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Workers’ compensation is different than occupational medicine, which we examined in Part 1. Occupational medicine is preventative and workers’ comp is injury related. Workers’ compensation is the piece of medicine to determine the relationship to the said injury and correlating job duties and other information to substantiate the injury and presentation.
Workers’ compensation visits also require solid documentation on the injury, causes, location and other contributing factors that would indicate the facts around the presentation and injury claim. Follow up and other referring services are common with a work compensation presentation. Workers’ compensation encounters are billed on a HCFA-1500 to an “insurance or payer” for reimbursement and are usually tied to a fee schedule provided as part of a credentialing and contracting process with the employer. It is not uncommon for an employer to send an employee that was just injured in to be seen, and request a post-accident UDS, in conjunction with the encounter for the injury. This is common practice, and part of the system in place to keep a drug-free work place.
Providing quality occupational medicine and workers’ compensation services are of the utmost importance. This includes the patient, employer and your clinic. Employers and patients can end up being your best reference in the urgent care return patient visit. This is true of your work injury presentations too. By providing quality medicine, excellent follow up, and delivering a quality clinical standard for each work injury, both the patient and the employee will seek services with you again, when it is not work related.
However the two, both separate in nature, somehow coincide in the middle as co-jointed services. Both serve a distinct purpose in urgent care services and can be an excellent way to market your quality services—and care!