SCWCEA One Day Seminar May 6, 2011 Commission Update Gary M. Cannon Amanda Underhill Executive...
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Transcript of SCWCEA One Day Seminar May 6, 2011 Commission Update Gary M. Cannon Amanda Underhill Executive...
SCWCEA One Day Seminar
May 6, 2011
Commission Update Gary M. Cannon Amanda Underhill
Executive Director Applications Analyst
Claims Activity
FY FY FY 08-09 09-10 10-11
(7 mths)
Hearings Set (Docketed) 9,866 10,912 6,107↓Benchmark 6,395
Hearings Held (Single Commissioner) 2,345 2,211 1,242 ↓
Benchmark 1,289
Settlements 10,506 10,715 6,117 ↓Benchmark 6,250
South Carolina Workers’ Compensation Commission
South Carolina Workers’ Compensation Commission
Informal Conferences
AssignedConducted
FY 09-10 6,264 3,549
FY 10-11 (7 mths) 3,410 2,518 ↑Benchmark 3,654 2,070
South Carolina Workers’ Compensation Commission
Appeals to Full Commission
FY FY FY08-09 09-10 10-11
(7 mths)
Docketed 700 647 397 ↑
Benchmark 377
Hearings 450 357 168 ↓Benchmark 208
South Carolina Workers’ Compensation Commission
Total System Cost FY 09-10
(millions) % of Total
Medical $ 296.0 36%
Indemnity (Comp.) $ 528.2 64%
Total $ 824.2 * 100%
*Does not include legal fees for defense
South Carolina Workers’ Compensation Commission
Cost Control Measures
Medical Services Provider Manual(Physician’s Fee Schedule)
Hospital Fee Schedule - 2006Medicare + 40%
Ambulatory Surgery Centers Fee Schedule
South Carolina Workers’ Compensation Commission
Medical Expense Reduction
Actual (millions) FY FY 08-09 09-10 Difference
MedicalExpense $422.4 $296.0 ($126.4)
South Carolina Workers’ Compensation Commission
IndemnityTotal
% of Total
(millions) Indemnity System*
Agreements $ 498.9 94.46% 60.54%
Awards Awards $ 29.3$ 29.3 5.54% 5.54% 3.55% 3.55%
Total $ 528.2 100%
*System Cost = Medical and Indemnity
South Carolina Workers’ Compensation Commission
Premiums Paid (millions) % of total
Commercial Market CY 2009 $586.9 63.10%
Self Insurance FY 2010 $253.3 27.23%
State Accident Fund FY 10 $ 90.0 9.67%
Total $ 930.2 100.0%
South Carolina Workers’ Compensation Commission
Premium Tax Paid To General Fund
Commercial Market (CY 2009) $ 14,673,877 Self Insurance Tax (FY 2010) $ 4,909,000
___________Total $ 19,582,877
------------------------------------------------------------------Commission Budget General Fund
FY10-11 $ 1,919,955 Proposed FY11-12 $ 1,743,070
Issues
Legislation H 3111 – limits on fee schedule
Fee SchedulesNotice of Drafting R 67-1302 (A)
conversion factor
Advisory CommitteesSurgical Implant Fee Pharmacy Fee
South Carolina Workers’ Compensation Commission
Electronic filing
South Carolina Workers’ Compensation Commission
•Hearing Notices
•Decision and Orders
•Consent Orders
pilot project – April 15
•Full Commission Orders Service
June 1
eCase Benefits
South Carolina Workers’ Compensation Commission
Real – Time access
Case information
Scheduling
Hearings, Conferences and Appeals
Recent Claim Activity
List of Cases in a status group
Registration
South Carolina Workers’ Compensation Commission
• Register at www.wcc.sc.gov
“eCase Status”
• Registered users
Attorneys
Paralegals
Legal Assistants
Adjusters and TPAs
Registration
South Carolina Workers’ Compensation Commission
• Create account • Party approval required
• Attorney• Claim Manager
•SCWCC Confirmation•Three user types:
ATTORNEY
CARRIER or SELF-INSURER
TPA
Attorney User
South Carolina Workers’ Compensation Commission
• Restricted access to cases
• Linked attorney – attorney of record
• Search for claims and report representation to the Commission
Attorney of Record
South Carolina Workers’ Compensation Commission
•Electronic notification (attorney add)
•Replaces the letter of representation
(R.67-1202)
•Withdrawal Not allowed electronically (R.67-1203)
Attorney Add
South Carolina Workers’ Compensation Commission
• User must be linked to attorney
• User may search for WCC#
• All searches are logged and audited by SCWCC
Select Party
South Carolina Workers’ Compensation Commission
User designates party to be represented
•Claimant
•Carrier
•Employer (direct)
Case Search
South Carolina Workers’ Compensation Commission
Enter Information:
•Claimant SSN / Last Name or WCC#
•Date of Injury
•Attorney Bar ID
WCC Case Display Data
WCC #
Caption
DOI
Attorney for Defendant
Claimant’s Attorney
Status
South Carolina Workers’ Compensation Commission
Report Options
South Carolina Workers’ Compensation Commission
Registered User Reports 4 options:
•WCC#•SSN•Hearing Date Range•Status Group
Attorney Registration Questions
User Guide Available on www.wcc.sc.gov
Amanda Young, Judicial Analyst(803) 737-5747
South Carolina Workers’ Compensation Commission
Contact Information
Amanda UnderhillApplications Analyst
(803) [email protected]
South Carolina Workers’ Compensation Commission