Provider and carrier compliance is also monitored through the case samples and other reports provided by carriers. Carrier's professional review process is also certified by staff to assure that appropriate medical review criteria are utilized according to Rule requirements. Carriers must also attest that professional review staff are licensed and certified as required by Workers' Compensation Health Care Services Rules. Information and Education. Staff also provide educational seminars for providers, carriers and professional review agencies regarding the application of the rules, billing procedures, carrier and provider responsibilities and rights outlined in the rules.
Staff also participates on panels and programs on workers' compensation health care.