Workers’ Compensation Note Categories & Content The NARS Way Claims File Note Categories & Content Medical Medical information outside the treatment plan includes medical documentation, preauthorization, and appointment status. Subtitle examples: Medical Documentation, Pre-Authorization Medicare Medicare information, filings, and correspondence. Nurse Case Management Requests for Nurse Case Management. Nurse Case management updates and information. Pharmacy Pharmacy Benefit Manager approval/rejection with commentary as needed. Reserve Reserves set and why inclusive of specific amounts for various buckets within medical, indemnity, and expense. Roundtable Evaluations with defense counsel or a nurse case manager where they are not assigned to the file. Second Injury Fund Second Injury Fund application to the jurisdiction and injury for this claim. Settlement Settlement plan, negotiations, and settlement once achieved. Status Report Summary of the claim with objectives, strategic points, and a target date to move the file forward. SIU Notes Recommendations for sending a file to SIU. Subrogation Third-party involvement, faulty equipment, MVAs, referral to subrogation unit. Treatment Plan Medical information includes the treatment date, provider, facility, assessment, and plan. 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.
Y(Our) Workers' Compensation Guidebook - The NARS Way Page 33 Page 35