Welcome to our Orthopedics Practice Workers’ Compensation Guide! This comprehensive resource has been created to provide you with a helpful overview of workers’ compensation in relation to orthopedic injuries. While we strive to offer valuable insights and guidance, it is important to note that this guide is not a substitute for professional advice.
For more detailed and specific information tailored to your unique situation, we encourage you to visit the official workers’ compensation portal. This portal serves as a reliable source for the latest regulations, forms, and additional resources, ensuring you have access to the most up-to-date and accurate information. Your well-being is our top priority, and we hope this guide serves as a useful starting point for your understanding of workers’ compensation within the realm of orthopedic care.
NJ Workers Compensation Reporting Requirements:
Mandatory Electronic Reporting:
NJ workers compensation laws mandate insurance carriers, third-party administrators, self-administered self-insured employers, and statutory non-insured employers, such as the State, counties, municipalities, and school boards, to submit accident reports electronically. This electronic format must align with national Electronic Data Interchange (EDI) standards.
Reporting Process:
Employers are required to report work-related injuries/illnesses directly to their Workers’ Compensation carrier or Third Party Administrator. Subsequently, these entities are obligated to file the essential data with the New Jersey Compensation Rating & Inspection Bureau (NJCRIB) in an electronic format.
Implementation Guide:
Comprehensive information on setting up an electronic accident report filing system is available in the NJ EDI Implementation Guide. This guide covers topics such as filing a Variance Petition for extending deadlines, vendor acquisition, data elements, and frequently asked questions.
Technical Support:
For EDI technical issues, contact New Jersey’s EDI vendor, ISO, at njcribedi@iso.com.
Understanding Electronic Data Interchange (EDI):
Q. What is Electronic Data Interchange (EDI)?
A. EDI refers to the computer-to-computer exchange of data in a standardized format. Claim Administrators submitting data must adhere to approved file layouts and data standards. The data undergoes pre-defined edits, and transactions that fail must be re-sent. Reports are sent in a specific order corresponding to business events, and the receiver sends electronic acknowledgments for all transactions. Transmission occurs through secure networks.
Q. Penalties for Non-Compliance:
A. Failure to comply with the stipulations of this article subjects every employer, insurer, or non-compliant party to a penalty ranging from ten to fifty dollars per offense. The Commissioner of Labor and Workforce Development determines and collects these penalties. Refusal to pay results in legal action initiated by the Commissioner on behalf of the State of New Jersey.
