Posts Tagged medical care organization

Mike Gruhin – Board Certified Ohio Work Comp Specialist – Fighting for Injured Workers’ Compensation

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When a person is injured on the job, getting a work comp claim allowed can be a fight. Employers deny claims and fight the claim allowance in order to keep their rates down. Self insured employers are more litigious than other employers. Even the BWC has its doctors to render opinions of whether a claim condition should be allowed as a work accident claim.  And both employers and the BWC have attorneys to protect their legal interests.  In this economic climate, an injured worker just can’t go it alone. Read the rest of this entry »

© 2011, Gruhin & Gruhin Attorney's. All rights reserved.

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Ohio Workers’ Comp – The C9 Form and The Importance of the Fax Transmittal Sheet

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fax transmittalI was called by a prospective client about her BWC claim and the fact that she could not get authorized for treatment. After talking to her for a few minutes it became obvious that I needed to speak with her doctor. So, I call the doctor and ask about the treatment that he requested on the C9 authorization form.  I was dumbfounded by his comments during the conversation! Here is the skinny on our discussion.

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© 2009, Gruhin & Gruhin Attorney's. All rights reserved.

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We are hearing that over 90% of the medical authorization requests submitted are being denied by OhioBWC MCO organizations

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denied1You are Injured on the job and your claim is allowed for the injury. Then your doctor of record requests authorization for medical treatment, specialist consults, and you get a denial from your MCO. (Medical Care Organization). What do you do?
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