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ILARS STATISTICS FOR 2015 PAUL GREGORY WIRO IMPLEMENTATION DIRECTOR 1.

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Presentation on theme: "ILARS STATISTICS FOR 2015 PAUL GREGORY WIRO IMPLEMENTATION DIRECTOR 1."— Presentation transcript:

1 ILARS STATISTICS FOR 2015 PAUL GREGORY WIRO IMPLEMENTATION DIRECTOR 1

2 ILARS INVOICING Calendar YearNo of invoicesAverage invoiceAmount Invoices processed 2012 7 $ 2,380 $ 16,660 2013 2,991 $ 2,132 $ 6,376,769 2014 11,417 $ 3,338 $ 38,105,137 2015 10,251 $ 5,001 $ 51,261,721 Total 24,666 $ 3,882 $ 95,760,288 2

3 WHAT HAS THE MONEY BEEN SPENT ON IN 2015 ILARS Cost Item Total invoice amountsPercentage Professional fees (including GST)$38,785,88476% Disbursements (excluding GST)24% Medico-legal$9,441,47476% Barrister Fees$2,009,15716% NTD Report$315,8683% Clinical Notes$236,1512% Travel$160,5571% Barrister Country Loading$146,0511% Treating Specialist Report$60,0930% Interpreter$51,3270% Other$14,4090% Meal Allowance$2,6010% Total Disbursements$12,437,581 Grand Total$51,223,570 Note: The above figures are unaudited numbers from WIRO’s case management system. The ‘NTD Reports’ and ‘Treating Specialist Reports’ amounts may have been understated as they have been tagged as ‘Medico-legal’. 3

4 ILARS 4

5 ILARS OUTCOMES 2015 Desired Outcome not Achieved -38 % of matters; Average cost $3425 Achieved desired outcome 62% of Matters; Average cost $6117 ILARS Funding Withdrawn -1074; 10%; $3452 Cram Fluid -607 No Response to ILARS Follow-up -318 Other -131 Resolved prior to WCC – 2721; 25%; $3573 Insurer accepts claim- 1037 By complying agreement after claim made -1680 Instructions withdrawn -1056; 10%; $2309Resolved after referral by WIRO Insurer - 68; 1%; $2130 Grant subsequently declined -132; 1%; $3631 Death Benefits - 3; 0%; $8483 Not proceeding after preliminary grant - 1346; 12%; $2817 Worker does not reach WPI threshold -916 Medical evidence not supported -335 Commutation - 29; 0%; $3114 Grants Closed with outcomes -10,991 5

6 ILARS OUTCOMES 2015 OutcomeDesired Outcome not Achieved Achieved desired outcome WCC286; 3%; $65683787; 34%; $7943 Resolved following MAC2261362 Resolved Teleconference0959 Resolved at Conciliation0961 Resolved at Arbitration59485 Resolved WIM dispute118 Appeals89; 1%; $8532119; 1%; $8859 After Medical Appeal Panel75104 To the Deputy President /President 1214 To the Supreme Court21 6

7 LAW FIRMS During 2015 ILARS approved approximately $51 million – The top 5 law firms were 34% – The top 10 law firms were 47% – The top 20 law firms were 63% For the top 50 law firms the table below shows the percentage of matters which achieved the desired result for the injured worker. Covers 81% of matters closed % achieved desired result – amount invoiced % achieved desired result – number of matters Minimum %5629 Maximum %9488 Average8161 7

8 INSURERS Insurer Type% of Amount paid% of mattersAverage payment Scheme Agent76%77%$4991 TMF9% $5358 Specialized Insurer4% $5219 Self Insurer9% $4876 Total number of matters % achieved desired result – amount invoiced % achieved desired result – number of matters Scheme Agent84138065 TMF9398166 Specialized Insurer3757966 Self Insurer10538168 8

9 ISSUES Primary issue of matter % of Amount paid% of mattersAverage payment Death claim1% $6930 Denial of Liability35%25%$6978 Medical treatment7%12%$2986 Weekly payments4%3%$5994 WPI53%59%$4511 Total number of matters % achieved desired result – amount invoiced % achieved desired result – number of matters Death claim809590 Denial of Liability25908874 Medical treatment13328374 Weekly payments3398768 WPI65867359 9

10 BODY LOCATION OF THE INJURY Nature of injury% of Amount paid% of mattersAverage payment Back16% 15% $4858 Ear12% 20% $2853 Psychological9% 7% $6341 Shoulder6% $4953 Knee5% $5142 Neck3% 15% $5009 Total number of matters % achieved desired result – $ % achieved desired result – number Back16797872 Ear22417858 Psychological6728669 Shoulder6457657 Knee5427758 Neck3247758 10

11 DOCTORS During 2015 ILARS recorded the names of 190 doctors who were paid for an IME in 1442 matters – The top 5 doctors were 34% of all matters – The top 10 doctors were 51% of all matters – The top 20 doctors were 66% of all matters For the top 20 doctors the table below shows the percentage of matters which achieved the desired result for the injured worker. Doctor specialtyNumber of matters % achieved desired result – number of matters ENT Specialist53080 Orthopedic Specialist43756 Psychiatrist5358 Other specialties41759 11

12 BARRISTERS During 2015 ILARS recorded the names of 82 barristers who were paid for acting for injured workers in 757 matters – The top 5 barristers were 33% of all matters – The top 10 barristers were 49% of all matters – The top 20 barristers were 68% of all matters For all barristers the percentage of matters which achieved the desired result for the injured worker is 91% 12

13 WHICH REGIONS HAVE WHICH TYPE OF INJURIES Head Upper Body Upper Limb Lower Limb RegionEars Other HeadBack Other Upper BodyNeckShoulderElbow Hand and wrist Other Upper LimbKnee Angle and Feet Other Lower Limb Multiple areas Internal systemsPsychologicalUnspecifiedDeathTotal Hunter 543 27 299 13 56 144 12 79 51 122 40 38 32 21 174 13 12 1,676 Liverpool/ Fairfield 274 25 448 33 80 151 12 80 62 92 40 53 61 19 103 1 12 1,546 Western Sydney 299 36 363 18 52 163 15 65 56 124 57 67 40 16 154 3 15 1,543 Central Coast 286 31 373 19 47 111 15 48 44 112 38 47 29 13 143 7 15 1,378 South Coast 340 21 306 9 48 125 13 56 47 89 33 44 28 14 173 4 13 1,363 North Coast 283 27 233 12 40 93 10 53 44 80 38 39 21 18 172 2 10 1,175 Parramatta 142 25 251 15 50 60 14 61 52 62 29 31 9 103 2 14 949 Macarthur/ Camden 121 25 213 13 55 84 7 36 26 92 21 23 6 93 4 7 847 Canterbury/ Bankstown 98 20 185 9 31 59 5 26 25 34 32 25 16 13 60 1 5 644 Inner West 102 17 161 9 27 56 6 24 40 27 35 11 9 79 4 6 637 St George 134 11 144 12 20 68 1 30 23 50 13 19 9 8 47 5 1 595 Central Tablelands 121 13 127 4 16 39 5 24 21 40 25 34 5 9 66 3 5 557 Illawarra 170 11 121 3 18 39 3 14 16 28 17 18 13 7 63 2 3 546 Sutherland 142 13 128 5 19 38 4 17 12 46 16 18 6 11 56 - 4 535 Other areas 637 80 853 44 116 325 32 138 122 253 114 126 79 46 457 23 323,477 Grand Total 3,692 382 4,205 218 675 1,555 154 751 625 1,264 540 613 404 219 1,943 74 154 17,468 13

14 DISBURSEMENTS Disbursements generally cover clinical notes, medical reports, interpreter fees, travel expenses and Counsel Fees Travel loading for instructing solicitors UHG arrangement Invoicing generally 14

15 UPLIFTS WIRO will consider a request for an uplift in professional fees where a matter has involved significant additional work due to complexity or where there are multiple respondents. Requests for an uplift should be made prior to the issue of your tax invoice. 15

16 ADMIN ISSUES Contact the Principal Lawyer handling your matter on his or her direct line and avoid using 139476 Urgent applications should be flagged Response times to applications and emails Email follow up on old matters Death benefit claims 16

17 17 wiro.nsw.gov.au Subscribe to eNews contact@wiro.nsw.gov.au CONTACT US


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