's CompNewsNetwork – Two Studies Question the Accuracy of Medical Histories.

Click above to read. Work Comp study focuses on accuracy of medical histories given at the time of accident. Much depends on how the question is asked and when. Did the past problem resolve and what type of treatment was needed? It is important to remember that each case is different, and a history given at the time of accident is very important.

Advertisements's CompNewsNetwork – Let's Talk: A More Enlightened Approach to Utilization Review.

Click above to read. Sounds reasonable. But from what I have seen this is a seldom used approach. Anyone out there been the victim of a UR whack job?

In Illinois Workers Compensation law, medical records are very important to the judge (the Arbitrator) when he makes the decision on your case.

He looks for the following in your medical records:

  • History of your work accident
  • References to when your symptoms started
  • Restrictions
  • Off work slips

If it is not in your records that you had an accident at work, or that you complained of neck pain after your fall, the doctor had you off work for one month, or that you are on permanent weight restrictions, then you may have a problem.

You should tell your doctor all of your symptoms, what caused your problems, ask for off work slips, and ask what restrictions you may have.

Many injured workers would be glad to go back to work and get on with their lives, but the Workers Compensation insurance company refuses to pay their medical bills.

What is going on? Why does the Workers Compensation insurance company do this? I think many Insurance Companies believe that a certain percentage of people will let their health insurance pay for the bills and go away. This will save the Workers Compensation company money in the long run.

The only way to approach the problem is to file a Workers Compensation claim with the Illinois Workers’ Compensation Commission and seek payment of your medical expenses. In addition, you are entitled to pay for time off work, and permanent partial disability which is payment for your injuries.

If you are having problems getting your work related injury bills paid please call me.