What if You Need Surgery, an MRI, or a CT Scan Following Your Injury?

Workplace injuries often lead to severe health problems that must be assessed via magnetic resonance imaging (MRI) or computed tomography (CT) scans, and eventually, resolved through surgery. The added expenses of these treatments leave employers reluctant to provide necessary coverage. The Georgia State Board of Workers’ Compensation offers much-needed guidance for both employers and employees, as outlined below:

Surgery

There is no legal mandate requiring advance communication between medical professionals, workers’ compensation administrators, and employees, but employers typically prefer to be notified before workers schedule major operations. Administrators can then work directly with injured workers and physicians to ensure that proper arrangements are made.

In emergency situations, employees should seek prompt care from the closest medical facility. Once out of immediate harm, they can visit a healthcare professional from the Posted Panel of Physicians. Employers are not responsible for any unauthorized treatments that occur following the emergency.

MRIs and CT Scans

Precertification is not required prior to scheduling an MRI or CT scan. However, contact the claims administrator first. If inappropriate delays occur prior to the test, the employer may be penalized.

Covering the Cost of Travel

Sometimes, workers must travel out of their way to visit approved providers for surgery or necessary scans. This mileage may be covered, along with parking expenses and some meals. Requests for reimbursement should highlight when and where the employee drove. This detailed information must be submitted within a year of the trip. If reimbursement is not provided within thirty days, the employer may incur a significant penalty.

By following instructions and timelines provided by the Georgia State Board of Workers’ Compensation, you can increase your chances of obtaining full compensation. Look to Smith, Wallis and Scott, LLP for counsel as you deal with surgery and other complications of workplace injuries.

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