OMCA

Pain, Drugs and the Crisis in Workers’ Compensation

Thursday and Friday, March 2nd and 3rd, 2006

Kentucky International Convention Center

Louisville, Kentucky

Moderator

William V. Faris, J.D.

Co-Founder, President & CEO

Occupational Managed Care Alliance, Inc. (OMCA)

Louisville, Kentucky

Congressman Ed Whitfield

U.S. Representative Kentucky’s 1st District

Henderson, Kentucky

Hon. William Emrick, Executive Director

Office of Worker’s Claims

Frankfort, Kentucky

Hon. Donna Terry, Administrative Law Judge

Lexington, Kentucky

Dr. Russell Travis, Neurosurgeon

Lexington, Kentucky

Dr. Robert Stewart, Psychiatrist

Louisville, Kentucky

Dr. Jonathan Hodes, Neurosurgeon

Louisville, Kentucky

Dr. Ellen Ballard, Physical Medicine and Rehabilitation

Louisville, Kentucky

Dr. William Nemeth, Medical Director

Texas Workers’ Compensation Commission

Austin, Texas

Dr. Suzanne Novak, M.D., PhD.

Austin, Texas

Hon. Cathy M. Jackson, Managing Counsel

Toyota Motor Manufacturing North America, Inc.

Erlanger, Kentucky

Hon. Tom Ferreri, Defense Attorney

Ferreri & FogleLouisville, Kentucky

Karyn Hascal, Deputy Director

Governor’s Office of Drug Control Policy

Frankfort, Kentucky

Dan Smoot, Director of Law Enforcement Operation UNITE

Somerset, Kentucky

OMCA Products Who We Are Events & News Valued Resources

Injured Worker

OMCA staff works with the injured worker to obtain prompt, effective medical care for treatment of the work injury. The Nurse Case Manager is a resource for the worker to obtain information regarding their injury, prescribed medications and proposed treatment. The Nurse Case Manager helps the worker successfully navigate the medical system to return to their pre-injury state of health.

Employer

The OMCA system assists the employer in reporting claims promptly, obtaining information regarding the work status of injured worker and identifying work duties that could allow the employee to return to work within medical restrictions. Those employers who enroll in the OMCA managed care system are assisted in selecting the network of medical providers from which the employee may choose, thereby reducing the opportunity for malingering by those few workers who may attempt to work the system.

Provider

OMCA works closely with the medical provider to get the employee the appropriate care at the appropriate level without delay. Unless there is an issue with compensability of the claim or relatedness of the procedure most pre-certs are approved with the initial phone call. Providers within the OMCA network have access to a provider relations representative who can assist them with questions related to claims filing and reimbursement questions.