Workers Compensation

An ever changing part of healthcare dynamics.

Originally, Workers’ Compensation was established as a trade off for employees agreeing to not take their employers to court when an injury occurred. The employer saw to their care and time off work, and the employee tried to recuperate and return to work quickly.

Today, Workers’ Compensation is affected by State and Federal regulatory law, overseen many times by state Labor Departments or in some cases Department of Insurance, who have established (in 44 states and DC) State Workers’ Compensation Fee Schedules in an attempt to contain the cost. These claims are administered through Insurance Carriers (as an insured policy or self insured funds being administered on behalf of a self-insured-employer).

Often Workers’ Compensation claims are processed through software applications being used in bill review shops, and paid via Third Party Administrators. The Result makes the Workers’ Compensation side of healthcare very difficult to navigate. Understanding the dynamics of workers’ compensation is no small task, and you need a partner with understanding to assist your efforts.