How will bills/treatment issues be handled when the doctor is treating multiple injuries, including body parts that are covered by the Medical Treatment Guidelines and those that are not?
The treating medical provider must utilize the Medical Treatment Guidelines for those body parts covered by the Guidelines. For treatment of other body parts, the provider should follow their normal standard of care and the normal Board rules and processes, including authorization of treatment in excess of $1,000. • If there are multiple body parts and the injured worker is seeing an orthopedic doctor and physical therapist for example, the shoulder and hand, how would that apply? Shoulder is in the guidelines and the Guidelines do not apply to the hand. Both are still being administered on the same day; does the doctor need to bill separately? Would the reimbursement be higher? Would the care need to be identified by body part? The treating medical provider must utilize the Medical Treatment Guidelines for those body parts covered by the Guidelines. For treatment of other body parts, the provider should follow his/her normal standard of care and the usual Board rules and processes, in
Related Questions
- MEDICAL TREATMENT PROTOCOLS AND DIAGNOSTIC TESTS Will my medical care for auto accident injuries be handled differently?
- What if the treatment guidelines do not address a treatment that a treating doctor determines an injured worker needs?
- Is there any treatment or any doctor, to dispose-off water from the body in chronic kidney diseases?
