As a treating doctor, your role is to manage treatment and provide rehabilitation support to injured workers. This includes:
- emergency and clinical care of the injury or illness
- guiding the rehabilitation process
- assessing capacity for work and providing work capacity certificates
- advising the employer, insurer, or return to work service provider, about a return to work program
- referring the worker to allied health or other services, if needed.
Rehabilitation and return to work
Research shows that work is good for health and that early return to work conversations can improve rehabilitation outcomes. It's important to talk with your patient about:
- what's needed for them to stay at, or return to, work
- the importance of self-management and staying active
- what suitable duties are and how important they are in maintaining health and improving rehabilitation outcomes
- how their employer is required to provide suitable duties but, if they can’t, we can arrange a host employer to help get them on the road to recovery
- how the rehabilitation process can take time and is a step by step process
- how their capacity for work will be reviewed regularly
- any other concerns.
Improved rehabilitation and return to work outcomes are achieved through:
- regularly assessing capacity and focusing on what can be done, rather than what can’t
- practical, goal-orientated rehabilitation that focuses on staying at, or returning to, work
- regularly communicating with the rehabilitation and return to work team, including providing reports, feedback and updates.
Each injured worker has a tailored rehabilitation and return to work plan developed for them, based on the information you provide us. These plans inform the rehabilitation and return to work process. An important part of this is the identification of suitable duties.
Suitable duties are tasks that an injured worker can do as they get better. They're usually time limited and enable a gradual return to the pre-injury role. We have a range of task analysis guides and plans that can help you identify suitable duties.
Non-elective hospitalisation can occur without prior approval. We will cover up to four days as an in-patient at a private or public hospital. If further hospital time is required, please contact the claims owner/manager to discuss and seek approval before extending the stay.
Elective and private hospitalisation
Complete and submit a request form (DOC, 1.8 MB) and obtain approval before:
- elective hospitalisation
- private hospitalisation
- surgical procedures.
By answering all questions on the request form, you speed up the decision-making process.
Also, if you answer the 'work-related diagnosis', 'pre-existing conditions' and 'time frames for return to work' questions, you can charge item code 100808.
Find out more about surgical item codes and fees.
Surgery guidelines are also available to provide billing and treatment guidance. Current guidelines include:
- Upper limb (PDF, 0.47 MB)
- Lower limb (PDF, 0.44 MB)
- Spinal (PDF, 0.24 MB)
- Pain intervention (PDF, 0.15 MB)
You can submit requests by:
- using our online services
- fax to 1300 651 387
- email to your customer advisor at firstname.lastname@example.org
- post to GPO Box 2459, Brisbane Qld 4001.
We'll respond to your request within 1-2 business days.
To help make a decision on or manage a claim, WorkCover may request a medical report from you. We use these reports to learn more about the work-related injury and the worker's condition.
Read more about medical reports.
To support the return to work goal, you're able to refer to an allied health provider.
Complete a referral to the provider for the treatment, rehabilitation or return to work services required.
Read about what we will and won’t pay for.
If you arrange further medical investigations, you need to send a copy of the results to us.
MRI scan referrals must be completed by a specialist, even in urgent cases.
A general medical practitioner is only able to complete MRI referrals when specific clinical indicators exist. Refer to the latest Medicare Benefits Schedule for information on these.
Medical Advisory Panel (MAP) and Independent Medical Examinations (IME's)
At times we may seek additional guidance from our Medical Advisory Panel (MAP) or an Independent Medical Examination (IME). This is done for a number of reasons, including:
- clarification on the available medical information
- seeking further advice about the recommended treatment or rehabilitation direction
- obtaining another professional opinion.
As the treating doctor, we will advise you if this happens and of any recommendations provided.