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Richard Hammar discusses the new safety requirements for cribs for church nurseries and child care facilities. View the recording of the 2011 Tax Tip Briefing hosted by Richard Hammar and George Paul Wood. Richard Hammar discusses the latest tax updates that affect a minister's housing allowance.
View the recording of the 2010 Tax Tip Briefing hosted by Richard Hammar and George Paul Wood.
Last year, KFF.org released an Employer Health Benefits Survey that found small businesses are much less likely than larger businesses to offer health benefits to their employees. Because the majority small businesses (~55%) get health insurance on the individual market or go uninsured, the biggest effects health care reform has on small business owners will likely be the changes in the individual insurance market (not the changes in the small business market). According to KFF.org, an estimated 60% of small business owners who are now buying insurance in the individual market have incomes less than 400% of the FPL and would be eligible for the new tax credits in 2014. Download this guide to learn about the current landscape of employer health insurance, and how employer health insurance is changing. The Health Plan Identifier Rule (Administrative Simplification) requires group health plans to get a health plan identifier (HPID) by November 5, 2014 and begin using it in HIPAA transactions by November 7, 2016. The Affordable Care Act included a provision called Administrative Simplification, which broadens existing requirements under the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The Administrative Simplification Rules set standards and operating rules for how issuers like Blue Shield of California and other covered entities interact with providers, particularly regarding electronic transactions of information. Fully insured groups that purchase health insurance through Blue Shield of California are not likely to be considered a health plan by HIPAA and are not required to obtain their own Health Plan Identifier. As a Controlling Health Plan, Blue Shield of California must comply with these mandated requirements. The second part of the rule requires the use of the HPID in the HIPAA standard transactions by November 2016. This web site is owned and maintained by Steve Shorr Insurance, which is solely responsible for its content.
In a world where medical costs have increased dramatically in recent years most families find it necessary to purchase insurance to offset the high cost of medical treatment. Often health insurance coverage is provided by an employer as part of an employee’s overall compensation package. Download these forms to assist you in gathering information necessary to secure life, accident or health insurance coverage. Such meetings allow the DMD to transmit concerns and suggestions from the medical community to district office managers.
The DMD does not perform medical examinations or functions of a clinical nature except for participating in evaluation of claimants who seek an award for disfigurement of the face, head or neck (see Chapter 3-700). In this capacity, the DMA may advise whether a claimant's condition is employment-related, whether the effects of an accepted condition continue, and whether the claimant is receiving appropriate medical care, including whether recommended procedures, appliances or treatment are useful or necessary. The Employees' Compensation Appeals Board has addressed the role of the DMA in its decision in the case of Carlton L.
The role of the Office medical adviser is to act as a consultant in reviewing cases under the Federal Employees' Compensation Act. A case sent to the DMA for evaluation of another matter may reveal issues pertaining to the suitability of medical care, and the DMA is expected to use his or her medical expertise to recognize such problems and bring them to the CE's attention.
While phone contacts are not restricted as to frequency, the nurse must keep in mind that too many phone contacts may inadvertently reinforce patients who exhibit high levels of pain and illness behavior. Usually vocational rehabilitation services do not begin until nurse services end, but in these cases it may be important to begin vocational counseling during the period of nurse intervention.
As soon as the Field Nurse completes the visits with the claimant and treating physician, the nurse discusses findings from the visits and the subsequent plans for follow up action with the CE and the Staff Nurse. Once the plan has been formulated, the nurse monitors the physical progress of the claimant and obtains a return to work date from the physician, when appropriate.
The nurse may also recommend a second opinion examination, and with the CE's concurrence, schedule it.
If the return to work is delayed, the Field Nurse communicates this to the CE and discusses the reasons with all parties concerned as necessary. However, if medical problems prevent or cut short the return to work, the nurse ensures the completion of OWCP-5 by the physician, closes the intervention and refers the case to the CE. If there are no job adjustment or medical problems, but the nurse has reason to believe that there is non-cooperation on the part of the claimant, he or she refers the case to CE for further action, presenting well reasoned justification for his or her opinion. Should the Field Nurse identify physical or psychological barriers, deterioration of the medical condition, or any other indication that the return to work may not be successful, he or she contacts all interested parties as necessary to resolve the issues within the 60 day time frame. Extensions of services may also be necessary or desirable in other cases to ensure that initial return to work is successful, or to help the claimant reach higher levels of physical capacity, resulting if possible in return to full-time full duty. After the 60-day follow-up period ends, the FN may continue to work toward full-time full duty if the medical evidence shows that such an outcome is likely.
The CE determines the need for these examinations and prepares a list of questions to be answered by the examining physician. In those areas where travel by the Field Nurse to the district office would require several hours or necessitate air travel, the Staff Nurse may wish to consider travel to cities where the Field Nurses are located. The Staff Nurse should have reviewed and clarified the elements of each of these reports during the Field Nurse training session.
For example, the nurse's reports are consistently late or there has been no follow up either by phone or in person with the treating physician.
The CE or SN also notifies the Field Nurse (FN) assigned to the case of the authorization of the FCE and provides the FN with a copy of the authorization. He is an attorney, CPA, and author specializing in legal and tax issues for churches and clergy. Richard Hammar discusses some rules related to charitable donations near the end of the year. Specifically, only 50% of small businesses with 3-9 employees offered health benefits compared with 98% of firms with 200+ employees.
Additionally, 83% of the owners who are now uninsured would be eligible for the new tax credits in 2014. Blue Shield of California has obtained an HPID and is ready for the November 5, 2014 deadline. The ultimate goal of these requirements is to reduce costs by streamlining transactions and making existing standards work more efficiently. Guidance available on the CMS website may be referenced for groups unsure if they qualify as a health plan as defined by HIPAA. As a controlling health plan (CHP), self-funded plans will be required to obtain an HPID even if the plan does not conduct any of the electronic transactions and the HPID will not be used for this purpose.
To help health plans, the Center for Medicare and Medicaid Services (CMS) created an HPID website that has information about the HPID, including videos and presentations.
Blue Shield of California will be assessing the implementation of the HPID in the standard transactions in 2015.
This site is not maintained by or affiliated with Covered California, and Covered California bears no responsibility for its content. Whether or not you visit a physician on a regular basis it is important to protect your financial well being from the risk of a catastrophic accident. Through participation in group insurance coverage an employee is able to qualify for coverage and share claims risk with other participating associates. A claimant is paid compensation for total disability when the employee is medically unable to perform gainful employment due to employment-related injury, disease or illness. Reduced benefits are paid when the employee is not totally disabled but is capable of performing duties which are compatible with the medically imposed work limitations resulting from the injury, disease, or illness.
Establishes liaison with regional professional societies State health departments, and individual providers within the district office's jurisdiction. These contacts may be arranged by the DMD alone, or by the DMD in conjunction with district office management, and it may take the form of contacts with local medical societies and other groups of physicians such as the medical staff of local hospitals, and providers in group practices.
Identifies and evaluates the credentials of physicians willing to serve as consultants (DMAs) to manage workloads. Establishes and administers a network of medical specialists (second opinion specialists) and DMAs who provide the Office with medical opinions (see Chapter 3-900). Provides training and guidance to Claims Examiners (CEs) and other district office staff regarding medical issues. Identifies and reports medical trends to district office management and the OWCP Medical Director.
Provides professional opinions and technical advice in connection with the adjudication and management of complex claims. Moreover, while the DMD does not act in a supervisory capacity per se, he or she does have administrative oversight with respect to the medical functions of the district office. The criteria used in assessing the suitability of medical care as well as Office policies regarding specific treatments and appliances which may be authorized are discussed in Chapter 3-400.
The duration or frequency of treatment appears excessive for the condition or incompatible with the norm for the medical community.
Claimants not infrequently request changes in attending physician, but the Office seldom initiates this action. Selecting cases for intervention, in some district offices, and assigning them to Field Nurses with the CEs' concurrence. Procuring and selecting enough field Nurses to provide high quality services to OWCP claimants, and managing and monitoring their activities on a case by case basis as well as cumulatively. Training Field Nurses on intervention procedures and formal and informal training of CEs and OWCP staff on these procedures and other medical topics as warranted in the particular office. Performing other liaison activities such as outreach to the medical community and scheduling certain second opinion and impartial examinations to ensure that these are performed in a timely fashion and the resulting reports address CEs' concerns fully. Intensive intervention is reserved for catastrophic cases such as head or spinal cord injuries with extensive functional deficits where the medical recovery is expected to extend over long or indefinite periods of time.
These cases ordinarily require more than 90 days to adjudicate, thus placing them outside the optimum time frame for nurse intervention. Staff Nurses may identify cases that meet the above criteria using automated reports of CA-7 payments or other reports containing similar information.
In some instances, employing agencies, Vocational Rehabilitation Specialists, District Medical Directors or Advisors and others can identify cases which may benefit from nurse services. The Field Nurse notifies the claimant that they will be working together through the recovery stage.


The Field Nurse will contact the treating physician to discuss current and future treatment regimes. If these are not forthcoming or if the physician refuses to communicate with the nurse, the intervention with the claimant and employing agency should continue and the MD's refusal to participate should be communicated to the CE. If necessary, the nurse forwards a OWCP-5 form to the treating physician to define the work restrictions present and the level of function of the individual. However, if the physician selected is not listed in the Physicians' Directory System, the nurse should advise the Medical Management Assistant of the physician's name and address so that this information can be added to the system. The nurse endeavors to re-establish the return to work emphasis, define a new date and verify that indeed the claimant returns to work on or near the expected date. Upon closing the case, the Staff or Field Nurse may choose to offer specific recommendations such as referral for a second opinion examination, referral to vocational rehabilitation, or change of physician. If a job adjustment problem (difficulty with the employing agency) is the cause for the continuing lack of employment or stopping work, the nurse refers the case to the CE for further action, clearly stating the nature of the problem. Where the OWCP-5 indicates that the claimant is able, or will be able, to work four hours or more, the nurse recommends vocational rehabilitation services. The Field Nurse will accompany the claimant to the facility on the first day back on the job. In turn, the Staff Nurse forwards the memorandum to the CE assigned to the case, closes the case from a nursing viewpoint and notes the return to work in the tracking system.
Extensions may also be granted if work-related surgery is necessary, or if the injury is a catastrophic one. The CE may approve a 30-day extension (60 days if requested so that the nurse can provide follow-up services after return to work). Where the claimant has not returned to full-time full duty, the FN should stress the need to return to maximum functioning and work potential. The FN and the Staff Nurse should recommend additional time in increments of no more than 30 days each, up to a total of 60 days.
During the interruption, the FN should stay in touch with the claimant to monitor medical issues and maintain a focus on return to work.
The nurse is encouraged to communicate either with the CE or the Staff Nurse informally as well as by written report whenever this is necessary during the return to work effort. District offices may set their own criteria in this respect or use six weeks as the standard. When the report does not address all questions posed by the CE, or contains equivocal answers, the nurse so notifies the CE. Advertisements may also be distributed to local hospitals, universities, nursing schools and vocational rehabilitation companies.
The appraisals and the reasons for the selections must be well documented by the Staff Nurse. The document details the various responsibilities of the nurse and the time frames within which he or she is to accomplish them. However, sometimes the special needs of the claimant rather than locale may dictate the choice of nurse for a specific case. This authorization letter reiterates the nurse's functions, responsibilities and reimbursement rate as listed in the memorandum of agreement. The Field Nurse should complete the Initial Evaluation Form, as shown in Exhibit 1, and return it to the Staff Nurse within 30 days after initial contact with the claimant and the physician.
Only the specific internal codes with appropriate terminology and dollar amounts designated for professional and non-professional services will be acceptable. A HCFA-1500 needs to be completed in duplicate for each claimant receiving nursing service.
A CE or SN may authorize a general-purpose FCE in cases where management of disability calls for clarification of job tolerances, job modifications, etc., and the treating physician, second opinion or referee specialist recommends or requires this service.
Before authorizing the FCE, the CE or SN should review the case and verify that the injury occurred more than three months ago, the functional impairment is of moderate to high complexity, and the services recommended by the physician exceed routine physical performance tests and measurements (e.g.
The CE or SN completes the authorization form and enters the authorization in the "Notes" section of the Case Management File (CMF).
Department of Labor, Federal Employees' Compensation Program (FEC) is currently seeking to contract with nurses to work with claimants and their treating physicians to coordinate treatment, promote recovery and ultimately facilitate the return to work of the claimant.
Hammar takes a look at the latest tax information that churches and ministers should know about. As a result, the employees of small businesses that do not offer coverage often rely on employer-based insurance through a family member or buying health insurance in the individual market. However, we understand that some of our Administrative Services Only (ASO) plans and fully insured accounts are asking how to comply with the rule.
Based on our understanding, most self-funded plans will meet the definition of a CHP and need to obtain their own HPID. The site also includes details about the Health Plan and Other Entity Enumeration System (HPOES). The e-mail addresses and telephone numbers that appear throughout this site belong to Steve Shorr Insurance, and cannot be used to contact Covered California, directly, unless specifically stated. The right policy can protect you and your family from health-related financial difficulties.
This part of the procedure manual describes for both physicians and claims personnel the procedures for administering the medical care program under the Federal Employees' Compensation Act (FECA).
Services prescribed or recommended by a qualified physician which are likely to cure, give relief, reduce the degree or the period of disability, or aid in lessening the amount of monthly compensation may be authorized.
Compensation is paid for lost wages resulting from the employment-related injury, disease or illness. Compensation for permanent impairment of certain members or functions of the body may be paid regardless of the employee's ability to work. Vocational rehabilitation services are provided when an injured employee is unable to return to his previous work (section 8104 of FECA). A range of benefits for the dependents of an employee whose death was employment-related is provided (sections 8133 and 8134 of the FECA). Other benefits include reimbursement for transportation costs incurred in obtaining medical treatment or rehabilitation services. By statute, the term "physician" includes surgeons, podiatrists, dentists, clinical psychologists, optometrists, osteopathic practitioners, and chiropractors within the scope of their practice as defined by state law. These practitioners are defined as "physicians" only to the extent that their reimbursable services are limited to treatment consisting of manual manipulation of the spine to correct a subluxation as demonstrated by X-ray to exist. These practitioners, who are not physicians under the Act, receive academic training and clinical experience and may be certified by the National Commission on the Certification of Physician's Assistants. The Christian Science Church permits treatment of its members only by its own practitioners, though it has no objection to periodic examinations to determine entitlement to compensation and to assess whether maximum medical improvement has been reached. The roles of the District Medical Director, District Medical Adviser, Medical Management Assistant, and Staff Nurse are discussed briefly in Chapter 3-200, and the Staff Nurse's work is addressed more fully in Chapter 3-201. This chapter describes the roles and responsibilities of OWCP medical staff, which usually includes a senior Federally employed physician as District Medical Director, (DMD), one or more District Medical Advisers (DMA), one or more Medical Management Assistant(s) (MMA), and a Staff Nurse.
The responsibility for oversight of the Office's medical benefits program is vested in the DMD, who works under the medical guidance of the OWCP National Office Medical Director and the administrative supervision of the Regional Director (RD) or the District Director (DD). The DMD can familiarize the medical community with the nature of the program and its needs and objectives. The DMD may also obtain from district office files the names of physicians who have served as consultants in cases involving a particular disease, such as asbestosis, and sponsor meetings to discuss changes in diagnosis and treatment as well as administrative matters. The DMD can also perform a useful function by encouraging employing agency personnel to conduct limited outreach efforts with physicians in their respective geographic areas. The DMD may properly advise CEs concerning the tone and content of letters sent to members of the medical community. The DMD advises the DD or RD concerning customary ranges of fees for various services in the area and advises the RD concerning exclusion of medical providers.
The CE seeks the interpretive function of the DMA where the medical evidence is complete and sufficient prior to such review. The CE seeks advice from the DMA to proceed with developing and weighing the medical evidence where the report from the attending physician, second opinion or referee specialist is not clear and well rationalized, and the DMA provides written opinions on medical questions posed by members of the claims staff. Transfers of care should be handled according to the claimant's medical needs with due regard for medical protocol.
The MMA examines incoming case files to ensure that all necessary information is present, including a list of questions and Statement of Accepted Facts. The MMA schedules appointments for second opinion and referee examinations in accordance with the Office's procurement and rotation policies and the specific requirements of each type of examination. The MMA prepares letters to claimants and physicians once such examinations have been scheduled and ensure that all necessary information and material is provided to each party. The MMA maintains records concerning utilization of physicians in each category as well as logs pertaining to prompt payment of bills; keep records of cases out of the office and contact physicians when reports and cases are overdue. The MMA maintains information concerning exclusion of medical providers and ensures that documentation of alleged infractions is routed to the correct parties within the district office. The OWCP Staff Nurse is responsible for coordinating the nurse intervention process in the district office, which in turn is directed toward managing disability claims to facilitate recovery and, if possible, return to work. The role of the Staff Nurse in the FEC district offices is to aid in managing disability cases. In its broadest scope, case management is a comprehensive approach to minimize the length and perhaps the extent of disability in some compensation cases.
Nurses involved in case management may be OWCP staff members or private sector professionals working with the program on a contractual basis. The Staff or Field Nurse functioning in this role will be working closely with OWCP office staff and claimants, physicians in the community, and employing agencies to assist in the return to work effort. The nurse intervention process can be classified according to the degree of interaction: limited, moderate or intensive. The intervention process, regardless of the type, can be divided into four stages as briefly described below. The Staff Nurse, CE or other staff identifies cases for intervention according to standard criteria.
The Field Nurse reviews the physician's overall treatment plan and identifies areas needing CE attention (prior authorization for surgery, prolonged bed rest, etc.) As necessary, the nurse discusses issues with the parties concerned and participates in updating or modifying the treatment plan to fit the claimant's changing health status. The Field Nurse determines whether return to work is possible and whether return to work plans are available and feasible. The Staff Nurse assesses the outcome of the intervention and, as necessary, follows up in the case to ensure continuity in its management.


Nurse intervention early during the period of disability is one of the major components of the quality case management procedures. Cases which have been traditionally associated with poor outcomes in terms of return to work, cases where the outcome is uncertain, and cases where specific medical issues need to be clarified, should be referred for nurse intervention. The Staff Nurse selects the type of intervention needed based on the nature and severity of the claimant's condition, the claimant's geographic location and other factors.
The CE is made aware of the need to authorize particular therapies, and that the return to work is part of the treatment plan. He or she may discuss the content and the use of the form by OWCP and the employing agency with the physician. The SN may complete Form OWCP-14 to refer the case for vocational rehabilitation services, but may not sign the form. A meeting is held by the Field Nurse with all concerned (claimant, supervisor, injury compensation specialist) to confirm an understanding of the basis of the return to work requirements and to clarify roles. Interruptions of services may be desirable because other medical conditions, either work-related or not, hinder the return to work effort. During this period, the Field Nurse may charge for 60 professional hours or $3,000, whichever comes first.
The FN should also continue to pursue increases in work tolerance limitations and obtain descriptions of them on Form OWCP-5 at periodic intervals if the claimant does not return to full-time full duty. In general, the simple procedures should require no more than 8-10 hours of professional services within the 30-day period. Return to work may be affected by other medical conditions (work-related or not), including pregnancy. If surgery is involved, the FN will typically review the attending physician's orders with the claimant after surgery and monitor the claimant's course at home. The Field Nurse should inform the Staff Nurse of the medical progress of the claimant and of issues which may hinder the recovery process. Using the data described below, the Staff Nurse will be able to analyze various aspects of the program and obtain the basic statistics necessary to manage the nurse intervention effort.
From the moment a claimant is selected for intervention, the Staff Nurse or another designated individual must track the case through the Case Management File (CMF) Tracking System and, in district offices where it is installed, the Nurse Tracking System (NTS). Information regarding the Field Nurses should also be maintained, including the name of each nurse, his or her geographic location, and hourly rate. By definition, case management includes the referral of certain injured workers for second opinion and referee examinations by medical specialists to ensure the appropriateness of the treatment plan, verify the level of disability and address other issues related to the medical recovery.
The use of the Physicians' Directory System (PDS), an automated directory and tracking mechanism, is mandatory in scheduling all referee examinations and is optional in the scheduling of second opinions. Claimants are to be scheduled as close to home as is feasible (25 miles is considered reasonable in most urban areas).
The nurse may review outgoing material for comprehensiveness of medical data and clarity of the questions posed by the CE. Reports that are not timely should be noted in the NOTES section of the PDS for monitoring purposes.
Upon request of the CE, the nurse may notify the physician's office of these deficiencies and request clarification or completion of the report. The Staff Nurse is responsible for procuring, training and managing Field Nurses who will work directly with OWCP claimants in the return to work effort. The Staff Nurse develops a structure and a timetable for the procurement and selection of Field Nurses taking into account the geographic, volume, and operational requirements of the district office.
The agreement also details the nurse's hourly professional and administrative reimbursement. Once Field Nurse selections have been made and memoranda of agreements have been signed, the nurse's name, phone and address need to be recorded into the Nurse Tracking System, where available, or into a manual log.
For example, a claimant with a psychiatric or neurologic disorder would benefit from the intervention of a nurse having this kind of expertise.
The authorization letter also includes the claimant's name as well as all available medical data for use by the nurse in his or her intervention.
A supply of these forms may be included in the initial authorization packet or sent to the Field Nurse under separate cover with instructions for completion. When any of these responsibilities are not fulfilled by the Field Nurse, the Staff Nurse needs to take immediate corrective action.
The staff nurse needs to issue verbal warnings to the field nurse after the first two violations, issue written warnings to the field nurse after the second two violations, and terminate the field nurse's working relationship with OWCP after the fifth violation, ensuring that there has been 30 days' prior written notice. While the primary function of the Staff Nurse is to coordinate nurse services, there are other medically related activities which require his or her expertise.
The automated enhancements to the medical bill processing system will suspend bills for a variety of medical issues. However, only a Rehabilitation Specialist can authorize an FCE in connection with an ORP (see PM 2-813).
Based on the severity of the case and whether or not any complicating factors are present, up to eight hours can be approved for a general-purpose FCE. To ensure the accurate processing of bills for the FCE, the following information must be included: the approved service code, the number of hours approved, the name of the provider, and, as necessary, the use of modifiers. Other individuals are self-employed and therefore don’t qualify for group insurance coverage. A district office may have one or more DMAs (usually contract employees), and the functions of each office's Medical Unit are aided by one or more MMAs. Such efforts may include tours of the employing agency and demonstrations of the types of light duty which may be available to partially disabled workers, so that physicians will be more aware of options other than continuing the claimant on total disability.
The DMD will monitor the performance of referral specialists and advise the DD or RD of physicians whose reports are consistently incomplete, unreliable, or late. Collaborates with all parties (CE, physician, agency, claimant) to implement the return to work. If the intervention has been continuing in nature, the expected result is the return to work. These attempts should be made at approximately two to three week intervals unless the facts of the case suggest a different plan.
The moderately complex procedures will require about 12-16 hours of services within the 60-day period. Also, the FN may discuss the post-operative plan with the physician by telephone and monitor the claimant's compliance with these orders. These statistics include: the numbers of claimants and nurses participating in the intervention program at any given time, the duration and result of the intervention by case or in a cumulative fashion in the district office, the rotation of cases among the Field Nurses and other data. The CMF system will include the dates on which the case is referred from the CE to the Staff Nurse and then to the Field Nurse.
In rural areas, and in some urban areas with shortages of physicians, the claimant will have to travel over 25 miles. If the physician is late in submitting the report, the nurse contacts his or her office and appraises him or her of this fact and obtains a copy of the report as soon as possible. This second request is also tracked and reimbursement for the examination may be withheld until clarification is obtained. The training for nurses contracted for this project should not exceed one and a half days since there is no effective way to reimburse them for their time. In this instance, the case would be referred to the nurse having these qualifications rather than to the next nurse on the rotation. However, Field Nurses may submit verbal or written reports at any time to the Staff Nurse if issues needing immediate attention arise. A bill must not contain charges for services that fall outside the billing period or for unpaid balances from prior billing periods.
The words "PROMPT PAY" should be written at the top and bottom of the original HCFA billing form.
Self-funded plans that have specific questions are urged to contact their own legal counsel. Hubbard Insurance and Bonds offers numerous health insurance options from a large number of respected carriers. The Staff Nurse coordinates the work of the Field Nurses who act on behalf of each district office in the case management process. In most instances, the claimant will return to the pre-injury position, with or without modifications, or to a light duty arrangement. Since the complex procedures will typically result in work limitations which may warrant referral for vocational rehabilitation services, the FN should work toward stabilizing the claimant's condition and obtaining Form OWCP-5 in these cases. An initial evaluation after the first contact with the claimant and the treating physician, and monthly reports thereafter are expected. However, if no report is forthcoming after a reasonable waiting period, the nurse notifies the CE for further action.
One day should be devoted to discussing various FEC policies and procedures and one half day should be allocated to addressing the nurse functions (report compliance and completion, billing forms and coding schemes). The envelope should also be marked "PROMPT PAY" to the attention of a designated individual. For more details, please read the site's Disclaimer, Visitor Agreement, and Privacy Statement. Hubbard Insurance and Bonds we can help you secure a health insurance policy written specifically for you or your family. Although it is possible that the worker will return to a position outside of his or her agency during the nurse intervention period, this is not considered likely. For these reports, the nurse uses the Initial Evaluation and Progress Report Form shown in Exhibits 1 and 2. In a number of cases, the return to work will not occur within the intervention time frames. In both instances, the Staff Nurse will ultimately close the case from the nurse intervention viewpoint and refer it to the CE for further action.



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