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Mistake: Accepting Every Workers’ Compensation Claim

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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. Employers must have a structured approach for evaluating claims.

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Understanding Classification Rules in Workers’ Compensation

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Classification rules are guidelines used by rating bureaus and insurance companies to categorize businesses based on the type of work they perform. The higher the risk, the higher the workers compensation premium for that classification. You should consult with your insurance broker, attorney, or qualified professional.

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

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However, for many workers, an overwhelming fear of losing their jobs adds unnecessary stress to an already difficult situation. 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. Heres how: 1.

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

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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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What is Evidence-Based Medicine in Workers’ Compensation

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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. One of the most common questions at the time of injury is, How long will my employee be off work?

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

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The ultimate beneficiaries are the injured workers who experience improved care and quicker reintegration into their professional and personal lives. He is co-author of the #1 selling comprehensive training guide Your Ultimate Guide to Mastering Workers Comp Costs: Reduce Costs 20% to 50%. All state laws vary.

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2 Common Mistakes In Workers’ Comp Doctor Selection

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These errors can have significant consequences, including prolonged recovery times, increased claims costs, and a greater likelihood of litigation. She was given a list of four medical providers but found that: Two providers did not accept workers compensation patients. The only available provider was 70 miles away.