Laws that limit the amount and type of medical information that you can receive from claims administrators and physicians can make it difficult for you to administer workers’ compensation claims. However, you can create strategies to ensure that you receive enough information to manage claims, while still ensuring compliance with the law and injured employees’ medical privacy.
Although the preamble to the federal Health Insurance Portability and Accountability Act (HIPAA) excludes workers’ compensation, many physicians erroneously believe that HIPAA restrictions apply to workers’ compensation cases. For more information, see
Medical Information - HIPAA.