You can receive medical treatment as long as it’s medically necessary.  Medical evidence is always necessary. California is currently using the “American College of Occupational and Environmental Medicine (ACOEM) Practice Guidelines, Second Edition” as the standard for evidence based medicine. Treatments scientifically proven to cure or relieve work related injuries and illnesses are laid out in the guidelines. The guidelines also deal with how often and how long treatment may be administered, as well as other things. Evidence must be provided to show that the treatment is necessary and will be effective, if the requested medical treatment goes beyond the ACOEM guidelines. Your workers compensation adjuster  may hire a third party to review your doctor’s treatment plan, this process is known as utilization review (UR). Claims administers are required by law to have UR programs in place. (Which are usually a sham).  When deciding whether or not to approve treatment recommended by your doctor they use UR. In a nutshell, the utilization review is another way for workers comp carriers to deny your medical treatment. If you are seriously injured in a work injury, you are entitled to lifetime medical care.  Workers comp adjusters will often try to settle your lifetime medical for pennies on the dollar.  If you are seriously injured in a work injury, California has some of lowest workers compensation benefits in the U.S.  Simply put, California workers compensation is extremely unfair to seriously injured workers and their families.  Because of this, you should  have your case reviewed to see if you have a  third party work injury case.     A third-party work injury case is civil lawsuit where someone other than your employer is legally responsible for your injuries.

 

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Q: How long can I continue to receive medical treatment for my California Workers Compensation injury?

A:

You can receive medical treatment as long as it’s medically necessary.  Medical evidence is always necessary.
California is currently using the “American College of Occupational and Environmental Medicine (ACOEM) Practice Guidelines, Second Edition” as the standard for evidence based medicine. Treatments scientifically proven to cure or relieve work related injuries and illnesses are laid out in the guidelines. The guidelines also deal with how often and how long treatment may be administered, as well as other things.

Evidence must be provided to show that the treatment is necessary and will be effective, if the requested medical treatment goes beyond the ACOEM guidelines.

Your workers compensation adjuster  may hire a third party to review your doctor’s treatment plan, this process is known as utilization review (UR). Claims administers are required by law to have UR programs in place. (Which are usually a sham).  When deciding whether or not to approve treatment recommended by your doctor they use UR.

In a nutshell, the utilization review is another way for workers comp carriers to deny your medical treatment.

If you are seriously injured in a work injury, you are entitled to lifetime medical care.  Workers comp adjusters will often try to settle your lifetime medical for pennies on the dollar. 


If you are seriously injured in a work injury, California has some of lowest workers compensation benefits in the U.S.  Simply put, California workers compensation is extremely unfair to seriously injured workers and their families.  Because of this, you should  have your case reviewed to see if you have a  third party work injury case.    
A third-party work injury case is civil lawsuit where someone other than your employer is legally responsible for your injuries.


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