Standard 20 - permanent impairment assessment reports
Permanent impairment can be an integral and important component of a worker’s entitlements. Accordingly, permanent impairment assessment reports must be objectively reviewed for accuracy and consistency with claim records.
Permanent impairment assessment reports
Principle: Permanent impairment assessment reports will be objectively evaluated to ensure correct and consistent assessment for the determination of entitlements.
Expectation | Benchmarks | |
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S20.1 | Insurers must objectively consider any report on the assessment of permanent impairment to determine whether the assessment is consistent with the information in the claim file and consistent with the NSW workers compensation guidelines for the evaluation of permanent impairment. | Within ten working days from receipt of the report. |
S20.2 | If an insurer determines that further information is required in the report or that a report is not consistent with the NSW workers compensation guidelines for the evaluation of permanent impairment, the insurer must request clarification or amendment from the assessor. | Request made within ten working days after determining that further information is required or that the report is not consistent with Guidelines. |