In order for an injured employee to be fully compensated for their work-related injury, the medical evidence must be documented accurately.
When an employee is injured while on the job, the employer’s workers’ compensation insurance is there to cover the cost of all medical care and lost wages that are a result of the injury. This is designed to protect the employee from having to pay for medical care out-of-pocket and to protect the employer from any legal action being taken against them.
Are the Expenses Relevant to the Work-Related Injury?
In order for the employee to ensure that they are compensated for all of the medical bills that are accumulated, it is up to the employee to make sure that the expenses are relevant to the work-related injury and that they are accompanied by an affidavit signed by the treating physician. The absence of such documentation could cost you the compensation you deserve. If you have any doubt about the medical evidence you have retained or if your employer is questioning the bills you have submitted as evidence, a Missouri workers’ compensation attorney can help. Bring your documentation to The Law Office of James M. Hoffmann to be evaluated and to find out what you need to do in order to be compensated for all of your medical expenses.
Documenting Out-of-Pocket Expenses
During the course of your treatment, you may have to pay some out-of-pocket expenses. These might include insurance co-pays for medical care or pharmacy bills for medications. It is important that you are given detailed receipts for these expenses and when applicable, have the physician sign a paper that states the relevancy of the bill to your work-related illness or injury. The absence of such paperwork could nullify the medical bill or expense.
Case Study – Medical Bills Disputed by the Employer
A Missouri employee who suffered from a work-related lower back injury faced such a problem when trying to recover all of the monies he had lost as a result of the injury. While the employer did not dispute that the injury was a direct result of his job or that they were responsible for the medical bills, they did dispute the validity of some of the medical bills that were presented as evidence.
The workers’ compensation board, who heard the case on appeal filed by the employer, agreed and determined that certain bills submitted as evidence were to ambiguous to be considered real evidence and did not include them in the reward for compensation of medical expenses. The flaws that stood out was the absence of any additional proof, either by direct testimony or affidavit, that these bills were in any way related to the accident. Also questioned were obvious marks that were meant to obliterate parts of the bill.
Missouri Workers’ Compensation Attorney
How you present your evidence in a workers’ compensation appeal is extremely important. These types of cases are reliant on medical evidence in order for you to be completely compensated. Having that evidence, but not presented properly, will cost you the right to reclaim your losses.