Reference Topic RTW Act Specific Requirements to be Addressed Document 2.1.1 All decisions and Various Documents on file demonstrate the self-insured employer has applied its procedures to files determinations are ensure retention of all relevant records. identifiable and Claim Forms relevant supporting Investigations notes and documents Authorisation by delegated person(s) maintained. General correspondence (including emails) Determinations Legal Correspondence (not subject to legal privilege) Medical Reports AWE Calculations File Notes Payroll records RRTW Plans, progress reports Agreements (i.e. redemptions) Statutory notices (i.e. lump sum returns; Medicare) Any other documentation relevant to the claim/RTW process 2.1.2 Notices and Various Documents on file demonstrate notices and information required under the Act are Claim files information are provided, examples: provided in Acceptance and rejections accordance with RTW Notice of interim payments Act requirements. Discontinuance Entitlement periods Reviews Reconsiderations
Topic RTW Act Specific Requirements to be Addressed Reference Document 2.1.1 All decisions and determinations are identifiable and relevant supporting notes and documents maintained. Various Documents on file demonstrate the self-insured employer has applied its procedures to ensure retention of all relevant records. Claim Forms Investigations Authorisation by delegated person(s) General correspondence (including emails) Determinations Legal Correspondence (not subject to legal privilege) Medical Reports AWE Calculations File Notes Payroll records RRTW Plans, progress reports Agreements (i.e. redemptions) Statutory notices (i.e. lump sum returns; Medicare) Any other documentation relevant to the claim/RTW process files 2.1.2 Notices and information are provided in accordance with RTW Act requirements. Various Documents on file demonstrate notices and information required under the Act are provided, examples: Acceptance and rejections Notice of interim payments Discontinuance Entitlement periods Reviews Reconsiderations Claim files
20151030113531.Self-Insured-Injury-Management-Standards-Guidance-Notes.docx