- During the course of the re-engineering, has the Board examined the use of forms, the number of forms, and their format? Are there plans to reduce the number of forms used? Reducing the amount of paper in the system, and therefore the number of forms, is one of the goals of the medical portal project. Release 1 of the portal will enable the electronic submission of medical treatment authorization requests. This should cut down considerably on paper requests such as Optional Prior Approval, Variance, and C-4Auth. As more Board processes are transitioned to the portal, the Board anticipates that the forms and paper used in those processes will be significantly reduced.
- Will the Board expand the use of electronic forms for medical and employer reporting?
Incomplete and illegible forms delay claim processing. Increasing the use of electronic reporting, as well as recommendations to improve the current electronic process for submission of medical reports, will be important considerations when the Board examines how to improve outcomes.
Currently the Board accepts the electronic submission of the C-4 family of forms. Authorized health care providers can register for this process. The Board also accepts medical reports in XML format (Extensible Markup Language) via a group of submission partners. Information on both processes can be found through the following links:
- Has the Board considered the use of existing data standards in the planning and implementation phases of the BPR project? Yes. In fact, the Board already uses two nationally accepted standards: the IAIABC Proof of Coverage standard for policy reporting and the IAIABC Claims standard for submitting First Reports of Injury (FROIs) and Subsequent Reports of Injury (SROIs). The Board is using the knowledge and experience it gained from implementing these two standards to consider how additional relevant standards might be used in other reporting processes.
- Are disability benefits claims part of this re-engineering effort? Unfortunately, no . While the Board recognizes that disability benefits claims could benefit from modernization efforts, they are not within the scope of this project. For more information on the scope of this effort, please refer to the RFP C140312 - Workers' Compensation System Business Process Re-engineering (BPR) Request for Proposal.
- How can I become involved with the BPR? A: If you're interested in participating in the BPR, please email your contact information to: BPR@wcb.ny.gov.
- Has the Board done outreach to the injured workers as part of the BPR project? The voices of injured workers matter, so the Board’s longest and most concerted outreach was through a survey for workers as well as holding Injured Worker Days in all offices. Injured Worker Survey Results
- Has the BPR project consider best practices from other states? Yes. During the BPR planning phase especially, the Board actively considered best practices from other states to determine if similar practices would work in New York's system. The Board is also very familiar other states' claims reporting best practices from projects such as eClaims, and will continue to examine how other jurisdictions operate to learn more from their successes.
- Where can I find the feedback and comments gathered from the Board's outreach efforts? Feedback from the Board's outreach activities is always available on Yes. Feedback such as this is always available on http://www.wcb.ny.gov/BPR/Outreach.jsp
- How is the Board addressing technology in the BPR project? The Board is considering technological solutions that make sense for the redesigned processes and are achievable with our available resources. A good example of this is the current initiative of the medical portal. The portal technology addresses a number of important needs in the system, such as reducing paper and taking confusion out of the medical treatment authorization request process.
- Do the BPR initiatives require legislative changes? Some of the initiatives do require changes to regulations to support their implementation. Since these changes are tied directly to BPR initiatives, they are considered a part of the BPR project. All proposed changes to regulations go through a comment period where stakeholders can offer their feedback. The regulations are then fine-tuned further based on the feedback before going into effect.