Workers’ Compensation Claims File Documentation Examples The NARS Way – WC Claims File Documentation Example Guide BEST PRACTICES Status Report – Note Category “Status Report” This is an Iowa claim in which a 23-year-old cook slipped and fell in the kitchen while washing dishes at The Bistro. He sustained a fracture to his right arm and underwent surgical intervention with Dr. Smith at GIKK Ortho on 6/7/2020. His last follow-up was on 8/6/2020, when the injured worker was released to a modified duty of no lifting greater than 25 pounds. He returned to work with restrictions on 8/7/2020. Critical Risk Assessment: Claim is a low risk given the compensable right arm injury, no red flags, and witnessed injury. No surveillance is needed at this time, and agrees with the medical treatment, so there is no reason to question it. Goal: Return the injured worker to his pre-injury employment and issue any impairment owed as a result of injury. Strategic Points: 1. Follow up with injured worker on a weekly cadence until released from medical care to ensure progress and healing are moving forward. This will be done by telephone and followed up by email. 2. Obtain a full duty release at the next appointment: 12/4/2020. Will follow up with injured worker for Patient Status Report post appointment and provide a copy to the employer. 3. Target date for MMI is Jan. 2021. If we do not obtain a release, we plan on an IME, recommend sending a nurse to the next office visit, etc. 4. If we obtain MMI, pursue a permanency rating and issue payment. Process all medical bills and finalize EDI with the State. Target Closure Date: 02/28/2021. SIU Notes – Note Category “SIU Referral” No referral to SIU at this time. See investigation file note. Subrogation – Note Category “Subrogation” There is no third-party involvement or faulty equipment in this matter. There is potential subrogation against the driver as this was an MVA in which the injured worker was struck from behind while traveling for work. File has been referred to the subrogation unit/SubroIQ for assistance. NARS’ Best Practices were created by and for the internal use of NARS and are confidential, proprietary and trade secret documents protected by the Uniform Trade Secrets Act and applicable state/federal law. They may not be copied, distributed, or reproduced, in whole or in part, without NARS’ express prior written authorization. Unauthorized use or distribution may be subject to civil and/or criminal penalties.