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Understanding the Workers’ Compensation Medical Guidelines in New York

Queens |NYC| Brooklyn |Bronx Workers’ Compensation Attorneys

How the Workers’ Compensation Medical Guidelines Can Affect You

When you’ve sustained a work-related injury and qualify for workers’ compensation benefits, you’ll be entitled to whatever treatment you need to ensure maximum recovery, right? Unfortunately, it’s not as simple as going to your doctor and going through whatever treatment the doctor prescribes. Though workers’ compensation benefits entitle you to coverage for certain types of medical care, you can’t expect reimbursement or payment of any medical treatment your doctor may prescribe. Instead, your treatment must fall within the guidelines established by the New York Workers’ Compensation Board, or your doctor must follow specific procedures to obtain approval of treatment that’s not within the guidelines.

The guidelines set forth both the type and degree of care that a doctor can provide to a patient who has a workers’ compensation-related injury. If your physician wants to prescribe treatment or procedures that are beyond the scope of the guidelines, there’s a specific process, with dedicated forms, that the doctor must follow and complete to obtain authorization for the treatment. It’s extremely important that your treating physician understand the process and follow the guidelines, or you may not be able to get the treatment you need to fully recover from your injuries and, hopefully, be able to return to work.

Unless your doctor has considerable experience working with patients who have suffered work-related injuries, there’s a good chance that they will be unfamiliar with the steps that need to be taken to obtain approval of treatment not included in the guidelines. That’s why it can be critical to be represented by an experienced and knowledgeable workers’ compensation lawyer. We can help.

The New York Workers’ Compensation Medical Guidelines

Experienced Queens |NYC | Brooklyn | Bronx Workers’ Compensation Attorneys

At Pyrros & Serres LLP, we handle all matters related to workers’ compensation and Social Security disability claims for people in the Bronx, Brooklyn, Queens and across the greater New York City metropolitan area. Because of our reputation for effective advocacy, many of our new clients come to us as referrals from clients and other lawyers.

To learn more about the full scope of our practice, see our practice area overview page.

Pyrros & Serres LLP

Queens | NYC | Brooklyn | Bronx Workers’ Compensation Attorneys

About The Author

Picture of Michael Serres, ESQ.

Michael Serres, ESQ.

Michael Serres, ESQ. is a reputed Workers’ Compensation Lawyer in Astoria, Queens, NY. He graduated from St. John’s University School of Law in 1989. Mr. Serres was admitted to practice law in New York State in 1990 and is admitted in the Federal District Courts for the Southern and the Eastern Districts of New York. He has served on the Board of Directors of the Workers’ Compensation Bar Association and is currently serving on the Board of Directors of the Queens County Bar Association.

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