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	<title>Ramos Law Firm Workers&#039; Comp Blog &#187; work related injury</title>
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	<description>Georgia Workers&#039; Compensation, Medicare Set-Asides and Injury Trust Funds</description>
	<lastBuildDate>Thu, 15 Jul 2010 03:07:34 +0000</lastBuildDate>
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		<title>Hearing loss at work: potential changes to acceptable levels</title>
		<link>http://www.ramoslawblog.com/2010/03/09/hearing-loss-at-work/</link>
		<comments>http://www.ramoslawblog.com/2010/03/09/hearing-loss-at-work/#comments</comments>
		<pubDate>Tue, 09 Mar 2010 12:21:41 +0000</pubDate>
		<dc:creator>Bryan Ramos</dc:creator>
				<category><![CDATA[Benefits]]></category>
		<category><![CDATA[Injured On the Job in Georgia]]></category>
		<category><![CDATA[Georgia workers' compensation]]></category>
		<category><![CDATA[OSHA]]></category>
		<category><![CDATA[work related injury]]></category>
		<category><![CDATA[workers' comp law]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=1139</guid>
		<description><![CDATA[Citing that nearly 22 million American workers are exposed to hazardous noise on a daily basis and that occupational hearing loss continues to plague industry workers, the National Hearing Conservation Association (NHCA) requested a reduction of the permissible exposure limit (PEL) for noise exposures recognized by the Occupational Safety and Health Administration (OSHA).  By adopting this [...]]]></description>
			<content:encoded><![CDATA[<p>Citing that nearly 22 million American workers are exposed to hazardous noise on a daily basis and that occupational hearing loss continues to plague industry workers, the National Hearing Conservation Association (NHCA) requested a reduction of the<span id="more-1139"></span> permissible exposure limit (PEL) for noise exposures recognized by the Occupational Safety and Health Administration (OSHA).  By adopting this reduction, the United States would be level with nearly every other country in the world.</p>
<p>&#8220;Nearly every other nation on earth has adopted a more protective 85 dBA exposure limit &#8211; which means that U.S. workers have a substantially greater risk of developing noise-induced hearing loss than do the workers of almost every other nation,&#8221; said Rick Neitzel, PhD, CIH, NHCA President.   &#8220;Also, workers in industries like construction, agriculture, and oil and gas drilling are currently not covered by an effective regulation, which is unacceptable, given the high levels of noise exposure associated with these industries.&#8221;</p>
<p>Currently, there has been discussion at the Georgia State Board of Workers&#8217; Compensation adopting a lower hearing loss threshold.  The attorneys at the Ramos Law Firm are monitoring this development as to whether it will find its way into the 2010 legislative bill.</p>
<p>If you have suffered a hearing loss at work, call now for your free consultation (404) 355-3431 or <a title="Ramos Law Firm Contact" href="http://ramoslawfirm.com/intake-forms/contact.html">contact the Ramos Law Firm</a> via our website.</p>
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		<title>An increase in housing construction may lead to an increase in Workers&#8217; Compensation claims</title>
		<link>http://www.ramoslawblog.com/2010/02/18/an-increase-in-housing-construction-may-lead-to-an-increase-in-workers-compensation-claims/</link>
		<comments>http://www.ramoslawblog.com/2010/02/18/an-increase-in-housing-construction-may-lead-to-an-increase-in-workers-compensation-claims/#comments</comments>
		<pubDate>Thu, 18 Feb 2010 04:04:41 +0000</pubDate>
		<dc:creator>Bryan Ramos</dc:creator>
				<category><![CDATA[Injured On the Job in Georgia]]></category>
		<category><![CDATA[Georgia's injured workers]]></category>
		<category><![CDATA[injured worker]]></category>
		<category><![CDATA[medical benefits]]></category>
		<category><![CDATA[work related injury]]></category>
		<category><![CDATA[workers' comp law]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=1122</guid>
		<description><![CDATA[The Washington Post recently reported that housing construction posted a better-than-expected increase in January.  This activity is the highest level in six months.  This slump has been the worst in decades.  However, this gain provides a glimmer of hope to the industry and a return to work for Georgia’s construction workers. At the Ramos Law [...]]]></description>
			<content:encoded><![CDATA[<p>The Washington Post recently reported that housing construction posted a better-than-expected increase in January.  This activity is the highest level in six months.  This slump has been the worst in decades.  However, this gain provides<span id="more-1122"></span> a glimmer of hope to the industry and a return to work for Georgia’s construction workers.</p>
<p>At the Ramos Law Firm, we have represented many construction workers.  In many cases these workers present the highest risk of injury given the nature of the job.  Typical injuries include back pain, torn rotator cuff tears, and knee pain.  If a construction worker is injured on the job, he or she should receive immediate medical treatment.  In fact, the worker may choose a doctor from a pre-selected panel of doctors.   If the injured worker’s injury is severe enough to miss time from work, he or she would be eligible for temporary disability benefits.</p>
<p>For more information or if you need assistance getting the treatment you need, contact us at 404-355-3431 or click <a title="Ramos Law Firm Contact" href="http://ramoslawfirm.com/intake-forms/contact.html">here</a>.</p>
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		<title>Pilgrim’s Pride Leaves Chapter 11 Bankruptcy</title>
		<link>http://www.ramoslawblog.com/2010/01/21/pilgrim%e2%80%99s-pride-leaves-chapter-11-bankruptcy/</link>
		<comments>http://www.ramoslawblog.com/2010/01/21/pilgrim%e2%80%99s-pride-leaves-chapter-11-bankruptcy/#comments</comments>
		<pubDate>Thu, 21 Jan 2010 15:57:19 +0000</pubDate>
		<dc:creator>Bryan Ramos</dc:creator>
				<category><![CDATA[Community]]></category>
		<category><![CDATA[Injured On the Job in Georgia]]></category>
		<category><![CDATA[Georgia's injured workers]]></category>
		<category><![CDATA[injured worker]]></category>
		<category><![CDATA[work related injury]]></category>
		<category><![CDATA[workers' comp benefits]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=1114</guid>
		<description><![CDATA[The chicken processing company, Pilgrim’s Pride Corporation, exited Chapter 11 bankruptcy in late December 2009. The company is a Texas based corporation that has many plants in Georgia.  This company spent thirteen months reorganizing itself through Chapter 11.  Additionally, Pilgrim’s Pride acquired the Atlanta based Goldkist Corporation, and announced that it would close it’s plant [...]]]></description>
			<content:encoded><![CDATA[<p><strong> The chicken processing company, Pilgrim’s Pride Corporation, exited <a class="zem_slink" title="Chapter 11, Title 11, United States Code" rel="wikipedia" href="http://en.wikipedia.org/wiki/Chapter_11%2C_Title_11%2C_United_States_Code">Chapter 11 bankruptcy</a> in late December 2009.</strong> The company is a Texas based corporation that has many plants in Georgia.  This company spent<span id="more-1114"></span> thirteen months reorganizing itself through Chapter 11.  Additionally, Pilgrim’s Pride acquired the Atlanta based Goldkist Corporation, and announced that it would close it’s plant in Dalton, Georgia, and announce another closure in Athens, Georgia.</p>
<p><em>The attorneys at the Ramos Law Firm have represented the workers in various chicken processing plants, and they are familiar with the tactics employed by these corporations.</em> If you have been injured on the job, please feel free to <a title="Ramos Law Firm Contact" href="http://ramoslawfirm.com/?option=com_jforms&amp;view=form&amp;id=2" target="_self">contact </a>the <strong>Ramos Law Firm</strong> for your<strong> free consultation</strong>.</p>
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		<title>What does &#8220;normal&#8221;, &#8220;full&#8221;, or &#8220;regular&#8221; duty really mean in my GA Workers&#8217; Compensation claim?</title>
		<link>http://www.ramoslawblog.com/2009/09/08/what-does-normal-full-or-regular-duty-really-mean-in-my-ga-workers-compensation-claim/</link>
		<comments>http://www.ramoslawblog.com/2009/09/08/what-does-normal-full-or-regular-duty-really-mean-in-my-ga-workers-compensation-claim/#comments</comments>
		<pubDate>Tue, 08 Sep 2009 16:03:50 +0000</pubDate>
		<dc:creator>Bryan Ramos</dc:creator>
				<category><![CDATA[Benefits]]></category>
		<category><![CDATA[Injured On the Job in Georgia]]></category>
		<category><![CDATA[Law]]></category>
		<category><![CDATA[change of physician]]></category>
		<category><![CDATA[income benefits]]></category>
		<category><![CDATA[medical benefits]]></category>
		<category><![CDATA[permanent partial disability benefits]]></category>
		<category><![CDATA[PPD]]></category>
		<category><![CDATA[State Board of Workers' Compensation]]></category>
		<category><![CDATA[work related injury]]></category>
		<category><![CDATA[workers' comp benefits]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=1035</guid>
		<description><![CDATA[In the world of workers&#8217; compensation, the terms &#8220;normal duty&#8221;, &#8220;full duy&#8221;,  or &#8220;regular duty&#8221; work release has a significant effect on a work comp claim.  Essentially, the normal duty release allows the employer to unilaterally suspend income benefits.  In some cases, this regular duty release may give the employer the argument that no future treatment is warranted.  [...]]]></description>
			<content:encoded><![CDATA[<p><strong>In the world of  workers&#8217; compensation, the terms &#8220;normal duty&#8221;, &#8220;full duy&#8221;,  or &#8220;regular duty&#8221;  work release has a significant effect on a work comp claim</strong>.  Essentially, the  normal duty release allows the employer to unilaterally suspend income  benefits.  In some cases, this regular duty release may give<span id="more-1035"></span> the employer  the argument that no future treatment is warranted.  In other words,  the employer will argue that the work-related injury has resolved or that the  hurt employee is &#8220;cured.&#8221;  The Employer/Insurer will take the position that the  hurt worker is back to &#8220;normal&#8221; as if the injury never occurred.</p>
<div>When a person is  hurt at work and surgery or another invasive procedure is performed, a &#8220;cure&#8221;  may be unlikely.  Interestingly, an injured employee may be issued &#8220;permanent  work restrictions&#8221; but also be released to &#8220;full duty&#8221;, &#8220;normal duty&#8221; , or  &#8220;regular duty&#8221; work.  This is a total ideological contradiction.  <strong>How can an  injured worker have permanent medical restrictions and also be back to normal? </strong></div>
<div><strong><br />
</strong></div>
<div><em>These  inconsistencies will often confuse the injured worker.  Don&#8217;t be taken advantage  of. </em>The lawyers at the Ramos Law Firm can help you protect your rights.  <strong>Our  lawyers are dedicated to Georgia Workers&#8217; Compensation</strong>.  Call us now at 404-355-3431 for a free  consultation.</div>
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]]></content:encoded>
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		<title>What can I expect from the medical treatment workers’ comp provides me?</title>
		<link>http://www.ramoslawblog.com/2009/07/22/what-can-i-expect-from-the-medical-treatment-workers%e2%80%99-comp-provides-me/</link>
		<comments>http://www.ramoslawblog.com/2009/07/22/what-can-i-expect-from-the-medical-treatment-workers%e2%80%99-comp-provides-me/#comments</comments>
		<pubDate>Thu, 23 Jul 2009 03:46:47 +0000</pubDate>
		<dc:creator>Bryan Ramos</dc:creator>
				<category><![CDATA[Benefits]]></category>
		<category><![CDATA[Injured On the Job in Georgia]]></category>
		<category><![CDATA[doctor]]></category>
		<category><![CDATA[Georgia's injured workers]]></category>
		<category><![CDATA[Lawyers and Law Firms]]></category>
		<category><![CDATA[orthopaedic surgeon]]></category>
		<category><![CDATA[State Board of Workers' Compensation]]></category>
		<category><![CDATA[work related injury]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=962</guid>
		<description><![CDATA[When an employee is injured on the job, he or she is either rushed to the hospital in severe cases or instructed to treat with “Concentra” or “Urgent Care.”  These places are industrial clinics that focus in minor occupational accidents.  If the injury requires more specialized care, the employee is often referred to an “orthopedic” [...]]]></description>
			<content:encoded><![CDATA[<p><strong><em> </em></strong></p>
<p>When an employee is injured on the job, he  or she is either rushed to the hospital in severe cases or instructed to treat  with “Concentra” or “Urgent Care.”  These places are industrial clinics that focus in  minor occupational accidents.  If the injury requires more specialized care<span id="more-962"></span>, the  employee is often referred to an “orthopedic” doctor.  The term,  ‘orthopaedic’, literally translates to “straightening a child” as if he or she  had a broken bone.</p>
<p>Some orthopedists will  exclusively focus their practice on particular body parts such as shoulders,  knees, hands, elbows, or the spine.  These doctors also are referred to as  practicing “sport medicine.”  These physicians may also perform the surgical  repairs and may be instrumental in developing and monitoring the coordination of  physical therapy and other modalities of recovery.</p>
<p>In the greater-Atlanta area, groups such as  the Peachtree Orthopaedic Clinic, Resurgens Orthopaedics, and Dominion  Orthopaedics are common players in the workers’ compensation realm.  These groups  are often on the Employer’s “panel of physicians.”  It is important to remember  that an injured worker has the right to choose his or her doctor from this panel  or list of doctors.  Understand that your health is at issue and you should take  an active role in the medical care.  It is also very important to know the  doctor’s reputation as being a “patient advocate” or someone directed by the  insurance company.  It is also prudent to inquire with the <a title="State Medical Examiners Board" href="http://services.georgia.gov/dch/mebs/jsp/index.jsp" target="_blank">State Medical  Examiners Board</a> to determine if any of these doctors are in good standing or if  they have ever been disciplined by the State.</p>
<p>The ultimate goal of all treatment is  achieve a “cure”, or at least get you better to return to work in some  capacity.  More often than not, a “cure” is only an ideal.  Lingering pain and  chronic discomfort are common symptoms that may last a lifetime.  However, the  issue is whether you are able to return to work from a medical standpoint.   Obviously, this is a question for the treating doctor based on the medical  evidence.</p>
<p>In some instances, doctors may  prematurely release the injured worker back to work when the employee remains  disabled.  In these unfortunate cases, the worker is at a disadvantage.  He or  she is faced with either risking further injury by returning to work or face a  termination (of benefits or the job) for failing to report to the job site.  In  these situations, it would be prudent to consult with a lawyer who practices  workers’ compensation law.  At the Ramos Law Firm, the consultation is free and  confidential.  If you would like to <a title="Ramos Law Firm Contact" href="http://ramoslawfirm.com/intake-forms/contact.html">speak to an attorney</a> about your case, please  call 404-355-3431 to arrange an appointment.</p>
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		<title>Workers’ Compensation In the Latino or Hispanic Community</title>
		<link>http://www.ramoslawblog.com/2009/07/16/workers%e2%80%99-compensation-in-the-latino-or-hispanic-community/</link>
		<comments>http://www.ramoslawblog.com/2009/07/16/workers%e2%80%99-compensation-in-the-latino-or-hispanic-community/#comments</comments>
		<pubDate>Thu, 16 Jul 2009 10:42:15 +0000</pubDate>
		<dc:creator>Adriana Sola Capifali</dc:creator>
				<category><![CDATA[Benefits]]></category>
		<category><![CDATA[Community]]></category>
		<category><![CDATA[Injured On the Job in Georgia]]></category>
		<category><![CDATA[Law]]></category>
		<category><![CDATA[Georgia workers' compensation]]></category>
		<category><![CDATA[work related injury]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=947</guid>
		<description><![CDATA[The Latino or Hispanic worker who is injured on the job may present unique issues not generally found in an ordinary Georgia workers’ compensation case. For example, the Latino or Hispanic worker may not speak English.  In these cases, adequate language translation services may be utilized to assist the injured worker in acquiring medical treatment, [...]]]></description>
			<content:encoded><![CDATA[<p>The Latino or Hispanic worker who is injured  on the job may present unique issues not generally found in an ordinary Georgia workers’  compensation case.</p>
<p>For example, the Latino or  Hispanic worker may not speak English.  In these cases<span id="more-947"></span>, adequate language  translation services may be utilized to assist the injured worker in acquiring medical treatment, relaying crucial information to his or her supervisors, or  communicating key facts to the attorneys handling the workers’ compensation  claim.  At the Ramos Law Firm, our attorneys are equipped to handle claims  involving non-English claimants.</p>
<p>In the Hispanic and Latino communities,  these workers often accept the hardest and most labor intensive jobs.   Therefore, these workers often sustain injuries to their backs, knees, arms, or  hands while on the job.  When these injuries occur, they are required to report  the injury just like any other worker and follow the same protocol as outlined  in the law.  Likewise, these injured workers may be entitled to medical and  income benefits.</p>
<p>There is no question that some  of these Latino or Hispanic workers may also have issues involving the adequacy  of wages or even immigration.  These issues may be confusing and intimidating  for all the parties involved in the claim.</p>
<p>The attorneys at the Ramos Law Firm have  handled hundreds of claims involving workers’ compensation matters and the  Hispanic worker.  If you have any questions or want further information, please  <a href="mailto:adriana@ramoslawfirm.com">contact</a> our attorneys today.</p>
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		<title>Georgia Workers&#8217; Compensation Changes in 2009</title>
		<link>http://www.ramoslawblog.com/2009/07/14/938/</link>
		<comments>http://www.ramoslawblog.com/2009/07/14/938/#comments</comments>
		<pubDate>Tue, 14 Jul 2009 10:36:41 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Law]]></category>
		<category><![CDATA[medical exam]]></category>
		<category><![CDATA[O.C.G.A § 34-9-]]></category>
		<category><![CDATA[work related injury]]></category>
		<category><![CDATA[Workers' Compensation Act]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=938</guid>
		<description><![CDATA[Earlier this year we wrote about the proposed changes to the Georgia Workers&#8217; Compensation Act.  These changes have now taken effect. Following are some of the changes: Allowing the ICMS email system to serve as the “notice” and “service” vehicle for ALJ Awards.  The bill also contemplates the “issuance” of awards  via email will be recognized [...]]]></description>
			<content:encoded><![CDATA[<p>Earlier this year we wrote about the proposed changes to the Georgia Workers&#8217; Compensation Act.  These changes have now taken effect.</p>
<p>Following are some of the changes:<span id="more-938"></span></p>
<p>Allowing the ICMS email system to serve as the “notice” and “service” vehicle  for ALJ Awards.  The bill also contemplates the “issuance” of awards  via email will be recognized as notice and service to the parties for appellate matters.</p>
<p>The medical release language has been broadened and it&#8217;s possible that an employee&#8217;s psych recods may be produced.  Click <a href="http://www.ramoslawblog.com/2009/03/05/georgia-workers-comp-bill-presently-before-the-house/">here </a>to see a full copy of original post outlining some of the changes with examples.</p>
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		<title>Required &#8220;Notice&#8221; under Rule 201(b)</title>
		<link>http://www.ramoslawblog.com/2009/07/13/required-notice-under-rule-201b/</link>
		<comments>http://www.ramoslawblog.com/2009/07/13/required-notice-under-rule-201b/#comments</comments>
		<pubDate>Mon, 13 Jul 2009 18:06:08 +0000</pubDate>
		<dc:creator>James Timmons, Jr.</dc:creator>
				<category><![CDATA[Injured On the Job in Georgia]]></category>
		<category><![CDATA[Law]]></category>
		<category><![CDATA[doctor]]></category>
		<category><![CDATA[Georgia workers' compensation]]></category>
		<category><![CDATA[Georgia's injured workers]]></category>
		<category><![CDATA[medical appointment]]></category>
		<category><![CDATA[medical benefits]]></category>
		<category><![CDATA[medical exam]]></category>
		<category><![CDATA[physicians]]></category>
		<category><![CDATA[Rule 201]]></category>
		<category><![CDATA[work related injury]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=635</guid>
		<description><![CDATA[If an Employer/Insurer has controverted a workers&#8217; compensation claim and the claim is later found to compensable, Board Rule 201(b) provides that &#8220;the employee is authorized to select one of the physicians who has provided treatment for the work-related injury prior to the acceptance of compensability, and after notice has been given to the employer, [...]]]></description>
			<content:encoded><![CDATA[<p>If an Employer/Insurer has controverted a workers&#8217; compensation claim and the claim is later found to compensable, Board Rule 201(b) provides that &#8220;<strong>the employee is authorized to select one of the physicians who has provided treatment for the work-related injury prior to the acceptance of compensability, and <em>after notice has been given</em> to the employer, that physician so selected becomes the authorized treating physician</strong>.&#8221;</p>
<p>The question, then, is what constitutes notice.  On a very<span id="more-635"></span> obvious level, if the claimant&#8217;s counsel calls the employer&#8217;s counsel and says &#8220;I want Dr. Smith, the doctor who treated my client while the claim was controverted, to be the ATP,&#8221; I imagine that would suffice.</p>
<p>But what would be the effect of Dr. Smith calling the adjuster for the insurer to try to authorize an appointment?  Is that notice?  Should the adjuster be required to infer that Dr. Smith is now the authorized treating physician?</p>
<p>What if counsel for the claimant simply sends bills to the employer from Dr. Smith asking for payment?  Is that notice?  When does the notice take effect?  Should the employer pay for the bills?</p>
<p>The obvious answer is to avoid all of these questions.  <strong>The claimant&#8217;s counsel should write a letter to the employer&#8217;s counsel setting out the claimant&#8217;s intention to name Dr. Smith as the ATP</strong>.  It takes all of the guesswork out and avoids unnecessary litigation.</p>
<p>If your claim has been controverted and you are attempting to get medical treatment, please <a href="http://ramoslawfirm.com/intake-forms/contact.html">contact</a> an attorney with the Ramos Law Firm.  We are here to help Georgia&#8217;s injured workers.</p>
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		<title>How Will I Receive Medical Treatment if My Workers’ Comp Claim is Controverted?</title>
		<link>http://www.ramoslawblog.com/2009/06/25/how-will-i-receive-medical-treatment-if-my-workers%e2%80%99-comp-claim-is-controverted/</link>
		<comments>http://www.ramoslawblog.com/2009/06/25/how-will-i-receive-medical-treatment-if-my-workers%e2%80%99-comp-claim-is-controverted/#comments</comments>
		<pubDate>Thu, 25 Jun 2009 14:27:24 +0000</pubDate>
		<dc:creator>Adriana Sola Capifali</dc:creator>
				<category><![CDATA[Benefits]]></category>
		<category><![CDATA[Injured On the Job in Georgia]]></category>
		<category><![CDATA[Law]]></category>
		<category><![CDATA[change of physician]]></category>
		<category><![CDATA[lien]]></category>
		<category><![CDATA[medical benefits]]></category>
		<category><![CDATA[medical exam]]></category>
		<category><![CDATA[O.C.G.A § 34-9-]]></category>
		<category><![CDATA[panel of physicians]]></category>
		<category><![CDATA[prescriptions]]></category>
		<category><![CDATA[State Board of Workers' Compensation]]></category>
		<category><![CDATA[work related injury]]></category>
		<category><![CDATA[workers' comp benefits]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=860</guid>
		<description><![CDATA[When the Employer/Insurer &#8220;controverts&#8221; or determines a workers&#8217; compensation claim is not compensable, the Employer/Insurer will not pay for the injured Employee&#8217;s medical treatment. Consequently, the injured Employee will be responsible for finding a physician to treat with and for payment of his or her medical bills.  This determination does not necessarily mean the injured workers&#8217; [...]]]></description>
			<content:encoded><![CDATA[<p><strong> </strong></p>
<p><strong> </strong>When the Employer/Insurer &#8220;controverts&#8221; or determines a workers&#8217; compensation claim is not compensable, the  Employer/Insurer will not pay for the injured Employee&#8217;s medical treatment. Consequently, the injured Employee  will be responsible for finding a physician to treat with and for payment of his  or her medical bills.  This determination does  not<span id="more-860"></span> necessarily mean the injured workers&#8217; claim has ended.  It is merely the  position the Employer/Insurer has taken.  <strong>It will be the claimant&#8217;s burden to  prove that the Employer/Insurer is wrong</strong>. From a practical perspective, the Employee has  the daunting task of locating a qualified  physician to continue  treatment.</p>
<p>When a claim is controverted, the  Employee may choose to treat with a physician of his or her choice, pursuant to  Board Rule 201(b).  This Board Rule  states that <strong>&#8220;the  Employer/Insurer cannot restrict treatment of the Employee to the panel of  physicians, conformed panel of physicians, or WC/MCO when the claim has been  controverted.&#8221;</strong> Therefore, the Employee is free to choose his  or her authorized treating physician.</p>
<p>Although an injured Employee has  greater control of his or her medical treatment when a claim is controverted,  the Employee is still left with the challenge of paying for medical  treatment.  Since the cost for medical  treatment will escalate within a short period of time, an Employee must consider  alternatives to paying for medical treatment  either out of pocket or through another insurance carrier.  An attractive alternative for Employees is to  identify a physician who will provide medical treatment on a &#8221;lien basis&#8221;.  Treating on a lien basis means the Employee  will not pay for medical treatment or services at the time the treatment is  rendered, but will pay for the treatment at the time his or her claim  settles.</p>
<p>A physician or medical facility  which offers medical treatment on a lien basis to workers&#8217; compensation patients  will protect their interests by requiring that the Employee and his or her  attorney sign a &#8221;letter of  protection.&#8221;  A letter of protection is a contract between  the patient, attorney and medical provider, which ensures the attorney will pay  all medical bills for treatment rendered on a lien basis from the Employee&#8217;s  settlement funds.</p>
<p>Seeking treatment on a lien basis  is not the ideal for most Employees and attorneys, but it is a workable alternative for the injured Employee who cannot afford the immediate out-of-pocket cost.</p>
<p>If your workers&#8217;  compensation claim is controverted, please contact the Ramos Law Firm to discuss  seeking treatment for your work injuries.</p>
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		<title>What Role Does Medical History Play in Workers’ Compensation Claims?</title>
		<link>http://www.ramoslawblog.com/2009/06/24/what-role-does-medical-history-play-in-workers%e2%80%99-compensation-claims/</link>
		<comments>http://www.ramoslawblog.com/2009/06/24/what-role-does-medical-history-play-in-workers%e2%80%99-compensation-claims/#comments</comments>
		<pubDate>Wed, 24 Jun 2009 14:07:57 +0000</pubDate>
		<dc:creator>Adriana Sola Capifali</dc:creator>
				<category><![CDATA[Benefits]]></category>
		<category><![CDATA[Injured On the Job in Georgia]]></category>
		<category><![CDATA[Law]]></category>
		<category><![CDATA[change of physician]]></category>
		<category><![CDATA[FCE]]></category>
		<category><![CDATA[Georgia's injured workers]]></category>
		<category><![CDATA[medical appointment]]></category>
		<category><![CDATA[medical exam]]></category>
		<category><![CDATA[MMI]]></category>
		<category><![CDATA[O.C.G.A § 34-9-]]></category>
		<category><![CDATA[permanent partial disability benefits]]></category>
		<category><![CDATA[physicians]]></category>
		<category><![CDATA[work related injury]]></category>
		<category><![CDATA[workers' comp benefits]]></category>

		<guid isPermaLink="false">http://www.ramoslawblog.com/?p=858</guid>
		<description><![CDATA[Most individuals enjoy a certain level of privacy regarding their medical history.  Most employees are weary about sharing intimate details about their medical history with the employer/insurer; however, pursuant to O.C.G.A. 34-9-207, the employer/insurer may be entitled to this information. In a Georgia workers&#8217; compensation claim, an employee&#8217;s personal health information can be used by the [...]]]></description>
			<content:encoded><![CDATA[<p>Most individuals enjoy a  certain level of privacy regarding their medical history.  Most employees are  weary about sharing intimate details about their medical history with the  employer/insurer; however, pursuant to  O.C.G.A. 34-9-207, the employer/insurer may be  entitled to this information.</p>
<p>In a Georgia workers&#8217; compensation claim<span id="more-858"></span>, an employee&#8217;s  personal health information can be used by the employer/insurer to assess the  compensability of a claim.   Medical records are of interest to the  employer/insurer because these records reveal whether an injured worker has  previous injuries to the body part injured in the work accident at issue or  pre-existing conditions (such as diabetes  or high blood pressure).  It is critical  to investigate previous injuries because the employer/insurer may not be  liable for payment of medical treatment for an injury which occurred before  the accident at issue and/or did not occur in the course and scope of the  employee&#8217;s employment.  Additionally, if an injured worker is a diabetic or  suffers from high blood pressure, these pre-existing conditions can slow down an  injured worker&#8217;s recuperation or cause complications in healing.</p>
<p>For example, if an injured worker  sustains a broken ankle and is also suffering from type 2 diabetes, but is  non-compliant with her diabetes treatment plan, he or she may experience delays  in her recuperation due to poor circulation or possible nerve damage in the lower extremities.  In the  aforementioned example, the repercussion of non-compliance with her diabetes  treatment plan can lead to serious complications, which may prevent the employee  from returning to work and may sever the employer/insurer&#8217;s liability for  continued medical treatment for the broken ankle.  The employer/insurer will point to this fact to deny  future benefits.  Obviously, this will be a medical question for the  administrative law judge.</p>
<p>The medical records are also a tool  the employer/insurer can utilize to gather information about injured worker&#8217;s  conversations with his or her medical providers.   Ordinarily, a patient&#8217;s conversation with his or her physician is  confidential, however, when an injured worker files a workers&#8217; compensation  claim and seeks medical treatment for work-related injuries, the  patient-physician conversations are no longer considered confidential.</p>
<p>Pursuant to O.C.G.A § 34-9-207, when an  employee files a workers&#8217; compensation claim, the employee waives</p>
<blockquote><p>&#8220;&#8230;any  privilege or confidentiality concerning any communications related to the claim  or history or treatment of injury arising from the incident that the employee  has had with any physician&#8230; .&#8221;</p></blockquote>
<p><strong>Employees should not be discouraged from filing a claim  due to privacy concerns. </strong> The release of workers&#8217; compensation information to  non-parties is generally prohibited under the workers&#8217; compensation code.   Employees must keep in mind  that in order to receive the best medical care, the doctors must have access to his or her  medical history to create an effective treatment plan.  <strong>The mutual goal of all parties is to return  the injured worker back to normal duty if possible</strong>.  However, it is important to  realize that this may never happen depending on the severity of the injury.  If  the goal of &#8220;normal duty work status&#8221; is not reachable, then the injured worker  should still strive to reach maximum medical improvement.</p>
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