Document name
Nurse Practitioner
Document number
PRO 52/2017

Effective date: May 1, 2017

Approved date: April 12, 2017

Application: Applies to all licenced nurse practitioners providing services to WCB customers on and after the effective date.

Policy subject: Health care services – providers

Purpose:

To provide administrative guidelines for approving and evaluating services provided by NPs.

DEFINITION

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Nurse Practitioner (NP) means a registered nurse who has met the qualifications for licensure in the NP category in the province of Saskatchewan, as defined by The Registered Nurses Act, 1988.

BACKGROUND

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  1. Upon Workers’ Compensation Board (WCB) approval, a worker entitled to benefits under The Workers’ Compensation Act, 2013 is also entitled to (Section 103):
    1. Any medical aid that may be necessary because of the work-related injury.
    2. Any other treatment by a health care provider.
    3. Any prosthetic or apparatus that may be necessary as a result of the injury, and
    4. Any travel and sustenance costs associated with receiving medical treatment as a result of the injury.
  2. The WCB is authorized to determine health care services fees (Section 104).
  3. Section 24(3) of The Registered Nurses Act, 1988 provides a general overview of the services NPs are able to provide. For instance, this section allows NPs to:
    1. Order, perform, receive and interpret reports of screening and diagnostic tests;
    2. Prescribe and dispense drugs;
    3. Perform minor surgical and invasive procedures; and
    4. Diagnose and treat common medical disorders.
  4. The mandate of the Saskatchewan Registered Nurses’ Association (SRNA) and The Registered Nurses Act, 1988 do not provide the SRNA with the authority to sign an agreement or negotiate on behalf of its members. However, the SRNA has agreed to provide advisory and resource services to the Workers’ Compensation Board (WCB) when required.

PROCEDURE

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  1. NPs who hold current licensure with the SRNA and are accredited by the WCB to provide services to injured workers can access the following at www.wcbsask.com:
    1. Accreditation Standards and Service Provider Guidelines for NPs.
    2. Accreditation requirements.
    3. Fees.
    4. Reporting forms.
    5. Primary Authorization to Treat forms.

The WCB will update these documents as needed.

  1. Claims Entitlement Specialists (CES) will review initial reports (PPI) and progress/discharge reports (PPP) that the WCB receives within the first four weeks post-injury. Case Managers (CM) will review reports that the WCB receives after four weeks unless Claims Entitlement retains the file.
  2. CESs and CMs can request the assistance of a Medical Officer (MO) at any time during the review of a claim.
  3. If the CES, CM or MO finds that the WCB should deny coverage, the file manager will inform the NP. The WCB will only pay for reports submitted prior to the date of notification of disallowance. The WCB will not pay office visit and treatment fees.
  4. Medical and Health Care Services (MHCS) will perform ad hoc file reviews to ensure quality assurance.
  5. MHCS will issue letters to NPs that do not comply with the practice guidelines for fees. These letters will outline appropriate corrective actions. Failure to comply may result in the loss of WCB accreditation.
  6. Workers can report complaints of any nature to the WCB. The WCB employee receiving the complaint may refer the complaint for resolution to other WCB staff including the Manager of Health Care Services. If the complaint alleges professional incompetence or misconduct by a care provider, the Manager of Health Care Services will direct the complaint to the SRNA.
  7. MCHS will note all complaints and resolutions on the service provider’s accreditation file.
  8. Workers that want to see a different NP should contact their CM or MHCS.

Policy references

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Section heading

Legislative Authority

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The Workers’ Compensation Act, 2013
Sections 55, 103, 104, 115(c)

The Registered Nurses Act, 1988

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Document History

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(1)    Housekeeping amendments effective January 1, 2021 to update references from Registered Nurse (Nurse Practitioner) (RN(NP)) to Nurse Practitioner (NP). Procedure reviewed and no other changes required.
(2)    PRO 55/2014, Medical Fees – Registered Nurse (Nurse Practitioner) (effective September 1, 2014 to April 30, 2017).
(3)    January 1, 2014. References updated in accordance with The Workers’ Compensation Act, 2013.
(4)    PRO 57/2012, Medical Fees – Registered Nurse (Nurse Practitioner) (effective January 1, 2013 to August 31, 2014).

Section heading

Complements

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