Why were the C-4 and the C-4.2 forms recently revised in October after being released in September?
Based on feedback from medical providers the Board added questions regarding carrier information and removed questions concerning the Medical Guidelines from the C-4 and C-4.2 form. • Section G. of the C-4 requests the medical provider provide the percentage of temporary impairment. The report cannot be submitted unless a numeric value is placed in the percentage of impairment field. How do we determine a percentage of impairment? As a general guideline, medical providers have used mild, moderate, and marked to indicate degree of impairment. The Board’s medical guidelines posted on the web site may also be helpful to providers in making this determination. Medical providers may use the following percentages as an initial guide and then use their professional judgment to make a final determination: Mild = 25% Mild to Moderate = 33.33% Moderate = 50% Moderate to Marked = 66.67% Marked = 75% Total = 100% If the claimant has been already classified with a permanent impairment, the medical
Related Questions
- In the last section of the C-4 and C-4.2 forms, what it meant by the statement, "I actively supervised the health care provider named below who provided these services"?
- Why were the C-4 and the C-4.2 forms recently revised in October after being released in September?
- When are draft BT forms and coupons released?
