NOVA MEDICAL
CENTERS
2015
Worker’s Compensation
The Pink Elephant in the Room
What is Worker’s Compensation?
Workers' compensation is a state-regulated insurance program that pays medical bills and replaces some
lost wages for employees who are injured at work or who have work-related diseases or illnesses.
Workers' compensation will pay for the medical treatment of an injury or illness if:
•
•
The injury occurred at work or the disease or illness is job-related; and
The worker's employer has workers' compensation insurance or is certified by the Texas Department
of Insurance, Division of Workers' Compensation to self-insure.
Workers' compensation will also replace some of the worker's lost wages if:
•
The injury or illness caused the worker to lose some or all income for more than seven days.
Texas employers may choose whether or not to maintain workers' compensation insurance. Employers
who choose to have insurance may:
•
•
Purchase insurance policies from private insurance companies; or
Self-insure, if they meet the requirements of the Texas Workers' Compensation Act and are certified
by the Texas Department of Insurance, Department of Workers' Compensation. Self-insured
employers have the same rights and responsibilities as employers who buy policies from private
insurance companies.
Texas Worker’s Compensation History
THEN
The first workers' compensation laws were enacted in Texas in 1913 and held fast to
the principle that employers should be allowed to choose whether to offer workers'
compensation benefits to their employees. At the time, the courts generally held that
mandatory, government-administered workers' compensation programs denied the
property rights of employers without due process of law.
The judicial climate changed in 1917 when the U.S. Supreme Court ruled that it was
lawful to require employers to choose whether or not to participate in a state's
workers' compensation program. Texas revised its workers' compensation laws in
1917, but retained voluntary employer participation in the system.
The 1917 Texas law created the Texas Industrial Accident Board to administer workers'
compensation laws in the state and provided the basic framework for the state's
workers' compensation system until the late 1980s
Texas Worker’s Compensation History
NOW
Today, Texas is the only state that allows employers to choose whether or not to provide
workers' compensation, although public employers and employers that enter into a building or
construction contract with a governmental entity must provide workers' compensation.
In 1987, amid growing public complaints about high insurance costs for employers and low
benefit rates for injured workers, the Texas Legislature appointed a Joint Select Committee on
Workers' Compensation Insurance to make recommendations for change. Addressing these
concerns, the Texas Legislature adopted the Texas Worker's Compensation Act (Senate Bill 1) on
Dec. 13, 1989 ensuring that injured workers are compensated fairly and appropriately for
workplace injuries and created more insurance options for employers, including self-insurance
for large employers who meet established criteria and are certified by the Division.
The Texas Workers' Compensation Commission (TWCC) was created under the Act to administer
the workers' compensation system, replacing the Texas Industrial Accident Board. TWCC
administered the system until 2005, when it was abolished and replaced by the Texas
Department of Insurance, Division of Workers' Compensation (Division).
Major Reforms in 2005 and House Bill 7 made way for the addition of health care networks for
injured workers, the creation of an Office of Injured Employee Counsel (OIEC) and numerous
other improvements for return-to-work outcomes and more efficient measures to control
medical costs.
Nova Medical Centers – Who Are We?
Nova Medical Centers began as a single facility formed 20 years ago in Conroe, Texas, to provide the highest
level of healthcare to patients suffering from musculoskeletal injuries. Currently, Nova treats more than 40,000
injuries each year and sees more than 600,000 patient visits in 12 months. Nova operates more than 45
occupational medicine facilities across Texas, Georgia and Tennessee.
We achieve our success by providing exceptional, turnkey services for the health and wellness of America's
workforce and by delivering unparalleled cost savings to employers. These services include minor
emergencies, injury care, pre-employment services, drug screens, physical therapy, online reporting and an
expanded complement of occupational health services.
Nova Medical Centers meets all standards set forth by OSHA, ADA, NIOSH, as well as all other state and
federal guidelines. Additionally, to assure the highest level of professional healthcare, Nova Medical Centers'
providers are all credentialed using the National Committee for Quality Assurance (NCQA) guidelines.
Simply stated, we at Nova Medical Centers are the best in the industry. Our focus is solely in occupational
medicine. Our patients get healthy sooner with optimal results, so that they can make your workforce better,
faster and stronger. Allow us to serve you for your best results!
Nova Medical Centers was built on ambition and a strong desire to be the best. Our objective is to become a
national entity by 2023, so be sure to look for us near you!
Nova Medical Centers - Benefits of our Services
Nova Medical Centers - Benefits of our Services
1. NOVA Medical Centers
•Lower Indemnity Cost!
•98% Same Day Return to Work
•Average 14-15 Day Claim Closure Rate
•A-Z Treatment Control
•Increased Company Productivity
2. Friendly and Professional
•Care with a smile from ONE
CONSISTENT Friendly Staff!
•Minimum Wait Times
3. Occuflex
•Medical Information instantly available
to ALL parties
•Annual reporting
•Mobile App
•Real-time web-based reporting
•Nova's proprietary software
4. 100% Occupational Medicine
• Research shows that hybrid clinic mix (urgent
care/occmed) DOES NOT work
•No Family Practice
•No Urgent Care
•No Sick Visits
5. Patient Satisfaction
•Happy Patients
•Great Compliance
6. Outcome-Based Results
•Fast Return to Work
•Short Treatment Time
•Reduced Treatment Cost
•Lower Indemnity Cost
•Increased company productivity
An Employees potential perception of W/C
NETWORKS / CARRIERS
Broadspire Network (TX HCN)
Brownsville ISD (TX 504)
Bunch CareSolutions (TX HCN)
Chartis (TX HCN)
CompKey Plus Network (TX HCN)
Corvel (CoreCare)
Coventry/First Health (Aetna owned)
ESIS (TX HCN)
Gallagher Bassett (TX HCN)
Genex (TX HCN)
Global Excel Management
The Hartford (TX HCN)
Liberty Mutual (TXHCN)
LoneStar HCN (Corvel)
Majoris (TXHCN)
National Choice Care (TX HCN)
OccuNet (Alliance)
PSWCA - The Alliance (TX 504)
Prime Health Services (PHS)
Sedgwick - SWMPN (TX HCN)
Texas Healthcare Foundation (THF)
Travelers (TX HCN)
Worklink (Memorial Hermann TX HCN)
WellComp/Rockport (York owned)
Zenith (TX HCN)
Zurich (TX HCN)
OCCUFLEX - Nova's Real-time Online Reporting System –
How to facilitate W/C Information efficiently and effectively
REAL-TIME web-based communication through Occuflex® allows Nova
Medical Centers to coordinate and deliver one of the fastest return to
work rates in occupational medicine.
Features include:
Free Online Injury Management Database
Free Real-time Online Customized Reporting & Communication
Free Customized & Accurate Billing Procedures
Free Customized & Flexible Account Set-up
Q&A
Thank you for your consideration