How to Simplify ICD-10 Codes Using RateFast

Update for 2021: RateFast Express is an even easier alternative to the wonderful RateFast software. Try RateFast Express today!

As of October 1st 2015, U.S. medical providers are required to use ICD-10 codes instead of ICD-9 codes.

Although there are more than 70,000 new codes (many of which feature an overwhelming amount of specificity) we believe that this transition can—and should—be simplified with the help of medical software.

Continue reading How to Simplify ICD-10 Codes Using RateFast

What is Occupational Telemedicine?

Try RateFast Express today!

Our sister website www.pr4report.com recently created a downloadable FAQ about telemedicine in workers’ compensation—or “Occupational Telemedicine.”

If you’re in workers’ compensation and you’d like to learn more about how you can use telemedicine—online visits—to benefit your practice and patients, then just this might be worth reading.

Click here to download a printable list of Frequently Asked Questions about telemedicine for medical providers in work-comp.

A lot of RateFast members use telemedicine in conjunction with RateFast to great effect. Contact us for more information about how telemedicine can benefit your medical practice.

 

Automatic billing for your PR-4 reports! How to use the RateFast Billing Calculator

Update for 2021: RateFast Express is an even easier alternative to the wonderful RateFast software. Try RateFast Express today!

Accurately sending your bill for a PR-4 report can be a time consuming process, but it doesn’t need to be.

The RateFast PR-4 Billing Calculator counts the amount of pages in your PR-4 report, asks some basic questions, and then prints out a bill at the end of your report.

This article describes how to turn on the billing calculator and how to use it correctly.
Continue reading Automatic billing for your PR-4 reports! How to use the RateFast Billing Calculator

ICD-10 Codes in RateFast

Update for 2021: RateFast Express is an even easier alternative to the wonderful RateFast software. Try RateFast Express today!

If you’re a medical provider in the U.S., then you know that on October 1st 2015 we will be switching from ICD-9 to ICD-10 codes. There are more than 100,000 new codes.

A lot of medical workers are concerned that the transition might be rocky, but RateFast users need not fear.

Continue reading ICD-10 Codes in RateFast

Completing the “Objective Findings” section in RateFast Reports

Update for 2021: RateFast Express is an even easier alternative to the wonderful RateFast software. Try RateFast Express today!

If you’re a current RateFast user, then you’ll recognize these exams from the “Objective Findings” section of your Doctor’s First, PR-2, and PR-4 reports.

All the information in the Objective Findings examinations should be, well, objective: any other medical provider should be able to examine the patient’s injury and come back with the same results.

Some parts of an Objective Findings examination require you to take measurements using various pieces of equipment (such as goniometers and inclinometers) or to perform different types of tests (such as distal neurovascular exams and monofilament testing).

Screenshot 2015-09-04 14.50.20

Related Reading

Click here for a full list of the body part exams that are currently written into the RateFast application.

When should an injured worker get an attorney?

If you’re a medical provider in workers’ compensation, then sometimes your patients might want legal representation.

When your patients ask, “Should I get an attorney?” then we recommend referring them the Disability Evaluation Unit.

To learn why, listen to our podcast on the subject here: “Attorneys in Workers’ Comp: A Historical Perspective” (released September 3rd, 2015).

 

 

The DEU has offices in the following locations:

Anaheim
1065 N. PacifiCenter Drive
Anaheim, CA 92806
(714) 414-1803
Oxnard
1901 N. Rice Avenue,
Suite 200
Oxnard, CA 93030
(805) 485-4423
San Francisco
455 Golden Gate Avenue,
2nd floor
P.O. Box 420603
San Francisco, CA 94142
(415) 703-5030
Bakersfield
1800 30th Street,
Suite 100
Bakersfield, CA 93301-1929
(661) 395-2723
Pomona
732 Corporate Center Drive
Pomona, CA 91768
(909) 629-6288
San Jose
100 Paseo de San Antonio,
Room 223
San Jose, CA 95113
(408) 277-2024
Eureka
* Satellite office
Ratings to be sent to
Redding
Redding
250 Hemsted Drive,
Second Floor, Ste. B
Redding, CA 96002
(530) 225-3179
San Luis Obispo
4740 Allene Way,
Suite 100
San Luis Obispo, CA 93401
(805) 596-4157
Fresno
2550 Mariposa Mall,
Room 2005
Fresno, CA 93721-2280
(559) 445-6427
Riverside
3737 Main Street,
3rd floor
Riverside, CA 92501
(951) 782-4345
Santa Ana
605 W Santa Ana Blvd, Bldg 28,
Room 451
Santa Ana, CA 92701
(714) 558-4113 ext. 6749
Long Beach
300 Oceangate Street,
Room 325
Long Beach, CA 90802-4460
(562) 590-5017
Sacramento
160 Promenade Circle,
Suite 300
Sacramento, CA 95834
(916) 928-3150
Santa Barbara
* Satellite office
Ratings to be sent to
Oxnard
Los Angeles
320 W. 4th Street,
9th floor
Los Angeles, CA 90013
(213) 576-7426
Salinas
1880 North Main Street,
Suites 100/200
Salinas, CA 93906-2204
(831) 443-3222
Santa Rosa
50 “D” Street,
Suite 420
Santa Rosa, CA 95404
(707) 576-2374
Marina del Rey
4720 Lincoln Blvd
2nd floor
Marina del Rey, CA 90292
(310) 482-3868
San Bernardino
464 W. Fourth Street,
Suite 260
San Bernardino, CA 92401
(909) 383-4522
Stockton
31 East Channel Street,
Room 417
Stockton, CA 95202-2314
(209) 948-3651
Oakland
1515 Clay Street,
6th floor
Oakland, CA 94612
(510) 622-2859
San Diego
7575 Metropolitan Drive,
Suite 202
San Diego, CA 92108
(619) 767-2081
Van Nuys
6150 Van Nuys Blvd.,
Room 200
Van Nuys, CA 91401-3373
(818) 901-5376 ext. 5

Try RateFast Express today!

RateFast Welcomes Phil Walker

Phil-Walker-An-Introduction-250x375New Podcast

Over at the California Work Comp Report podcast, we’ve just released an episode featuring workers’ compensation attorney Phil Walker. 

Phil will be joining us for more podcasts as we explore the intersection of law, medicine, and patients’ needs in work comp.

You can check out the episode called “Attorneys in Workers’ Comp: A Historical Perspective” here, and you can also read a complimentary blog post.

About Phil

Phil has over 30 years experience in several different workers’ compensation systems from Canada to Mexico to the Rockies.

He is an expert on the AMA Guides, 5th edition (which California currently uses for evaluating and rating work injuries). Phil helps employers figure out if doctor’s work-comp reports are correct.

For more information about Phil and his services, you can visit his website here

Try RateFast Express today!

Attorneys in Workers’ Comp: Who they are, what they do, and when to get one

Roles that Defense and Applicant Attorneys play in Workers’ Comp: A historical perspective

Many workers’ compensation claims today involve an attorney at some point. The work comp system, when it came to the United States from Germany, was supposed to be simple, transparent and efficient—a system without attorneys or judges, that focused on three simple steps: 

  1. Medical treatment
  2. Patient recovery
  3. Patient’s return to work

Any permanent impairment would be measured by a doctor with a simple formula, and would tell you how much that injury was worth. 

Permanent disability, on the other hand, was originally used to measure the amount of machines the worker could no longer operate.  The amount of compensation that the injured worker received would then come from that loss.

So, how did work-comp become one of the most complicated areas of law?

Why are defense attorneys involved in today’s workers’ compensation system? There are two primary reasons why attorneys need to get involved: 

This, in turn, results in: 

  • Increased cost of the claim.
  • Increased amount of medical treatment ultimately provided.

And, finally, that an injured worker seeks out an attorney.  This can then further result in additional body parts being added to the claim.  Therefore, providers should always be asking themselves:

“How do I get this case accurately resolved, in the fastest amount of time?” 

When this doesn’t happen, lawyers get involved.

Related Reading

“When should an injured worker get an attorney?”

Try RateFast Express today!

Carpal Tunnel Syndrome: What it is and how to measure it

This article is intended for medical providers and others who are interested in carpal tunnel syndrome that is caused by workplace activity.Carpal Tunnel Syndrome

What is carpal tunnel syndrome, exactly?

Carpal tunnel syndrome, or CTS, is caused by pressure on the median nerve in your wrist. The median nerve travels from the forearm through the carpal tunnel into the hand.

What are the symptoms of CTS?

  1. Numbness
  2. Tingling
  3. Weakness
  4. Shooting pain

For further reading on the symptoms of CTS, check out this Mayo Clinic article.

How often does CTS occur?

A lot. According to the American Academy of Family Physicians, Carpal Tunnel Syndrome (CTS) occurs in approximately 3-6% of the adult population.

While CTS can be caused by genetics, diabetes, and pregnancy one major factor can be repetitive, forceful movement. As a result, CTS is a very common workplace injury.

How to measure CTS for an impairment rating

When CTS is caused by work related activities, and if an employee is permanently impaired due to CTS, then the condition requires an impairment rating.

Like all injuries, calculating an accurate impairment rating for CTS requires measurements that can be reproduced. In other words, it’s important the medical providers measure CTS in their patients multiple times to ensure that another provider would obtain the same measurements.

In California (and many other states), all impairment ratings for work-related injuries should be calculated according to the AMA Guides, 5th edition.

According to the Guides, the objective factors that affect the PR-4 impairment rating include sensory loss, grip and pinch loss, and loss of range of motion.

If you’ve used RateFast to write a PR-4 report for an injury to your patient’s wrist, then you probably remember being prompted to measure each of these factors.

CTS Factors and Measurement Tools

  • Sensory loss should be measured with two-point discrimination and monofilament testing using the Semmes Weinstein monofilaments.
  • You can measure grip and pinch loss with a dynamometer.
  • Measure the patient’s loss of range of motion with a goniometer. (Check out the RateFast Goniometer app, available for iOS and Android.)

Remember to use the proper devices to take all measurements twice to make sure your findings are compliant with the AMA Guides. When medical providers don’t take multiple measurements, then their PR-4 report will be incomplete. The result is often an inaccurate impairment rating—which can result in happy insurance carriers and unhappy patients.