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Case worker following me and calling/ with docs
#1
I have a case worker following me to every Dr. appointment and is going with me to see the doc in the back exam room.
Today I get a call from the c/w and she is telling me that I`m near MMI and that my benefits will stop. I feel that I am nowhere near MMI. I have a lower back injury that happened in Nov/10
It seems that the c/w is manipulating my doc. and seems to be calling all the shots on treatment. The doc suggested last time to do some pain managment and the c/w insisted I go to therapy wich hurt. I feel I am being literaly mistreated. They havnt do much at all to help.
How should I handle this c/w?
 
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#2
it's not really your doctor.
in most states it's the employers doctor; workers comp is not health insurance.
however, each state has it's own rules on medical treatment.
you can ask the worker to talk to the doctor outside your presence and allowing you your privacy.
many states allow you a change of physician.
you did not post your state as this site requests.
http://www.workerscompensation.com/forum...?tid=10146
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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#3
Sorry...I`m in Kentucky
 
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#4
"employee has the one-time right to change the
designated physician. Additional changes
require permission from the employer, its
insurance carrier or the approval of an
Administrative Law Judge."


http://www.labor.ky.gov/NR/rdonlyres/898...forweb.pdf

for more information contact the ombudsman:
http://www.labor.ky.gov/workersclaims/specialists.htm
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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#5
you have the right to not have that ncm in your room....suggest you talk to a lawyer
........I love cats, I just cant eat a whole one by myself......







 
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#6
Do you have an attorney?

My attorney sent the case manager a letter informing that her services are no longer needed.

In many states once you have an attorney that ends communication with the case manager.
 
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#7
badback2, it is your choice to have her in thier. If you do not want her in there just tell her.. She can collect drs notes weather she is there or not. If she is saying near mmi, she is over stepping her position as a case worker. They are not allowed to treat or tell your dr how to treat you.

I allowed mine to come in but my dr scheduled 1 hr appoinments, 30 min with me and 30 min with me and the ncm. In fact many of my drs wont allow ncm for wc in the room at all. I can almost bet that you are about to be placed at mmi because you dr seems to be under thier wing.

Seek a second oppinion and hire a lawyer........
 
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#8
(02-23-2011, 03:58 PM)bronco54501 Wrote: badback2, it is your choice to have her in thier. If you do not want her in there just tell her.. She can collect drs notes weather she is there or not. If she is saying near mmi, she is over stepping her position as a case worker. They are not allowed to treat or tell your dr how to treat you.

I allowed mine to come in but my dr scheduled 1 hr appoinments, 30 min with me and 30 min with me and the ncm. In fact many of my drs wont allow ncm for wc in the room at all. I can almost bet that you are about to be placed at mmi because you dr seems to be under thier wing.

Seek a second oppinion and hire a lawyer........

Same with my injury and im in GA, this woman kept showing up and it got on my nerves quick so I talked with my lawyer and they put a stop to it quick and she never showed up again.

 
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#9
I hired a lawyer and he called the C/W and she changed her attitude in a hurry.

The C/W called 3 days before the appointment and was telling me that I was MMI and I played stupid and asked if I needed a lawyer and she said no and if I did the lawyer would get half of the settlement.

I told the lawyer this and he put a stop to it.

Now on to a second opinion...my damn back hurts still.....
Kentucky
 
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#10
Glad you seeked council, hope they get the ball rolling again. And I find that funny, lawyer gets half. In my state they get 20%, and I belive most states are the same give or take a % and a few fees....
 
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