WCCA12 Medical Benefits in California Workers' Compensation Claims
Insurance Education Association
Course description
WCCA12 Medical Benefits in California Workers' Compensation Claims
Learn to confidently recognize and comply with the laws that govern payment of medical expenses and independent bill review. Learn to competently handle complex claims involving utilization review and independent medical review. Take this course to set yourself apart as a knowledge resource in your organization with enhanced understsanding of medical control issues. Provides excellent preparation for the National exam in WCCA12.
Who should attend?
Take this course if you are:
- A workers’ compensation claims adjuster.
- Employed by a TPA or Self-Insured entity
- A medical only claims adjuster
Training content
- Medical Provider Networks
- Laws/regulations on payment of medical expenses and Independent Bill Review.
- Law governing medical provider’s submission and the employer’s response
- IBR rules and requirements, steps and standards underlying the process
- Complex liens and lien management
Course delivery details
10 weeks/1-hr per week
This course is offered in online format.
- Weekly LIVE webinars
- Online Dashboard for quizzes.
Certification / Credits
WCCA 12 - How It Benefits You
You’ll learn to confidently recognize and comply with the laws that govern payment of medical expenses and independent bill review.
You will set yourself apart as a knowledge resource in your organization with enhanced understanding of medical control issues.
You’ll be able to competently handle complex claims involving utilization review and independent medical review.
Key Takeaways:
- The scope of medical treatment provided under workers’ compensation.
- Authorized physician and the role of the primary treating physician
- Utilization Review (UR) and the Independent Medical Review (IMR) procedures
- How to use the medical treatment utilization schedule .
- How to develop a UR plan in accordance with law and regulation.
- When and why IMR is used and how to appeal or implement determinations
Why choose IEA?
IEA traces its history to our predecessor organization, “The Fire Underwriters Association of the Pacific” (FUAP) created in 1876 in San Francisco, CA after the post-Gold Rush building boom.
More than 25,000 students have taken IEA certificate and designation courses
Creates the top-tier certificate courses most valued by career-driven workers' compensation & absence management professionals
About IEA
Insurance Education Association
The Insurance Education Association (IEA) exists to provide professional empowerment. We offer courses that build the skills and knowledge you need for career advancement in Workers’ Compensation, and Absence Management. Knowledge is power. It provides access to confidence, opportunity, and...
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Insurance Education Association
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