Claims Administration Workers' Compensation Triangle

Shawn Biery presented at the 3rd Annual Workers' Compensation Symposium of March 9th, 2017. Here he describes the Claims Administration Workers' Compensation Triangle. 

  • Critical first step: Complete accident investigation ASAP
  • Critical second step: Get HIPAA-GINA authorization signed
  • Critical third step: Have designated medical manager/claims handler contact treating physician to confirm:
    • Authorization for contact on behalf of injured worker
    • Agreement for continuing progress updates
    • Learn diagnosis and treatment plan with
      • Projected MMI and Compel a date for target.
      • Projected RTW modified duty
      • RTW full duty

Keefe, Campbell, Biery & Associates ©2017 

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