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The Annual Seminar features workers’ compensation experts from across the industry discussing a variety of timely topics. This educational opportunity provides valuable information for employers, attorneys, insurance professionals, rehabilitation counselors, medical providers and others interested in the Idaho workers’ compensation system.
This year’s sessions will include:
KEYNOTE |
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The keynote, “Recovering the Worker,” aligns seamlessly with themes of empathy, communication, and active listening in the context of return-to-work initiatives. It explores how such programs not only reduce claims costs but also foster healing and support for injured workers. The talk emphasizes the importance of an advocacy-based approach, offering insights into enhancing employee retention and engagement throughout the return-to-work process, ultimately promoting a deeper sense of connection and success in navigating insurance claims. |
BREAK OUT SESSIONS |
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Ethical Duties when Leaving a Firm and Candor to the Tribunal Join Joseph Pirtle as he covers the Idaho Rules of Civil Procedure that commonly come up when an attorney leaves their employer, including duties owed to clients, communication requirements and working with the former firm before and after departure. During this session he will also cover the duty of candor to the tribunal instances when the duty of candor is greater than the duty of confidentiality. |
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Understanding Appropriate Prosthetics & Orthotics, and how to Manage the Cost Drivers Learn how to manage the cost drivers in high dollar prosthetics, it will educate the audience on when prosthetics need to be replaced, how the electronic devices function and when is it cost effective to purchase an extended warranty. Mr. Saunders will also explain how we calculate life cost projections for reserve purposes, and when is it appropriate to use high technology, as well as briefly discuss Osseointegration newest technology and how it will save 100’s of thousands to the carrier over the life of the claim. |
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Join Dr. Iglesias as he discusses medical developments that are having and are poised to have an impact on how we manage workers compensation claims. Mental health and wellness have become more accepted in the management of work-related injuries. Learn how to think about the wide continuum of psychological issues facing injured workers and how the right approach is essential. We will discuss the prevalence and proper management of PTSD claims. Learn about psychedelic drugs being used for mental health diagnoses. We will also discuss the impact of growing vertical integration in healthcare and uses for artificial intelligence and machine learning. |
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Unintentional blood and body fluid exposures account for a significant portion of workplace injuries. This presentation will focus on types of body fluid exposures and their associated risks of spreading blood-borne pathogens, specifically hepatitis B, hepatitis C, and human immunodeficiency virus (HIV), to the affected worker. We will also review how to both prevent and treat spread of these pathogens. |
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Severely injured workers are an ongoing concern for the workers compensation industry. NCCI will reveal the characteristics of these injuries, underlying frequency trends, and associated cost drivers. Separately, NCCI will provide an update on medical cost trends and the components that drive utilization of hospital stays and prescribing trends. |
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Under the Medicare Secondary Payer Act, parties to a workers’ compensation claim are required to protect Medicare’s past, present, and future interest. This session will cover the intricacies of Medicare conditional payment resolution, Section 111 mandatory insurer reporting, and Medicare Set-Aside arrangements. We will also review the most recent updates to the applicable regulations, case law, and guidance that govern these areas, including the recent promulgation of the final rule regarding civil monetary penalties for noncompliance with Section 111 reporting requirements. |
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Dr. John’s presentation will cover how to define the scope of the problem, understand the anatomy, physiology, and causes of back pain (especially low back pain), learn about evaluating and treating back pain using evidence-based guidelines and a biopsychosocial approach, and finally, how to determine an appropriate PPI (Permanent Partial Impairment) and IME (Independent Medical Examination) for the patient. |
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After this presentation, the attendee will have an understanding of the benefits of a Workers’ Compensation Medical Case Manager to the injured worker, claim professional, employer, provider(s), as well as the attorney. Attendees will gain an understanding of the duties and obligations of the Medical Case Manager, as well as the workers’ compensation case management process. |
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This session will cover the Idaho Department of Insurance authority to investigate insurance fraud, the purpose of the investigation’s section, the elements of insurance fraud, and our process once we receive a referral regarding a suspicious Workers’ Compensation claim. The training will also consist of several case scenarios. |
CASE LAW REVIEW |
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Andy and Susan have scoured the recent case law and will summarize recent developments in Idaho workers’ compensation. They will entertain you with the most significant and/or wacky decisions, offering perspective from both sides of the aisle.
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Recovering the Worker: Fostering Healing through Advocacy-Based RTW Strategies
Medical developments in workers compensation
Management of Accidental Blood and Body Fluid Exposures in the Workplace
Severe Injuries Deconstructed and Medical Cost Trends
Medicare Secondary Payer Landscape: The 3 Pillars
A Pain in the Back: E&T, PPI, and IME
Duties and Obligations of a Workers’ Compensation Case Manager
Workers’ Compensation Insurance Fraud