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Australian Business Number
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Accident Compensation Conciliation Service. Workers can refer disputes about Agent decisions to the ACCS.
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Actual bias is where a Medical Advisor actually has a closed mind which prevents the Medical Advisor from objectively considering a matter.
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Activities of daily living
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Agents are required to provide estimates on all claims (open and closed) when further payments are expected. These are an integral component in the pricing system for WorkSafe.
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American Medical Association
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Ampolex v Perpetual Trustee Co 1996 NSWCA 148 23 May 1996: comments such as ‘Ampolex maintains that the correct ratio is 1:1 and has legal advice supporting this position’. ‘The company has received legal advice and believes that the litigation will be resolved in its favour’; were held to be a waiver of privilege.
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Australian Private Hospital Association
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Apprehended bias is where a fair-minded person might reasonably believe the Medical Advisor might not have made their decision impartially.
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Agent received date
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Automated Report Management System
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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.
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WorkSafe's Enforcement Group's Assessment Centre
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Access to Information Officer
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Australian Tax Office
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Average Weekly Earnings
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Blood Alcohol Concentration
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Building Project Manager
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Coordinated Care Program
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Coronary Care Unit
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Ongoing certificate is issued for up to 28 days and can be issued by a: medical practitioner, osteopath, physiotherapist, chiropractor.
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Community Integration Program
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Reports produced by private investigators about the details of a claim.
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A person who applies for WorkCover benefits.
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Personnel responsible for processing claims in the CP segment
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Weekly compensation cannot be paid on closed claims.
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Common Law potential
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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.
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Charge Out Centre
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WorkSafe's Worker's Claim Form contains a page explaining the privacy policy in relation to the management of a claim. This text is titled 'Collection of personal and health information to manage your claim'.
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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.
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Claims Processing (segment). Claims assessed as low risk are allocated to the Claims Processing (CP) segment for expedited processing.
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Consumer Price Index
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Child Support Agency
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Compulsory Third Party Insurance
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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.
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Under the legislation, unless inconsistent with the context or subject-matter — current work capacity, in relation to a worker, means a present inability arising from an injury such that the worker is not able to return to his or her pre-injury employment but is able to return to work in suitable employment, declared training program
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Current Work Capacity
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Cease Work Date
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Current Weekly Earnings
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Department of Education and Eatly Childhood Development
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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.
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Department of Health and Ageing
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Department of Health and Human Services
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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.
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Date of Injury
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Disability Services Act 1986
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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.
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Early Claims Management Model
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Employer forward to Agent date
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WorkSafe’s External Investigation Management Unit
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The Eligibility Officer is responsible for making decisions on whether to investigate, accept or reject claims for workers compensation. The Eligibility Officer is also responsible for calculating the injured worker’s weekly payments entitlement. Once entitlement has been established the Eligibility Officer coordinates the allocation of the claim to the appropriate claims management area (Case Manager or Return to Work Specialist) for ongoing management.
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Eligibility officer
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Expression of Interest
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An Expression of Interest Pack sent to workers who may be eligible for a settlement.
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Employer Received Date
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Equipment Services Program
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Exclusion criteria determine whether the worker is eligible for participation in MDA.
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Family member means a partner, parent, grandparent, sibling or child of the worker or of the worker's partner
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Family member means a partner, parent, grandparent, sibling or child of the worker or of the worker's partner
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First entitlement period, in relation to a claim for compensation in the form of weekly payments made by a worker means an aggregate period not exceeding 13 weeks (whether or not consecutive) in respect of which a weekly payment has been paid or is payable to the worker
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First reduction in weekly payments occurs at 13 weeks
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Family Liaison Officer, supporting families through investigations and prosecutions of OHS breaches
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Full-time worker means a worker who is employed for at least the normal number of hours fixed in any industrial award applicable to the worker or if there is no applicable award the prescribed number of hours
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The holding back of a part of compensation from a worker who is indebted to the Commonwealth.
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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.
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A genuine dispute is one in which the parties cannot reach an agreement but the conciliation officer considers the dispute is genuine.
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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.
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Goods and Services Tax
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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.
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Health Insurance Commission
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Health Industry Claims and Payments Services
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Accepted high risk claims are managed in the 0-78 weeks, 78-130 weeks and 130+ weeks segments.
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Hearing loss assessment
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Health Records Act
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Health & Safety Representative
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Impairment Benefits
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Impairment Benefits Rating
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Intensive Case Review Program
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Intensive Care Unit
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Independent impairment assessment
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Injury Management Advisor
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Independent Medical Examiner / Independent Medical Examination
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The Impairment Benefit Specialist is responsible for managing the end to end impairment determination process for workers in accordance with the requirements of the legislation.
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A suitably qualified person at the agent or self-insurer, such as an IB Specialist or WPI specialist, who is responsible for managing the end-to-end impairment determination process for workers in accordance with the requirements of the legislation. Suitably qualified means at a minimum, having completed AMA4 Guides training and applied those Guides at an operational level
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An incorporated company is recognised at law as a separate legal entity from its owners or shareholders. It is treated the same as a natural person and is therefore able to employ people directly and is recognised at law as the employer. An incorporated company usually has 'Limited' (Ltd) or 'Propriety Limited' (Pty Ltd) as part of its business name.
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Injury or illness means a compensable injury in respect of which: (a) Liability has been accepted or established; and (b) The worker has received weekly payments during the second entitlement period See: WIRCA section 152.
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The Injury Management Advisor liaises with Case Managers and stakeholders to provide expert injury management advice to support the management of a worker’s compensation claim.
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Injury or illness means a compensable injury in respect of which: (a) Liability has been accepted or established; and (b) The worker has received weekly payments during the second entitlement period See: WIRCA section 152.
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An Input Tax Credit (ITC) is the amount of GST a registered business is entitled to claim from the Australian Taxation Office.
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In this Act — workers compensation cover means insurance or registration required under a law of another State or of a Territory in respect of liability for statutory workers compensation under that law
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Interest at the prescribed rate means interest at the rate fixed for the time being under section 2 of the Penalty Interest Rates Act 1983
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Input Tax Credit
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Input Tax Credit Entitlement (ITCE) - the ITCE percentage is the amount of the GST payable on the premium that an employer can claim as an Input Tax Credit from the Australian Taxation Office.
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1. This section applies if — a. the services of a worker are let on hire to another person (host) by the employer (labour hire employer) with whom the worker had entered into a contract of employment
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Landcare and Environment Action Program
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Legal practitioner means an Australian legal practitioner within the meaning of the Legal Profession Act 2004
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Legal professional privilege
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Long-term Management Segment
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Motor Accidents Board - A precursor of the TAC
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Material defects, omissions or irregularities can affect the decision to accept or reject a claim.
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Medicare Benefits Schedule
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Medical certificate received date
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Multidisciplinary Assessment
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Multidisciplinary Management segment. Claims assessed as high risk are allocated to the MDM segment for active management.
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Multidisciplinary Team
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The first medical certificate is for a maximum of 14 days and can only be issued by a registered medical practitioner.
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Under the legislation, unless inconsistent with the context or subject-matter — Medical Panel means a Medical Panel constituted under Division 2 of Part 12
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Medical expenses only
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Unjustifiable non-attendances remain at the discretion of the Agent and should be judged on a case by case basis, however, it is expected that the worker fails to attend a minimum of three scheduled IIAs without justification.
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Motor Vehicle Accident
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National Accreditation Authority for Translators and Interpreters
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No Capacity Indefinitely
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No Current Work Capacity, in relation to a worker, means a present inability arising from an injury such that the worker is not able to return to work, either in the worker's pre-injury employment or in suitable employment
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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.
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New Employer Services
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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.
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Non-pecuniary Benefit
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Nurse means a person registered under the Health Practitioner Regulation National Law to practise in the nursing and midwifery profession as a nurse (other than as a midwife or as a student)
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New Work Opportunities Program
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Occupational therapy is a client-centred health profession concerned with promoting health and well being through occupation. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. Occupational therapists achieve this outcome by working with people and communities to enhance their ability to engage in the occupations they want to, need to or are expected to do or by modifying the occupation or the environment to better support their occupational engagement.
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Original Employer Services
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Occupational Health and Safety
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Originating Motion
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Ongoing eligibility determination means a determination as to whether a worker is entitled to weekly payments of compensation in respect of one or more compensable injuries after the expiry of the second entitlement period— (a) under section 163(1), 164A(2), 165(4) or 175(1) or (2A) of the WIRCA; or (b) under section 93C(1), 93CAB(2), 93CD(4) or 97(2) or (2AAB) of the ACA; See: WIRCA section 152.
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Occupational Rehabilitation
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Registered osteopath means a person registered under the Health Practitioner Regulation National Law to practise in the osteopathy. profession (other than as a student)
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Occupational therapy is a client-centred health profession concerned with promoting health and well being through occupation. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. Occupational therapists achieve this outcome by working with people and communities to enhance their ability to engage in the occupations they want to, need to or are expected to do or by modifying the occupation or the environment to better support their occupational engagement .
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Occupational therapists (OTs) help people of all ages to improve their ability to perform tasks in their daily living and working environments. They work with individuals who have conditions that are mentally, physically, developmentally, socially or emotionally disabling. They also help them to develop, recover or maintain daily living and work skills. Occupational therapists help clients not only to improve their basic motor functions and reasoning abilities but also to compensate for permanent loss of function. Occupational therapists assist clients in performing activities of all types, ranging from using a computer to caring for daily needs such as dressing, cooking and eating. Physical exercises may be used to increase strength and dexterity, while other activities may be chosen to improve visual acuity and the ability to discern patterns.
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WorkSafe approved legal representatives
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WorkSafe’s External Investigation Management Unit
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Parent of a worker includes a person who has day to day care and control of the worker
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In this section — partially dependent partner means a partner who is or would be but for the incapacity of the worker due to injury, to any extent dependent on the worker's earnings.
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Pay As You Earn
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Privacy and Data Protection Act 2014
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A loss of earning capacity
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Penalty interest awarded when there is a delay in the payment of compensation.
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Registered physiotherapist means a person registered under the Health Practitioner Regulation National Law to practise in the physiotherapy profession (other than as a student).
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Private Investigator
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Registered podiatrist means a person who is registered under the Health Practitioner Regulation National Law to practise in the podiatry profession (other than as a student).
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Application to sailors (1) In this section — port includes place or harbour
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Paid Parental Leave
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Potential Recovery Claim
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PIAWE
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(1) In this Part — pre-injury employment means the employment of a worker in a position which is the same as or equivalent to the position in which the worker was employed before receiving the injury
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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.
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Interest at the prescribed rate means interest at the rate fixed for the time being under section 2 of the Penalty Interest Rates Act 1983
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The ordinary earnings the worker would now be earning in the same position had no injury occurred.
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Registered psychologist means a person registered under the Health Practitioner Regulation National Law to practise in the psychology profession (other than as a student).
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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.
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Royal Australian and New Zealand College of Radiologists
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Risk Assessment System
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Proposal to move a claim from one claims management segment to another.
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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.
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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.
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Return to Work
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Application to sailors (1) In this section — sailor means any person working in any capacity on board a ship
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Significant Contributing Factor
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Pharmacy medicine. Medications may require the advice of a pharmacist or assistant.
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Spinal cord injury
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Spinal Community Integration Service
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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.
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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.
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A lump sum payment that replaces an injured worker's right to ongoing weekly compensation.
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Under the legislation, unless inconsistent with the context or subject-matter — shift allowance means an allowance or loading paid or payable for shift work or working on public holidays, Saturdays or Sundays
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Senior legal manager
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social worker means a person accredited with the Australian Association of Social Work and registered with WorkSafe to provide social work services (other than as a student)
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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.
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Spouse of a person means a person to whom that person is married
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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
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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.
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Transport Accident Commission
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Transport Accident Act 1986
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The term is widely defined to include most supplies including goods and or services provided by a supplier
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The Technical Manager liaises with Case Managers, employers, workers and legal providers to support the management of a workers' compensation claim.
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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.
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Treating Health Practitioner
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Total and permanent incapacity (WorkCare claims)
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Transport accident means a transport accident within the meaning of section 3(1) of the Transport Accident Act 1986
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Total remuneration package
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Registered claims that have not been allocated to a segment.
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Pharmacy medicine. Medications may require the advice of a pharmacist or assistant.
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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.
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Victorian Civil Administrative Tribunal
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Victorian Premium Collection System
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Vocational Rehabilitation Services
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Worker forwarded date
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Workplace Injury Commission
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Workplace Injury Rehabilitation & Compensation Act 2013
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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.
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Withholding tax is applicable where the provider does not have an ABN.
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An injury/disease is work related if it arose out of or in the course of employment and the scope of employment.
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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.
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Whole person impairment
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Worker served date
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Workplace support services
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