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MCat: Workers Compensation

Workers compensation related materials, such as: Return to work programs, WC fraud, claim management guides . Case law and review board opinions. Self-insurance guidance. Steps designed to audit the total process for workers comp. Ratemaking agencies. Premium audit in WC. Medical fee schedules. Workers compensation state laws. Workers compensation state agencies, competitive state funds. State workers compensation forms. Sample risk management programs for WC. Federal WC laws. WC statistics.

WC Agencies

Links to the home pages of state workers compensation-related agencies.

WC 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.

WC Decisions

State WC board decisions, administrative law judge opinions, WC Amicus Curiae briefs. Workers compensation case law. Workers comp court decisions.

WC Drug Free Programs

State programs offering WC discounts for establishing drug-fee programs

WC EDI

State workers compensation Electronic Data Interchange (EDI) requirements for claim submission.

WC Federal Laws

Balancing obligations under ADA, FLMA & WC. US Longshore & Harbor Workers Compensation Act. Federal workers compensation for the federal workforce.

WC Fee Schedules

State mandated medical fee schedules for WC. Not all states provide online access to their fee schedules. For those states, information is provided as to where to order their fee schedules. Note the short description under the title with (fees) - indicating these must be purchased elsewhere. A few states (such as Tennessee) base their computation of WC fee schedules on Medicare rates which are available in our www.rmLibrary.com in the Managed Care - Medical Costs section under Medicare Payment Systems. You must conduct the calculations yourself. They are not provided for you. The following states allow payment of Workers' Compensation claims at usual and customary rates: District of Columbia, Indiana, Iowa, Missouri, New Hampshire, New Jersey, Virginia, Wisconsin

WC Fraud

Full text of a training manual on fighting workers compensation fraud. Statistics, guidelines to spot WC fraud, case studies of fraud, etc.

WC Insurance

Residual market overview. 24 hour coverage. Insurance industry and workers compensation profitability.

WC Laws

Direct links to the full text of state workers compensation laws for those states who provide the information on their websites.

WC Managed Care

Challenging hospital and doctor costs. Entire text of the results of California's survey of workers compensation managed care practices.

WC Premium Audit

Workers compensation audit. Warning signs of overcharges. Classification system and pricing.

WC Programs

Steps to audit the total process for workers compensation. Ways to reduce risk and lower losses. Manual of procedures. Claim checklist. Designation of physician form.

WC Publications

Newsletters, news articles, magazines, etc. of interest to professionals interested in workers compensation insurance.

WC Rating Bureaus

State workers compensation rating boards and inspection bureaus.

WC Return to Work

Steps to take to establish a return to work program. Forces that adversely affect RTW. Full text of RTW programs for the USA federal government, a university and the state of Georgia.

WC Self-Insurance

WC self insurance insurance requirements and lists of self insured employers - by state.


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