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Mistake: Accepting Every Workers’ Compensation Claim

AMAXX

Many companies operate under an unwritten rule: accept every workers compensation claim, no questions asked. A well-managed workers compensation program should pay 100% of legitimate claimsand 0% of the claims that arent. Employees come to believe that every claim will be accepted, regardless of the circumstances.

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How Fear Impacts Workers’ Compensation Claims (and What to Do About It)

AMAXX

Research has shown that fear of being fired is one of the top predictors of negative claim outcomes, including increased litigation rates and extended time off work. By understanding the role fear plays in workers compensation claims, employers can implement strategies to foster trust, improve outcomes, and reduce costs.

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Understanding Classification Rules in Workers’ Compensation

AMAXX

When it comes to managing workers’ compensation, understanding classification rules is fundamental. The higher the risk, the higher the workers compensation premium for that classification. Be Proactive About Audits : Workers compensation audits are a routine part of ensuring that businesses are accurately classified.

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How to Tell If You Need a Nurse Case Manager for Your Workers’ Compensation Claim

AMAXX

However, there are times when the NCM doesn’t serve a specific purpose and is assigned to the claim to get it moving. Ask your third-party administrator or adjuster to work with you to determine when nurses are needed to resolve claims quickly and ensure good-quality medical care for employees. All state laws vary.

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The Role of Evidence-Based Medicine in Transforming Workers’ Compensation

AMAXX

In the intricate landscape of workers’ compensation, the pursuit of optimal outcomes for injured workers is paramount. In the context of workers’ compensation, EBM seeks to streamline care pathways and promote recovery by basing treatment plans on standardized guidelines and peer-reviewed evidence.

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What is Evidence-Based Medicine in Workers’ Compensation

AMAXX

Evidence-Based Medicine (EBM) plays a critical role in workers compensation, guiding both medical professionals and non-medical stakeholders in making informed decisions about injury treatment, recovery time, and return-to-work strategies. States mandate different sets of guidelines, which stakeholders must adhere to when managing claims.

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Part 1: Layoff Planning to Control Workers’ Comp Claims

AMAXX

Mass layoffs or company closures can trigger a significant increase in workers’ compensation claimssome legitimate, others potentially unsubstantiated. Enhance Claims Handling Capacity Prepare for an uptick in claims by adding staff who can handle the additional workload effectively.