by EC_Admin | May 8, 2018 | Morgan's Tips of the Week
Greetings, an issue has come up recently on two of my files where the adjuster settled the file with a claimant directly pro se. The issue is whether the settlement covers “any and all claims”. In one, the claimant alleged he did not think he was settling his other...
by EC_Admin | Apr 16, 2018 | Morgan's Tips of the Week
Greetings, A JCC just ruled that the E/C took too long after selecting a 1-time change doctor to “provide” the doctor, and thus the claimant was allowed to select their own physician. This is a JCC level decision, and not an appellate decision, but other judges could...
by EC_Admin | Mar 15, 2018 | Morgan's Tips of the Week
Greetings, In the past week, I have had a few issues come up with authorization letters and faxes to medical providers. The language we use matters greatly. I know many times we use the phone to provide the initial authorization, but you should always follow up in...
by EC_Admin | Feb 21, 2018 | Morgan's Tips of the Week
Greetings, according to the Fla Admin code, medical providers in Fla Workers’ Comp are to use the 1996 Florida Impairment rating schedule to determine impairment ratings. I’ve attached a link below to the actual guides. Often we see issues arise in this...
by EC_Admin | Feb 15, 2018 | Morgan's Tips of the Week
Greetings, An issue often comes up on claims where there is a gap in treatment, resulting in a gap in indemnity benefits. The most common ones I see are: Gap between the initial hospital visit (without restrictions being addressed) and the clmt being seen at a...
by EC_Admin | Jan 29, 2018 | Morgan's Tips of the Week
Greetings, I have the pleasure of reviewing my new files over the weekend, so I usually get to read a few initial/recorded statements. And I know in all practicality, adjusters are pressed for time, but in general there are a few things I wish would be consistently...