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Episode 21 Federal Workers Compensation Coffee Break Podcast - Initial OWCP Claim Acceptance & Denials

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Nội dung được cung cấp bởi Dr. Taylor. Tất cả nội dung podcast bao gồm các tập, đồ họa và mô tả podcast đều được Dr. Taylor hoặc đối tác nền tảng podcast của họ tải lên và cung cấp trực tiếp. Nếu bạn cho rằng ai đó đang sử dụng tác phẩm có bản quyền của bạn mà không có sự cho phép của bạn, bạn có thể làm theo quy trình được nêu ở đây https://vi.player.fm/legal.

Federal Workers Compensation Coffee Break Podcast is about all things related to Federal Workers Compensation, FECA, OWCP, DOL & Longshore claim filing as an injured federal worker. The podcast is an educational and informative training on how to navigate the DOL -OWCP claims filing process for all types of injured US government and federal workers. The podcaster has 27 years in assisting with federal workers compensation as a consultant and trainer. The podcast is free and is educational. If you need help with anything related to a federal workers compensation claim...help is just a cup of coffee away.
When the Office of Workers’ Compensation Programs (OWCP) has determined that there is sufficient factual and medical evidence to accept the claim, a formal decision is issued which explains which conditions were accepted as arising out of the claimed factors.
• Where medical evidence establishes that a pre- existing condition was aggravated, an
aggravation should be accepted, not the underlying condition itself.
• Whether the claim is a Traumatic Injury or an Occupational Disease, the same criteria
need to established.
• In Traumatic Injury cases with resulting disability, continuation of pay (COP) should be
authorized unless one of the nine reasons to controvert COP have been established.
• In either type of case, with resulting disability, the claimant should be notified of
placement into disability management (QCM) and the purpose of the QCM program.
If either the physician or claimant indicate that the accepted conditions require expansion or modification, OWCP should request a detailed explanation as to how the additional conditions are related to the original injury or resulting residuals. Claims for consequential conditions should be referred to the District Medical Advisor for review. If OWCP denies an initial claim, a formal denial will be issued. The decision will contain the following:

• describe the nature of the injury;
• summarize the evidence initially submitted with the claim and provide an explanation as to why it was deficient;
• summarize what was requested upon development;
• describe all evidence received after development; and
• explain why the evidence is insufficient to support the claim.
Dr. Taylor's educational podcast utilizes his experience and history as a DOL - OWCP provider and his years of consulting and teaching all things federal workers compensation related. This is an educational short form format for learning how to successfully file federal workers compensation claims. So grab a cup of coffee and lets begin.
Dr. Taylor's contact information for more information or assistance is:
https://fedcompconsultants@protonmail.com
If you need a provider or assistance with a DOL claim in Tampa, Jacksonville or other areas of Florida you can make an appointment to see him and the other providers at the clinic at 813-877-6900

  continue reading

50 tập

Artwork
iconChia sẻ
 
Manage episode 328097374 series 3290651
Nội dung được cung cấp bởi Dr. Taylor. Tất cả nội dung podcast bao gồm các tập, đồ họa và mô tả podcast đều được Dr. Taylor hoặc đối tác nền tảng podcast của họ tải lên và cung cấp trực tiếp. Nếu bạn cho rằng ai đó đang sử dụng tác phẩm có bản quyền của bạn mà không có sự cho phép của bạn, bạn có thể làm theo quy trình được nêu ở đây https://vi.player.fm/legal.

Federal Workers Compensation Coffee Break Podcast is about all things related to Federal Workers Compensation, FECA, OWCP, DOL & Longshore claim filing as an injured federal worker. The podcast is an educational and informative training on how to navigate the DOL -OWCP claims filing process for all types of injured US government and federal workers. The podcaster has 27 years in assisting with federal workers compensation as a consultant and trainer. The podcast is free and is educational. If you need help with anything related to a federal workers compensation claim...help is just a cup of coffee away.
When the Office of Workers’ Compensation Programs (OWCP) has determined that there is sufficient factual and medical evidence to accept the claim, a formal decision is issued which explains which conditions were accepted as arising out of the claimed factors.
• Where medical evidence establishes that a pre- existing condition was aggravated, an
aggravation should be accepted, not the underlying condition itself.
• Whether the claim is a Traumatic Injury or an Occupational Disease, the same criteria
need to established.
• In Traumatic Injury cases with resulting disability, continuation of pay (COP) should be
authorized unless one of the nine reasons to controvert COP have been established.
• In either type of case, with resulting disability, the claimant should be notified of
placement into disability management (QCM) and the purpose of the QCM program.
If either the physician or claimant indicate that the accepted conditions require expansion or modification, OWCP should request a detailed explanation as to how the additional conditions are related to the original injury or resulting residuals. Claims for consequential conditions should be referred to the District Medical Advisor for review. If OWCP denies an initial claim, a formal denial will be issued. The decision will contain the following:

• describe the nature of the injury;
• summarize the evidence initially submitted with the claim and provide an explanation as to why it was deficient;
• summarize what was requested upon development;
• describe all evidence received after development; and
• explain why the evidence is insufficient to support the claim.
Dr. Taylor's educational podcast utilizes his experience and history as a DOL - OWCP provider and his years of consulting and teaching all things federal workers compensation related. This is an educational short form format for learning how to successfully file federal workers compensation claims. So grab a cup of coffee and lets begin.
Dr. Taylor's contact information for more information or assistance is:
https://fedcompconsultants@protonmail.com
If you need a provider or assistance with a DOL claim in Tampa, Jacksonville or other areas of Florida you can make an appointment to see him and the other providers at the clinic at 813-877-6900

  continue reading

50 tập

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