November 22, 2008

How Our Atlanta Workers Comp and Serious Injury Lawyers Use CPT Codes

As mentioned in previous blogs, Current Procedural Terminology Codes (CPT Codes) are a major part of medical records and billing. Our Douglasville law firm uses these codes when reviewing and summarizing medical records and bills. Basically, this is a coding system used by medical professionals to describe specific procedures, services, etc. It is essential to understand these codes, or have some sort of reference material to help, to properly follow along with a client’s medical treatment.

The AMA first developed and published CPT in 1966. This edition primarily focused on surgical procedures and had limited information available for medicine, radiology, and lab procedures. Later editions developed these sections more thoroughly and also included sections on therapeutic procedures and other specialty sections. My Douglas County workers’ compensation and personal injury law firm currently uses the Millennium Edition of the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) book published for 2003. The edition is color-coded and very user-friendly. My staff refers to this publication while reviewing extensive medical records for clients who have had several medical procedures throughout the course of their case. There are steps to use to adequately “read” each coding. These steps can be found in the book or on the AMA’s website.

November 19, 2008

How Our Douglasville Injury Law Firm Intersects with the American Medical Association

The American Medical Association (AMA) is an organization that provides information and guidelines for medical providers during the treatment of a patient through the use of several available resources. For example, a physician may use the AMA’s guidelines to evaluate permanent impairment to determine a patient’s limitations as they relate to an injury sustained on the job or from an automobile accident. The guidelines are called the AMA Guides to the Evaluation of Impairment. The most recent edition is the 6th Edition. However, Georgia workers' compensation law still references the 5th Edition.

We use the AMA Guides often in workers' compensation cases. In order for a claimant to obtain a Permanent Partial Disability rating, the AMA Guides must be used. Often, the disability ratings are expressed in percentages to the whole body or the affected body part. We also use the AMA Guides in personal injury cases to establish a disability rating to present to a jury if the case goes to court. These percentages can prove useful tools in evaluating the severity of an injury.

The AMA additionally offers information for law offices and attorneys to use while reviewing a case. For example, my Douglasville law firm often uses a handbook comprised of Current Procedural Terminology (CPT codes) while reviewing medical records. CPT Codes are a major part of medical records and billing. The term CPT is a registered trademark of AMA. These specific topics will be discussed in greater detail in upcoming blogs.

Further, the AMA is known for its promotion of policies and activities that involve public health issues and preventions, such as geriatric or adolescent health awareness and violence prevention, amongst others. A complete list of ethical standards and a list of issues that the AMA is involved with can be found at the official AMA website: http://www.ama-assn.org

November 12, 2008

When A Car Accident Happens: Tips From A Douglasville Auto Accident Attorney

Recently, we received a rash of phone calls calls from victims of car accidents who are uncertain as to how to proceed. An unexpected car wreck can be very serious. As we approach a holiday season, the roads are likely to be filled with more traffic and bad conditions. It may be necessary for all of us to get refreshed with what to do when a car accident happens. The following is a brief list of things to remember if there has been an accident:

It is important to stay at the scene of the accident unless it is too dangerous to do so. If law enforcement has been called to the scene, they will require each person involved to explain how the accident occurred. This information will be used to develop an accident report, which is essential when meeting with an attorney.

Alternatively, if law enforcement does not respond to the scene, be sure to file an accident report as soon as possible. Have your auto insurance information ready to exchange with the other driver and to provide to law enforcement. Remember that, according to the law, all automobiles must be insured. A lack of insurance can result in heavy fines and even other, more serious repercussions.

Report the accident to your car insurance company immediately. It also may be helpful to review the insurance policy.

If someone has been injured in a car wreck, it is advisable to seek medical care immediately to avoid potentially dangerous consequences. Injuries that go untreated can cause more serious complications after the accident.

Whether you live in Douglas County, GA or Atlanta and its surrounding counties, please be careful. I urge all drivers to drive safely during these busy times. However, if you or a loved one has been injured in an automobile wreck, please contact my law office for a free consultation.

November 8, 2008

A Brief Overview of Georgia's Workers’ Compensation Medical Fee Schedule

Medical information is essential for all injury cases. In workers’ compensation, medical information assists attorneys for Claimants in understanding a client’s specific injuries as well as by providing a detailed report on a client’s ongoing treatment and expected outcome. Though the concept of medical treatment in a workers’ compensation claim may seem straightforward, many things must be considered throughout the course of a case from all sides of the case. The Workers’ Compensation Medical Fee Schedule is an example.

The Fee Schedule is generally a guideline used to reimburse medical providers by setting specific maximum fee amounts for services provided to an injured worker. Within the Fee Schedule, there are different sections for types of medical care and procedures, including surgeries, therapy, general medicine, and home care services. A more conclusive list as well as detailed information can be found in the latest publication of Georgia’s Workers’ Compensation Fee Schedule, available as of April 2008.

As an experienced work comp attorney practicing in the Atlanta area, I have referred to the Fee Schedule many times. I find it to be a useful tool when reviewing a workers’ compensation claim, as maintaining a current understanding of workers’ comp law is essential in order to provide professional and attentive representation. If you or a loved one has been hurt at work, feel free to call my Douglas County law office for a free consultation.

November 6, 2008

Attention Georgia Motorcyclists: Recent Studies On Motorcycle Accidents Enforces Necessity for Safety

Last week, a study performed by the insurance industry stated the addition of anti-lock brakes on motorcycles has reduced the number of fatal crashes by 38% because this type of brake system assists a cyclist in coming to a more secure stop. The study was performed due to an alarming increase in fatalities due to motorcycle accidents: more than 5,100 individuals were killed in motorcycle wrecks in 2007, representing almost double the number of fatalities in the late 1990s.

In fact, many studies have been conducted with regard to motorcycle safety and injuries. In August 2008, a study by a team of researchers aimed to identify the characteristics of lower-extremity injuries due to motorcycle accidents by gathering informational statistics from several studies done between 1997-2006. The study confirmed that the most common injury relating to a wreck of this nature is to the lower-extremity: specifically leg, foot, and ankle injuries with bone fractures and potentially torn ligaments. Surprisingly, head injuries and other upper extremity injuries fall second in the list of common injuries, though naturally head injuries tend to be more severe and have potentially longer-term affects.

There are around 7 million motorcycles registered currently, according to the Federal Highway Administration. This number will only increase; thus, it is necessary for all drivers to be particularly cautious on the roadways with motorcyclists. It is also necessary for cyclists and their representatives to be aware of each state’s motorcycle laws. The American Motorcyclist Association provides these laws per state on their website, found at: http://www.amadirectlink.com/legisltn/laws.asp.

If you or someone you know has been injured in an accident involving a motorcycle, please contact my Douglasville law firm for a free consultation.

November 5, 2008

Back to Basics Part 2: Filing A Claim With the State Board of Workers’ Compensation is Necessary for Atlanta Workers' Compensation Claimants

Statutes of Limitation under Georgia's workers' compensation law can be very confusing for the injured worker. I tend to dislike long disclaimers, but please hear me out when it comes to the subject of time limits under Georgia law for on the job injuries. Consult with an attorney who handles workers' compensation cases if you have questions. I am not writing this article to give you legal advice. This article is being written as a broad overview of a complex set of deadlines.

For an injured worker, filing a claim with the State Board of Workers' Compensation is essential, and there is no bright line rule for when a claim must be filed. A claim is filed by completing and filing a Form WC-14 with the State Board of Workers' Compensation. Statutes of Limitation under Georgia's workers' compensation law can vary, depending on various benefits sought, between one year and four years from certain events. Like many other areas of law, workers’ compensation has specific rules and regulations that must be followed to avoid the dismissal of a claim. Specifically, time periods must be taken into consideration when filing a claim with the Board.

Generally, Georgia has an "all issues" Statute of Limitation. The law states that the right to compensation is barred unless a claim is filed within one year of the injury. However,if medical treatment has been provided through the employer, the time-frame is different. O.C.G.A. § 34-9-82 details these limitation periods and procedures: “The right to compensation shall be barred unless a claim therefore is filed within one year after injury, except that if payment of weekly benefits has been made or remedial treatment has been furnished by the employer on account of the injury the claim may be filed within one year after the date of the last remedial treatment furnished by the employer..."

There is also a Change in Condition Statute of Limitation. For example, if an injured worker ever received weekly income benefits or if there is an Award deeming the claim compensable by the State Board of Workers' Compensation (see Footstar, Inc. v. Liberty Mutual), the time limit for obtaining additional weekly income benefits is two years from the last payment of income benefits or date of the Award. There is also a potential four-year Statute of Limitation for payment of certain Permanent Partial Disability Benefits.

It is important to note that, sometimes, there are other issues that come into play such as fictional dates of accident, the failure of an employer to properly post a Panel of Physicians that may affect a Statute of Limitations defense, and the failure of an Employer to file certain forms such as a WC-2. I will reiterate the importance in seeking the assistance of an experienced workers’ comp attorney. In my Douglasville, Georgia practice, I have received numerous phone calls from individuals who have been hurt at work and are confused about their rights. If you or someone you know has been hurt in an on the job injury and believe you may be approaching certain time limits, feel free to contact my Atlanta area law firm for a free consultation.