If you have been injured on the job, dealing with your recovery can be a complicated and lengthy process. One of the most critical parts of this ordeal is finding a capable physician who can properly diagnose and treat your injuries or illness. Unfortunately, finding the right doctor to treat you through this challenging time is not always easy, and many individuals often feel stuck with their initial workers’ compensation doctor, no matter how unhappy they are.
However, the good news is that if you are going through this challenging situation, you may have options, including finding a new workers’ compensation doctor that works better for you.
If your workers’ compensation doctor appointments are not going how you were expecting them to, to cover your basis, you may want to try the following tips:
A workers’ compensation doctor is just like any other physician. Their primary purpose is to treat their patients, diagnose their issues, and get them the care they need. In addition, as a patient, you should expect your workers’ compensation doctor to act in a professional way, be courteous, and listen to your concerns. If they do not provide you with this care, you should be able to seek care from another doctor.
If you have been injured on the job, you have a right to obtain the best possible treatment. If you believe you are not getting this type of treatment, you have a right to seek a second opinion. Some of the more common scenarios where individuals want to explore their options of seeking a second opinion include the following:
Regardless of your reasons, if you believe that the diagnosis, the treatment, or the treating doctor is inadequate and you are not getting the treatment you require, you have options, including getting a second opinion from another healthcare provider. However, the next physician you visit must be part of the Medical Provider Network or MPN. If you seek a second opinion from a doctor outside the network, the insurance company may refuse to pay bills related to the second opinion and any subsequent treatment and rehabilitation costs.
If you are being treated by a workers’ compensation doctor and you want to challenge the medical treatment that is prescribed or are looking to obtain a second opinion regarding your injuries, there are certain steps you will need to follow. According to California’s laws, these steps include the following:
Note that the insurance company or your employer will have the following responsibilities:
After reviewing your medical records and information, if the second-opinion doctor determines that your injury is outside their scope of expertise, the medical professional will need to notify the claims adjuster. In these circumstances, your employer or the insurance company should offer you a new list of MPN providers or specialists so that you can try choosing again.
While seeking a second opinion is within your rights as an injured worker, obtaining the right second opinion is not always easy and can become a draining process. In some instances, it can even risk you obtaining the compensation you deserve.
Fortunately, you do not have to take on this process alone. If you are considering filing a workers’ compensation claim or want to know more about second opinions, contact KCNS Law Group today. Call us at (818) 937-9255 or fill out our contact form for a free consultation.