Posts Tagged ‘federal doctor’

Understanding a Schedule Award – Part 3

Friday, February 1st, 2013

… Continued from Part 2

 

In the 6th edition, it specifically requires you to be at MMI before the impairment can be rated. Have patience! Getting the rating appointment with a good doctor could be a waste of time if you haven’t allowed an adequate amount of healing time to elapse.

Federal workers compensation is difficult enough without having to redo your work or take more time to see a doctor. It is important to try to get it as right as you can on the first try. Once the fight begins, you will benefit from having all of your ducks in a row.

FedDoctor is the only place online to find quality federal doctors all over the country that help the federal employee! Using this resource and sharing it with your friends and co-workers can net you more money when it comes time to file the schedule award claim.

So now that you have reached MMI, schedule your visit with a qualified doctor to have your impairment rated. You can use your treating physician, but make sure that they fully understand the type of report they are generating.

As we discussed previously, the rating must be done in accordance with the AMA Guides 6th edition. Not all doctors know how to use this version as most states have chosen not to adopt this version. In addition to being done using the 6th edition, federal workers compensation schedule awards are not done using Whole Person Impairment (WPI), but rather stay at the local level using Regional Impairment.

To explain the difference, here is an example. If you have a 10% loss of use to your upper extremity (UE) that may equate to a 2% loss of the whole person. The difference is clear: 2% WPI vs. 10% UE.

OWCP does not accept WPI ratings at all. If your report is done using WPI, you have a significant chance of having the entire report thrown out by the district medical advisor in your OWCP regional office.

Your impairment rating should be left in the regional format. In addition, it is generally not helpful to have your doctor rate additional parts of your body that are not included on that claim number. If you have multiple claims, have separate reports done. OWCP often has different claims examiners responsible for different claims and they won’t necessarily both get a copy of the report. This seems like a minor detail, but it can cause confusion and delay or ruin your schedule award claim.

To be continued…

Understanding a Schedule Award – Part 2

Tuesday, January 29th, 2013

… Continued from Part 1

 

So if your physician is not a federal doctor (a doctor who simply understands the differences between federal and state workers compensation law), it is important that you know and understand schedule award calculations.

Now that you understand that you are not going to forfeit any future compensation benefit rights, it is now time to understand when and why a schedule award may be the next logical step in your claim process.

Federal workers compensation laws require that you reach Maximum Medical Improvement (MMI) before you get your impairment rated by a doctor (Read more about Maximum Medical Improvement here). MMI is determined when your physician determines that your recovery has plateaued. This doesn’t mean that you will never, ever get any better, simply that you are unlikely to substantially improve over the next twelve months.

If you are about to have surgery, MMI is usually not reached until approximately one year has elapsed after the operation, especially if the nature of your injury is neurological.

The rules that doctors follow when evaluating an impairment are laid out by the American Medical Association. The AMA Guidelines to Rating a Permanent Impairment 6th Edition are the most recent version of those rules and are the ones adopted by the OWCP (read more about the AMA 6th Ed. here).

These are likely different than the version used in your home state, another reason why FedDoctor is so helpful to injured federal employees. We help you locate federal doctors around the country that understand the 6th edition and how it relates to your schedule award. There may be one in your back yard!

OWCP claimants are allowed to travel to see a doctor to have their impairment rated for a schedule award claim. While OWCP may not reimburse you for travel expenses, you are allowed to have a one time visit with for an independent medical evaluation without preauthorization and without having to change treating physicians.

To be continued…

 

 

 

A Quick Note on Maximum Medical Improvement

Friday, January 25th, 2013

Maximum Medical Improvement, or MMI, is a term that doctors use to indicate that an injury or injured person’s ailment has somewhat stabilized. If it is unlikely that your injury will significantly improved over the next 12 months, a doctor can place you at MMI.

The OWCP and AMA Guides 6th edition require that your doctor indicates MMI before you have an impairment evaluation done for the purposes of a schedule award benefit. Read more about Schedule Award benefits here.

OWCP vs. Health Insurance

Wednesday, January 16th, 2013

Many injured employees don’t understand the difference between there employer sponsored group health insurance and their workers compensation medical benefits when they are hurt at work. This can be especially true of federal workers compensation claimants as there are few doctors that accept OWCP as a form of payment or truly understand the OWCP.

Federal workers comp will pay for any medical treatments and costs associated with an accepted work-related medical condition to a federal employee. However, federal doctors can be very difficult to find. Many doctors don’t understand the differences between state and federal law when it comes to workers compensation medical billing. While it is not necessarily difficult, it can be confusing and it is usually much different than operating under the laws in their own state.

These differences can make it hard to find a physician that understands how to best help federal employees that are injured on the job. Many doctors can treat the injury, but their understanding of the billing system keeps them from taking on federal OWCP patients.

In fact, once you are in the doctor’s office and they discover you are a federal workers compensation patient, they may tell you that they can only treat you under your regular health insurance. Many injured workers give the doctor their insurance information and proceed to get the treatment, and this may be the best decision because the end goal is to get the most out of your recovery and the best results and residuals possible. If you have already selected this doctor based on credentials/reputation, it may be worth it to let the OWCP chips fall and pursue the health care out of your own pocket.

However, if this doctor is not interested in working with the federal workers compensation representatives and submitting bills to the OWCP, it may pose a big issue in the process of filing a new claim, getting monetary benefits, and having the work injury medical bills paid.

Using a federal doctor can be the answer. FedDoctor.com tries to help federal employees nationwide understand the differences between the state and federal workers composition systems. We want every federal employee to be able to find a top quality local physician that can help them recover from their injury as well as help them with the paperwork required by the OWCP to get all of the other benefits they are entitled to.

Tell your friends and co-workers to use FedDoctor and let your union know that this is a place that supports the federal workforce. It is free to use and if we don’t have a doctor listed in your area, submit your info to us and let us know you are looking. When we find someone there, we will let you know.

Whether you need an impairment ratings for a schedule award claim, a total knee replacement operation, or maybe just a few visits with a physical therapist, FedDoctor wants to help you get on your way back to recovery.

What about a recurrence?

Monday, January 7th, 2013

Injured federal employees often face one of the most unfamiliar puzzles in the federal workers compensation system: When do I file for a recurrence of injury?

Recurrence is a touchy subject and some OWCP claims examiners do not even fully understand the differences between a new injury, and aggravation of a pre-existing injury and a true recurrence.

There are two separate definitions you should be aware of: Recurrence of a medical condition, and recurrence of disability.

Recurrence of a medical condition is defined as the documented need for additional medical treatment after release from treatment for a work-related injury claim. Continuing, or getting additional treatments for the original injury is not part of recurrence a CA-2a is not required.

Recurrence of disability is a little different. A recurrence of disability is of course a work stoppage. However, it must be caused by a spontaneous return of symptoms, without an intervening cause, of a previously accepted OWCP claim’s medical condition. This can be either injury or occupational illness.

Recurrence of disability can also be filed on behalf of a consequential injury. A consequential injury is when an existing, accepted federal workers compensation claim injury/illness causes another medical condition or disability to arise because of impairment or weakening to the claimant.

A federal employee also must file a CA-2a form when a specific light duty assignment is withdrawn by the agency for some reason other than misconduct or non-performance of duty.

If a re-exposure to the cause of the original injury occurs, or a new incident contributes to your detrimental medical condition, that is not a recurrence, but a new injury and should be filed as such.

Consequential injuries, spontaneous worsening and withdrawal of light duty are the only reasons any federal employee should file a recurrence of injury CA-2a claim with the OWCP.

If you have been hurt on the job, or your claim is being denied because the medical documentation has confused your doctor or claims examiner, find a federal physician who understands what it takes to straighten things out. Here at FedDoctor.com, we want every federal employee to find a doctor that understands the OWCP rules and regulations and can get you the right medical care and the federal paperwork needs to appease your claims examiner and help you get your benefits.

Use FedDoctor for free and help other federal employees find out about us by sharing these articles. We want to help federal employees that are stuck in the cycle of dead-ends that often accompanies a federal workers compensation claim. Let us know if you have see a doctor who helps federal employees with these claims as we want other federal employees get the help they need.

OWCP doctors and Second Opinion examinations

Monday, December 17th, 2012

There is often a lot of confusion about the difference in a federal doctor from an OWCP doctor, a District Medical Advisor, and a second opinion or referee doctor. Hopefully, this article will shed some light on the differences and help you understand why having a doctor that understands how the OWCP works to treat you is so important.

The terms ‘federal doctor’ and ‘OWCP doctor’ do not actually define how a doctor practices medicine. They are terms used by people within the federal community to denote a physician that has special understanding or familiarity with the Office of Workers Compensation Programs and their procedures. Those terms help you know which doctors might be helpful with your injury claim.

However, it is important to be careful and understand that sometimes the term ‘OWCP doctor’ might insinuate that the doctor works for the federal government. The OWCP does not directly employ any physicians that actually examine claimants. However, some doctors are occasionally contracted to see a federal claimant for a second opinion or referee exam.

When the medical evidence in you federal workers compensation claim are not sufficient to make a decision on the case, the claims examiner may schedule an appointment for you to see one of those contract doctors. Often those doctors do not establish a patient/doctor relationship and simply render an opinion based on the questions asked by the claims examiner. This is not your doctor. Some may be helpful, but often they are making a determination on the merits of your case with a 1o minute exam and may not be able to give your case the time that it deserves.

Similarly, a referee doctor is used as a third and final say when two doctors have a disagreement about your medical file. They may choose to side with your treating doctor, or the second opinion doctor. Sometimes they even come up with their own opinion that is different entirely.

Understanding the differences between these terms is important for any federal employee that has an ongoing workers comp file. FedDoctor is always looking to find doctors that understand the federal workers compensation system and can help you get the treatment and documentation that you need. Keep checking back and share this information with your fellow federal employees. We want the federal employee to be informed on their medical care rights and understand that their health care choices make a difference when it comes to a workers compensation claim.

Why doesn’t FedDoctor have federal doctors everywhere?

Friday, December 14th, 2012

Thanks to a recent comment on our Facebook page, (please Like!) we thought it would be a good idea to inform our subscribers and viewers to learn about why FedDoctor doesn’t have a federal doctor in every city.

First, FedDoctor would love to bring that type of coverage to the entire country and we are actively looking for new federal doctors all of the time. We want every federal employee with a workers compensation injury to get top quality medical care in their local commuting area.

Because the federal government workers compensation system and OWCP have made the process of treating patients more difficult than simply visiting a doctor under your private health insurance, many doctors make a business decision to not accept OWCP as a form of payment. Additionally, the federal workers comp system requires an unusually high volume of paperwork and documentation. Many doctors are not interested in committing the massive amount of time necessary to fully understand all that is required to successfully treat and help federal employees with work related injuries.

This leaves a void for the federal compensation claimant. Finding a doctor that is willing to take on the OWCP and also understands the paperwork and billing differences can be difficult, especially if the state that they practice in has significantly different laws. It would be like learning a new language.

To make it even harder for the doctor to justify the time necessary to help federal claimants the right way, there are far fewer federal employees than non-federal. Only 1 in 50 working Americans may even be covered under the OWCP. It would follow that only 1 in 50 doctors, within a specialty, would consider the focus on a federal practice a prudent business decision.

That is why the doctors on this site are so helpful. They dedicate an enormous amount of time to understanding the OWCP and the federal workers compensation rules and regulations.

Help us find more doctors that want to help federal employees! If you are treating with a great doctor for an ongoing federal workers compensation claim, give us their name and we will contact them about their interest in expanding their practice even more! Ask your coworkers and union members who they see when they get hurt on the job. We want to have doctors on this site for every federal employee!

 

More federal doctors in Oklahoma

Saturday, December 1st, 2012

FedDoctor.com is please to announce the addition of federal doctors’ offices in Oklahoma.

At Rehabilitation of Oklahoma, Dr. Stephen Wilson has been treating federal employees that have ongoing OWCP claims in Tulsa and Oklahoma City for years and has two brand new offices in those communities. He has years of experience and a wealth of knowledge about how the Office of Workers Compensation Programs works and understands that the reports that he produces are vital to your claim’s success.

Dr. Wilson also devotes an extraordinary amount of time to staying in tune with the latest requirements of the OWCP with regards to impairment ratings and evaluations. He has a command of the 6th Edition of the AMA Guides to Rating Permanent Impairment and can help you with your schedule award claim.

The Broadway Clinic of Oklahoma City also provides excellent treatment options for federal employees in the OKC area. Dr. J. Arden Blough has spent years learning the intricacies of the federal workers compensation system and in well versed in both the treatment and the documentation of a claim. Broadway Clinic can perform independent medical evaluations and impairment ratings to help you get the best documentation for your schedule award claim.

FedDoctor.com works hard to make sure that federal employees have a place to go to find competent, quality care from a federal doctor that understands the OWCP and the requirements set for physicians who treat federal patients. We are proud that Oklahoma is home to such quality care providers. Check out their listings and make an appointment today.

 

 

Federal Workers Compensation

Wednesday, November 28th, 2012

When federal employees are injured on the job, the Office of Workers Compensation Programs is responsible for helping them with medical expenses and compensation. The OWCP has a number of different district offices that adjudicate claims. Cities like Chicago, IL, Jacksonville, FL, and San Francisco, CA are all homes to OWCP District offices.

Whenever a CA-1, CA-2 or CA-2a is filed at a government agency, the claim is forwarded to the appropriate district office. There, it is assigned to a Claims Examiner for review. The Claims Examiner will determine whether the claim has merit based on the medical evidence in the file. This is why finding a doctor that understands the federal workers compensation system is so important.

Federal workers comp is very different from state law comp. As such, most medical providers do not know how to distinguish between the sets of rules that they must follow and the burdens that they have between the two. That is why FedDoctor.com works so hard to establish an easy way for injured federal employees to find quality medical care from a federal doctor for their OWCP claim.

Remember the term ‘federal doctor’ doesn’t actually distinguish anything different about the medical care. A physician maybe be called a federal doctor, or OWCP doctor simply because of their familiarity with the federal compensation system. FedDoctor.com has sought to find only the best doctors for the injured federal worker and make their presence more known to the federal community.

Remember that having a credible physician that understands the OWCP process and how to help you with you federal workers compensation claim is crucial in having a successful workers compensation claim and gives you the best chance of returning to work after a productive recovery.

Whether you have a minor injury that will heal in a few days, or a major medical condition that may permanently end your career, the right federal doctor can make all the difference in what is covered by the OWCP, and what isn’t. Use FedDoctor for free to find a local doctor that understands the federal workers compensation system. Tell your friends, family, coworkers and union about FedDoctor and let us know if there is no doctor near you, or if you know a great federal doctor that needs to be listed here!

We never want to see anyone injured or struggling with a federal workers compensation claim, but if you are, search our site for information that may change your claim and your life.

 

Big news coming in Texas!

Tuesday, November 27th, 2012

Federal employees, stay tuned! FedDoctor has big news coming in the state of Texas. We are always looking for more doctors to help injured federal employees that have federal workers compensation injury claims. Doctors that are familiar with the OWCP and how to help you get the appropriate treatment and benefits are hard to find. Check back with us soon to learn more about the breaking news in the Lonestar State. More soon…

 

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