R's and L's
What task involves using hands to operate a computer?
What is keyboarding?
A finding where patient reports match the medical evidence.
What is consistency?
A group of paraprofessionals that provides RTW assistance and claim management support to STD
Who are all the RTW Specialist Roles?
This code summarizes overall capacity for return to work.
What is the cap code?
If the DCM has not asked for a differing opinion letter in their referral SOAP but the clinician thinks one might be needed, what is the next step?
What is Initiate a claim discussion (CD) with the DCM.
This symptom often limits walking after knee replacement surgery.
What is pain or stiffness?
This “C” focuses on whether all treating providers agree on the claimant’s limitations.
What is Consensus?
This specialist may only verify the RTW date to help with claim management
Who is all RTW specialist roles should verify the RTW date and coordinate with AP, ER, ADA?
The section where you document “4-6 weeks to improvement after PT.”
What is prognosis?
What should a clinician do if vocational information is missing or unclear before sending an AP letter?
What is Collaborate with the DCM to consider vocational consultation.?
When PT notes show weakness and antalgic gait, restrict this activity to "occasional."
What is standing or walking?
When reviewing treatment records, this "C" is about whether the provider's findings are stable over time and if the treatment matches the level of restriction reported.
What is Credibility?
When a claimant needs a new job, new employer, or retraining, and is receiving LTD, which specialist is responsible for job seeking assistance and possibly recommending ergonomic evaluation or adaptive technology?
Who is the LTD VRS (Vocational Rehabilitation Specialist)?
What does the guide define as “Frequently” in terms of time and percentage?
What is 34–66% of the time, or 2 hours 40 minutes to 5 hours 20 minutes per day?
A written report completed after a clinician joins a claim discussion, used when extra review time is needed
What is a Claim Discussion/File Review Note (CD/FR)?
For severe anxiety and poor focus, restrict these tasks.
What are complex concentration/high-stress tasks?
For longstanding conditions, using a timeline to identify progression, remission, or any significant shifts in symptomology or function impact
What is Change?
This team tracks paperwork, makes recommendations, and ensures employers are following the Interactive Process, a key part of the Americans with Disabilities Act
Who are the ADA Case Managers/ADA Team
These are 15 minute discussions with a facilitator, claim manager, clinician, and vocational team member.
What are Facilitated Claim Discussions (FCDs)
The specific kind of report written when new medical information is received within 6 months of the original review.
What is a File Review Addendum?
Name two physical demand tasks clinicians should document when assessing restrictions and limitations.
Examples include lifting/carrying/pushing/pulling and standing (others: sitting, walking, stooping, bending, etc.)
Determine whether the condition is recently developed in response to a specific triggering event or is longstanding and persistent.
What is Chronicity?
The role responsible for completing occupational reviews and employability analyses to support return-to-work planning.
Who are LTD VR Specialists or Forensic Specialists?
This term describes a task is that is performed less than 10% of the time
What is rarely?
A common “next step” if no return to work occurs after completing physical therapy?
What is obtain updated medical records, PT discharge, and updated patient/claimant communication about return-to-work plans?