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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
Lifeissweet8712@gmail.com
Trude Johnson: Vice President
tbjohnson1@cvty.us.com
Anne Davison: Secretary
anne.davison@sedgwickcms.com
Steven McDonald: Treasurer
SMcDonald@alversontaylor.com
Board of Directors
Dr Victor Klauser
vklausner@cohmedical.com
Dalton Hooks
Dhooks@alversontaylor.com
Gerry Meier
gerry_meier1@hotmail.com
Nancy Ignacio
nancy.ignacio@healthsouth.com
Kristi Bybee
kbybee@monoshealth.com
Special Event Committee
Heidi Spencer and Nicole Stallworth
Working Together To Keep Nevada Working
VOLUME 2 ISSUE 1APRIL 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 #1APRIL 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
kbybee@monoshealth.com
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 NVNDPCinfo@gmail.com
NEVADA DISABILITY PREVENTION COALITION
7401 West Charleston Blvd
Las Vegas, NV 89117
P: 702-384-7000 F: 702-385-7000
www.NVNDPC.com
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
NVNDPCinfo@gmail.com
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…..

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NDPC April 2015 newsletter

  • 1. 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
  • 2. Working Together To Keep Nevada Working VOLUME 2 ISSUE 1APRIL 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!
  • 3. Working Together To Keep Nevada Working VOLUME #2 ISSUE #1APRIL 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]
  • 4. NEVADA DISABILITY PREVENTION COALITION 7401 West Charleston Blvd Las Vegas, NV 89117 P: 702-384-7000 F: 702-385-7000 www.NVNDPC.com 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…..