Supporting your patients through psychological injury claims
Psychological injury claims are increasing, and treating doctors play a vital role in supporting patients through the Return to Work (RTW) process. Here’s what you need to know about claim determination timelines, support services, and how to best assist your patients. SPONSORED CONTENT.
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While over 86% of all injury claims are determined within 10 business days, psychological injury claims can take longer due to their complexity. During this time, interim payments may be provided for income and medical support—though these can be recovered if the claim is later rejected.
Claims are assessed using information from the worker, employer, and treating doctor. To be eligible, patients must meet several criteria: be a “worker” under the Return to Work Act 2014, have a diagnosed injury (note: “stress” is not a diagnosis), and show employment was a significant contributing cause.
Doctors may be asked to provide reports to support the claim. Meanwhile, patients can access voluntary services like Facilitated Conversations, Low Intensity Mental Health Support, and ReCONNECT to help with recovery.
If a claim is accepted, patients may receive income support for up to two years and medical treatment for another year. If rejected, continue care via Medicare and encourage workplace connection if appropriate.
Useful tools include the RACGP’s clinical guidelines and ReturnToWorkSA’s Managing Workplace Psychological Injury.
For more information, visit the ReturnToWorkSA website: FAQ - Managing Psychological Claims