NDPC April 2015 newsletter

Working Together To Keep Nevada Working

NEXT EVENT

Breakfast and Learn

May 13, 2015 7:30 a.m.-11:00a.m.

7:00a.m. (doors open)

HealthSouth Desert Canyon

9175 W Oquendo Road, Las Vegas, NV 89148

NDPC Mission Statement

NDPC is an organization that brings awareness

to the community about “the prevention of

needless work disability and the importance of

the RTW/SAW program.” We provide education

regarding these hot topics to benefit managers,

employers, work comp adjusters, risk managers,

insurance brokers, doctors and many more.

Table of Contents

Page 1:

Mission statement and

upcoming event, website info

Page 2:

NDPC Mixer

Page 3:

Previous meeting highlight and

key points

Page 4:

Upcoming event details, ACOEM

Guidelines and Panel Speakers

VOLUME 2 ISSUE 1

Place logo or logotype here,

otherwise delete this.

APRIL 2015

We would like to announce our new and

improved Website. Miss Monica Morgan at

Morgan Marketing Group did an amazing

job and we hope you all enjoy.

Please visit our new website at

www.NVNDPC.com

Thanks for all your support. Please make

sure to see our membership link and become

a NDPC member for all the great perks!

Newsletter created and designed by Kristi

Bybee at Monos Health. Edited/Written

by Jackie Pippin at Accessible Home

Health, Trude Johnson at Coventry, Heidi

Spencer at Kelly Hawkins PT and Anne

Davison at Sedgwick

Jackie Pippin:President

[email protected]

Trude Johnson: Vice President

[email protected]

Anne Davison: Secretary

[email protected]

Steven McDonald: Treasurer [email protected]

Board of Directors

Dr Victor Klauser

[email protected]

Dalton Hooks

[email protected]

Gerry Meier

[email protected]

Nancy Ignacio

[email protected]

Kristi Bybee

[email protected]

Special Event Committee

Heidi Spencer and Nicole Stallworth

Working Together To Keep Nevada Working

VOLUME 2 ISSUE 1

APRIL 2015

NDPC February Mixer Sponsored by One Call Care Medical

We would like to thank One Call Care Medical

for sponsoring our first mixer. We appreciate

your support. Thank you to all those who came to our first Mixer at The Martini.

We had a great turnout and very positive feedback from the event!

We would also like to thank our Special Events Committee, Heidi

Spencer and Nicole Stallworth for their hard work in coordinating

and making our first mixer an amazing success!! We know you

worked hard to make it wonderful and it truly was a great event!!

7401 West Charleston Blvd

Las Vegas, NV 89117

P: 702-384-7000 F: 702-385-7000 www.NVNDPC.com

NEVADA DISABILITY PREVENTION COALITION

Jackie Pippin, Denise Parr, Dalton Hooks, Nicole Beach

Richard Gomez, Claudia Moorer, Jonathan

Shockley, Rob Wolinsky, Kristi Bybee

Rob Wolinsky, Jackie Pippin, Dr Victor

Klausner, Trude Johnson, Sally Cheskiewicz,

Heidi Spencer

Patricia Law, Michael Jokerst, Trude Johnson,

Jackie Pippin

BIG NEWS….. Our website is finished and we are proud to

announce its unveiling. Please visit

www.NVNDPC.com. We will be adding resources to

the page periodically so you can use this as a resource

to your company or employees. Thank you for your

support and look forward to working with you in the

future!

Working Together To Keep Nevada Working

VOLUME #2 ISSUE #1

APRIL 2015

Workers’ Compensation 101

The NDPC’s March 11, 2015 Meeting was titled, “Workers Compensation 101”. While this event was geared toward educating the medical community serving workers’ comp (WC) patients, the audience also represented individuals from varied backgrounds, ranging from Risk & Claims Management to doctors, nurses, physical therapists, attorneys and vocational rehabilitation counselors. As a side note: NDPC’s goal is to be inclusive, and invite any and all who are interested in building their knowledge of Workers’ Compensation & Disability Management; and secondly, to have a positive impact on the community as a whole. In view of our commitment, we were most pleased by the phenomenal attendance of this event! So, we’d like to take this opportunity to express our appreciation to all of you who attend our events and support the efforts of the NDPC to build relationships and build common ground amongst those professionals who serve the Workers’ Compensation and Disability Community. As noted, the intention of this meeting “Workers Compensation 101”, was to bridge the understanding between the medical and claims community, who serve workers’ compensation patients and explain from the adjuster’s perspective the regulations which drive the claims process. This meeting was somewhat different from prior NDPC educational events. Normally, we invite a panel of experts to address & discuss specified ACOEM Guidelines and Symposium Recommendations in an open forum setting. This event was more of a classroom environment and it was facilitated by NDPC’s “resident expert” on claims management, Anne Davison who is not only an experienced claims examiner, and former owner of a TPA, but is also one of the founding Board Members of the NDPC. (Thank you Anne for all you do!!!!) Anne Davison began by explaining the difference between Workers’ Compensation and Health Insurance. Workers Compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee’s right to sue his or her employer for the tort of negligence (Wikipedia) Being it is a “Finite system” it starts and ends! The difference is Health Insurance is insurance coverage that provides for the payment of benefits as a result of sickness or injury; and this includes insurance for losses from accident, medical expense, disability or accidental death and dismemberment. Anne explained why there are so many involved parties and forms involved per WC patient. She covered the fundamental forms required by the Division of Industrial Insurance Regulations for WC files/ claims and why it is so important to complete the forms and address every question and/or box. Anne reviewed each step in the WC claims management process, starting from the moment an employee states injury occurred, until released or placed on permanent disability. The various regulatory forms & records that need to be completed by specific parties were explained, to include: C3, C4, PPR, treatment plans, modified duty form, mechanism of injury, physicians’ staff, and the involvement and benefits of telephonic & field nurse case management. She discussed Division of Industrial Relations (DIR) involvement, faxes & email documentation, Bill Review (BR) /Utilization Review (UR), pharmacy (PBN) and of course, one of the major hot topics “What is a permanent partial disability rating (PPD) and why everybody is always asking if someone is ratable and how the rating is used.” Other topics included pain management, claim closure and medical lifetime reopening rights. Jurisdictional requirements were explained and how these mandate insurance policy. This being Nevada Jurisdiction, the rules and policies are mandated by Nevada Revised Statutes (NRS), while the Nevada Administrative Codes (NAC) defines these regulations. Attorney Dalton Hooks, NDPC Board Member and Partner at Alverson Taylor, was most helpful during this portion of the presentation as Dalton provided background on precedent standing court cases currently being used to interpret some of the more controversial regulations.

7401 West Charleston Blvd

Las Vegas, NV 89117

P: 702-384-7000 F: 702-385-7000 www.NVNDPC.com

NEVADA DISABILITY PREVENTION COALITION

Special Points of Interest

Also, a note of appreciation for

for hosting our event and providing

our breakfast

The Nevada Disability Prevention

Coalition newsletter is a bi-monthly

newsletter produced/designed by Kristi

Bybee and edited by the board.

We provide employers, insurance

companies/third-party administrators,

and HR with the latest hot topics and

trends in workers’ compensation. It is

our goal to connect multi-stakeholders

in the workers’ comp community and

our community in general by providing

educational events regarding the

return-to-work and stay-at-work

process. If you would like to receive bi-

monthly updates and workers’

compensation articles, join our

newsletter subscription and add us to

your approved email group or safe

recipients list. Please send an email to

Kristi Bybee at

[email protected]

Thank you for signing up and

let’s tackle the return-to-work and stay-

at-work process together.

If you have any questions about this

newsletter please contact us at 702-

271-2912 and speak with Jackie Pippin

our President.

March 11, 2015

HealthSouth

1205 Valley View Blvd.

7:30am-11:00am

If you have any questions regarding this topic please email us at [email protected]

NEVADA DISABILITY PREVENTION COALITION

7401 West Charleston Blvd

Las Vegas, NV 89117

P: 702-384-7000 F: 702-385-7000

www.NVNDPC.com

Agenda Item 6:

Increase Availability o On-the-job Recovery,

Transitional Work Programs, and Permanent Job

Modifications and Address Social/Workplace

Realities and Conflicts (ACOEM 4,9)

May 13, 2015 7:30am-11:00am HealthSouth Desert Canyon

We would like

your input

If you have any ideas for an upcoming meeting we would

love to hear them. Our mission is to educate on topics related to

that of return to work and disability. If you feel we need to talk about a topic please send us

your ideas to: Jackie Pippin at

[email protected]

Wednesday, May 13, 2015 @ 7:30am-11:00am, Agenda Item 6 RTW/SAW

June-Newsletter

Friday, July 24, 2015 Time 8am-3pm Symposium 3pm-5pm Reception

August-Newsletter

Wednesday, September 23, 2015 @ 7:30am-11:00am, Topic TBD

October-Newsletter

Wednesday, November 18, 2015 @ 7:30am-11:00am, Topic TBD

December-Newsletter

Allowing workers to recover on the job is a cornerstone of disability prevention. This often takes the form of transitional work programs that allow workers return to work at partial capacity while they recuperate. On-the-job recovery usually involves a temporary change in job tasks, work schedule, or work environment; and often requires reduced performance expectations for the limited duration of the assignment, generally not more than 90 days. Workers in on-the-job recovery programs are expected to return to their usual jobs, with or without permanent accommodations, once they have completed the temporary assignment.

We are revisiting Agenda Item #6, ACOEM guidelines 4 and 9, Increase Availability of On-the-job Recovery, Transitional Work Programs, and Permanent Job Modifications and Address Social/Workplace Realities and Conflicts. We will be addressing these issues from the perspective of the Employer (Lou Esposito), Insurance Broker (Jewell Villanueva) and Return to Work Specialist (Veriuska Corso).

Back by popular demand…..