At the RIMS Conference in New Orleans, MaryRose Reaston, the Chief Scientific Officer and Founder of Emerge Diagnostics, discusses the major issues related to workers comp claims, the reclassification of obesity as a disease and baseline testing.
According to Ms. Reaston, the three biggest issues affecting workers comp claims including determining and accepting claims that only arise from the course and scope of employment, mandatory reporting with Medicare and soft tissue injuries, which are increasing in frequency and severity.
The American Medical Association (AMA) recently reclassified obesity as a disease. It is also be covered under the ADA (Americans for Disabilities Act) as an expanded class of a disease. Ms. Reaston says this will have severe financial implications on the workers comp and at Federal level.
Soft tissue injuries are hard to diagnose and treat, Ms. Reaston says, because. there are no instruments, like MRIs and CAT Scans, to identify soft tissue injuries.
The goal of workers compensation claims is to return the worker to pre-injury status. To do so, Ms. Reaston says, you need a baseline. “A baseline is when you look at the worker prior to the injury and after the injury to determine if there is a change in condition. “ The EFA-STM (Electrodiagnostic Functional Assessment –Soft Tissue Management) can help companies identify soft tissue injuries after they occur by establishing a baseline prior to the injury. Ms. Reaston says baseline testing is a “paradigm shift in workers compensation…it enables better care for the worker and for the work related condition.”
For more World Risk and Insurance News from the 2015 RIMS Conference in New Orleans, visit the dedicated RIMS 2015 Channel in the WRIN.tv On Demand Library.