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How are claims counted in the WC/OSH MIS?

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How are claims counted in the WC/OSH MIS?

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Answer 5: In developing the WC/OSH MIS, VA has used the DOL definition of extent of injury and denied claims. Figures for lost-time claims rates are based on counting the claims, excluding the denied claims. It is possible to obtain a count of all the claims that have been submitted to DOL and which indicated the adjudication status of each claim. The adjudication status is the determination of whether the claims is accepted, denied, or still undecided. Also, to be consistent with DOL definitions, VA counts the claims as of the month and year they were created, i.e. using the “case create” date. Question 6: Why doesn’t VA also use the “date of injury” to count the number of claims? Answer 6: There have been suggestions that VA also count the claims as of the “date of injury” instead of (or in addition to) the “case create” date. Such a practice would lead to confusion because it would result in two sets of data and two sets of rates. The practice of counting the injuries by “date of in

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