WCIS Workers Compensation Information System Users Forum Technical Session

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Workers Compensation Information System
WCIS
Division of Workers Compensation
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Goals for WCIS

• Help DWC Manage WC system
• Facilitate Evaluation of Benefits Delivery
• Assist in Measuring Benefit Adequacy
• Provide Statistical Data for Research

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Components of WCIS

• First ReportsFROI
• Subsequent ReportsSROI
• Medical/Bill Payment Reports
• Legacy Databases DEU, WCAB, UEF
• EDD Linkage

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Status Report 2006 Beyond

• Data Collection Uses to Date
• System Reconfiguration
• Plans for WCIS
• Unresolved Issues

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Data Collection First Report of Injury

• 
  2/2005 2/2006
• Trading Partners
• Relationships Initiated 271 280
• Submitting Data 216 219
• Claims 3.9 m 4.7 m

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Data Collection Subsequent Reports

• 
  2/2005 2/2006
• TPs Submitting Data 80 81
• Claims 520 k 867 k

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Data Uses to Date

• DWC
• DOSH
• DLSR
• CHSWC
• EDD
• BSA
• DHS
• LAW ENFORCEMENT
• LEGISLATURE
• RESEARCHERS
• WCIRB

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Current Programmed Reports

• Injuries by Part of Body, Nature, Cause
• Workers Demographic and Work Characteristics
• Claims by Industry and Region Benefit Category
  Insurer Type
• Timeliness of Benefits Delivery
• Cost of Injuries

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Tables/Reports on WCIS Webpage (2/6)

• Tables (by Year of Injury, 2000-2005)
• Nature of Injury
• Part of Body
• Cause of Injury
• Age and Gender
• Type of Insurer
• Age Gender by Insurer Type

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WCIS Redesign Enhancement

• CA 1/8 of USA
• Medical Data Collection
• DEU, WCAB and UEF Databases
• EDD Database Linkage

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Current Compliance Issues

• Alternatives to Update SROI Information
• As per Implementation Guide
• Submit UR and IP
• Compliance Activities 2003-06
• Set Deadline for Compliance
• Require TP Data Submission Plan
• Establishing Penalties (FROI/SROI/AN/FN)

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Other Innovations

• Add SIC/NAICS Industry Codes
• 15 Days for SROI Data Submission
• Permissible Uses of UR?
• Other Suggestions? (Adv Cmte Mtg--May)

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IAIABC Medical Data Collection

• IAIABC Med Implementation Guide (7/2)
• CA Medical IG (2/6)
• Timelines for Regulation Approval/Compliance
• E-billing Standards

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Rulemaking Changes

• CA FROI/SROI IG
• Med Data IG
• Compliance/Penalties
• Standard Billing Forms

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Other Topics

• WCIS Reports, etc. on Website
• TP Suggestions Welcome

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Conclusions Re WCIS

• Significant Advances
• Continuing Challenges

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WrapUp and Next Steps

• Address Questions and comments to
• Bill Kahley
• 510.286.0630
• bkahley_at_dir.ca.gov