Get Back on Your Feet! : What Every Injured and Ill Person Needs to Know

, by Ribis, Deborah L.

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ISBN: 9780974610917 | 0974610917
Cover: Paperback
Copyright: 1/1/2006

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Summary

Author Biography

Supplemental Materials

Don't roll the dice with your health care.... TAKE CONTROL! This book is the guide to understanding your rights and responsibilities in the medical, legal and insurance systems.

Introduction

(3)

Dealing With An Injury Or Illness

(11)

Reducing Costs Impacts Everyone

(1)

First Steps

(1)

Listen To Your Body

(1)

What Is An Emergency?

(1)

Who Has Authority Over My Insurance Claim?

(1)

Different States, Different Laws

(1)

Symptoms You Must Never Ignore

(1)

What About Persistent Symptoms?

(1)

What About Fraud?

(1)

Determining If An Injury Is Work-Related

(1)

Keeping Your Ears Open

(1)

Keeping Records

(1)

What If You Don't Have Your Records

(1)

Be Honest

(1)

Follow-Up Care

(1)

Managing The Emergency Room

(1)

To Summarize

(1)

Things To Remember

(1)

Questions You Need To Ask

(1)

Notify The Appropriate People

(12)

Who Is Involved In Your Claim?

(1)

Who Covers Lost Wages?

(1)

Who Is The Carrier?

(1)

Who Is The Adjustor?

(1)

What Is A Fee Schedule?

(1)

What About Co-Payments?

(1)

Who Has Jurisdiction?

(1)

Who Else Is Involved?

(1)

The Lawyers

(1)

Notification Is Key

(1)

The First Call From The Adjustor

(1)

The Benefits Administrator Or Human Resources Representative

(1)

Who Else Needs To Know?

(1)

Employer And Employee Obligations

(1)

Which Forms Must Be Completed?

(1)

Delays Cause Problems

(1)

Don't Take ``No'' For An Answer

(1)

Employers Value Their Employees' Health

(1)

The Exception

(1)

Stay On Top Of Your Claim

(1)

The Uncooperative Adjustor

(1)

The Uninsured Employer

(1)

What About The Self-Insured Employer?

(1)

What About Patient Privacy?

(1)

What Is Consent?

(1)

Do They Have To Accommodate Special Needs?

(1)

What If You Cannot Return To Your Employer?

(1)

An Example Of Poor Conduct

(1)

So You Hate Your Job

(1)

Your Employer Will Be Involved

(1)

Inconsistent Lost Wage Payments

(1)

``Their'' Interests Versus ``Your'' Interests

(1)

Who Can Help

(1)

Managing Your Own Claim

(1)

In Summary

(1)

Things To Remember

(1)

Questions You Need To Ask

(2)

Medicare, SSDI, and Medicaid

(4)

What About Medicare And Medicaid?

(1)

Who Manages Medicare And Medicaid?

(1)

Managed Care Versus Traditional Medicare Coverage

(1)

What Rules Apply?

(1)

What About Problems?

(1)

Prescription Medication Assistance

(1)

Medical Necessity

(1)

Interchangeable Terms

(1)

Things To Remember

(1)

Questions You Need To Ask

(1)

Recordkeeping

(9)

Keeping Meticulous Records

(1)

The Patient Worksheet

(1)

List The Providers

(1)

Separated And Organized

(1)

``We Lost Your Paperwork''

(1)

Keep Your Records Current

(1)

Open Records Act

(1)

Read Your Records

(1)

Extra Binders Needed

(1)

Log Your Contacts

(1)

Make A Note

(1)

The First Report

(1)

Make Sure It Can Be Traced

(1)

Print The Email

(1)

Travel And Appointment Logs

(1)

Bring A List Of Questions

(1)

Keep Your Reference Materials

(1)

The Investigator's Report

(1)

The Reimbursement Record

(1)

The Appointment Log

(1)

In Summary

(1)

Things To Remember

(1)

Questions You Need To Ask

(2)

Educate Yourself: Take Control

(17)

Do Not Assume Anyone Knows Everything

(1)

Know Your Options

(1)

The Doctor's Mind May Be Closed

(1)

Make Sure The Report Is Accurate

(1)

For Whom Does Your Doctor Work?

(1)

The Physician Specialist

(1)

Information Is Endless

(1)

Education Gives Power And Control

(1)

An Objective Opinion Is Vital

(1)

Check The Doctor's Record

(1)

Is Your Physician Worth More Than You?

(1)

If You Are Accountable, You Must Be Responsible

(1)

Different Standards

(1)

Pre-existing Complications

(1)

Infections Are On The Rise

(1)

Make Them Wash Their Hands!

(1)

If You Develop An Infection At Home

(1)

Do Not Ignore Pain

(1)

Calling The Doctor

(1)

Not All Patients Are Drug-Seeking

(1)

The Patient Is Not Always Wrong!

(1)

Be Persistent!

(1)

Know What To Expect

(1)

Heading Off A Problem

(1)

Laws Can Impact Pain Management

(1)

The Physician Needs To Know

(1)

Informed Consent Is Your Right

(1)

Your Advocate Needs To Know

(1)

Paying For Medicine

(1)

Be A Smart Consumer

(1)

Cultural Beliefs Can Affect Your Care

(1)

In Summary

(1)

Things To Remember

(1)

Questions You Need To Ask

(1)

Past Medical History

(3)

Reduced Benefits And Pre-existing Problems

(1)

Not All Plans Have Pre-existing Exemptions

(1)

Waiting Periods And Excluded Diagnoses

(1)

Lifetime Benefit Limits

(1)

Future Benefits

(1)

Things To Remember

(1)

Questions You Need To Ask

(1)

Retaining An Attorney

(7)

Request An Initial Consultation

(1)

Negligent Employers

(1)

Lawyers Are Specialists, Too

(1)

Who Is At Fault?

(1)

Medical Malpractice Complicates Claims

(1)

Product Liability Complicates Claims

(1)

Legal Experts Coordinate The Legal Issues

(1)

Before You Talk To Anyone

(1)

The Advertisements Are True

(1)

Be Truthful

(1)

To Retain An Attorney Or Not

(1)

Claims Other Than Workers' Compensation

(1)

The Settlement May Affect Your Other Benefits

(1)

Do You Need A Medicare Set-Aside?

(1)

Legal Malpractice

(1)

Things To Remember

(1)

Questions You Need To Ask

(2)

Follow-Up Medical Care And Rehabilitation Options

(8)

Follow-Up Care

(1)

Managed Care Systems

(1)

Out-Of-Network Providers

(1)

Precertification

(1)

Additional Treatments

(1)

A New Physician May Be Beneficial

(1)

Getting To The Appointments

(1)

If You Are Not Improving

(1)

The Physical ``Terrorist''

(1)

Avoid Wasting Time

(1)

Dialogue Is Essential

(1)

Inpatient Rehabilitation

(1)

Fear Of Going To ``The Home''

(1)

Before Your Transfer

(1)

Get The Discharge Plan On Admission

(1)

The Acute Rehabilitation Patient

(1)

You Need An Advocate!

(1)

Another Opinion Counts

(1)

Things To Remember

(1)

Questions You Need To Ask

(1)

Medications And Special Equipment Needs

(7)

Who Pays For What You Need?

(1)

Durable Versus Disposable Supplies

(1)

Prepaid Pharmacy Accounts

(1)

Which Pharmacy Is Best?

(1)

The Difference Can Be Staggering

(1)

The High Costs Of Medications

(1)

Starter Packs And Samples

(1)

Going To The Pharmacy

(1)

What If You Cannot Pay Out Of Pocket?

(1)

Another Pharmacy Issue

(1)

What The Fee Schedule Means To You

(1)

Know Which Vendor To Use

(1)

What To Do With Used Equipment

(1)

Medication And Prescription Errors

(1)

Injuries From Faulty Equipment

(1)

Document The Equipment And The Injury

(1)

Things To Remember

(1)

Questions You Need To Ask

(1)

Independent Medical Evaluations

(7)

An IME Is Possible, Even Likely

(1)

The IME Versus The DME

(1)

AME Versus The QME And The IME

(1)

The Summons For The IME

(1)

If You Cannot Attend The IME Appointment

(1)

The IME Questionnaire

(1)

Your Advocate At The IME Exam

(1)

The IME Physician

(1)

The IME Report

(1)

Disputing The Outcome Of The IME

(1)

Errors In The IME

(1)

The IME Examination

(1)

Avoid Needless Chatter

(1)

The Appropriate IME Specialist

(1)

Physiatry And Occupational Medicine Specialists

(1)

During The IME

(1)

Reporting Pain In An IME

(1)

Document The Events Of Your IME

(1)

Be Honest During The IME

(1)

Things To Remember

(1)

Questions You Need To Ask

(1)

Medical Case Management

100

(8)

Medical Case Management Can Be Important

100

(1)

What Is A Medical Case Manager?

100

(1)

Field Versus Telephonic Case Management

101

(1)

Pluses And Minuses

101

(1)

Occupational Health Nurses

102

(1)

Nurses Facilitate Communication

102

(1)

Never Leave With Unanswered Questions

102

(1)

Everyone Needs The Same Information

103

(1)

The Downside

103

(1)

The Case Manager Is Not Your Friend

103

(1)

Obtaining Authorizations

104

(1)

Avoid Stiff Penalties

104

(1)

Ask Your Carrier For A Medical Case Manager

105

(1)

A Good Medical Case Manager

105

(1)

The Medical Case Manager Will Not Lie For You

105

(1)

Exploring Your Options

106

(1)

Things To Remember

106

(1)

Questions You Need To Ask

107

(1)

Vocational Rehabilitation

108

(8)

What Is Vocational Rehabilitation?

108

(1)

The Entitlement Assessment

108

(1)

Federal Agencies And Voc Rehab

108

(1)

Not Everyone Is Entitled

109

(1)

The Vocational Assessment

109

(1)

You May Need A New Employer

109

(1)

For Whom Does The Voc Rehab Case Manager Work?

110

(1)

The Comprehensive Voc Rehab Plan

110

(1)

The Functional Capacity Evaluation (FCE)

110

(1)

The FCE Can Help

111

(1)

The Difficult Adjustment

111

(1)

You Are Integral To The Voc Rehab Plan

112

(1)

What About Special Accommodations?

112

(1)

Start Your Own Search

112

(1)

Restrictions And Limitations

113

(1)

Talking To Prospective New Employers

113

(1)

The Voc Rehab Report

114

(1)

Changing Case Managers

114

(1)

Being Your Own Vocational Case Manager

114

(1)

Things To Remember

115

(1)

Questions You Need To Ask

115

(1)

Return To Work

116

(6)

Are You Able To Return To Work?

116

(1)

Transitional Work Assignments

116

(1)

Make Sure The Release Is Specific

116

(1)

Light Duty Is Not Always Light Duty

117

(1)

A Job Analysis Is Crucial

117

(1)

A Staggered Return To Work Plan Can Be Successful

117

(1)

Return To Work Problems

117

(1)

Some Benefits May Continue

118

(1)

What About Fringe Benefits?

118

(1)

Working ``Under the Table'' Is Fraudulent

118

(1)

Know Your Restrictions And Adhere To Them

119

(1)

Transitional Duty Is Not Permanent

119

(1)

What About Another Position?

119

(1)

Make Sure The Release Is Individualized

119

(1)

What If It Is Too Difficult To Work?

120

(1)

Things To Remember

120

(1)

Questions You Need To Ask

121

(1)

Maximum Medical Improvement

122

(6)

MMI Is Important

122

(1)

MMI Does Not Mean You Are Cured

122

(1)

Assessing For Determination Of MMI

122

(1)

Disputing A Determination Of MMI

123

(1)

Assessing For Permanent Disability

123

(1)

Assigning A Percent Of Disability

123

(1)

Calculating Permanency

124

(1)

The Amount Of Permanency Awarded

124

(1)

Your Physician Can Weigh In On Your Permanency Evaluation

124

(1)

After The Final Determination Of Permanency

124

(1)

The Carrier Is Not Your Advocate

125

(1)

Requesting A Formal Hearing

125

(1)

The Administrative Law Process

125

(1)

Changing The Laws

125

(1)

Keep Your Binder For The Future

126

(1)

The Permanency Settlement Can Affect Other Benefits

126

(1)

The Actual Award May Be Substantially Less

126

(1)

Things To Remember

127

(1)

Questions You Need To Ask

127

(1)

Friends, Family, Community

128

(5)

Strength From Family

128

(1)

Families Need Limits

128

(1)

Restricting Visitors

128

(1)

Friendships May Change

129

(1)

Work Relationships Change

129

(1)

Resentment Among Coworkers

129

(1)

Professionals Without Compassion

129

(1)

Other Places For Support

130

(1)

Talking To Family And Friends

130

(1)

The Flip Side Of The Coin

131

(1)

Things To Remember

131

(1)

Questions You Need To Ask

132

(1)

Your New Self

133

(5)

Change Can Be Stressful

133

(1)

Change Produces Anxiety

133

(1)

You Cannot Always Control Change

133

(1)

We Cannot Control Others

133

(1)

Trust In Yourself

134

(1)

Acknowledge The Change Around You

134

(1)

Define ``It''

134

(1)

Adapting To The Changes

135

(1)

Grieving For What Once Was

135

(1)

Facing The Crossroads

135

(1)

It's Okay To Grieve

135

(1)

You Cannot Grieve Forever

135

(1)

Coming To Terms With Reality

136

(1)

Break Free Of The Label, ``Patient''

136

(1)

Reclaim Your Control

136

(1)

Change Is Continuous

136

(1)

The Glass Is Half Full

136

(1)

Life Is Your Gift

137

(1)

Things To Remember

137

(1)

Questions You Need To Ask

137

(1)

Appendix A. Glossary Of Terms

138

(6)

Appendix B. Reference Forms

144

(13)

Patient Worksheet

144

(7)

Communications Log

151

(1)

Questions For Your Doctor

152

(1)

Appointment Record

153

(1)

Travel Log

154

(1)

Reimbursement Record

155

(1)

Work Log

156

(1)

Appendix C. References And Resources

157

(9)

About the Author

166

(1)

About the Editor

166

(1)

About the Copy Editor

166

(1)

About the Cover Designer

166

(1)

Order Form

167

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Get Back on Your Feet! : What Every Injured and Ill Person Needs to Know

Summary

Author Biography

Table of Contents

Supplemental Materials

FREE SHIPPING

Rent More, Save More! Use code: BBRENTAL

5% off 1 book, 7% off 2 books, 10% off 3+ books

Get Back on Your Feet! : What Every Injured and Ill Person Needs to Know

Summary

Author Biography

Table of Contents

Supplemental Materials

Digital License