AMAXX

OCTOBER 1, 2024

When managing workers’ compensation, a claim audit or review is a crucial opportunity for employers, carriers, TPAs (Third-Party Administrators), and brokers to come together and optimize claim-handling practices. Here’s how to effectively plan and prepare for a successful claim audit or review.

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AMAXX

FEBRUARY 17, 2025

However, implementing strong communication strategies can significantly improve claim outcomes and reduce unnecessary legal battles. The 2014 Predictors of Worker Outcomes Study surveyed 4,800 injured workers across 12 states and found that fear of being fired was a major predictor of poor claim outcomes.

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AMAXX

JULY 29, 2024

In the realm of workers’ compensation, the role of an injury coordinator is pivotal. This position is crucial for managing the complex processes associated with workplace injuries, ensuring both compliance with regulations and the well-being of employees.

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Workers Compensation Injury Compensation Workers Comp 52

AMAXX

JULY 15, 2024

One of the most critical aspects of managing workers’ compensation claims is ensuring that injured employees receive prompt medical treatment. Unfortunately, a common procedural mistake can leave employees in a painful and detrimental limbo: the delay of care due to technicalities in insurance coverage.

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Workers Compensation Compensation Claim Workers Comp 59

AMAXX

JANUARY 14, 2025

While their primary purpose is to ensure employees receive medical and wage replacement benefits for work-related injuries, they also offer critical advantages to employers. Under this system, employees who accept workers compensation benefits for a work-related injury or illness forfeit the right to sue their employer for negligence.

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Workers Compensation Compensation Workers Comp Injury 91

AMAXX

AUGUST 21, 2024

Reserves are the funds set aside by an insurer to cover the future costs of a claim, including medical expenses, lost wages, and other associated costs. However, even the most experienced adjuster can sometimes under-reserve a claim, leading to financial surprises later on. Is the Cost for the Claim for Life?

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Workers Compensation Compensation Workers Comp Injury 99

AMAXX

JANUARY 13, 2025

Navigating workers’ compensation can be complex, with various parties working together to ensure effective claims management and cost containment. They are a vital entity, as they not only handle premium collections but also pay out claims to cover medical expenses and wage replacement for injured employees.

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AMAXX

JANUARY 27, 2025

Misidentifying the Problem A frequent mistake is attributing WC challenges solely to injury management partners or external factors, such as adjuster turnover or physician behavior. Legacy claims that linger unresolved. Use diagnostic questions to analyze your current WC program: Are claims reported within 24 hours?

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Workers Comp Injury Workers Compensation Claim 69

AMAXX

OCTOBER 24, 2024

Workplace injuries can have significant financial and operational impacts on businesses, but the cost to the employee is often much greater. From physical pain to financial insecurity, an injury can be life-altering. Despite this, many employers overlook one of the most critical aspects of workplace injury management: rehabilitation.

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Workers Compensation Compensation Injury Workers Comp 97

AMAXX

OCTOBER 15, 2024

One of the most significant challenges for employers today is managing the rising costs of workers’ compensation claims. The price tag associated with these claims can severely impact a company’s bottom line if not controlled effectively.

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Workers Compensation Compensation Workers Comp Injury 94

AMAXX

SEPTEMBER 9, 2024

Medical cost containment is an essential aspect of managing workers’ compensation claims effectively. Employers and insurance companies face the challenge of controlling medical costs while ensuring that injured employees receive the care they need. There are conflicting opinions among treating physicians.

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Workers Comp Injury Compensation Claim 81

AMAXX

AUGUST 12, 2024

In workers’ compensation, communication with injured workers is a critical aspect that can significantly influence the outcome of a claim. It helps to build trust between the worker, the employer, and the claims management team. It’s essential to communicate the process clearly and straightforwardly.

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Workers Compensation Workers Comp Injury Compensation 96

AMAXX

OCTOBER 28, 2024

Every session seemed to touch on AI in some form, particularly in how it’s being used in workers’ comp and claims analysis. These are the foundational elements: empathy, communication, medical support, managing claims, and getting people back to work. They will evolve as technology advances. All state laws vary.

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Workers Comp Workers Compensation Compensation Injury 95

AMAXX

FEBRUARY 18, 2025

The purpose of these rules is to ensure that employers pay an appropriate premium that reflects the risk of workplace injuries associated with their industry. For example, a construction company would generally have a higher classification rate than an office-based business due to the higher risk of injury on a construction site.

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Workers Compensation Compensation Workers Comp Premium 83

AMAXX

DECEMBER 19, 2024

In the context of workers compensation, fostering a similar collaborative environment can lead to earlier injury reporting, effective hazard identification, and creative solutions for return-to-work programs, ultimately reducing costs. Early reporting and hazard mitigation are key to preventing costly claims and minimizing downtime.

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Workers Comp Workers Compensation Injury Compensation 84

AMAXX

OCTOBER 8, 2024

Transitional duty allows employees to return to the workplace in a modified capacity while they continue to recover from their injuries. These programs offer significant benefits, not only by speeding up recovery but also by minimizing the financial impact of workers’ compensation claims on employers.

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Workers Compensation Compensation Workers Comp Injury 86

AMAXX

JANUARY 6, 2025

Many employers point fingers at their injury management partners, assuming they are the primary issue. ” “I asked for surveillance on that claim, and they refused.” Injury management partners can only be as effective as the employers level of engagement and activity in the program. The solution?

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AMAXX

DECEMBER 9, 2024

Some claims do not benefit from having a nurse assigned to the file because the role of educating, advocating, or ensuring compliance with medical treatment is already fulfilled in another manner. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers Comp Training Center. All state laws vary.

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Workers Compensation Compensation Workers Comp Injury 80

AMAXX

FEBRUARY 18, 2025

Achieving a 90% return-to-work rate within 0-4 days is the gold standard for managing workers’ compensation claims, with best-in-class organizations reaching 95%+. Consider Psychosocial Factors Recovery from work injuries is often influenced by psychological and social barriers that go beyond physical healing.

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Workers Comp Injury Workers Compensation Compensation 67

AMAXX

FEBRUARY 4, 2025

These assignments help businesses manage claims costs, reduce lost workdays, and maintain workforce productivity. Return to Original Position Upon Full Recovery Once the employee reaches maximum medical improvement (MMI) , they return to their pre-injury job. This is often categorized as voluntary withdrawal from the workforce.

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Workers Comp Workers Compensation Injury Compensation 72

AMAXX

JANUARY 27, 2025

It might be too many claims. It might be too many open claims. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers Comp Training Center. Workers’ Comp Roundup Blog: [link] Injury Management Results (IMR) Software: [link] 2024 Amaxx LLC. It might be reducing fraud.

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Workers Comp Workers Compensation Injury Compensation 69

AMAXX

NOVEMBER 12, 2024

For every response, Paradigm made a donation—$4,000 in total—to Kids’ Chance of America, a nonprofit dedicated to helping the children of those affected by catastrophic workplace injuries and Paradigm’s core philanthropic partner. Their stories underscored Paradigm’s commitment to a team-based approach to care.

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Workers Comp Workers Compensation Injury Compensation 91

AMAXX

DECEMBER 2, 2024

Managing work-related injuries and illnesses effectively requires a well-coordinated approach. By adhering to best practices, a medical director can significantly enhance the efficiency and outcomes of workplace injury management ( How to Calculate Cost per FTE Metric to Show Workers’ Comp as Profit Center ).

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Workers Compensation Compensation Workers Comp Injury 71

AMAXX

JANUARY 20, 2025

For instance, the use of evidence-based guidelines for managing musculoskeletal injuries can reduce unnecessary surgeries or prolonged physical therapy sessions, leading to faster recovery times. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers Comp Training Center. All state laws vary.

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Workers Compensation Compensation Workers Comp Injury 92

AMAXX

FEBRUARY 11, 2025

On occasion, work injuries arise for employees traveling in motor vehicles. As a general rule, workers compensation insurance is the primary insurance, which requires the claim team to investigate and make determinations regarding compensability and subrogation rights.

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Workers Compensation Workers Comp Injury Compensation 52

AMAXX

SEPTEMBER 10, 2024

” Prompt Appointment Scheduling Time is of the essence when an injury occurs. Efficient Communication of Medical Records Communication is critical, especially when it comes to sharing medical records with insurance claims adjusters or your company. Contact: mstack@reduceyourworkerscomp.com. All state laws vary.

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Workers Comp Workers Compensation Compensation Injury 91

AMAXX

SEPTEMBER 23, 2024

When it comes to calculating workers’ compensation premiums, two critical factors play a significant role: the frequency and severity of claims. Frequency: The Stronger Driver of Premiums In the world of workers’ compensation, frequency refers to how often claims are filed.

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Workers Compensation Premium Compensation Workers Comp 67

AMAXX

DECEMBER 9, 2024

Navigating workers’ compensation claims can be challenging for employers, especially when injured employees struggle to understand or adhere to the medical and administrative processes involved. Nurse Case Management (NCM) offers an effective solution by providing guidance, advocacy, and support throughout the claims process.

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Workers Comp Workers Compensation Compensation Injury 71

AMAXX

JULY 1, 2024

Issues concerning permanent total disability (PTD) benefits are a significant cost driver in workers’ compensation claims. When facing these claims, members of the claim management team and other interested stakeholders need to identify the issues early on, evaluate and develop defenses, and avoid costly mistakes.

Workers Compensation 52

Workers Compensation Compensation Workers Comp Injury 52

AMAXX

AUGUST 7, 2024

The purpose of these rules is to ensure that employers pay an appropriate premium that reflects the risk of workplace injuries associated with their industry. For example, a construction company would generally have a higher classification rate than an office-based business due to the higher risk of injury on a construction site.

Workers Compensation 81

Workers Compensation Compensation Workers Comp Premium 81

AMAXX

SEPTEMBER 3, 2024

Employee Resistance : Sometimes, employees may be hesitant or resistant to returning to work, often due to fear of re-injury, perceived inadequacies in their abilities post-injury, or psychological factors such as anxiety or depression. You should consult with your insurance broker, attorney, or qualified professional.

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Workers Comp Injury Workers Compensation Compensation 89

AMAXX

JULY 8, 2024

Even if it is not an explicit requirement, it should be a starting point for interested stakeholders seeking to defend PTD claims. When looking at job search issues, there are several factors to consider when handling the claim and crafting your defenses. Consideration of the employee’s emotional needs. Work schedule considerations.

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Workers Comp Workers Compensation Injury Compensation 52

AMAXX

NOVEMBER 26, 2024

Get Immediate Treatment : Ensure that employees have access to immediate medical care following an injury. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers’ Comp Training Center. Workers’ Comp Roundup Blog: [link] Injury Management Results (IMR) Software: [link] ©2024 Amaxx LLC.

Workers Comp 91

Workers Comp Workers Compensation Compensation Injury 91

AMAXX

FEBRUARY 10, 2025

Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers Comp Training Center. WC Mastery Training teaching injury management best practices such as return to work, communication, claims best practices, medical management, and working with vendors. Contact: mstack@reduceyourworkerscomp.com.

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Workers Comp Risk Workers Compensation Premium 59

AMAXX

NOVEMBER 11, 2024

Let’s look at how this issue manifests and how to address it: Wage Continuation Policies : Full salary or benefits exceeding pre-injury earnings can disincentivize returning to work. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers’ Comp Training Center. All state laws vary.

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Policy Workers Comp Workers Compensation Injury 87

AMAXX

JULY 9, 2024

Defending Permanent and Total Disability (PTD) cases presents many challenges for the claim management team and other interested stakeholders. Never discount the opportunity for the employee to return to the date of injury to the employer. In addition to a focus on job search issues, there are other defenses to consider.

Workers Compensation 52

Workers Compensation Workers Comp Injury Compensation 52

AMAXX

JANUARY 15, 2025

This is the actual costs of the claims that were legitimate claims for workers’ compensation. Stack is the creator of Injury Management Results (IMR) software and founder of Amaxx Workers Comp Training Center. You should consult with your insurance broker, attorney, or qualified professional.

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