Ep 45 - Understanding Pre-Existing injuries in Workers’ Comp

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  • Опубліковано 26 жов 2024

КОМЕНТАРІ • 11

  • @JimboJones2022
    @JimboJones2022 5 місяців тому

    I have tinnitus raining from the military but I've been working in a call center for over 16 years I have bilateral hearing loss. The call center was in an open office around other end users and people would complain constantly and then management moved us to another location in the corner of the building which was around a billing help desk and we are constantly fighting over volume.

  • @Txanca
    @Txanca 2 роки тому +1

    Thank you so much for posting this and providing a resource for workers comp. I work in healthcare as a receptionist and because I know proper documentation helps the WC patients I’ve been trying learn more. I found your podcast and am now following it! I can’t wait to hear more.

  • @benalexender3046
    @benalexender3046 7 місяців тому

    Thanks ❤

  • @russellhess3829
    @russellhess3829 Рік тому

    I was diagnosed with a 10% rating loss. But know my injury has gotten much worse, but my case is still ongoing. Do they re rate me now, or am i stuck with my initial rating

  • @bigrigsmog
    @bigrigsmog 11 днів тому

    Do use guys have a good psychiatrist on the npn list?

  • @powell4661
    @powell4661 5 місяців тому

    I went into surgery with blood sugar under control, came out with sky high numbers. It took me months to get it back under control.

  • @bettymiranda4267
    @bettymiranda4267 2 роки тому

    I have a surgery approved now but I do not want it at this time for my personal situation, later on I want the surgery after the settlement stip. Can they denial surgery because of my preexisting condition ,
    If that happen, Can I use my insurance? What other option I will have if I do not have Insurance?

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast  2 роки тому +2

      There are two main reasons we fight over surgery authorization in workers comp: 1) utilization review says that the surgery is not medically necessary, even if the work injury caused the condition; or 2) even if surgery is needed, the condition was not caused by the work injury, therefore the need for surgery was not caused by the work injury. These two issues come up a lot. With an open medical award after settling by stipulated award, surgery will be subject to utilization review, so if it is denied, an IMR application would need to be filed. If surgery is denied because of preexisting conditions, then you would likely need to seek a second opinion, and/or go to a QME to address the dispute. It's a lot of headaches fighting to get even the most basic care which is why a lot of people end up choosing to settle out their medical rather than keep it open, especially when it comes to treatment like surgery. That being said, some people do go through their private insurance when they are stuck and treatment is being denied.

  • @fanniegarcia1567
    @fanniegarcia1567 Рік тому

    What if you don't mention past injury cause you get scared to do so