Entries by m16Design

Is your Workers’ Compensation Medical Panel Valid?

One of the most important aspects of any workers’ compensation claim  in Georgia is which doctor you treat with.   Choice of doctor affects both your treatment course and the value of your claim. The Employer/Insurer often have their own doctors who regularly serve on panels (the list of doctors you may choose from) and who […]

You are entitled to mileage reimbursement for medical, pharmacy and physical therapy visits under the Georgia Workers’ Compensation Act.

“Medical Expenses shall include but are not limited to the reasonable cost of travel between the employee’s home and the place of examination or treatment or physical therapy or the pharmacy.”  Workers’ Compensation Board Rule 203(d). Mileage is reimbursed currently at 40 cents per mile round trip.  All mileage must be submitted within one year […]

Jurisdiction as to Out-of-State Accidents

Often, the question arises as to whether an out-of-state accident is covered under Georgia Workers’ Compensation – that is, whether Georgia Workers’ Compensation will apply where an employee is injured while working outside the state of Georgia. Under the Georgia Workers’ Compensation Act, there are three prerequisites for an out-of-state injury to be covered: 1) […]

How does the Insurance Company Determine your Weekly Benefit Rate?

This is controlled by the Georgia Workers’ Compensation Statute. First, we need to determine the employee’s average weekly wage. That is, your benefit rate is determined by what your average weekly wage was for this employer. The weekly benefit rate is 2/3 of that average weekly wage up to a maximum of $500.00 per week. […]

Permanent Partial Disability Benefits

As an  injured worker, you are not only entitled to weekly disability benefits – called Temporary Total or Temporary Partial Workers’ Compensation benefits.  You may also be entitled to Permanent Partial Disability Benefits based upon an impairment rating issued by your  treating physician.   Often the insurance adjuster will not advise you of these benefits to […]

Is your out-of-state work accident covered under Georgia Workers’ Compensation?

Under the Georgia Workers’ Compensation Act, there are three requirements for an out-of-state accident to be covered under Georgia Workers’ Compensation: 1: the contract of employment must have been made in Georgia 2: either the employee’s residence or the employer’s place of business must be in Georgia; and 3: the contract of employment must not […]

Are you entitled to workers’ compensation benefits for injuries coming to/from work?

It depends. Generally, injuries or accidents occurring while an employee is traveling to and from work are not covered under the workers’ compensation act. However, the law does provide for a period of ingress/egress to the workplace. This hinges on: 1) reasonableness as to time 2) reasonableness as to place. For the time consideration, courts […]

Medical practitioners can be compensated for lifting injuries

I have recently handled many claims for nurses and certified nursing assistants who have been injured lifting heavy patients. Often, these claims are first denied by the insurance company. Even if you have a preexisting condition, the insurance company is liable to the extent you aggravated your condition during the course and scope of your […]

Choosing your workers’ compensation doctor

Don’t let your employer send you to an industrial clinic when you are injured.  You have the right to choose your own doctor in your workers’ compensation claim.  Moreover, if the Employer does not maintain a properly posted panel, you can choose any doctor you want to.  Don’t let your employer control your medical treatment.

Mileage Reimbursement

The Insurance Company in any workers’ compensation case is required to pay mileage to/from your doctor, as well as trips to/from the pharmacy to pick up workers compensation prescriptions.  They are required to pay .40 cents per mile for travel.  You have one year to submit mileage and the insurance company must reimburse you within […]

Surveillance

You may have seen on TV or have heard otherwise that Insurance Companies will often order surveillance on people who have filed a workers’ compensation claim or who are receiving workers’ compensation benefits.  Surveillance is when an investigator follows you and takes videos.  While an investigator may follow you for days and not see anything […]

Choosing a Workers’ Compensation Physician

One of the most important aspects of every workers compensation case is choosing a physician.   Often an Insurance Company will have their own list of doctors; however you don’t necessarily need to use these doctors.   If the Insurance Company and your Employer do not follow the correct procedures, you can choose your own doctors.