Costs | Examples |
---|---|
Health care provider fees | Initial assessment, follow-up visits. |
Fees for completing standardized automobile insurance claims forms | Treatment Plan (OCF-18), Discharge and Status Report (OCF-24). |
Health services (block fees) | In-home assessment, functional evaluation, job site assessment, home exercise prescription, multidisciplinary evaluation, workplace/home modification assessment, home exercise prescription, multidisciplinary evaluation, workplace/home/vehicle modification assessment, return to work support, education programs, life skills and job retraining, counseling and coaching, stress management, relaxation therapy, family counseling, cognitive behavioral therapy, pain management. |
Patient out-of-pocket expenses | Over-the-counter medications, prescription drugs, portable electrotherapy devices, orthotics, assistive devices, health care supplies, treatment-related expenses. |
Diagnostic imaging | Radiography, magnetic resonance imaging, ultrasound. |
Benefits | Non-earner, dependent care, caregiver, housekeeping and home maintenance, income replacement, attendant care, lost educational expenses, expense of visitors, long-term care, excess economic loss. |
Independent health examination | Chiropractic, medical, occupational therapy, physical therapy, psychological. |