Risk Mgt » Claims Management



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- Ergonomics / Medicine : Clinical practice guidelines, patient handouts on low back pain, CTS, etc.
Medical diagnosis and treatment of ergonomic-related injuries. Clinical guidelines and primary care management of acute low back pain. AHCPR guidelines on acute low back problems in adults. Teaching module for physicians and health care professionals on low back pain . Carpal tunnel syndrome. Series of ergonomic medicine guides designed for patients that provide explanations & illustrations. Medical management in an ergonomics program. Painful shoulder diagnosis and treatment.


- Legal / Insurance Law : Case developments, articles, resources related to insurance law
Analysis of court opinions involving insurance issues. Articles on commercial insurance, self-insurance and alternative market, etc.


- Legal / Litigation : Legal case mgt, use of computer-generated evidence, attorney-client priviledge
Attorney-client priviledge. Expert witnesses. Case management. Sentencing. Work Product Doctrine. Using surveillance tapes in the courtroom. Introduction to Basic Legal Citation. Legal bulletins focused on the hospitality industry - applicable to most industries.


- Managed Care / Liability : Guidelines to physicians about liability in managed care
Various resources assist the physician in understanding liability in managed care. The Health Administration Responsibility Project (HARP) - seeks to establish liability of managed healthcare organizations for consequences of their decisions. MCO's - the rules are changing for managed care liability.


- Managed Care / Medical Costs : Average cost for medical care per DRG code, medical procedures & costs, etc.
Average cost by DRG. Benchmark medical fees. Predictors & descriptors of psychiatric duration, costs and service use. Trends in length of stay, charges and functional outcomes in rehab. Medical Expenditure Panel Survey (MEPS) health care expenditures data.


- Medicine / Brain Injuries : Traumatic brain injury reference materials
Traumatic brain injury and coma articles, fact sheets, statistics, treatment guidelines, family assistance, legal issues and more.


- Medicine / Occupational Medicine : Large number of reference materials on occupational medicine
Guidelines for OEM professionals to establish an effective employee health program. Medical management of laser injuries & radiation accidents. Index of medical illnesses, conditions & symptoms. ACOEM workplace guidelines. Indoor air pollution and radon guides. State of California medical guidelines and advisory protocols for occupational medicine. ADA enforcement guidance on pre-employment medical examinations. OSHA medical surveillance requirements.


- Property / Restoration : Cleaning and restoration of interiors & furnishings due to smoke & water damage
Disaster recovery, cleaning and restoration of smoke, soot and water-damaged valuables, furnishings, carpeting, flooring, oriental rugs, draperies, etc. Salvage manual for book collections. Priorities of preliminary safety and loss mitigation procedures after a fire. Specialized drying equipment and restorative drying techniques. Carpet cleaning and stain removal.


- Workers Comp / Claims Management : Managing the costs of workers compensation claims
Guides to work-relatedness of occupational diseases. Activities to control disability costs. IME. How WC settlements are viewed in each state and the various forms of settlements. Cost and reserving guidelines for quadriplegia, massive injury, traumatic brain injury.



The Business Library


- Corporate Law / Insurance Law : Resources on insurance law
Insurer and carrier liability. Analysis of court opinions involving insurance issues. Articles on commercial insurance, self-insurance and alternative market, etc. Case developments, articles, resources related to insurance law.


- Corporate Law / Litigation : Case management and litigation resources
Trial, lawsuit and litigation information. Attorney-client priviledge. Expert witnesses. Case management. Sentencing. Legal case management. Use of computer-generated evidence. Work Product Doctrine. Using surveillance tapes in the courtroom. Introduction to basic legal citation. Legal bulletins focused on the hospitality industry - applicable to most industries.


- Employee Health / Musculoskeletal Injuries : Ergonomic clinical practice guidelines, patient handouts on low back pain, etc
Clinical practice guidelines, patient handouts on low back pain, CTS, etc. Medical diagnosis and treatment of ergonomic-related injuries. Clinical guidelines and primary care management of acute low back pain. AHCPR guidelines on acute low back problems in adults. Teaching module for physicians and health care professionals on low back pain . Carpal tunnel syndrome. Series of ergonomic medicine guides designed for patients that provide explanations & illustrations. Medical management in an ergonomics program. Painful shoulder diagnosis and treatment.


- Employee Health / Occupational Health : Occupational medicine reference materials
Index of medical illnesses, conditions & symptoms. ACOEM workplace guidelines. Indoor air pollution and radon guides. State of California medical guidelines and advisory protocols for occupational medicine. ADA enforcement guidance on pre-employment medical examinations. OSHA medical surveillance requirements. OSHA regulated substances medical tests. Guidelines for OEM professionals to establish an effective employee health program. Medical management of laser injuries & radiation accidents.


- Health Cost Management / Medical Costs : Medical procedures & costs, average cost for medical care per DRG code
Average cost by DRG for medical care. Trends in length of stay, charges and functional outcomes in rehab. Benchmark medical fees. Predictors & descriptors of psychiatric duration, costs and service use. Medical Expenditure Panel Survey (MEPS) health care expenditures data.


- Health Cost Management / WC Claims Management : Workers compensation claims cost management
Activities to control disability costs. Guides to work-relatedness of occupational diseases. IME. How WC settlements are viewed in each state and the various forms of settlements. Cost and reserving guidelines for quadriplegia, massive injury, traumatic brain injury.


- Insurance / Claims Management : Claims management, bad faith, structured settlements, large losses, etc.
Information on claims management, e.g., structured settlements, importance of prompt reporting, construction claim guidance, preservation of evidence, etc. Self-insurance & claims administrators/adjustors selection/evaluation checklist of TPAs. Experts offer tips to adjusters about salvage. Variations in imaging technology and the issues confronting claims adjusters.



- Updated Property Management / Property Damage : Cleaning and restoration of interiors & furnishings due to smoke & water damage
Priorities of preliminary safety and loss mitigation procedures after a fire. Disaster recovery, cleaning and restoration of smoke, soot and water-damaged valuables, furnishings, carpeting, flooring, oriental rugs, draperies, etc. Salvage manual for book collections. Specialized drying equipment and restorative drying techniques. Carpet cleaning and stain removal.



The Safety Library


- Ergonomics / Medical Ergonomics : Clinical practice guidelines, patient handouts on low back pain, CTS, etc.
Medical diagnosis and treatment of ergonomic-related injuries. Clinical guidelines and primary care management of acute low back pain. AHCPR guidelines on acute low back problems in adults. Teaching module for physicians and health care professionals on low back pain . Carpal tunnel syndrome. Series of ergonomic medicine guides designed for patients that provide explanations & illustrations. Medical management in an ergonomics program. Painful shoulder diagnosis and treatment.


- Fire Safety / Restoration : Cleaning and restoration of interiors & furnishings due to smoke & water damage
Disaster recovery, cleaning and restoration of smoke, soot and water-damaged valuables, furnishings, carpeting, flooring, oriental rugs, draperies, etc. Salvage manual for book collections. Priorities of preliminary safety and loss mitigation procedures after a fire. Specialized drying equipment and restorative drying techniques. Carpet cleaning and stain removal.


- Insurance Loss Control / Claims Management : Bad faith, structured settlements, large losses, etc.
Information on claims management, e.g., structured settlements, importance of prompt reporting, construction claim guidance, preservation of evidence, etc. Self-insurance & claims administrators/adjustors selection/evaluation checklist of TPAs. Variations in imaging technology and the issues confronting claims adjusters. Experts offer tips to adjusters about salvage.



- Occupational Medicine / Brain Injuries : Traumatic brain injury reference materials
Traumatic brain injury and coma articles, fact sheets, statistics, treatment guidelines, family assistance, legal issues and more.


- Occupational Medicine / Occupational Health : Large number of reference materials on occupational medicine
Guidelines for OEM professionals to establish an effective employee health program. Medical management of laser injuries & radiation accidents. Index of medical illnesses, conditions & symptoms. ACOEM workplace guidelines. Indoor air pollution and radon guides. State of California medical guidelines and advisory protocols for occupational medicine. ADA enforcement guidance on pre-employment medical examinations. OSHA medical surveillance requirements.


- Workers Compensation / WC Claims Management : Managing the costs of workers compensation claims
Guides to work-relatedness of occupational diseases. Activities to control disability costs. IME. How WC settlements are viewed in each state and the various forms of settlements. Cost and reserving guidelines for quadriplegia, massive injury, traumatic brain injury.



The HR Library


- Occupational Health / Occupational Medicine : Large number of reference materials on occupational medicine
Guidelines for OEM professionals to establish an effective employee health program. Medical management of laser injuries & radiation accidents. Index of medical illnesses, conditions & symptoms. ACOEM workplace guidelines. Indoor air pollution and radon guides. State of California medical guidelines and advisory protocols for occupational medicine. ADA enforcement guidance on pre-employment medical examinations. OSHA medical surveillance requirements.




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