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Injury management consultants

Injury management consultants work in the NSW workers compensation system. They help overcome complex return to work and injury management barriers in order to achieve the best possible outcome for workers.

In brief

The role of the injury management consultant is different from that of the independent medical examiner.

Injury management consultants are SIRA-approved registered medical practitioners (doctors) experienced in occupational injury and workplace-based rehabilitation. They help insurers, employers, workers and their doctors overcome complex return to work and injury management barriers.

As an injury management consultant, you can be engaged by either the insurer or employer when there is a specific return to work or injury management problem such as:

  • issues in relation to treatment and diagnosis (if required)
  • confused recovery or return to work goals
  • complexity of injury or workplace environment
  • poor communication between insurer, employer and/or nominated treating doctor (doctor)
  • perceived conflict between the doctor's recommendations and the workplace requirements
  • unexplained changes in work capacity
  • disagreement regarding the suitable work offered to a worker
  • the worker is not upgrading at work.

An injury management consultant does not comment on:

  • the appropriateness of treatment
  • diagnostic procedures, or
  • liability for a workers compensation claim.

In your role, you will assess the nature of the problem and attempt to mediate a solution through discussions with the doctor, worker, other service providers (if involved) and the employer.

Forms you might need

Publications you might need

Fees and invoicing

The Injury Management Consultants Fees Order sets the current maximum fees for injury management consultants.

See also the 2016 Injury Management Consultants Fees Order.

What your invoices will need to include

  • worker's first and last name, and claim number
  • payee details
  • ABN
  • name of the medical practitioner or service provider who provided the service
  • SIRA workers compensation approval number or medical practitioner's Health Insurance Commission provider number (where applicable)
  • date of service
  • SIRA workers compensation payment classification code or AMA item number where applicable. Refer to either the claims technical manual for:
  • service cost for each SIRA workers compensation payment classification code or AMA item number and service duration (if applicable)
  • date of invoice (must be on the day of or after last date of service listed on the invoice)

To prevent delays in payment, these details will need to be provided on all invoices.

Becoming an approved injury management consultant

Medical practitioners registered in the specialty of psychiatry are now able to apply to become an approved injury management consultant by completing the application for approval and emailing it to claims.design@sira.nsw.gov.au.

SIRA is not currently accepting applications for approval from any other medical practitioner specialty.