Anonymous

Difference between revisions of "Workers' Compensation Claim Benefits (7:XI)"

From Clicklaw Wikibooks
Line 278: Line 278:


If the worker has plateaued, there should be a particular date identified in the decision letter as being the date of “stabilizing” or “maximum medical recovery” (MMR) or “plateau”. You can assess whether this date is appropriate by considering:  
If the worker has plateaued, there should be a particular date identified in the decision letter as being the date of “stabilizing” or “maximum medical recovery” (MMR) or “plateau”. You can assess whether this date is appropriate by considering:  
*a) Have all the compensable conditions been considered? And
* Have all the compensable conditions been considered? And
*b) Is it appropriate given the criteria in RSCM II Policy #34.54 and the medical evidence?  
* Is it appropriate given the criteria in RSCM II Policy #34.54 and the medical evidence?  


:'''EXAMPLE:''' If further treatment (physiotherapy or surgery) is likely to make a significant change in the worker’s condition within three months, then the condition should continue to be temporarily disabling and the worker should get temporary wage loss benefits until then.
'''EXAMPLE:''' If further treatment (physiotherapy or surgery) is likely to make a significant change in the worker’s condition within three months, then the condition should continue to be temporarily disabling and the worker should get temporary wage loss benefits until then.


=== 3. What Permanent Conditions are Accepted and what Conditions are Denied? ===
=== 3. What Permanent Conditions are Accepted and what Conditions are Denied? ===
2,734

edits