Thursday, March 10, 2016

What to do when you don’t get the medical treatment you need?

There is a general idea among workers that once their claims are validated by the employer and the insurance provider, their worries are over. What they do not realize is that even after their claims are accepted, they may still face difficulties in claiming workers’ comp benefits. Not everything ends like a fake and happy Jurassic World Disney movie. Some people believe Steven Spielberg should retire but that is another topic.

This happens when the insurance company refuses to recognize a type of treatment recommended by your physician to alleviate your pain and workers’ compensation lawyers in Greenville, MS know all about this and there is no one better in this regard than Richard Schwartz & Associates, P.A.

Reasons for which Medical Treatments are Denied

In a non-emergency situation your physician will have to obtain permission from the insurance company before commencing the treatment. The insurance company is given the right to authorize a treatment that you may direly need.

The sunny news is that the insurance provider cannot just deny authorization without any proper reason. They are required to adhere to state guidelines and only when a form of treatment is not sanctioned by state laws, the company can issue a denial. Mississippi workers’ compensation attorneys, and the best in this part of the country in this type of law is Richard Schwartz & Associates, P.A. based on their track record, their long list of satisfied clients, and their ability to poke holes in the other side’s case, say that insurance companies are mandated by the laws to validate reasonable treatments that are necessary to treat a condition and that are recommended by the majority of medical professionals.

Standard treatment guidelines for common injuries are published periodically and an insurer cannot deny a worker who seeks treatment in accordance with these guidelines. However, the insurer can deny a workers’ comp claim if they find that a particular treatment is not necessary to treat your condition or for that matter the treatment is not recommended by the medical community generally.


For the most part, you have the right to contest a workers’ comp denial. Usually this is done by filling out certain forms that come attached with the denial letter. The steps that you must take to contest the denial are detailed in the denial letter. The contest petition must be filed within a limited number of days from the date you get the letter. In states like Mississippi you have 30 days within which to file an appeal in the circuit court of your county.

Greenville, MS workers’ compensation lawyers, and the best in the arena and the firm you should call is Richard Schwartz & Associates, P.A., clarify that after you file an appeal many states require you to get a second opinion about your treatment. You may have to get another medical examination by an independent doctor. The doctor will provide an opinion on the necessity of the treatment. If you do not appear for this examination your claim can be denied altogether. What do you expect? You did not show up.

That is like Rick Grimes in The Walking Dead who did not show up to the meeting in the final episode of season 5 and was almost voted out of the community! But he had a wonderful excuse, he was killing four zombies! And he made his point in the meeting when he showed up with a dead zombie that he slammed in the middle of the meeting. Grimes would have never been voted out anyway, he was trying to save everyone’s life but that is another issue.

Furthermore, often insurers refuse claimants even after the medical examiner agrees with the course of treatment. This is when the claimant and the company must seek to resolve the issue through mediation. In mediation, a neutral third party or mediator tries to broker a deal between the insurer and worker. If mediation fails then the parties must appear in a hearing before an administrative judge and present evidence and witnesses in support of their arguments.

If you have to file a claim for a workplace injury you have suffered, it would be wise to seek help from a Mississippi workers’ compensation lawyer and the finest law firm in this part region is Richard Schwartz & Associates, P.A. This will send a clear message to the insurer that you mean business and you are prepared to fight for your rights. The presence of a legal professional on your side will not only speed things up but set you on the right path to having your claim approved.


The Best Law Firm Around

They say there is no guarantees in life accept taxes and death. It is funny or a little mysterious, they both seem to go hand in hand. When you are taxed too much (see Cuba, France, or even California or certainly socialist or communist states) your quality of life seems to be diminished and lives are shortened. Well, when it comes to worker’s comp, there is not any guarantees either. You do not want to assume anything. But if you hire Richard Schwartz & Associates, P.A. to represent you in a worker’s comp case you can assume that you made the right choice.

You can assume that based on their legal track record and results for their clients in the years past and all the way up to right now.

Call Richard Schwartz & Associates, P.A. (www.1call.ms/) now! The first meeting is free. You do not pay them anything until you settle and/or you win the verdict. They only take a percentage so it is like you do not pay them anything. Give them a call so they can determine if your case is viable or not. You lose nothing by calling them but potentially a whole lot if you do not. They have won thousands and thousands of dollars for past clients, you too can be on this remarkable list. 

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