Federal Workers Compensation Coffee Break

OWCP -DOL Re-Injury of Accepted Work Condition While Working

This episode is an emailer asking a question and being answered in the podcast episode. The scenario the emailer presented for an injured federal employee is the following: An injured worker  came in her OWCP doctor's office  for an urgent care visit appointment due to her shoulder being in severe pain and cannot raise it. This shoulder injury is an accepted condition and she is on modified duty. She has been working 8 hours with restrictions but today has been removed from work for 5 days. In circumstances like this, would she file a CA-2A for recurrence of disability? My second question would be, if a patient is removed from work due to worsening of an injury whether it be 2 days or 30 days, is a CA-2A filed?  Great question: Here is what the FECA ACT says about this … (DFEC) FECA Part 1 Chapter 1-0400 Sub-sec: 9 A Recurrence of Disability is a work stoppage caused by: 1. A return or increase of disability due to a consequential injury (defined as one which occurs due to weakness or impairment caused by a work-related injury); 2. Withdrawal of a specific duty assignment when the employee cannot perform the full duties of the regular or limited duty position. For more information on this topic click on the show transcript... The podcaster is Dr. Stephen Taylor, OWCP medical-legal consultant & DOL expert for Oberheiden Law Firm.  Dr. Taylor’s contact email information is: fedcompconsultants@protonmail If you need a medical provider or assistance with an OWCP /  DOL claim in  Pensacola Florida you can make an appointment to see Dr. Taylor  at the clinic at  FWC Medical Centers [https://fedcompconsultants.com/] or check out the webiste at fedcompconsultants.com [https://fedcompconsultants.com/] To make a consultation with Dr. Taylor  call the clinic at 813-215-4356  in Florida. For responses email Dr. Taylor at fedcompconsultants@protonmail.com Support the show FEEDSPOT TOP #1 Federal Workers Compensation Podcast & #6 National Workers Compensation Podcast: [https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email] For responses email Dr. Taylor at fedcompconsultants@protonmail.com [https://www.buzzsprout.com/1902653/fan_mail/new] Support the show [https://www.buzzsprout.com/1902653/support] FEEDSPOT TOP 10 National Workers Compensation Podcast:  https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email [https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email]

OWCP 3rd Party Vendors Claims Management

There is recent evidence that OWCP (under the U.S. Department of Labor) has increasingly began to outsource significant portions of claims-related services for FECA (federal workers' compensation) to third-party vendors, including private companies traditionally known for state workers' compensation claims management. This is a change in the entire structure of the FECA and OWCP government division's responsibilities.  OWCP has been slowly outsourcing divisions of OWCP to outside contracts in the form of third party vendors. This began with  medical bill processing (e.g., past transitions to vendors like CNSI now called ACCENTRA) and  medical authorizations.  This began when OWCP decided to outsource the pharmacy benefits to an outside corporate vendor called OPTUM, a pharmacy benefit manger to manage all of OWCP's pharmacy benefits. We can expect to see an increasing amount of companies continue to be added for specifically handling broad OWCP claims adjudication, the overall trend of outsourcing to experienced private-sector TPAs vendors from the state workers’ comp ecosystem is now the wave of the future.  For more information read the show transcript.  The podcaster is Dr. Stephen Taylor, OWCP medical-legal consultant & DOL expert for Oberheiden Law Firm.  Dr. Taylor’s contact email information is: https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP /  DOL claim in  Pensacola Florida you can make an appointment to see Dr. Taylor  at the clinic at  FWC Medical Centers [https://fedcompconsultants.com/]. To make a consultation with Dr. Taylor  call the clinic at 813-215-4356  in Florida. For responses email Dr. Taylor at fedcompconsultants@protonmail.com Support the show FEEDSPOT TOP #1 Federal Workers Compensation Podcast & #6 National Workers Compensation Podcast: [https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email] For responses email Dr. Taylor at fedcompconsultants@protonmail.com [https://www.buzzsprout.com/1902653/fan_mail/new] Support the show [https://www.buzzsprout.com/1902653/support] FEEDSPOT TOP 10 National Workers Compensation Podcast:  https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email [https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email]

OWCP Validity of Claims & DOL - FECA Benefits

CHALLENGING VALIDITY OF OWCP CLAIMS – If the validity of a claim is questioned, the Agency supervisor should investigate the circumstances and report the results to OWCP. However, filing of the claim should not be delayed whether the claim is disputed or what OWCP calls controverted.  A. Allegations Must be supported by factual evidence. 1) Different Versions of incident by several witnesses, whose accounts differ, should provide supervisor with written statements of their information. 2) Previous Injury – Agency should request statements from witnesses if on the date on the claimed injury the appearance of a previous condition or injury. 3) Time Frame – Agency should provide written statement if the injury is reported after a lapsed time from the reported date of injury. 4) Outside of Employment – If employed outside of the agency and injury is claimed, supervisor should inquire about the duties of the other employment and report it to OWCP. B. Notifications and Decisions – for more information click on the show transcript! The podcaster is Dr. Stephen Taylor, OWCP medical-legal consultant for Oberheiden Law Firm [https://federal-lawyer.com/dr-stephen-taylor/].  Dr. Taylor [https://federal-lawyer.com/dr-stephen-taylor/]’s contact email information is: https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP /  DOL claim in  Pensacola Florida [https://fedcompconsultants.com/] you can make an appointment to see Dr. Taylor  at the clinic at  FWC Medical Centers [https://fedcompconsultants.com/] . To make a consultation with Dr. Taylor [https://www.healthcare-lawyers.com/team/dr-stephen-taylor/]  call the clinic at 813-215-4356  in Florida.  For responses email Dr. Taylor at fedcompconsultants@protonmail.com [https://www.buzzsprout.com/twilio/text_messages/1902653/open_sms] Support the show [https://www.buzzsprout.com/1902653/support] FEEDSPOT TOP #1 Federal Workers Compensation Podcast & #6 National Workers Compensation Podcast: For responses email Dr. Taylor at fedcompconsultants@protonmail.com [https://www.buzzsprout.com/1902653/fan_mail/new] Support the show [https://www.buzzsprout.com/1902653/support] FEEDSPOT TOP 10 National Workers Compensation Podcast:  https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email [https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email]

OWCP - DOL Initial Claims Processing Tutorial

OWCP CLAIMS PROCESSING – Certain procedures and responsibilities have to be accomplished once the forms and information have reached OWCP for appropriate adjudication of claim. A. Initial Processing – Once claim is received with all supporting documentation (when possible) claim number will be assigned to the case. OWCP will notify the employee and agency once claim has been received. Uncontroverted claims with medical bills totaling less than $1500 will be administratively closed by OWCP. Thos claims not meeting that criteria will be assigned to a claims examiner for formal adjudication. When additional information is required, the claims examiner will notify the employee by letter in ECOMP with a  copy to all parties to the claim. For more information click on the podcast transcript. The podcaster is Dr. Stephen Taylor, OWCP medical-legal consultant for Oberheiden Law Firm [https://federal-lawyer.com/dr-stephen-taylor/].  Dr. Taylor [https://federal-lawyer.com/dr-stephen-taylor/]’s contact information is: https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP /  DOL claim in Tampa [https://fwcmedicalcenters.net/], Jacksonville [https://eastcoastinjury.com/our-team/], Pensacola Florida [https://fedcompconsultants.com/], Southern Mississippi or Daphne Alabama [https://fedcompconsultants.com/]   you can make an appointment to see Dr. Taylor, or Dr. Sullivan   at the clinic at  FWC Medical Centers [https://fedcompconsultants.com/] or M & R Medical Centers [https://fwcmedicalcenters.net/]. To make a consultation with Dr. Taylor [https://www.healthcare-lawyers.com/team/dr-stephen-taylor/]  call the clinic at 813-215-4356 or 813-877-6900 in Tampa  go  to our website at https://fwcmedicalcenters.net/ [https://fwcmedicalcenters.net/]     or     https://fedcompconsultants.com/ [https://fedcompconsultants.com/] For responses email Dr. Taylor at fedcompconsultants@protonmail.com [https://www.buzzsprout.com/twilio/text_messages/1902653/open_sms] Support the show [https://www.buzzsprout.com/1902653/support] FEEDSPOT TOP #1 Federal Workers Compensation Podcast & #8 National Workers Compensation Podcast: https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email [https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email] For responses email Dr. Taylor at fedcompconsultants@protonmail.com [https://www.buzzsprout.com/1902653/fan_mail/new] Support the show [https://www.buzzsprout.com/1902653/support] FEEDSPOT TOP 10 National Workers Compensation Podcast:  https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email [https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email]

Continuation of Pay (COP) OWCP-DOL Complete Guide

Continuation of Pay (COP) is continuation of regular pay up to 45 calendar days for periods of disability and or medical care, which occur in connection with a Traumatic Injury. COP must begin within 45 days of the injury. A. Entitlement – Permanent and Temporary employees are entitled to COP when Traumatic Injury is reported within 30 days. Medical documentation must support all periods of COP. Normally, COP will begin the day following the date of the traumatic injury. Except for Injuries that occurred prior to the start of the workday, then COP will begin on date of injury. Medical documentation must be received within 10 days of the injury to receive COP and COP will be terminated if medical documentation is not received within the allotted time frame. For any additional details, please click on the show transcript! The podcaster is Dr. Stephen Taylor, OWCP legal consultant for Oberheiden Law Firm [https://federal-lawyer.com/dr-stephen-taylor/].  Dr. Taylor [https://federal-lawyer.com/dr-stephen-taylor/]’s contact information is: https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP /  DOL claim in Tampa [https://fwcmedicalcenters.net/], Jacksonville [https://eastcoastinjury.com/our-team/], Pensacola Florida [https://fedcompconsultants.com/], Southern Mississippi or Da [https://fedcompconsultants.com/] For responses email Dr. Taylor at fedcompconsultants@protonmail.com [https://www.buzzsprout.com/twilio/text_messages/1902653/open_sms] Support the show [https://www.buzzsprout.com/1902653/support] FEEDSPOT TOP #1 Federal Workers Compensation Podcast & #8 National Workers Compensation Podcast: https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email [https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email] For responses email Dr. Taylor at fedcompconsultants@protonmail.com [https://www.buzzsprout.com/1902653/fan_mail/new] Support the show [https://www.buzzsprout.com/1902653/support] FEEDSPOT TOP 10 National Workers Compensation Podcast:  https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email [https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email]