Medical Benefit Management and Complex Medical Conditions

One Day Course | 6.5 Hours

On-Demand | Recorded February 12, 2021
Cost: $225 Members, $375 Non-Members

Level: Intermediate
Issues Covered: Medical Benefit Management, Work Disability Prevention
Faculty Includes: Tricia Daniel | Denis Craine | Dr. Gary Franklin | Dr. Dennis Chong | Dr. Roger Blauvelt | Kristin McCoy

The fourth step in our IIU's comprehensive, goal-oriented workers' compensation curriculum, this full-day workshop builds on the medical principles in prior introductory trainings and focuses on the importance of facilitating early access to quality medical care, accurate interpretation of medical reports, and authorizing appropriate treatment.

Topics Covered

  • Medical Specialties
  • Diagnostic Testing
  • Syndromes
  • Medical Management
  • Nurse Case Manager Assignments
  • Medical Authorization WAC's
  • Medical Reports
  • Medical Review Form
  • Medical Management Resources
    • Independent Medical Examinations
    • Consultations
    • Medical Aid Rules and Fee Schedule
    • Provider Bulletins
  • Medical Provider Network (“MPN”)
  • Office of the Medical Director
  • Segregation of Conditions
  • Pre-existing/Unrelated Conditions
  • Temporary Treatment of Unrelated Conditions
  • Unrelated or Newly Contended Conditions

Pre-class Self-Study Reading Assignments:      
Chapter CM9: Medical Management
Chapter CM14: Claim Reopening
Chapter M1: Anatomy, Physiology, Medical Specialties
Chapter M2: Diagnostic Testing and Radiology
Chapter M3: Rehabilitation from Injury
Chapter M4: Pain Management

Attendees take both a pre and post-class quiz as a learning exercise and to measure the effectiveness of the instruction provided.