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Medical Treatment

medical treatmentAt times it can feel like the workers’ compensation system is designed to frustrate you by delaying treatment and payments. Unfortunately, many people become so discouraged by the system that they do things that end up hurting their health and their case. Do not let yourself get overwhelmed. A skilled attorney can help you get the proper medical treatment and the benefits you deserve.

Experienced at Getting Our Clients Proper Medical Treatment Through Workers’ Comp Insurance

At Lawrence & Associates, we are dedicated to protecting the rights of injured workers. With over twenty years of combined experience, our lawyers have a deep understanding of workers’ compensation law. Our firm uses that knowledge to help clients obtain the right medical treatment from the doctor of their choosing.

Common Work Injuries that are Covered by Workers’ Compensation

  • Back injuries and herniated discs
  • Head injuries and spinal cord injuries
  • Meniscus tears and other knee injuries
  • Shoulder injuries and rotator cuff damage
  • Complex regional pain syndrome
  • Exposure to toxic substances, including chemicals and mold
  • Carpal tunnel syndrome and other repetitive motion injuries
  • Construction accidents, including scaffolding collapses, falls and injuries caused by heavy equipment
  • Broken bones

Getting Medical Treatment Paid By Workers’ Compensation in Kentucky:

What do I do if my employer’s Workers’ Compensation carrier has denied my medical treatment?

If you were injured at work and your doctor is recommending continued treatment, but your employer’s insurance carrier has denied this treatment, we can help. At Lawrence & Associates we speak to the insurance adjusters and review medical records to show that your doctor’s recommended treatment is related to the work injury. If we need additional evidence to show that the treatment is necessary, we may send you to an IME and use that report to show that treatment is proper. If all else fails we might help you obtain treatment through your private health insurance and file your case with the Department of Workers’ Claims. If you are having trouble obtaining treatment let us help you get the medical care you deserve.

What do I do if my employer’s Workers’ Compensation carrier is not paying my medical bills?

Every case is different, but if you were injured at work and your employer’s insurance carrier is refusing to pay your medical bills we can help. At Lawrence & Associates we will speak to your adjuster and figure out why the bills are not being paid. We will help to resolve the problem as soon as possible and if needed we will file your case with the Department of Workers’ Claims and help your get compensation for any out of pocket medical expenses. If you need help with your medical expenses give us a call and let our team help resolve the issue.

Injured People May Have the Right to Choose Their Own Doctor

If you suffer an on-the-job injury, you may be contacted by your employer’s insurance carrier. The company may try to convince you to see a doctor that they choose. In some cases, they may even send you a form to fill out and sign, committing you to see a certain doctor. In Kentucky, you have the right to choose your own doctor so long as the doctor is within the Workers’ Compensation carrier’s network and accepts Workers’ Compensation payments. The only real restriction on this right is that you have to choose a doctor that is reasonably close to where you live or work. Medical treatment and workers’ compensation go hand in hand, and we believe it is important for you to be comfortable with the doctor who treats you.

If you need treatment and the insurance carrier refuses to pay, we encourage you to reach out to us. We will investigate the situation and help you reach a resolution. Similarly, if you are seeing a doctor who is not listening to your concerns and the insurer says you cannot switch doctors, we want to help. You have rights. Let us help you assert them.

Dealing With the Nurse Case Manager

Many insurance carriers assign nurse case managers to work with injured people. Many of these managers are easy to work with and are very helpful. Others, however, try to control patients’ medical treatment, and some insist on being present at meetings between the worker and the doctor. In Kentucky, the insurer has no right to have the case manager speak to your doctor and the case manager does not have the right to be present at your meetings.  If you are having problems in this area, we encourage you to contact us as soon as possible.

What is an Independent Medical Exam (IME)?

An IME is scheduled once your work injury has reached Maximum Medical Improvement. The defense council or insurance carrier will schedule you an IME with their doctor and your attorney will schedule you one with a doctor of their choice. The doctors’ job will be to assign your injury an impairment rating. This rating will be used to determine the amount of your potential recovery. Because this rating is integral in your potential settlement it is important to have an attorney helping you in this process. At Lawrence & Associates we will ensure that you get a fair and honest rating and we will fight against the defense counsel or insurance carrier’s physician opinion, if it is not reflective of your true impairment.

When attending an IME it is important to remember that the doctors’ job is to assign your injury an impairment rating. To help get the most accurate rating you need to be very clear and honest with the physician. Be sure to tell them the truth if you are in pain and don’t attempt to down play your symptoms. At Lawrence & Associates we can help you prepare for your IME so that you get the most accurate rating for your injury.

Getting Medical Treatment Paid By Workers’ Compensation in Ohio:

What do I do if the Bureau of Workers’ Compensation has denied my claim?

If the BWC has denied your claim, call us, we can help. It is imperative that you call us as soon as possible so that we can prepare to assist you in a hearing. If your claim has been denied, Lawrence & Associates can represent you in front of the Judge and help you get the treatment you deserve. We often force the BWC to pay for your medical treatment as well as for your wage replacement benefits while you are unable to work.

What do I do if the Bureau of Workers’ Compensation denies my conditions?

If the BWC has accepted your claim but then denies your conditions, or denies additional condition allowances, call us; we can help. Again, time is of the essence, so call quickly upon denial. Lawrence & Associates can assist you by being your representative at your hearing in front of the Judge and helping you to get the medical treatment that you deserve.

Injured People May Have the Right to Choose Their Own Doctor

If you suffer an on-the-job injury, you may be contacted by the Bureau of Workers’ Compensation (BWC). The BWC may try to convince you to see a doctor that they choose. In some cases, they may even send you a form to fill out and sign, committing you to see a certain doctor. In Ohio, injured workers may choose any BWC-certified health care provider. Generally, any doctor that accepts Ohio Workers’ Compensation payments will have gotten him- or herself certified by the BWC. Above all, you should be comfortable with the doctor who treats you.

If you need treatment but the BWC won’t pay for it, we encourage you to reach out to us immediately. We will investigate the situation and help you reach a resolution. Similarly, if you are seeing a doctor who is not listening to your concerns and the insurer says you cannot switch doctors, we want to help. You have rights. Let us help you assert them.

Dealing with the Nurse Case Manager

Very similar to the Kentucky system we wrote about, above, nurse case managers are often assigned in Ohio to work with injured people. Some nurse case managers are helpful, while others seem to create more problems than they solve. In Ohio the nurse case manager may have more rights and you need to keep a log of the nurse case manager’s bad behavior so it can be pointed out in detail to the judge deciding your case. If you are having problems in this area, we encourage you to contact us as soon as possible.

What is an Independent Medical Exam (IME)?

An IME is scheduled by the BWC once you reach Maximum Medical Improvement after a work place injury. The IME is paid for by the BWC and performed by a BWC approved physician. At this IME the doctor will assign you an impairment rating. This rating will be used at your final hearing to determine the amount of your recovery.

When attending an IME it is important to remember that the doctor’s job is to assign your injury an impairment rating. This impairment rating affects the amount of money you will get at the end of your Workers’ Compensation claim. Get an accurate rating by honestly telling the doctor all your problems, what has resolved, and what continues to affect your activities of daily living. If you have retained Lawrence & Associates, we will help you prepare for your IME so you go in with confidence in the process rather than experiencing fear or intimidation that can lead to poor, inaccurate results.

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Contact Us for a Free Consultation! Call 859-371-5997 in KY or 513-351-5997 in OH.