GCat

Risk Mgt, Claims & Ins

MCat

  Claims Management

SCat

    WC Managed Care


Challenging hospital and doctor costs. Entire text of the results of California's survey of workers compensation managed care practices.
There are 26 other categories related to Claims Management / WC Managed Care in the Libraries & Directories.

Find related Experts & Vendors in the Directories!
Achieving Workers Compensation Savings through Medical Bill Repricing [20884] Achieving Workers Compensation Savings through Medical Bill Repricing : Resource Info

Basics to consider related to medical bill repricing

AL-Alabama WC Utilization Review & Bill Screening Rules [21737] AL-Alabama WC Utilization Review & Bill Screening Rules : Resource Info

The initial effective date of these rules was September 12, 1996

AR-Arkansas Rule 33 Managed Care -WC [pdf] [15224] AR-Arkansas Rule 33 Managed Care -WC : Resource Info

Full text of the rule to implement a voluntary managed care program in Arkansas

Updated CA-California WC Medical Unit [30033] CA-California WC Medical Unit : Resource Info

Policy and guidelines for the treatment and evaluation of injured workers

CA-California WC Primary Treating Physicians [30036] CA-California WC Primary Treating Physicians : Resource Info

Information for physicians who treat WC patients in the State of California

CO-Colorado Medical Provider Topics [15819] CO-Colorado Medical Provider Topics : Resource Info

Medical Treatment Guidelines Quick Reference Guides, fee schedules and more

CO-Colorado Rule XVII Medical Treatment Guidelines [18649] CO-Colorado Rule XVII Medical Treatment Guidelines : Resource Info

Full text of the guidelines and provider's responsibilities

CT-Connecticut WC Medical Protocols [pdf] [29993] CT-Connecticut WC Medical Protocols : Resource Info

Protocols concerning the reasonableness and appropriateness of medical treatment of claimants in workers compensation

CT-Connecticut WC Utilization Review Procedures [pdf] [29994] CT-Connecticut WC Utilization Review Procedures : Resource Info

UR procedures concerning reasonableness and appropriateness of medical treatment of claimants in workers compensation

FL-Florida Workers Compensation Managed Care [11776] FL-Florida Workers Compensation Managed Care : Resource Info

Worker's Compensation Managed Care Arrangements in Florida

GA-Georgia Best Practices for Selecting Doctors for Your WC Panel [pdf] [32936] GA-Georgia Best Practices for Selecting Doctors for Your WC Panel : Resource Info

Identifies 3 panel options available under Georgia WC law

GA-Georgia Workers Compensation Managed Care & Rehabilitation Division [15241] GA-Georgia Workers Compensation Managed Care & Rehabilitation Division : Resource Info

Certifies managed care organizations for Workers' Compensation in GA

ID-Idaho WC Medical Providers [23182] ID-Idaho WC Medical Providers : Resource Info

Information for workers compensation medical providers in the State of Idaho

Impact of RBRVS-Based Fee Schedules on Specific States WC Systems [pdf] [26777] Impact of RBRVS-Based Fee Schedules on Specific States WC Systems : Resource Info

Examined impact of Resource-based Relative Value Scale (RBRVS) on specific states's workers compensation systems

KS-Kansas WC Rehabilitation Section [25898] KS-Kansas WC Rehabilitation Section : Resource Info

Vocational rehabilitation section of the WC division for Kansas Dept of Labor

KY-Kentucky Medical Services [15254] KY-Kentucky Medical Services : Resource Info

Cost containment and the administration of medically related services are the primary activities

KY-Kentucky: Managed Care [13425] KY-Kentucky: Managed Care : Resource Info

WC managed care plan requirements in the state of Kentucky

LA-Louisiana WC Medical Services [23190] LA-Louisiana WC Medical Services : Resource Info

Information for WC medical service providers in LA

MI-Michigan WC Health Care Services [26365] MI-Michigan WC Health Care Services : Resource Info

Resources related to workers compensation and health care providers in the State of MI

MN-Minnesota Certified Managed Care Organizations [15283] MN-Minnesota Certified Managed Care Organizations : Resource Info

FAQs and list of certified plans

MO-Missouri Information for WC Health Care Providers [24273] MO-Missouri Information for WC Health Care Providers : Resource Info

There are two types of medical fee disputes and each has a separate procedure

MT-Montana WC Managed Care Organizations [23194] MT-Montana WC Managed Care Organizations : Resource Info

The WC Regulation Bureau certifies managed care organizations (MCOs)

NC-North Carolina Workers Compensation Medical Providers [23205] NC-North Carolina Workers Compensation Medical Providers : Resource Info

FAQ - answers to common questions

ND-North Dakota Information for WC Medical Providers [23208] ND-North Dakota Information for WC Medical Providers : Resource Info

Covers managed care, billings and medical payments, return to work and more

Updated NE-Nebraska Certified Managed Care Plans [15325] NE-Nebraska Certified Managed Care Plans : Resource Info

Listing of names and address of certified plans, IMEs, voc rehab counselors and more

NM-New Mexico WC Health Care Providers [23163] NM-New Mexico WC Health Care Providers : Resource Info

Information for health care providers on New Mexico WC requirements

NY-New York: Resources for WC Health Care Providers [15220] NY-New York: Resources for WC Health Care Providers : Resource Info

Medical guidelines, forms, etc.

OH-Ohio Managed Care [15337] OH-Ohio Managed Care : Resource Info

Health Partnership Program (HPP) and Qualified Heath Plan (QHP)

OR-Oregon Managed Care Organizations [15339] OR-Oregon Managed Care Organizations : Resource Info

Pertains to information for MCOs that provide medical services to injured workers in Oregon

OR-Oregon Medical Providers [23165] OR-Oregon Medical Providers : Resource Info

Requirements for WC medical providers in the State of Oregon

SD-South Dakota: Case Management [14399] SD-South Dakota: Case Management : Resource Info

WC insurers and self-insureds must provide case management services

VA-Virginia Rights & Remedies for WC Health Care Providers [23175] VA-Virginia Rights & Remedies for WC Health Care Providers : Resource Info

Rights and remedies available to them under the Virginia Workers' Compensation Act

VT-Vermont WC Medical/Health Care Providers Information [11264] VT-Vermont WC Medical/Health Care Providers Information : Resource Info

Topics of interest to Vermont WC medical providers

WA-Washington Health Services Analysis [13834] WA-Washington Health Services Analysis : Resource Info

Ensures provision of quality, cost effective medical & vocational services to injured & ill workers

WI-Wisconsin Medical [5705] WI-Wisconsin Medical : Resource Info

Requirements for WC medical providers in the State of Wisconsin

Workers Compensation Tool Box [23459] Workers Compensation Tool Box : Resource Info

Tools for Measuring Quality in Workers' Compensation Managed Care Organizations

WY-Wyoming Health/Medical Provider Services [23227] WY-Wyoming Health/Medical Provider Services : Resource Info

Billing guidelines and other helpful information




Related Categories within rmLibrary


View All Related Categories throughout the Libraries & Directories


Claims Management / WC Fee Schedules
Workers compensation medical fee schedules

Managed Care / Library
Managed care overviews, studies, and technical resources

Statistics / Health
Government and industry sources of statistical data on health conditions

Workers Comp / Statistics
State workers comp agency statistical reports & analysis of worker claims



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