Workers Compensation
| Pediatric Consultative Examination Reports |
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| A medical professional who has been tapped by the Social Security Administration (SSA) to conduct a consultative examination of a child must include certain information in his report. The SSA mandates that the report containing an assessment of the child's history, examination, and any laboratory findings be consistent with the format for reporting results used for complete internal medicine examinations. The report must be thorough and complete in order to provide the SSA with the necessary information to determine the nature, duration, and severity of the child's impairment as well as the limitations that such impairment places on the child. More... |
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| Acts Outside Employee's Regular Duties That Benefit Others |
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| When an employee acts to benefit his employer, he is considered to be within the course of his employment as long as such actions were undertaken in good faith. It is immaterial whether the employee's own regular work assignments were furthered by his actions; it is merely whether the employer's interests were promoted. As a corollary to this rule, it is also the case that if an employee aids a co-worker with the co-worker's job duties, his good faith actions in doing so are also within the course of his employment. Compensation has even been awarded to an employee who was injured while helping a co-worker after the employee's regular workday had ended. The reasoning behind the allowance of compensation in instances such as this is that it is contrary to the employer's best interests to inhibit the helpful nature of employees. Thus, helping a fellow employee is advancing the employer's interests, albeit indirectly. More... |
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| Palliative and Preventive Measures |
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| The provision for medical benefits is a substantial component of workers' compensation. Many states consider palliative measures to be included under the umbrella of "medical benefits." Basically, palliative measures are those extended to the employee for pain and discomfort when there is no hope for recovery. The language of each state's statute is central to whether palliative measures are covered. For example, when a state authorizes medical benefits for the cure and recovery of the injured employee, many courts will consider "recovery" separate from "cure." Thus, the door is opened for palliative measures despite the lack of curability in the employee's condition. More... |
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| Medical Benefits |
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| A key feature of the workers' compensation system is that it provides medical benefits for the injured worker. The medical benefits provided to eligible employees include those for medical services, medicine, and medical equipment or accouterments such as hearing aids and other medical devices. In addition to these benefits, the cost of travel in order to obtain the necessary medical care is reimbursable. In most jurisdictions, the receipt of such benefits is not limited to a specified time frame or capped at a specified amount. Although the employer is responsible for payment of the injured worker's medical and hospital benefits, it is the employee who generally chooses his medical provider. However, some states mandate that the employee choose from an authorized panel of providers or even that it is the employer's prerogative to choose a physician for the employee. More... |
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| Proper Party to a Third Party Action |
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| When an employer or its carrier (collectively "employer") pays workers' compensation for an employee's injury arising out of his employment but through the fault of a third party, the employer may step into the shoes of the employee as his "subrogee." When the action against the third party is completely subrogated to the employer, the only essential plaintiff to the action is the employer. This means, only the party who has been substituted for the employee is required to maintain the action against the third party and recover damages. The employee does not have to be a part of the action for it to remain viable. More... |
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