Revised C-4 Form & Discontinued C-4A eff 9/13/23
WCS Treating Panel of Physicians and Chiropractors
Note: Asterisk (*) beside provider name denotes telemedicine provider only
WCS Rating Panel of Physicians and Chiropractors
For information relating to Rater Assignments and Evaluations, please visit the Reports page.
Requirements for Joining the Rating Panel effective October
9, 2024, per NAC 616.021
1. Complete 3 years or more of experience concerning
industrial health in private practice.
2. Successfully complete a course
on the AMA Guides, 5th Edition. The following courses have been approved by the
Administrator.
a. The American Board of Independent Medical Examiners (ABIME) AMA
Guides, 5th Edition Course may be found at https://abime.org/.
b. The American Academy of Expert Medical Evaluators (AAEME) AMA
Guides, 5th Edition Course may be found at https://testing.wpirs.com/.
3. Pass the Nevada Impairment
Rating Skills Assessment Test (NIRSAT) with a score of 75% or higher.
The AAEME NIRSAT may be found at https://testing.wpirs.com/.
4. Only physicians and
chiropractic physicians who have successfully completed a course on Form D-9c
may perform Permanent Partial Disability (PPD) evaluations involving injuries
or disorders rated using Form D-9c.
The AAEME Form D-9c Course,
Nevada Impairment Rating of Stress Disorders, may be found at https://testing.wpirs.com/.
5. Submit the Rating Panel
Application.
6. If approved, attend a new
rater course provided by the Division of Industrial Relations.
Approved Courses for the Rating Panel Members' Biennial Education Requirements
Please be aware that the only courses currently
approved by the Administrator for compliance with NAC 616C.021(4)(d), for
meeting the requirements for the rating panel biennial education requirement
are as follows:
1. The ABIME AMA Guides 5th Edition - https://abime.org/
2. American Academy of Expert Medical Evaluators (AAEME) –
AMA Guides 5th Edition Course https://testing.wpirs.com/
Insurers’ Treating Provider List Requirements
- Each insurer is required to submit their treating
provider list to DIR/WCS per NRS 616C.087(6) by October 1st of each
year.
- Insurers are required to submit provider lists to
DIR/WCS per NRS 616C.087(6); provider lists will only be accepted when
submitted by insurers (not TPAs)
- Each list must be certified by a claims adjuster
licensed pursuant to NRS 684A per NRS 616C.087(6)
- Insurers are requested to submit provider lists
which are ADA compliant. For more information, see https://ada.nv.gov/ .
- Provider lists must be submitted in PDF format.
- Provider lists must be emailed to
medpanels@dir.nv.gov
- Include the insurer's name and that a provider
list(s) are attached in the subject line. This will ease identification
and expedite processing.
- CARDS functionality that allows the insurers to
enter their treating provider lists directly is not currently available.
This functionality is estimated to go live in June 2025. WCS will
communicate with insurers and TPAs when these functions are available,
providing the due date to enter treating provider lists, and providing
scheduled training.
- Direct further questions and concerns to
eunjoo.graham@dir.nv.gov
Permanent Partial Disability (PPD) Information
Medical Fee Schedules
- 2024 Medical Fee Schedule (eff. Feb 1, 2024- Jan 31, 2025)
- 2023 Medical Fee Schedule (eff. Feb 1, 2023- Jan 31, 2024)
- 2022 Medical Fee Schedule Revised (eff Mar 1, 2022 - Jan 31, 2023)
- 2022 Medical Fee Schedule (eff Feb 1, 2022 - Feb 28, 2022)
- 2021 Medical Fee Schedule (eff. Feb 1, 2021- Jan 31, 2022)
- 2020 Medical Fee Schedule (eff. Feb 1, 2020- Jan 31, 2021)
- 2019 Medical Fee Schedule (eff. Feb 1, 2019- Jan 31, 2020)
- 2018 Medical Fee Schedule (eff. Feb 1, 2018- Jan 31, 2019)
- 2017 Medical Fee Schedule (eff. Feb 1, 2017- Jan 31, 2018)
- 2016 Medical Fee Schedule (eff. Feb 1, 2016- Jan 31, 2017)
- 2015 Medical Fee Schedule (eff. Feb 1, 2015- Jan 31, 2016)
- 2014 Medical Fee Schedule (eff. Feb 1, 2014- Jan 31, 2015)
- 2013 Medical Fee Schedule (eff. Feb 1, 2013- Jan 31, 2014)
- 2012 Medical Fee Schedule (eff. Feb 1, 2012- Jan 31, 2013)
Miscellaneous Information
Licensing Agencies