Australian Business Number
Actual bias is where a Medical Advisor actually has a closed mind which prevents the Medical Advisor from objectively considering a matter.
Activities of Daily Living
Australian Private Hospital Association
Apprehended bias is where a fair-minded person might reasonably believe the Medical Advisor might not have made their decision impartially.
Agent Received from Employer Date
Automated Report Management System
The Australian Register of Therapeutic Goods (ARTG) was established under the Therapeutic Goods Act 1989. The ARTG is a computer database of therapeutic goods. Therapeutic goods are divided broadly into two classes - medicines and medical devices. Unless exempt, therapeutic goods must be entered as either 'registered' goods or 'listed' goods before they may be supplied in, or exported from Australia. Listed goods are assessed for compliance with standards relating to quality, safety and manufacture. Registered goods which include prescription medications are evaluated for quality, safety and effectiveness.
WorkSafe's Enforcement Group's Assessment Centre
Blood Alcohol Concentration
Personnel responsible for processing claims in the CP segment.
Weekly compensation payments cannot be paid on closed claims.
Case Management Action Plan. The objective of the CMAP is to provide a planning process for the MDT to ensure appropriate and consistent treatment and services are provided to the worker to achieve a sustainable return to work.
This means that the fund has elected to be regulated, has complied with the Superannuation Industry (Supervision) Act (Cth) 1993 and has not received a notice of non-compliance.
Compulsory third party insurance
The agent with responsibility for managing an employer’s policy and claims at a given point in time. In relation to employer transfers, this is the agent that the employer will be transferring from.
Department of Education and Early Childhood Development
The expression ‘deliberative processes’ has a wide meaning. It includes any of the processes of deliberation or consideration involved in the functions of an agent or WorkSafe.
Department of Health and Ageing
Department of Health and Human Services
Means there is a direct or close relationship of cause and effect, even if not the sole cause. There does not have to be collision or direct contact with the vehicle to cause injury. However, an injured claimant must have sufficient connection between the injury, the incident and the driving to prove that the driving directly caused the injury and the incident.
Disability Services Act 1986
Exists where two policies provide indemnity at common law, for the one risk. For example: where the employer has failed to provide a safe system of work and was negligent as the owner of a vehicle.
Early Claims Management Model
Employer Forward to Agent Date
WorkSafe’s External Investigation Management Unit
An Expression of Interest Pack sent to workers who may be eligible for a settlement.
Equipment Services Program
Exclusion criteria determine whether the worker is eligible for participation in MDA.
First reduction in weekly payments occurs at 13 weeks
The holding back of a part of compensation from a worker who is indebted to the Commonwealth.
A Garnishee Notice is issued to the WorkSafe/Agent where a worker has a debt to the Commonwealth (other than a debt arising directly from the worker’s compensation payments) and advises the amount of money to be remitted to Centrelink on behalf of a worker.
A genuine dispute is one in which the parties cannot reach an agreement but the conciliation officer considers the dispute is genuine.
Claims lodged before 12 November 1997 are treated according to the grandfather provision if the worker was entitled to weekly payments on 12 November 1997.
Any good or service where the GST is not applicable. For example basic food, most health services, education and water. See Division 38 of the GST Act for a complete list.
Health Insurance Commission
Impairment Benefit Rating
Intensive Case Review Program
Independent Impairment Assessment
independent medical examiner
Legal professional privilege
Long-term Management Segment
Motor Accidents Board. A precursor of the TAC.
Medicare Benefits Schedule
Medical Certificate Received Date
Multidisciplinary Management segment. Claims assessed as high risk are allocated to the MDM segment for active management.
National Accreditation Authority for Translators and Interpreters.
A worker's notional earnings (NE) is the greater one of either:
- the CWE of the worker or self employed person (if the person has a CWC and is working) or
- the weekly earnings that the agent determines that the worker could earn from time to time (including but not limited to any CWE) in employment and is capable of performing despite the injury, whether the work is the pre-injury job or suitable employment.
When their patient is referred to MDS, the GP agrees to be the nominated treating medical practitioner for this patient (with agreement from the patient) to minimise the chance of multiple treating doctor involvement.
New Work Opportunities program
Original Employer Services
Occupational Health and Safety
WorkSafe approved legal representatives
WorkSafe approved legal representatives
Privacy & Data Protection Act 2014
A loss of earning capacity
A preliminary notice is issued by Centrelink indicating that they have an interest in the worker referred to in the notice and may wish to recover an amount equal to all or part of the amount payable. This notice places an obligation on WorkSafe/Agent to notify Centrelink prior to releasing any weekly payments to the worker. WorkSafe/Agent is to advise Centrelink within seven calendar days of accepting liability for weekly compensation or receiving the notice if liability has been already been accepted, whichever is the later.
The ordinary earnings the worker would now be earning in the same position had no injury occurred.
Post Traumatic Amnesia is the gradual process of a person coming out of a coma and can last for hours, days or weeks. The length of PTA is often used as a guide to severity of brain injury with the longer the PTA the more severe the brain injury.
Royal Australian and New Zealand College of Radiologists
Proposal to move a claim from one claims management segment to another.
A Recovery Notice is issued by Centrelink to WorkSafe/Agent once Centrelink have determined the amount recoverable. The recovery notice specifies the amount that Centrelink is seeking to recover and the period that the recoverable amount relates to. A recovery notice legally prohibits WorkSafe/Agent from making any payments to the worker unless they have paid to the Commonwealth the amount specified in the notice.
The probability of the worker not returning to work is known as the risk or risk factor. For example: if a worker is likely to return to work, the claim is categorised as low risk.
Pharmacist only medicine. Must be supplied by a pharmacist in a pharmacy but should be available without a prescription. The pharmacist is required to counsel the purchaser on the medication’s suitability and usage.
Spinal Community Integration Service
A serious injury entitles a worker to compensation under the Act, and if assessed according to the methods in the American Medical Association’s Guide to the Evaluation of Permanent Impairment (4th Edition), provides a level of impairment of 30% or more.
A serious injury entitles a worker to compensation under the Act, and if assessed according to the methods in the American Medical Association’s Guide to the Evaluation of Permanent Impairment (2nd Edition), provides a level of impairment of 30% or more.
A lump sum payment that replaces an injured worker's right to ongoing weekly compensation.
Superannuation Product Identification Number – a unique code that identifies the marketing name of the superannuation product and is the level at which a superannuation funds bank account is held.
Contact involves the agent initiating and continuing regular contact with the worker. Employer and the worker’s treating health practitioner. This develops a relationship between the parties, allowing the collective gathering of information and the relay of strategies and goals
If during the period in which an employer has an obligation to provide employment to an injured worker, the worker has a demonstrated current work capacity, the employer is required to provide the worker suitable employment (suitable duties). Refer to definition of suitable employment also.
Transport Accident Commission
Transport Accident Act 1986
The term is widely defined to include most supplies including goods and or services provided by a supplier
Therapeutic Goods Administration. To assist in determining the reasonable cost of medicines, WorkSafe relies on the standards set down by the TGA who administers the Therapeutic Goods Act 1989. Drugs cannot be sold in Australia unless the TGA either ‘registers’ or ‘lists’ the product for marketing. Products are included in the Australian Register of Therapeutic Goods (ARTG) as either listed or registered goods. Listed goods are assessed for compliance with standards relating to quality, safety, and manufacture. Registered goods, which include prescription medicines, are evaluated for quality, safety and efficacy.
Total and permanent incapacity (WorkCare claims)
Total Remuneration Package
Registered claims that have not been allocated to a segment.
Pharmacy medicine. Medications may require the advice of a pharmacist or assistant.
A tax invoice is a document generally issued by the supplier/service provider. You need a Valid Tax Invoice to claim an Input Tax Credit.
Victorian Civil Administrative Tribunal
Victorian Premium Collection System
Vocational Rehabilitation Services
WorkCover Industry Classification
Workplace Injury Rehabilitation & Compensation Act 2013
The WorkSafe Incentive Scheme for Employers (WISE) aims to secure full or part-time, durable work for workers who cannot RTW with their injury employer by placing them with a new employer. The new employer is paid a wage subsidy for taking on the worker.
Withholding tax is applicable where the provider does not have an ABN.
A worker who has an incapacity for work, must as required by the agent, participate in an interview with the representative of the agent for the purpose of enhancing the worker's opportunities to RTW.
An injury/disease is work related if it arose out of or in the course of employment and the scope of employment.
Workplace Support Services