A Guide to Successful Workers’ Compensation Case Management

Written by a nurse in the field of workers compensation case management, “A Guide to Successful Workers’ Compensation Case Management” is an excellent tool for those seeking to better understand or enter the field of case management. Dorothy Consonery-Fairnot includes topics relevant to those just entering the field, or those looking to update their current knowledge base.

“A Guide to Successful Workers’ Compensation Case Management” addresses topics of state regulations on case management practice, access to medical care, state fee schedules, medical necessity, treatment guidelines, and permanent impairment ratings. It also looks at some of the trends reflected in a State-by-State review and offers these statistics:

– 46 states offer some form of managed care service.
– 27 states offer an employer based physician panel selection.
– 29 states offer treatment guidelines as an alternative to cost containment.
– 34 states offer utilization or bill review services.
– 41 states offer a fee payment schedule.
– 16 states make use of the sixth edition of the AMA Guide to Evaluation of Permanent Impairment: Alaska, Arizona, Connecticut, Illinois, Indiana, Louisiana, Massachusetts, Mississippi, Montana, New Mexico, North Dakota, Oklahoma, Pennsylvania, Rhode Island, Tennessee and Wyoming. (Connecticut, Indiana and Massachusetts list their guidelines
as the latest AMA edition.
– 12 states make use of the fifth edition of the AMA Guide to Evaluation of Permanent Impairment: California, Delaware, Georgia, Hawaii, Idaho, Iowa, Kentucky, Nevada, New Hampshire, Ohio, Vermont and Washington. – 8 states make use of the fourth edition of the AMA Guide to Evaluation of Permanent Impairment: Alabama, Arkansas, Kansas, Maine, Maryland, South Dakota, Texas and West Virginia. Colorado uses the third edition.
– 7 states use their own state specific guidelines: Florida, Minnesota, New York, North Carolina, Oregon, Utah and Wisconsin and six states don’t specify use of any guidelines such as Michigan, Missouri, Nebraska, New Jersey, South Carolina and Virginia.