Has the Maryland workers comp adjuster terminated your treatment or are they refusing to provide authorization? Did they deny an MRI or surgery? Perhaps even a doctors visit was denied.
For a FREE consult Call +1 (410) 937-1659 and speak with Maryland workers compensation attorney Mr. Rodabaugh.
Sometimes your case starts off just fine!
On occasion the workers compensation process starts off very easy for the workers comp recipients. The worker is injured at work and is sent by the employer to a medical clinic for treatment. The clinic may be one such as WorkMed, Concentra, or Patient First. Treatment is provided in the form of medication, x-rays, and possibly some physical therapy. Everything seems to be smooth sailing while treatment is obtained however the dreaded denial of treatment rears its ugly head. This most often comes at a very unexpected time and to the Maryland injured worker it seems very confusing.
If you have received an Independent Medical Evaluation (IME) notice then there are things you should know before attending.
Why did it happen?
The short answer- treatment is getting too expensive or your case and its too serious for the workers compensation adjuster to simply continue paying for the medical treatment. The theory is to provide minimal treatment and hope that the worker returns to work without seeking a Maryland workmans compensation attorney and without seeking all the benefits to which law provides. Treatment is often denied at a point where the case is becoming increasing costly or is about to become costly.
One common point when the workers compensation adjuster will terminate treatment is if an magnetic resonance imaging (MRI) is prescribed. The reasoning is that the MRI may help determine what needs to be fixed. X-rays will show if any bones are fractured and are relatively inexpensive so these are most often approved by the adjuster with no problem. MRI’s on the other hand cost much more than x-rays and will diagnose soft tissue damage, ligament tears, muscle tears, blood issues, and much more. Once a condition is discovered the Maryland workers comp insurance company will have to pay to have this fixed. If no condition is discovered then they save money.
Another common milestone for the adjuster to refuse to authorize treatment is when surgery is being recommended. Not only is surgery expensive, but lost wages, further therapy, medication, and complications can increase the cost of the claim exponentially. Further, once a surgery is performed on an injured worker the need for future treatment is substantiated which means workers comp could be on the hook for years to come.
What should you do now?
If this is the situation you are faced with then you may be quite frustrated and it is probably time to seek counsel with an experienced Baltimore Maryland workers compensation attorney. A workers compensation attorney can take steps to force the insurer to pay for your medical treatment. A hearing can be requested before the Maryland Workers Compensation Commission to obtain the treatment you deserve and any other benefits that you may have gone without thus far.