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Risk Mgt, Claims & Ins

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  Claims Management

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    WC Managed Care

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rmLibrary


- UpdatedClaims Management / WC Fee Schedules : Workers compensation medical 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 library 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


- UpdatedManaged Care / Library : Managed care overviews, studies, and technical resources
Headline news on managed care. Managed care glossary. Managed care contracting. Cost and quality issues. State regulation of managed care. Newsletters. Statistics. Tutorials. Fact sheets.


- UpdatedStatistics / Health : Government and industry sources of statistical data on health conditions
Statistics on health conditions, e.g., substance abuse, heart/stroke, cancer


- UpdatedWorkers Comp / Statistics : State workers comp agency statistical reports & analysis of worker claims
Statistics such as average total cost per case, lost time reports, fatalities, workplace safety reports, fraud activity, etc.





The Business Library


- UpdatedBusiness Data / Health Data : Health conditions statistical data
Statistics on health conditions, e.g., substance abuse, heart/stroke, cancer. CDC data. Disability data. Medicare statistics. Primary care statistics. World health statistics.


- UpdatedBusiness Data / WC Data : State workers comp agency statistical reports & analysis of worker claims
State workers comp agency statistical reports & analysis of worker claims. Statistics such as average total cost per case, lost time reports, fatalities, workplace safety reports, fraud activity, etc.


- UpdatedHealth Cost Management / Managed Care : Overviews, studies, and technical resources on managed care
Headline news on managed care. Managed care glossary. Managed care contracting. International Journal for Quality in Health Care. Cost and quality issues. State regulation of managed care. Newsletters. Statistics. Tutorials. Fact sheets. TQM in health care.


- UpdatedHealth Cost Management / WC Managed Care : Managed care in workers compensation to control medical costs
Challenging hospital and doctor costs. Entire text of the results of California's survey of workers compensation managed care practices.





The Safety Library


- UpdatedStatistics / Health Data : Government and industry sources of statistical data on health conditions
Statistics on health conditions, e.g., substance abuse, heart/stroke, cancer


- UpdatedStatistics / WC Statistics : State workers comp agency statistical reports & analysis of worker claims
Statistics such as average total cost per case, lost time reports, fatalities, workplace safety reports, fraud activity, etc.


- UpdatedWorkers Compensation / WC Fee Schedules : Workers compensation medical 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


- UpdatedWorkers Compensation / WC Managed Care : Guidance on managed care in workers compensation to control medical costs
Challenging hospital and doctor costs. Entire text of the results of California's survey of workers compensation managed care practices.





The HR Library


- UpdatedStatistical Data / Health Data : Government and industry sources of statistical data on health conditions
Statistics on health conditions, e.g., substance abuse, heart/stroke, cancer


- UpdatedStatistical Data / WC Statistics : State workers comp agency statistical reports & analysis of worker claims
Statistics such as average total cost per case, lost time reports, fatalities, workplace safety reports, fraud activity, etc.


- UpdatedWorkers Compensation / WC Medical : Guidance on managed care in workers compensation to control medical costs
Reference materials for those who are involved with medical/managed care in workers compensation




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