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CA - four years of WC hell... Future Medical
#1
I'm being told my case is being sent to a judge to determine future medical needs. Does the IC and attorney meet with said judge?

Or is this an independant evaluation?

.
 
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#2
depends on your states comp laws; there is no one answer for every comp claim in the US.
what's your state?
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
California ... listed in the thread title.
 
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#4
when I don't see it in the profile and it's not in the post I rarely go back to the title after reading a post, my error.
since it's not a trial or conference I'll assume treatment is not really in dispute.
if there is medical evidence for possible future treatment, it is usually awarded ---at least on a contingency or "as needed" basis.
either party can appeal the award if they believe the award is not supported by evidence.
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
(02-06-2016, 09:53 PM)1171 Wrote: when I don't see it in the profile and it's not in the post I rarely go back to the title after reading a post, my error.
since it's not a trial or conference I'll assume treatment is not really in dispute.
if there is medical evidence for possible future treatment, it is usually awarded ---at least on a contingency or "as needed" basis.
either party can appeal the award if they believe the award is not supported by evidence.

Thanks... I'm not represented because there hasen't been any significant disputes in terms of treatment and what is potentially needed on a go forward basis. I've consulted with a prominent attorney and he's assured me several times there's not much he can do. 

I'm seeing a top surgeon, internal injury specialist... I will be for life. 

I'm still working, no loss of earnings... some say I need a lawyer because there's "much on the line" .. but I don't see the purpose. Appointments and meds are being paid by the IC.. my employer has been cooperating.. 

Am I missing something "on the line?" 

.
 
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#6
That doesn't sound like someone that' s been thru " 4 yrs of hell with wokers comp".

I have no idea about your condition and can't guess what would be on the line.
Most people don't know much about comp; often confusing it with civil liability or negligence.
Trust the attys that do know comp - not the anonymous "some" that don't.
Most employers don't appreciate a law suit and you actually end up with your job on the line.
It,s not their job so it cost those nay Sayers little to give such "free" advice.

If you know you need additional med, then make sure your doctor puts that in their reports.
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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#7
(02-07-2016, 12:26 AM)1171 Wrote: That doesn't sound like someone that' s been thru " 4 yrs of hell with wokers comp".

I have no idea about your condition and can't guess what would be on the line.
Most people don't know much about comp; often confusing it with civil liability or negligence.
Trust the attys that do know comp - not the anonymous  "some" that don't.
Most employers don't appreciate a law suit and you actually end up with your job on the line.
It,s not their job so it cost those nay Sayers little to give such "free" advice.

If you know you need additional med, then make sure your doctor puts that in their reports.

Yeah... well, thanks.. I'll take that as a pat on the back. It was more about the complexity of my injury and WC system that was hell. The MPN process doesn't accommodate folks with injuries like I have. The IC has no qualified medical providers they recommended that specialize in the area of medicine I need. The UR process is a complete joke..

What the IC and others fail to disclose is that anyone can seek-out those highly qualified doctors at your state medical centers where they have the best doctors and facilities - and they accept WC cases. I found that out on my own. I wish the IC had referred me out to the "majors" before I wasted valuable time dealing with local GP's and searching for specialists that refuse to treat WC patients. If I had access to advanced medicine earlier, I could have mitigated permanent injury...

As far as retaining an attorney and lawsuit aspect...  your advice is spot on with my consulting attorney. He reviewed my case at the onset and advised I work closely with the risk management office to assist with the IC. If I retained a WC attorney it will cost my employer which typically leads to job loss.. I do trust him, but I don't want to run to him for advice on every milestone.

Thanks for the response.. nice to know there's some solid voices of reason out there. I can't imagine dealing with this unemployed.
 
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#8
If you have permanent impairment, then you are entitled to more then just open medical benefits.
Hopefully your doctors included factors that allow your impairment to be rated and provide you some additional disability payments.
Yes comp is highly regulated and that often makes it difficult for it to deal with serious, unusual, and non- standard conditions. Coupled with a highly bureaucratic administration and you have a recipe for much worker/ employee frustration and anger. It,s a system designed for high volumes and uniformity.
Be well.
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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#9
(02-07-2016, 12:41 PM)1171 Wrote: If you have permanent impairment, then you are entitled to more then just open medical benefits.
Hopefully your doctors included factors that allow your impairment to be rated and provide you some additional disability payments.

1171... I sent you a PM.
 
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#10
(02-07-2016, 12:41 PM)1171 Wrote: Hopefully your doctors included factors that allow your impairment to be rated and provide you some additional disability payments.

117 - thanks for providing feedback in the PM I sent. I wanted you to get the full picture of what I've been dealing with.

Next questions...

The QME documented my PD rating in his final report - the IC agreed and accepted.

If I sign that document the IC sent me stating they accept the rating, can that PD rating be reevaluated at some point in the future?

I'd rather work the next five years - then retire. However, if my condition (symptoms) worsen and becomes more problematic, what options do I have? 

Thank you. You've been very helpful...
 
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