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Federal Workers' Compensation

The Office of Workers' Compensation Programs administers four major disability compensation programs which provide wage replacement benefits, medical treatment, vocational rehabilitation and other benefits to certain workers or their dependents who experience work-related injury or occupational disease.

Here is a forum for members to share and exchange experiences regarding to workers' compensation related issues.


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Wolfer64  
#1 Posted : Tuesday, January 29, 2019 8:56:51 PM(UTC)
Wolfer64

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Hello everyone and thanks in advanced for any help I can get for my friend. I am writing this for a friend that I
assist with workers comp issues and to get help from all of you. He is accepted for his right shoulder which started as a
sprain/strain but MRI showed that it was a partially torn rotator cuff. A letter was sent to the Examiner asking for the partial
tear to the left rotator be added per MD and MRI report but it never was. The question now is, he is having major
issues with his left shoulder and MD feels these new issues may stem from his neck (he has an accepted condition for
herniated disc in cervical spine) or his left shoulder issues could be from his over using it to compensate for the
tear in the right shoulder. His doctor now is ordering a MRI of the Neck to rule out the neck and if this is not the
problem, then get his insurance to pay for the MRI of left shoulder since this is not an accepted workers comp condition.
The questions are:

1. Is it possible for him to get this added as an accepted condition even though his initial
problems started with the Right Shoulder? If yes, what does he need to do?

2. What else does he need to do to get the initial accepted condition for sprain/strain of right shoulder changed
to Right Rotator Tear?

Edited by user Tuesday, January 29, 2019 8:58:50 PM(UTC)  | Reason: Not specified

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