Month: October 2024

Through my interaction with federal employees across the country, I want to share the stories from 10 injured federal employees who were hurt by confusing system after they were hurt at work.

1. A letter carrier broke his ankle while carrying the mail. His supervisor told him it wasn’t broken and to finish out the last half of his shift. The next day, he told his supervisor it was red and swollen and she said, “It’s not broken.” IT WAS BROKEN, but he didn’t get the official medical report until the next day when his union president insisted that he go ahead and get to the doctor. This carrier didn’t realize his rights and responsibilities after he was hurt at work. Simply knowing about the Form CA-10 would have made all the difference.

2. A federal employee was hurt at work and decided to go see his own doctor, as was his right. The supervisor was upset about him choosing his own doctor instead of going to the company doctor first, and she threatened to fire him. He was understandably worried about losing his job until we sent him the law from the DOL web site that says he can choose his own doctor and nobody can prevent him from exercising his right to choose. Needless to say, he wasn’t fired. Nobody was getting fired that day for wanting to go to a doctor he trusted.

3. A federal employee visited another doctor in Denton, TX, and his initial report was buried on a desk for 6 weeks, preventing his OWCP injury claim from even being considered, much less accepted. He was forced to go to another doctor to get help and finally get his injury claim accepted. He had a torn calf muscle that he wasn’t able to get treatment on for 6 WEEKS until he finally found our doctors and was taken care of.

4. A rural carrier was injured in a town nearly 2 hours away from Dallas. The doctor’s office she called said she had to bring in a CA-16 if she was going to be seen at that office. This put her at a serious disadvantage since most supervisors have never heard of this form. She had to drive nearly 2 hours to see our doctor because we see all injured federal employees with or without a CA-16 and with or without an accepted OWCP claim.

5. A supervisor said that a federal employee who was injured lifting a box and falling down, was due to the employee’s “willful misconduct” because that employee was noticeably unstable and unable to walk. That supervisor was trying to prevent an otherwise valid OWCP injury claim from being accepted. The doctor got the case accepted after reporting that the “willful misconduct” was actually due to a supervisor who knowingly put an obviously unstable person in a position to get injured. Case accepted.

6. A letter carrier was injured after his mail truck was hit by another driver, causing serious injury to the carrier – an obvious valid OWCP injury claim. The claim was denied! His previous doctor was completely unable to get such an open-and-shut injury claim accepted. Our doctors are on it now. This case is going to be accepted.

7. Letter carriers in Indianapolis were being forced to drive to MICHIGAN to get help from doctors who were OWCP-trained. I had to ask if Michigan was also a city in Indiana. Having to drive that far was shocking. Not anymore though. There’s a GREAT OWCP-trained doctor in Indy now. Problem solved.

8. Similarly, a carrier was told, by someone that should have known better, that he had to drive 4 hours (8 hours roundtrip) to go to the “nearest” OWCP-trained doctor when she very well knew that a great doctor was trained IN THE CARRIER’S SAME TOWN. Unacceptable.

9. A federal employee was hurt in an obvious work-related accident. All reports were clear. The CA1 form was clear. Every doctor he saw wrote substandard causation reports, including and especially the company doctor. His injury happened several YEARS ago. The claim was never accepted. He paid thousands of dollars out of his own pocket. He’s had his job threatened if he’s unable to physically perform the job, which he can’t. The stress of having to make a living in a heavy job, with severe pain, and under the treat of termination is all due to the fact that he wasn’t able to find a good, qualified, OWCP-trained doctor years ago. Now he has. The doctors that we trained are on it. We’re going to work to get his claim accepted, get his money and time back, and get his life back.

10. A federal employee paid a “case management” group literally thousands of dollars to “manage” his case and help get it accepted. Mission Not Accomplished. His case is still denied. Paying a group for this “service” would seem to lend itself to denials that require more work and thus more payments to handle the appeals after the denials. Maybe I’m wrong about this (doubt it), but every single doctor who we have trained does all of that case management and gets all of those cases accepted WITHOUT CHARGING THE INJURED WORKER. Nobody should ever have to pay for a service that should naturally be a free service from a medical provider.

Each year, OSHA publishes federal agency injury and illness statistics (https://www.osha.gov/dep/fap/fap-inj-ill-stats.html). On average, about 3.2% of federal employees have APPROVED OWCP CLAIMS. At the bottom of the page, it says that the data DOES NOT INCLUDE DENIED CLAIMS. OWCP work injury claims get denied for a variety of reasons, but generally it’s due to an overall lack of understanding of how claims are denied or accepted.

To begin, injured federal employees don’t know what to do when they are injured.

Here’s what to do:

1. Report your injury to your supervisor immediately.
2. Tell your supervisor to authorize medical care with a CA16 and select a doctor who can help you.
3. Fill out a CA1 or CA2 with your supervisor so that OWCP has a record of your injury.
4. Get a receipt from the CA1 or CA2. This is page 4 of the CA1 and page 3 of the CA2.
5. For CA1 injuries, elect COP or sick and annual leave if you need time off work.

The next problem is that supervisors often don’t know what to do when you are injured, and they sometimes are less than helpful as a result (see the list above for what to do when an injury occurs).

The third problem that causes denied claims is when the injured employee selects a doctor who isn’t trained in OWCP. Untrained doctors will write bad reports that get injury claims denied. Untrained doctors also don’t understand the OWCP system and won’t know how to ecomp reports so claims can be considered at all.

The forth problem is when injured federal employees don’t know that they have a right to file on OWCP for their work injuries. These patients go to their family doctor or chiropractor and use their health insurance, which not only costs them a lot of money out of their own pockets, but it guarantees that the work injury will never be counted in OSHA’s annual reports.

Denied OWCP work injury claims lead to lost time from using your sick and annual time, lost money from paying copays and deductibles, lost mileage from not being able to be reimbursed for driving, and lost schedule awards that are only available when your injury claim is accepted.

We recently met a group that charges federal employees a fee for handling their OWCP workers comp case. They have fees for assisting in filling out CA1 or CA2 forms. They charge to assist in report writing so that OWCP injury claims are accepted by claims examiners. They charge to fill out CA7’s, OWCP 915’S, and OWCP 957’s so injured federal employees can be paid and reimbursed for expenses.

I understand that the federal workers comp system is complicated. There are a lot of forms to fill out. Because there are so few good, qualified doctors who specialize in DOL federal workers comp according to federal guidelines around the country, it’s easy to see why federal employees need help with report writing to prove that their injuries are work related. But whole companies exist that CHARGE FEDERAL EMPLOYEES for this assistance.

OUR DOCTORS DO ALL OF THIS FOR FREE

Free claims assistance. That’s exactly what that means.

• We won’t charge you for assistance with your CA1’s and CA2’s.
• We won’t charge you for assistance with your CA7’s, OWCP 915’s, and OWCP 957’s so you can get paid.
• And report writing? That’s what we do! We don’t charge you extra to be good at what we do.

When federal employees sustain work-related injuries or illnesses, it is essential to seek proper medical treatment to aid in their recovery. The Office of Workers’ Compensation Programs (OWCP) oversees the medical care of injured federal employees and provides them with a list of approved doctors.

However, choosing the right doctor who specializes in DOL federal workers comp according to federal guidelines is a critical decision that can significantly impact the quality of care and the overall outcome of your recovery.

Experience and Expertise

One of the primary factors to consider when choosing a doctor who specializes in DOL federal workers comp according to federal guidelines, is their experience and expertise. Look for physicians who have a background in treating work-related injuries and are familiar with the unique challenges faced by federal employees. Doctors who specialize in occupational medicine or have extensive knowledge of workers’ compensation laws can provide valuable insights and tailored treatment plans specific to your needs.

An experienced Doctor who specializes in DOL federal workers comp according to federal guidelines will understand the intricacies of the claims process and ensure that your medical documentation accurately supports your case.

Accessibility and Convenience

When selecting a doctor who specializes in DOL federal workers comp according to federal guidelines, it’s important to consider their accessibility and the convenience of their location. Look for doctors who are located near your home or workplace, making it easier for you to attend appointments and receive ongoing care.

Additionally, consider the doctor’s availability and appointment scheduling process. A doctor who specializes in DOL federal workers comp according to federal guidelines, who offers flexible appointment times and promptly responds to inquiries can help ensure that you receive timely medical attention and avoid delays in your recovery.

Communication and Bedside Manner

Effective communication is crucial when working with a doctor who specializes in DOL federal workers comp according to federal guidelines. Look for a physician who actively listens to your concerns, explains the diagnosis and treatment options in a clear and understandable manner, and addresses any questions you may have.

A doctor with good bedside manner can help alleviate anxiety and build a trusting relationship, which is essential for your overall well-being and the success of your treatment plan. Feeling comfortable and understood during your medical appointments can positively impact your recovery journey.

Collaboration with OWCP and Claims Process

A doctor who specializes in DOL federal workers comp according to federal guidelines should be well-versed in the workers’ compensation system and be willing to collaborate with the OWCP and claims examiners. They should provide accurate and timely medical reports, complete necessary paperwork, and communicate any updates or changes in your condition to the OWCP.

A doctor who understands the importance of thorough documentation and can effectively navigate the claims process can help ensure that your medical needs are appropriately addressed and that your case progresses smoothly.

Recommendations and Referrals

Seeking recommendations and referrals from trusted sources can be beneficial when choosing a doctor who specializes in DOL federal workers comp according to federal guidelines. Speak to colleagues or friends who have gone through a similar experience and ask for their recommendations.

Additionally, consider reaching out to federal employee unions or workers’ advocacy groups for suggestions. These sources can provide valuable insights into doctors who have a positive track record in handling OWCP cases and providing exceptional care to injured federal employees.
Selecting the right doctor who specializes in DOL federal workers comp according to federal guidelines is a crucial step in the recovery process for injured federal employees.

Considering factors such as experience, accessibility, communication skills, collaboration with the OWCP, and recommendations can help you make an informed decision.

Remember that you have the right to choose a doctor who best suits your needs and can provide the necessary care and support throughout your recovery journey. By carefully selecting a doctor who specializes in DOL federal workers comp according to federal guidelines, you can improve the likelihood of receiving appropriate medical treatment and achieving a successful recovery.

The Office of Workers’ Compensation Programs (OWCP) plays a crucial role in providing benefits to federal employees who suffer from work-related injuries or illnesses.
While OWCP claims can be a lifeline for those in need, navigating the claims process can be a challenging and complex journey.

Challenges in the OWCP Claims Process

• Understanding Eligibility Criteria: One of the initial hurdles in the OWCP claims process is understanding whether you meet the eligibility criteria. Eligibility requirements can vary depending on factors like your employment status, the nature of your injury or illness, and the circumstances under which it occurred. To address this challenge, carefully review the OWCP eligibility guidelines or consult with a legal expert specializing in workers’ compensation.
• Gathering Medical Documentation: Accurate and comprehensive medical documentation is essential for a successful OWCP claim. However, obtaining all the necessary medical records and reports can be a daunting task. Solution: Establish a clear line of communication with your healthcare provider and request copies of all relevant medical records, diagnostic tests, and treatment plans. This will help ensure you have the documentation needed to support your claim.
• Timely Filing of Claims: OWCP claims have strict deadlines, and missing them can jeopardize your chances of receiving benefits. To overcome this challenge, stay organized and keep track of important dates related to your claim. Consider setting reminders and calendar alerts to ensure timely submissions.
• Establishing Causation: Proving that your injury or illness is work-related can be a significant challenge. Often, the OWCP requires strong evidence linking your condition to your job duties. Solution: Consult with a knowledgeable workers’ compensation attorney who can help you build a compelling case and gather the necessary evidence to establish causation.
• Dealing with Denials and Appeals: Receiving a claim denial from the OWCP can be disheartening, but it’s not the end of the road. Many claims are initially denied, but they can be appealed. The appeals process can be complex and time-consuming, making it a significant challenge. To address this, consider seeking legal representation from an attorney experienced in OWCP appeals to improve your chances of success.

Solutions for a Smoother OWCP Claims Process

• Seek Professional Assistance: Navigating the OWCP claims process on your own can be overwhelming. Consider enlisting the help of a qualified workers’ compensation attorney who can guide you through the process, provide legal advice, and ensure that your rights are protected.
• Maintain Detailed Records: Keep thorough and organized records of all interactions and communications related to your OWCP claim. This includes medical records, correspondence with OWCP representatives, and any other relevant documentation. Having a comprehensive record can be invaluable in case you encounter challenges or disputes during the process.
• Follow Instructions Carefully: The OWCP provides specific instructions and forms for filing claims and appeals. Make sure to read and follow these instructions meticulously to avoid unnecessary delays or complications. Any discrepancies or missing information can result in a claim denial.
• Communicate Effectively: Maintain open and clear communication with your healthcare provider, OWCP representatives, and any legal counsel you engage. Promptly respond to requests for information or documentation and keep all parties informed of any changes in your condition or circumstances.
• Prepare a Strong Medical Case: To establish the connection between your injury or illness and your work, gather as much medical evidence as possible. This may include medical records, doctor’s statements, and expert opinions. Work closely with your healthcare provider to ensure that your medical documentation supports your claim.
• Be Patient and Persistent: The OWCP claims process can be time-consuming, and it may take several months to receive a decision. Be prepared for delays and stay persistent in pursuing your claim. If your claim is denied, don’t lose hope; you have the right to appeal.

If you are looking for assistance processing an OWCP claim call today at (312) 440-9646 to schedule an appointment.