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Pennsylvania Workers' Compensation Questions & Answers
1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Does PA law require a script in order to send a W/C patient for an FCE? Is there a liability issue if hurt during FCE?

I need to know what the law is in Pennsylvania regarding scripts for FCEs. Also, is there any "liability" on the part of the therapist or insurance company that sent that claimant for the FCE if the patient "injures" him/herself during the testing? I need to know where I can... View More

Timothy Belt
Timothy Belt
answered on Dec 23, 2015

If it is your doctor sending you for an FCE, normally they will write out a script and the normal rules regarding negligence and medical malpractice would apply. If the FCE is being scheduled by the workers' compensation carrier as part of what they call an IME, there is not normally a script,... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Do I have to allow the nurse from the comp. insurance company come to the doctor with me?

I burned my arm at work, causing second and third degree burns. I went to urgent care, at the okay of my supervisor, then several days later to a burn unit specialist. They were the ones who said I had to stay home until I returned to them twelve days later. Now the insurance company wants to... View More

Timothy Belt
Timothy Belt
answered on Dec 23, 2015

You do not have to allow the nurse case manager any contact with your doctor beyond what is specifically required for billing purposes. You can tell her to leave if she shows up at your doctor's appointment, and you can tell the doctor in no uncertain terms that you have not consented to him... View More

1 Answer | Asked in Personal Injury and Workers' Compensation for Pennsylvania on
Q: File has been closed?

I have been trying to get in to a doctor per another doctors request for almost 3 weeks. Finally today, I received a call from the office that they finally got ahold of my workers compensation adjuster, and she told them my file is closed. WHAT!!!??!!?! How & why? Why am I not getting any... View More

Timothy Belt
Timothy Belt
answered on Dec 14, 2015

There is a difference between your claim being over and the adjuster closing their file. This sounds like an adjuster that simply decided they were not approving anymore treatment. If you have a lawyer, talk to them about possible petitions. If you do not have a lawyer it is time to get one... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I live in PA and was injured 6 months ago at work. My diagnosis is a grade 2 PCL tear.

I am still having a lot of issues and my job can not meet my restrictions at this time, I recieved a letter from workmans comp saying I have an obligation to look for employment or they can stop my benefits. I am a CNA and no one will hire me for a cna position with my restrictions nor could I meet... View More

Timothy Belt
Timothy Belt
answered on Dec 13, 2015

Whenever the carrier receives information that your medical condition has changed such as a restriction sheet from one of your doctors or a doctor that they send you to for an exam, they are required to issue a document called a "Notice of Ability to Return to Work." I believe this is... View More

2 Answers | Asked in Workers' Compensation for Pennsylvania on
Q: I fell at work at the beginning of my shift and wasn't paid for that day or the subsequent two days am I entitled?

I also just lost a tooth loosened by the fall and another is about to fall out, I reported the loss and had to call off cause of the pain, I just got terminated although the call off was because of the initial injury. I had been cleared to return to work without restrictions.

David Alan Wolf
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answered on Nov 26, 2015

You should contact a local worker's compensation attorney. Most attorneys in this practice area will provide you with a free consultation. The issues will include your right to compensationa and if you were terminated as a retaliatory move by your employer. Good luck.

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1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: What situation would require paying workman's compensation benefits received?
Timothy Belt
Timothy Belt
answered on Nov 11, 2015

In the average case there is no repayment of workers' compensation benefits received by the injured worker. There are some cases where an overpayment occurred and a deduction is made from future benefits to recoup the overpayment. It is also possible for an injured worker with a disputed... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Ongoing RMI hand pain unreported for fear of my job. Was terminated anyway for unrelated reasons. Can I still claim?

I missed time due to surgery in my first year. My manager talked to me a few months later about attendance and time missed. I started getting sharp pain and weakness in my hands a few months ago. I didn't report it because I was afraid of losing my job. I was terminated this week for other... View More

Timothy Belt
Timothy Belt
answered on Nov 7, 2015

You have to report the work injury within 120 days of the accident or incident that caused the injury. If you are still within 120 days of the accident or incident, or if this is more of a repetitive use injury and you are still within 120 days of the last day worked, you may be able to file a... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I was injured 3 years ago. on comp, an social security.my place of work has been shutdown permanently seen.had to go to

ime now sending to vocational inter.i asked for to settle they offer something small. refused.can they stop my comp.? can they make get a job being on SSI?

Timothy Belt
Timothy Belt
answered on Nov 2, 2015

They are attempting to use the vocational expert to modify or suspend your wage loss benefits. They cannot force you to get a job, but if they can convince a judge that there is work available within your restrictions, they can potentially obtain a decision to reduce or even eliminate your wage... View More

2 Answers | Asked in Workers' Compensation for Pennsylvania on
Q: While on workers comp leave for 6 weeks after knee surgery can I go on a pre planned vacation?

I am rehabbing the knee at home and am off for 6 weeks due to the fact I work in a non access building on the 2nd floor with no elevator. I have a paid for vacation that occurs in week 4 of my leave and need to know if it is legal to go away?

Robert Jason De Groot
Robert Jason De Groot
answered on Oct 27, 2015

Have you asked your attorney? Have you asked your employer?

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1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: If hurt at work, do i have to give doctor my own private insurance information?

I recently experienced a sharp pain in my abdomen while working. I was sent to work health, turns out to be a abdominal hernia. Work health recommends i go for surgery consult. My job is telling me i must take my own insurance information with me so doctor can decide who he is going to bill. I am... View More

Timothy Belt
Timothy Belt
answered on Oct 17, 2015

You do not have to give the doctor your private health insurance information; however many doctor's will ask for back-up insurance information since they want to maximize the likelihood that they will be paid. That being said, it sounds like your employer and their carrier are playing games,... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: i got a burn on my arm from my place of employment which is a saw shop and i let it go to the point of me getting MRSA

i told the hospital i did it with a grinder at home can i get compensation

Timothy Belt
Timothy Belt
answered on Oct 14, 2015

The answer is maybe. First, you need to have notified your employer of the injury within 120 days of the injury date. Assuming you satisfy the notice requirement, you then have to overcome the credibility issue created by providing the hospital with an inaccurate history, so you may be able to... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I know that I need a building permit. But am I considered a contractor within Pennsylvania Workers Compensation Law?

I need to know if I am considered a contractor within Pennsylvania Workers Compensation Law or not. The cost of the permit is based on square footage, cost of material and weather or not I am considered a contractor or not. If I am NOT considered a contractor within the Pennsylvania Workers... View More

Timothy Belt
Timothy Belt
answered on Oct 10, 2015

This question requires much more information to answer and involves several laws other than the Pennsylvania Workers' Compensation Act. I would suggest that you schedule an appointment with a local lawyer familiar with both workers' compensation and the other laws surrounding... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: What is the timeframe under WC that you are forced back to work?

Had back surgery and given deadline to return to work because of my medical insurance before full recovery.

Timothy Belt
Timothy Belt
answered on Oct 10, 2015

There are two separate questions here. As to the question actually asked, there is no time frame that you are required to return to work under Pennsylvania workers' compensation. Each case is treated individually based upon the nature of the injury and physical abilities of the injured... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: My job paid 1 week WC then denied, if I go thru my insurance can I still fight for WC

I had just came up the stairs and turned on the landing and stared walking when I felt like a vibration then a sharp pain that went up my foot. I don't know if I twisted my ankle but I started limping right away and by the time I went to break half hour later I could barely walk. I went to the... View More

Timothy Belt
Timothy Belt
answered on Sep 26, 2015

I assume you mean submitting your medical bills to your private insurance. Assuming this is correct, yes you can submit your medical bills to your private insurance while contesting the denial of workers' compensation. You should, however, be careful that the documents indicate a contested... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: My husband recently passed away he was on workmanscomp due to a logging accident do I qualify for any benefits.
Timothy Belt
Timothy Belt
answered on Sep 22, 2015

Maybe. That would depend on how long it has been since the initial injury and whether his death was as a result of that injury or due to an unrelated cause. It would certainly be worth a call to a local workers' compensation lawyer to explore whether you are entitled to ongoing benefits.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: Does Pennsylvania provide for an automatic settlement at the conclusion of a WC case like NJ?
Timothy Belt
Timothy Belt
answered on Sep 22, 2015

No. Settlements are not automatic in Pennsylvania and there is no formula to calculate the value of the case. Each case is negotiated individually by the parties.

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: What activities can I engage in while at home on workers comp. that will not forfeit benefits or cause legal issues?
Timothy Belt
Timothy Belt
answered on Sep 18, 2015

Clearly if you do anything at home that is in excess of your doctor's work restrictions you are asking for trouble. For example, if your doctor has placed restrictions of lifting no more than 10 pounds, and you are carrying around your 50 pound child, that is going to be a problem. However,... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: I was injured on the job in Jan 2015. Was forced to return to my nursing job with a 5 lb lifting retriction on my R arm

After 8 wk of PT and 2 mos of home exercises I demanded an MRI. Rotator cuff torn in 2 places & I need surgery. If I do not get back full use of my R shoulder should I get an atty?

Timothy Belt
Timothy Belt
answered on Sep 11, 2015

Pennsylvania Workers' Compensation Attorneys are paid on a contingency fee, and most if not all do not start charging a fee until there is actual litigation in which they obtain wage loss benefits for the injured worker or prevent those benefits from being suspended, modified or terminated.... View More

1 Answer | Asked in Workers' Compensation for Pennsylvania on
Q: If I have pain in my hand from a new job, do I go to MY doctor, a supervisor at work, human resources, etc? I know

I should see a doctor, I just want to know the procedure as this pain only began after I had been working this new job.

Timothy Belt
Timothy Belt
answered on Sep 8, 2015

The first thing you need to do is report the injury to a manager or someone designated to process workers' compensation claims at your employer. They should then provide you with a list of doctor's that you can treat with. You get to choose from the list, and you are required to treat... View More

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