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After you give notice of an injury to your employer, the second step an injured […] The post How Work Injuries Work: Step two appeared first on Harter & Schottland.
After you give notice of an injury to your employer, the second step an injured employee should take is to seek medical treatment. Since the most recent amendments to the Workers’ Compensation Act, this section gets a little tricky. Even before the amendment, there was a limitation on how many treatment providers an injured worker could pick: two. An injured employee could only choose two unconnected treatment providers. If the injured employee chose more than two providers, the employer would not have to cover those costs. This did not include referrals. As long as there was a traceable chain of referrals, that would only count as one choice.
The new law, that went into effect in late 2011, created a Preferred Provider Program (“PPP”) for employers to utilize. The PPP is a network of doctors that your employer can choose. However, the final rules regarding the PPP have only just been finalized as of March 4, 2013. They are fairly complex, but the bottom line is that if your employer has chosen to be in the PPP, the employee must be given notice of this. The employee must then either choose to use that medical provider, or reject the PPP and choose their own provider. If the employee rejects the PPP, this counts as a choice and they can only choose one treatment provider. There are exceptions…but it is better to be safe than sorry. Sorry could mean that the employee is personally on the hook for a mountain of medical bills.
Getting adequate medical treatment is essential to a workers compensation case. An employee might feel that going with the PPP might not be in his or her best interest…it is a treater that the employer chose, after all. While this is not necessarily true, this is a common sentiment. In general, all providers vary in their reputation. Your own choice may not be the best person for the injury you have. Speaking to an attorney as soon as possible it key to understanding if you can remain with the PPP, or if it is time to choose another doctor. An attorney can help you choose reputable doctors that specialize in the injury.
Regardless of who the treatment provider is, it is important that the employee provide a consistent and clear history of how the injury occurred. It is important not to assume that the nurse spoke to the tech, who spoke to the doctor. You should repeat how your injury occurred, the pain you are feeling and your physical complaints to everyone you encounter. They are all writing reports.
If you happen to seek treatment before you report the injury to your employer, it is crucial that you are as precise as possible about when the injury occurred. If you do not know when it occurred and you say you do not know, then it will be an easy basis to deny your claim. Remember that you are establishing a record that cannot be re-created only once you realize that there are problems.
The post How Work Injuries Work: Step two appeared first on Harter & Schottland.
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