor Moves Forward

Posted by

Larson's Spotlight

Larson's Spotlight on Civil Action Against Co-Employee, Exclusive Remedy, Volunteer Status, and Causation Involving Fatal Overdose. Larson's surveys the latest case developments that you need to know about. Thomas A. Robinson, the staff writer forLarson's Workers' Compensation Law, has compiled the list below.  Read More…

 

 
Posted by
The Social Madness corporate challenge has kicked off, and LexisNexis is one of 60 Dayton-area companies selected to compete in this social media competition hosted by the Dayton Business Journal and its parent, American City Business Journals.
The three national winners of the challenge will be able to designate a favorite charity to receive a $10,000 donation.  Read More…

 

Posted by
The most disturbing conclusion that the Workers’ Compensation Research Institute (WCRI) presented in a webinar entitled “Use of Narcotics and Compliance with Guidelines” was that many workers’ compensation claimants (claimants) who were prescribed narcotics were not provided recommended services for monitoring and managing long-term use of those drugs. These services included overseeing that use and treating its ill effects.
Other major findings were:
1) Most claimants who were prescribed pain medication for compensable harm were prescribed narcotics; and
2) Massachusetts, Pennsylvania, Louisiana, and New York had particularly high usages of narcotics.


Workers' Compensation Roundtable Passes 5,000 Member Mark

We reached an important milestone this week, and we want to once again thank you for your continued efforts in building what we believe to be an excellent group. We passed the 5,000 member mark this week, only the 2nd workers' comp group ever to do so on LinkedIn. 

In fact, we've added 4,500 members in just the last 18 months, and if you search Groups here on LinkedIn for "workers' compensation", you will find we are the #1 result they return. The Group Search page was "recently updated to make it easier for you to find the most valuable places to network", and at the time of the upgrade they announced that they made these determinations on the "relevance and quality" of the discussions in the groups. Showing up first in that search result is a huge compliment for our community! Read More…[WCx]


Author Michael B. Stack, CPA, Director of Operations, Amaxx Risk Solutions, Inc. is an expert in employer communication systems and part of the Amaxx team helping companies reduce their workers compensation costs by 20% to 50%. He is a writer, speaker, and website publisher.  www.reduceyourworkerscomp.com Contact mstack@reduceyourworkerscomp.com

 

 


WORKERS COMP MANAGEMENT MANUAL:  www.WCManual.com

VIEW SAMPLES PAGES

MODIFIED DUTY CALCULATOR:  www.LowerWC.com/transitional-duty-cost-calculator.php

 

Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.

 

©2012 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact us at: Info@ReduceYourWorkersComp.com.

NEWS on Workers Compensation Roundtable

The Roundtable is a discussion platform for employers, business owners, risk managers, HR managers, insurance executives, and brokers. Here they talk about the obstacles in managing workers compensation and learn strategies to overcome them.
 
 
Clicking on the links below not only brings you to the articles listed, but also gives you an opportunity to become a LinkedIn member. Or, click here to sign up.
 
 

CERTIFIED MEDICARE SECONDARY PAY

The CMSP credential is an advanced program designed to be the most comprehensive, cost effective program teaching Medicare Secondary Payer Compliance. While the CMSP program includes in depth discussion of the Medicare Set Aside process, it teaches much more. Class to be taught in the Loews Hotel in New Orleans, LA on Sept. 26-28, 2011. (WCxKit)

 
 
Social Security Disability Insurance (SSDI) is intended to replace lost income for people suffering from a disability that is likely to cause substantial long-term losses in earnings. A concern has been that SSDI may have a disincentive effect on the willingness of recipients to work — that is, that some SSDI beneficiaries would work if they did not receive benefits, say Nicole Maestas and Kathleen J. Mullen of the RAND Corporation.
 
 
Laid-off workers and aging baby boomers are flooding Social Security's disability program with benefit claims, pushing the financially strapped system toward the brink of insolvency.
 
 
Read our members interesting answers.
 
 
Workers Compensation Roundtable is jointly managed by people dedicated to the concept that workers compensation is a manageable line on the employer’s expense ledger and informed professionals are empowered achievers. Workers compensation is not simply a cost of doing business; it is a cost that can be controlled. (WCxKit)
 
 
Beginning with an assessment of cost drivers, benchmarking data, and integrating the solutions, employers can reduce workers comp costs 20-50%. With proper information, professionals managing compensation claims can reduce costs and improve outcomes for all stakeholders in the process.

Author Rebecca Shafer
, JD, President of Amaxx Risk Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and website publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing, publishing, pharmaceuticals, retail, hospitality, and manufacturing. See www.LowerWC.com for more information. Contact: RShafer@ReduceYourWorkersComp.com.
 

What Happened at Workers Compensation Roundtable This Week

 
This week at the Workers Compensation Roundtable on LinkedIn there are two still-active discussions from last week. One is in regards to when first aid crosses the line to workers compensation. Follow this topic here. The other asks about what to do when an injured employee says they are fine initially and then the problem worsens throughout the day. Read more here.
 
 
Our Group Manager, Bob Wilson president & CEO of WorkersCompensation.com, LLC, posted this article, “California Supreme Court Reverses Retro-Active COLA's in Baker V WCAB” this week as his manager’s choice. Go to read and comment.
 
 
Wilson also posted this link to a story about cyber liability in Florida.
 
 
Alberto Salgado, MPN coordinator/lead client services liaison at GENEX Services, Inc., in Orange County, Calif., asks, “Medicare Conditional Payments and WC – Can reimbursements to CMS be re-calculated at states' WC fee schedules (FS)?” He includes this background: "Under the MSP laws (42 U.S.C. § 1395y(b)), Medicare does not pay for items or services to the extent that payment has been, or may reasonably be expected to be, made through a no-fault or liability insurer or through Workers' Compensation (WC). Medicare may make a conditional payment when there is evidence that the primary plan does not pay promptly, conditioned upon reimbursement when the primary plan does pay. … If the claimant is a Medicare beneficiary, I understand that WC payers are responsible for reimbursement of conditional payments only to medical expenses related the accepted industrial injury and diagnosis. But, can the conditional payment be audited per FS or does it have to be paid at the demanded amounts by CMS?
 
 
Jeff Knipper, MSCC, CMSP, medicare services director at CCS Holdings is one of several respondents. He writes, “(In the) Dallas/Fort Worth Area, with few exceptions you're going to find that Medicare's reimbursement rate was lower than WC fee schedule allowances so if the ‘conditional payment’ made by Medicare was made for treatment ‘reasonable, necessary, and related’ to the WC claim then the payer realized savings in this scenario.”
 
 
John Link, vice president/Tribal Consulting at Cottingham & Butler in Dubuque, Iowa posted this article: Workers' comp costs from musculoskeletal disease reach $850B a year. It generated this response from Jack Kanner, CEO, COO at P.S.R. Corporation [aka] Professional Safeguard Resources, “Cost containment by workforce cultural change. advise reading attached – link to article – sustainable employees in the infrastructure industries. Musculoskeletal disorders are a by-product of work performance demand and therefore 'the attitude' to the work. That may sound like a 'given' but I daresay we are eminently qualified to quantify in that we (PSR) have worked with 10s of thousands of varying workforces over 25 years: e.g., firefighters, paramedics, nurses, law enforcement, utilities, manufacturing, warehouse, freight distribution: 100 cities, 3 federal agencies, fortune 500 companies from Chevron Refineries, and Pacific Gas & Electric Co., to Coca Cola, the Federal Reserve Bank. and Mohawk industries (largest flooring co in U.S. – Work Comp $ losses are down millions within 18 months of installation of licensing PSR and certifying facilitators).” Kanner attached this link to an article published by PERI Public Entity Risk Institute: https://www.riskinstitute.org/peri/component/option,com_deeppockets/task,catContShow/cat,91/id,1146/Itemid,84/
 
There is lots more going on at Linkedin's Workers Compensation Roundtable right now and right here! Better yet, invite your friends so they too can become informed on hot topics in the Workers Compensation industry.(WCxKit)
 
 
Workers Compensation Roundtable is jointly managed by people dedicated to the concept that workers compensation is a manageable line on your expense ledger, and that informed professionals are empowered achievers. Workers compensation is not simply a cost of doing business, it is a cost that can be controlled. Beginning with an assessment of cost drivers, benchmarking data, and integrating the solutions, employers can reduce workers comp costs 20 to 50 percent. With proper information, professionals managing compensation claims can reduce costs and improve outcomes for all stakeholders in the process. This group is for employers, business owners, risk managers, HR managers, insurance executives, and brokers to discuss the obstacles and strategies to overcome them.

Author Rebecca Shafer
, JD, President of Amaxx Risks Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and website publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing, publishing, pharmaceuticals, retail, hospitality, and manufacturing. See www.LowerWC.com for more information. Contact: RShafer@ReduceYourWorkersComp.com.
 
 
Our Workers Compensation Book:  http://www.wcmanual.com
 
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.
 
©2011 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@ReduceYourWorkersComp.com.

Workers Compensation Roundtable Happenings on LinkedIn

This week discussions on the Roundtable were all over – from postings of studies to people asking for help. Read on and find out what you missed.

Our fearless group leader and president of WorkersCompensation.com, Robert Wilson, attended the Florida RIMS Educational Conference this week. He wrote a great article gleaned from a talk there called, Darrell Brown On Medical Marijuana.
 
 
At Work Comp Roundup we do all the reading for you and bring you just the important things going on at the 2,000-strong LinkedIN WC group – Workers Compensation Roundtable.
 
 
Carey Ransom, CEO of RealPractice and an attorney in marketing and practice management software, shared a link to a story he wrote asking whether you should ask someone where they found you. Read it here. Many others shared and commented on the article
 
 
David DePaolo, president at WorkCompCentral in the greater Los Angeles area posted this study on back injuries and how they are associated with further post-settlement legal cases. DePaolo writes, “Who would have ever thought to study this? But this demonstrates the far-reaching social science tentacles of workers compensation.” DePaolo also posted this article on a new pricing tactic — auctions to negotiate contracts — that frightens attorneys. He also posted this blog he wrote: Ogilvie Court Does a Disservice to California. And another on how the complexity of workers compensation is just a part of life.
 
 
Lisa Hughes, an RN, CLNC from Louisiana posted this article asking if work-at-home employees are entitled to workers compensation. Her comments prompted others to list how this is handled in their state or nation.
 
 
Andrew Kenneally, a Boston public affairs and government relations professional posted this article analyzing the new WCRI study on physicians dispensing prescriptions in Florida. He also reminds readers they can save $100 they register for WCRI's 28th Annual Issues & Research Conference by Sept. 30. More information on the conference can be found here.
 
  
Alberto Salgado, an MPN coordinator and lead client services liaison at GENEX Services, Inc., in Orange County, California, asks: “Medicare Conditional Payments and WC – Can reimbursements to CMS be re-calculated at states' WC fee schedules (FS)?” He offers some background and has so far received one answer, “No.”
 
John Routhier, vice president of sales operations at Crowe Paradis Services Corp., in Boston posted an article he authored that explains how Section 111 error rates matter. Read it here. He writes, “Error rates are the single best way to measure not only successful reporting but also the burden your solution places on claims staff.”
 
Kevin McCarthy, vice president of national accounts at Risk Metrics Corp., Data as a Service (DaaS) for the commercial insurance industry in West Palm Beach, Florida, posted this article listing the A.M Best’s ranking of top 25 workers compensation writers.
 
 
Kevin Kidd, a workers compensation administrator at PeopleSystems in Syracuse, N.Y., asked about a specific injury case in which an employee originally felt fine and then experienced swelling later. Kidd wants to know if this can be treated as a first aid case and handled in-house. He received 10 varied responses here, most suggesting he send all information to the carrier.
 
 
Keri Rheinfrank, senior claims Adjuster at Catholic Mutual Group in Omaha, asks this question, “I wanted some feedback if possible about what others do to monitor compliance in work comp for multiple jurisdictions.”
 
 
Stephen Leider, a partner at Clinical Integration in the greater Los Angeles area offers this link to a return-to-work study. He is trying to get 1,000 responses and says the goal is “To identify best practices and barriers to successful SAW/RTW as perceived by over a dozen stakeholders in different countries (although the survey is only in English) – so we can learn from one another.”
 
 
And James Cronin, MPA, CFE, owner of Seattle Insurance and Legal Investigations states here that he is looking to find other professionals in Washington State re: Needed WC Legislative Changes.
 
 
Still pulling in discussion are these topics from last week’s roundup:
I have a question about first aid. I think that putting a splint on a finger, icing it, and telling the employee not to use for a week would be first aid. What do you think?;
Does anyone know where I can find the number of workers' compensation claims filed per year in each U.S. state?
and
 
 
There is lots more going on at LinkedIn's Workers Compensation Roundtable right now and right here! Better yet, invite your friends so they too can become informed on hot topics in the Workers Compensation industry.
 
 
Workers Compensation Roundtable is jointly managed by people dedicated to the concept that workers compensation is a manageable line on your expense ledger, and that informed professionals are empowered achievers. Workers' compensation is not simply a cost of doing business, it is a cost that can be controlled. Beginning with an assessment of cost drivers, benchmarking data, and integrating the solutions, employers can reduce workers' comp costs 20 to 50 percent. With proper information, professionals managing compensation claims can reduce costs and improve outcomes for all stakeholders in the process. This group is for employers, business owners, risk managers, HR managers, insurance executives, and brokers to discuss the obstacles and strategies to overcome them.

Author Rebecca Shafer
, JD, President of Amaxx Risks Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and website publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing, publishing, pharmaceuticals, retail, hospitality, and manufacturing. See www.LowerWC.com for more information. Contact: RShafer@ReduceYourWorkersComp.com.
 
 
 
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers comp issues.
 
©2011 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@ReduceYourWorkersComp.com.

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