General 1
What is the stand down period for LOPE?
182 days
Client has ongoing and MSD- When should you send the ACC2300?
For a reinstatement- what RTES are required and for what period?
PIE- For period we are reinstating only. DO NOT do a RTE for any periods already paid.
Name four TYPES of set ups which could be a +90 day set up?
-New
-Reinstatement
-Reassesment
-LOPE
TL SIgn off is required for MSD over $$$$
For a reassessment- what periods do we run RTES for?
The periods we are being asked to reassess, PIE for any backdated period NOT yet paid. We don't check the already assessed abatement unless you have been asked to.
What is the current Lope rate 80%?
$752 Gross (80%)
Can you send a WC06 with out an approval?
No- anything that requires a correct calculated rate- needs to be approved first
Client has no ongoing incapacity (claim is fully backdated)- but has MSD in the RTE- when can I send an ACC2300?
Send ACC2300 to MSD before sending claim for checking
Name a reason of why we might send an WC21?
- Period being approved is over 90 days
-Payment greater than 5K before MSD reimbursements
-Payment contains current and previous tax years
-Payment is an underpayment (paid previously)
Do you need an ACC6217 for an over 90 day claim?
No- ACC6217's are a referral to approve incapacity over 180+ days
What are some reasons for why a claim becomes backdated? Name two-
- Late acceptance of claim
-Overturned suspension of entitlements
-Decisions quashed at review or in court
-New or updated information provided by client or other party
-Revoked decisions- VI decisions
Client has an outstanding debt with Collections and Recovery - What should you do?
-Contact collections and recovery and find out if they have an active recovery plan and confirm $ left
-Contact client and see if they would like the debt to be paid off via BDWC arrears payment
-Have contacts on file
-RTES (01/04/2015)
-S82's
-Employer information
-Client to provide if all above fails
-Own informed decision /rationale with possible input from other departments such as TS, TAS, PM.
Client has an advocate. What things do we need to check?
- Direction of communication
-Direction of payment
- Does advocate need to be cc'd in communication
(Are advocate details verified)