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Pennsylvania Workers' Compensation Questions & Answers
1 Answer | Asked in Employment Law, Health Care Law and Workers' Compensation for Pennsylvania on
Q: Employer at my Doctor visit

I have shoulder surgery, and I have an appointment with my doctor, can an employer send the nurse from work company to be at my doctors visit, and is this a breach to my HIPPA rights.

Timothy Belt
Timothy Belt
answered on Jun 12, 2016

The employer can send the nurse, but you can refuse to allow them to attend the visit, and you can make clear to the doctor that you do not agree to them talking directly with the nurse. If you take this approach make sure that you have not signed any authorizations to allow the doctor to talk to... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: My injury occured in Oct. 2007. I have been in a restricted position since the injury. I'll be 62 years old in July.

I receive a separate check each week for overtime that I can't work anymore. From my average weekly wage from 2007. How long can the claim last. Is there a maximum number of weeks or months?

Timothy Belt
Timothy Belt
answered on Jun 12, 2016

The check you are receiving is call temporary partial disability wage loss benefits (TPD). You can only receive 500 weeks of TPD benefits, so assuming you returned to work since shortly after your injury, those benefits will run out soon. The medical portion of your claim has no time restriction... View More

2 Answers | Asked in Workers' Compensation for Pennsylvania on
Q: workers compensation case and have been representing myself. I have medical dx caused by a patient who was found guilty

Of assault and battery. They didn't send me to a physician nor treatment. Also a car accident with complications. They want to settle. Do I need an attorney to represent me for the settlement?

Timothy Belt
Timothy Belt
answered on Jun 12, 2016

"Need" is a strong word. You may not technically need an attorney to represent you, but you are likely to receive more, even after the deduction of their fee, and you will be able to avoid numerous potential mistakes by having a competent attorney represent you.

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2 Answers | Asked in Workers' Compensation for Pennsylvania on
Q: I am representing muself in a workers compensation case in VA. I should be allowed to negotiate a settlement?

I have dx related to work place violence and the person was found guilty.

Timothy Belt
Timothy Belt
answered on Jun 1, 2016

This forum is for Pennsylvania injuries. I would suggest that you repost your question on a forum for VA injuries.

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1 Answer | Asked in Employment Law, Workers' Compensation and Personal Injury for Pennsylvania on
Q: i got injured at work they sent me back to work then told me 10 days later i broke my wrist who is liable

so i worked in extreme pain they told me it was broke now back out of work for 4 weeks .will workmens comp pay Temporary Disability Payments?

David Alan Wolf
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answered on May 30, 2016

There are wage loss benefits available through worker's compensation. Most worker's compensation attorneys provide a free consultation. Meet with an attorney as soon as possible to determine your legal rights and recommended courses of action. Good luck.

1 Answer | Asked in Employment Law, Workers' Compensation and Personal Injury for Pennsylvania on
Q: i got injured at work they sent me back to work then told me 10 days later i broke my wrist who is liable

so i worked in extreme pain they told me it was broke now back out of work for 4 weeks .will workmens comp pay Temporary Disability Payments?

Timothy Belt
Timothy Belt
answered on May 31, 2016

Assuming the workers' compensation insurance carrier has accepted liability for your injury, they will begin payment of wag loss after you have been out of work for 7 days. If you are out of work more than 14 days, wage loss benefits become retroactive to your first day out of work. The... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: should I sign a global settlement clause in a WC case and what can be the pitfalls after signing such a clause?

also I have previously appealed unemployment denial to commonwealth of Pa., how would signing that clause now, affect that outcome if I am granted UC benefits afterwards, would I have to forfeit or be penalized? I was told that it will not affect application for SSD / SSI for persons age 50+. I am... View More

Timothy Belt
Timothy Belt
answered on May 29, 2016

It is impossible to answer this question without reviewing the language. If you have a lawyer, I would strongly suggest that you review this document with them. If you do not have a lawyer, you should consider retaining one. The problem is that the language of a global release is not uniform.... View More

2 Answers | Asked in Personal Injury and Workers' Compensation for Pennsylvania on
Q: OSHA violation for forklift, minimal training, no cert., lifting metal plates at 1000s of pounds, PA. Do I have a case?
Timothy Belt
Timothy Belt
answered on May 27, 2016

There is not enough information. Were you injured, and if so, how were you injured?

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1 Answer | Asked in Employment Law and Workers' Compensation for Pennsylvania on
Q: Can my boss change my schedule because the worker who filled in for me had to change her sched.while I was out on W.C

I was out for 52 days for a injury that happened on the job. I was collecting Workmans Comp. Now that I am returning my boss tells me that my schedule has changed because my Co worker who filled in for me had to change her schedule around. I work for a large company in Philadelphia. I have worked... View More

Timothy Belt
Timothy Belt
answered on May 23, 2016

They can change your schedule to fit their business needs unless there is an agreement, such as a union contract, which would prevent them from changing your schedule.

1 Answer | Asked in Personal Injury and Workers' Compensation for Pennsylvania on
Q: My WC rep is tellin me that time I have to take off work for dr apts, PT and testing arent covered. I have to use PTO.

I was injured on my work break, a bench I was sitting on collapsed. It was determined my injury was work related. I was off work for 32 days. I am back on modified duty but still have Dr apts. On my last apt they decided I needed additional testing. I am being told by my WC Hr rep that I have to... View More

Timothy Belt
Timothy Belt
answered on May 9, 2016

Assuming this is an accepted injury you do have a responsibility to schedule medical treatment outside of working hours. If you choose to schedule the appointments during working hours you are not entitled to compensation for the missed time. If the treatment is not available outside of working... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: If injured on the job with less 60 workdays in on a commission based pay how are workmens comp weekly benefits decieded
Timothy Belt
Timothy Belt
answered on May 8, 2016

Assuming your injury happened on or after June 24, 1996, for an employee that has worked less than a complete period of 13 calendar weeks and does not have fixed weekly wages, the average weekly wage will be the hourly rate multiplied by the number of hours the employee was expected to work per... View More

1 Answer | Asked in Employment Law and Workers' Compensation for Pennsylvania on
Q: I have researched some information that you indicated were needed and I'd like to ask a follow up question if I may?

Thank you sir for your help! I am awaiting a call back from an attorney. I retrieved information from the website. The insurance company's attorney filed form LIBC-378. Selected Position: Terminate Compensation Benefits (Stop payment of Workers' Compensation) requesting the date of... View More

Timothy Belt
Timothy Belt
answered on Apr 29, 2016

I hate to guess, but assuming that there is a Notice of Compensation Payable, and the Petition to Terminate was the next document filed, there may well be any issue with a unilateral suspension/termination of benefits from 1/27/16 forward.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: My wc ins co stopped my benefits Jan 29 but just now filed petition to terminate my benefits based on the Jan 6 IME

I broke my ankle at work in August which ended up resulting in the discovery of sarcoma cancer in October. The healthcare benefits were stopped when the cancer was discovered but my wages continued until January 29 when they tried to get me to sign off which I refused. I just got a letter from... View More

Timothy Belt
Timothy Belt
answered on Apr 28, 2016

You need to get a lawyer immediately. To answer your question, a review would need to be made of the documents which were actually filed with The Bureau of Workers' Compensation in Harrisburg. Once it is determined what document is controlling, it could be further determined what if any... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: How long after you settle the WC case does the ins comp have to pay outstanding med bills?

I have outstanding medical bills and they are being sent to collections and it has been well over 30 days since I settled my case. The WC insurance company still has not payed them are they in breach of contract? And if so what can be done about it?

Timothy Belt
Timothy Belt
answered on Apr 27, 2016

Medical bills must be submitted for payment using the appropriate billing forms with attached treatment records before the carrier has an obligation to pay. Simply sending the invoices or collection letters is not enough. Once the proper documents have been submitted, the carrier has 30 days to... View More

1 Answer | Asked in Employment Law and Workers' Compensation for Pennsylvania on
Q: I was told by my Doctor I was able to go back to work...then I reinjured my leg the next day.

I was told by the doctor I was able to return to work. I do landscaping and reinjured my leg today. It was 7 days from yesterday that the claim would be in effect to pay for my wages lost. What if the doctor tells me she will not give me light duty?

Timothy Belt
Timothy Belt
answered on Apr 21, 2016

If you are not satisfied with the treatment you are receiving, you may want to consider changing doctors.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Choosing a dr.

My employer is having me see a dr for my injury. I don't want workers comp. I asked them for a list of dr's and they gave it to me. They told me I must go to this one specific place. Per a Supreme Court ruling it is my decision as to which dr on the list to see. Not their choice.... View More

Timothy Belt
Timothy Belt
answered on Apr 21, 2016

You are correct that you get to choose from the list. That being said, many doctors on the list may not be appropriate for your injury which can reduce the overall list to choose from. For example, you don't want to go to a podiatrist for a shoulder injury.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: How do I find a doctor to do my rotator cuff surgery? I work part time and do not have insurance.

I make too much to qualify for TANF, and I can't afford the 500/month for Obama Care, so I'm exempt. It took more than 90 days to get Workmens Comp claim approved. My lawyer says go ahead and schedule the surgery and WC will pay. To make the online appointment, doctors want to know my... View More

Timothy Belt
Timothy Belt
answered on Apr 21, 2016

You do have insurance. You have workers' compensation insurance. Your lawyer should be able to provide you with the carrier's information including the insurance companies name, address and your claim number.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I have a shoulder injury, I suppose to off, my employer call the doctor to change work note, can they do that

I am suppose to be off by a doctor's note until one week after the surgery, this is a worker comp claim.

Timothy Belt
Timothy Belt
answered on Apr 21, 2016

They can call and depending on what authorizations you have signed, the doctor may be permitted to talk with them; however, it is the doctor's decision whether or not he is going to change the restrictions.

1 Answer | Asked in Employment Law and Workers' Compensation for Pennsylvania on
Q: Follow up to my question yesterday.

Say I go see the dr my work wants me to see and he refers me to a specialist and they say 'oh he's not hurt or he only needs to weeks and he's ok or they recommend surgery'. I wouldn't want surgery or any of those to happen. They conflict with my dr's diagnosis.... View More

Timothy Belt
Timothy Belt
answered on Apr 19, 2016

The panel requirements only apply for the first 90 days, so if you don't like what their doctor says, you stop seeing them after the 90 days is over. As to the second part of your question, you really can't force them to adhere to your doctor's recommendations. You may be able to... View More

1 Answer | Asked in Workers' Compensation, Employment Law and Personal Injury for Pennsylvania on
Q: Can my employer make me see another dr?

I'm not seeking work comp. I saw my dr that I've seen for 15+ years and attained a note from said dr saying I was to be on light duty and would be reevaluated in 6 weeks. My employer called and reported a work place injury and then told me I must go see one of their panel dr's. I... View More

Timothy Belt
Timothy Belt
answered on Apr 18, 2016

Pursuant to Pennsylvania Workers' Compensation law if the employer has a proper panel of physicians and they provided you with proper notice of the panel, you must treat from the panel during the first 90 days after the work injury if you want the employer to be responsible for payment of the... View More

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