The purpose of the RTW case conference is to engage workers and their treating health practitioners in face to face discussion about timely return to work and recovery.
The RTW Case Conference:
- compensates a treating health practitioner for their role in facilitating return to work
- supports communication and engagement between the medical practitioner, worker, employer and Agent/OROccupational Rehabilitation
- supports the employer obligation to consult and obtain RTW information from the certifying medical practitioner
- provides an avenue to clarify RTW goals by seeking information about the worker’s capacity to participate in suitable employment
RTW case conference services on pending claims
The Agent may pay the reasonable costs of a return to work case conference (RTWCC) facilitated by an Agent before a decision about claim liability is made, if it has been determined that the services may facilitate the worker making an early return to work. RTWCC promote the worker's early return to work, in accordance with the Act.
Agent approval of RTW CC Service before claim accepted
Employers may pay for Agent approved RTW CC Services before a claim is accepted and claim the payment as excess should liability be accepted. However, any cost above the excess may not be claimed as a claims cost unless approved by the Agent before the service was delivered.
RTW CC may be conducted with GPs, medical specialists, psychiatrists, physiotherapists or psychologists which are to be invoiced per the fee schedule. Invoice for RTW case conference conducted during the pending phase of the claim should be paid after the claim liability decision has been recorded on ACCtion.
MCM RTW CC service provision on rejected claim
The Agent may approve the RTW CC while a claim is pending. The employer may pay for this service and report as part of their excess. If the claim is then rejected, the Agent may reimburse the employer or pay the cost of the service over the excess because it was approved before the claim was rejected. . Invoice for RTW case conference conducted during the pending phase of the claim should be paid after the claim liability decision has been recorded on ACCtion.