Workman Comp & Personal Injury
The biggest and most important difference between a personal injury claim and a workers’ compensation claim is that a personal injury claim is based on fault while a workers’ comp case is not.
Personal Injury Lawsuits:
You Must Prove Someone Was at Fault for Your Injury
To understand the concept of fault in a personal injury claim, consider a typical slip-and-fall case. Simply because you slipped and fell on someone else’s property doesn’t mean that the person who owns the property (or anyone else for that matter) was negligent. Accidents, where no one is at fault, do happen.
In order to recover damages for slipping on someone else’s property, you and your lawyer must prove that that other person negligently maintained the property. In other words, you must show that the other party did something wrong. Similarly, if you are in a car accident, you can only recover damages from the other driver if the other driver was at fault.
Workers' Comp Cases:
Fault is Not Required
In a workers’ compensation case, any employee injured on the job is entitled to workers’ compensation benefits, with some very limited exceptions. Workers’ compensation has nothing to do with fault. You don’t need to prove that your employer or your co-workers did anything wrong in order for you to receive workers’ compensation benefits. Even if you were negligent, and your negligence caused your injury, you’re still entitled to receive workers’ compensation
WC Billing
Why spend so much money on in-house staff to handle workerscompensation billing services when professionals can do a better job with excellent results?
Leverage our pain medical billing services to have more time to focus on your patients’ needs. EMPClaims will take full control of your billing process and optimize it to get faster reimbursements for your pain management practice. We have a team of experienced coders to create and submit your claims. Also, we ensure full payments and follow-up on claims while following the different government guidelines on billing.
Coding
CMS keeps updating the codes frequently, and our certified coders are always up-to-date with the changes. We check for accuracy in the code before submitting bills for payment to the insurance firms. We provide constant feedback to improve documentation and streamline the business process and ensure the efficacy of claims coding and subsequent appeals.
Compliance with State Laws
Workers’ compensation services are governed by state law, so a different set of rules apply to each. Depending on your practice’s location, we will perform adequate research to get the conditions right, according to your state laws.
Timely Follow-ups
We ensure timely follow-ups with the insurance companies so that they are no delays in the processing of claims.
