What is Worker’s Compensation? Who is responsible for changes in worker’s compensation laws? How may insured employers are there in Wisconsin? What Does the Worker’s Compensation Division do? Is an injured worker required to have an attorney at a hearing? Are their limits on the fees of attorneys that represent injured workers? If an injured worker requests a hearing, must they come to Madison for the hearing? Do hearings occur quickly after they are requested? Does the state give injured workers any information about their rights? What databases are currently certified by the state for worker’s compensation? What does “employment” mean for worker’s compensation purposes? Who sets the worker’s compensation premium rates? How many injuries are there each year in Wisconsin? What is the difference between “comprise” and “stipulation of facts” agreements? Can an outside party be sued if a person collects worker’s compensation benefits? How long does a patient have to report an injury? Who is covered by worker’s compensation laws? To whom is an injured worker required to report their injury? Can we bill WC just because a patient claimed care was related to an old injury? How should an injured worker give proper notice of their injury to their employer? Will an injured worker lose their rights to benefits if they do not report their injury? Who Pays For Worker’s Compensation? How do doctors or other individuals report worker’s compensation fraud? What happens when a person is hurt while intoxicated? What tools do employers use to fight abusive claims? What happens to an employer who violates a patient’s worker’s compensation rights? When is a person eligible for wage reimbursement? What if I call an employer and find out that they do not have worker’s compensation insurance? Are there penalties for unsafe work environments? Are an injured worker’s bills paid even if they do not miss any time from work? How old is the fee data in the certified databases? Is it OK if an employer without WC insurance pays me directly? How is the amount of benefits determined? Is a WC carrier liable for my services if they settle with a patient? Does a patient have to follow an instruction given by the IME doctor? Who is Eligible for Worker’s Compensation Benefits? Are there any rules governing requests for independent medical exams? What injuries are covered by worker’s compensation? How long may a patient receive chiropractic care for their injury? Who is not covered by worker’s compensation laws? May I charge the patient or their group health carrier for partially reimbursed WC care? How long does a WC carrier have to give me notice of medically unnecessary care? Does a patient have a right to choose their doctor if they are injured? What should I tell a patient if their employer tells them to go to a certain doctor for treatment? Why is a worker’s compensation carrier allowed to reduce my fee? Can an employer threaten to fires an injured worker that does not see “their” doctor? Can a worker’s compensation carrier require me to preauthorize my care? Can a WC carrier deny liability if the employer accepts it? Does an injured worker get paid for all lost time from work? What should an injured worker do when they are denied the right to choose their provider? How many IME’s can an injured worker be forced go through? Can I continue to treat a patient after they have been released from their worker’s compensation injury even if the care is related to that injury? Who should I send a worker’s compensation bill to? How can I find the WC carrier and the contact person to send the bill to? How are “reasonable fees” in worker’s compensation calculated? What can I do to speed up payment in a worker’s compensation case? Can a WC carrier deny payment if the employer has not reported the injury? How can a patient get their temporary disability payments? Is the state’s expert reviewer allowed to contact me if he/she has any questions about my documentation? What must a WC carrier do when it disputes the amount of my fee? How long do I have to file a dispute over the reasonableness of my fees? How do I know when a worker’s compensation carrier is disputing the necessity of my care? Can a WC carrier deny liability when they have already paid for some claims? Who pays for the cost of the Necessity of Treatment review? If a patient’s WC settlement included payments for future care, whom do we bill for this care? I got a letter from the WC Division ordering the payer to pay my fee and they have not paid. What can I do? Can I bill a group health carrier for WC care? Isn’t it all insurance? Are managed care plans allowed in worker’s compensation? If my care is determined to be “not medically necessary” can I bill the patient or their group health carrier? If the worker’s compensation law is changed to allow employers to require their injured employees to use a managed care organization for treatment, will being in a plan today assure that I will be part of the managed care panel in the future? What kind of notice does the WC carrier have to give me if they are disputing the necessity of my care? What option do I have if I do not receive any notice or payment within 60 days? What are the steps before the Necessity of Treatment dispute process can be used? Who pays for the cost of the expert review in a worker’s compensation case? Does a referral count as one of the patient’s two choices? What must be sent to the state when filing a “Necessity of Treatment Dispute”? How can a patient get rehabilitation services? Can I charge the WC carrier interest if they are late in paying my claims? Who reviews claims for DWD in the Necessity of Treatment Dispute Process? How long does the reviewer have to reach a decision? What is the employer’s obligation to re-hire a person after an injury? Can I appeal the WC expert’s decision? Can administrative law judges make a decision on the necessity of treatment as part of a liability hearing? May I cancel a Necessity of Treatment Dispute if I settle with the WC carrier? Can WC patients institute the Necessity of Treatment dispute process? What are the qualifications for a chiropractor to serve on the state’s expert panel? How do WC databases work? Can I charge the patient or their group health plan for care after the WC carrier “cuts them off”? Is there a problem if an employer asks me to “run a worker’s compensation claim through the patient’s group health insurance”? What happens after a patient files for a hearing? When are medical reports required and when should they be sent to the WC Division? When does the WC Division follow up to ensure medical reports are received? Does the WC Division make “non-routine” requests for medical reports? Does the injured worker need an attorney if there is a hearing? When does the WC Division assess a fine for failure to submit a medical report? Why does the WC Division request medical reports after one has already been submitted? What is the WKC-16-B form? What criteria does the WC Division use to determine that a medical report is final? How important is it for the injured worker to keep their own written records pf care? May I keep an injured worker off work to spare them from a horrible employer? Can you provide some guidance in how to complete the WKC-16B form? Is it wise for a chiropractor to attend a hearing with their patient? Do I have any recourse if I refer a patient to a MD and the MD does not return the patient to me? As part of a hearing over liability, does an administrative law judge have the right to determine if my care is necessary? What are the most common types of cases to go to hearing? Do providers or IME reviewers “get a reputation” within worker’s compensation? Does a hearing take priority over a Necessity of Treatment dispute? If my patient requests that I attend the hearing, who pays for the cost? Can I delay a patient’s return to work for a few days to accommodate the patient? Can a WC carrier insist that a nurse observe my care? Are there any limits on consultation or contact with the tiebreaker doctor? What if I think my patient is ready to return to work but their employer refuses to rehire them? Why does Wisconsin focus on early return to work programs for injured worker? Does the appointment of a tiebreaker doctor limit either party’s right to a hearing? What is permanent total disability (PTD)? What is the Vocational Rehabilitation Program? Should we give the worker’s compensation carrier “a few extra days” before filing for a default order? Do the patients have to work with the insurance carrier’s private rehabilitation specialist or can they use someone from the certified list sent by the WC/VR unit? How can I become certified as a vocational rehabilitation specialist? How does my patient apply for a hearing? How much can an attorney charge for representing an injured worker? Can my patient appeal the hearing decision of the ALJ? When will the WC Division order a tiebreaker medical exam? Who pays for a tiebreaker medical exam? How does the appointment of a tiebreaker doctor affect an injured worker’s benefits? Is an injured worker eligible for retraining if they cannot go back to their job? What does the tiebreaker doctor do? Can we apply for a default order if we are past the 60 day deadline? What are the different timetables that apply to Necessity of Treatment disputes? How do I Evaluate Disability Under Wisconsin’s Worker’s Compensation Law? Who may request a tiebreaker medical exam? What is the default process? How much time does the carrier have to investigate an injure? How long does an injured worker have to re-open a worker’s compensation claim? What is a hearing like? What is the difference between temporary total disability (TTD) and temporary partial disability (TPD)? What is permanent partial disability (PPD)? How long does an employer have to notify the WC carrier of an injury to one of its employees? Do WC carriers and self insured employers have to report injuries to the state? How long does a WC carrier have to pay after a hearing in which the ALJ finds that care was medically necessary? What may we charge a worker’s compensation carrier requesting a copy of our records?
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