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What is Workers’ Compensation?

Workers’ compensation is an insurance that provides cash benefits and/or medical care for workers who are injured or become ill as a direct result of their job. The cost of the insurance must be paid entirely by the employer, no amount can be charged to employees.

Under a workers’ compensation policy, employees are compensated for work-incurred illnesses or injuries, regardless of fault. In exchange, the employees are unable to sue the employer or company for any possible negligence.

The workers’ compensation system was born out of a New York state tragedy: the worst factory fire in New York City’s history, at the Triangle Shirtwaist Factory in 1911. Today, the state upholds strict requirements for employers. All New York businesses with employees (full- or part-time) must carry workers’ compensation insurance.

 

Workers’ Compensation claim vs personal injury claim. What is the difference?

The biggest and most important difference between a workers’ compensation claim and a personal injury claim is that a workers’ compensation claim is not based on fault, while a personal injury claim is.

Personal injury is a legal term for an injury to the body, mind or emotions, as opposed to an injury to property. Personal injury cases are most often based on the doctrine of negligence which means that personal injury lawsuits are filed against the person or entity that caused the harm through negligence, gross negligence, reckless conduct, or intentional misconduct.

In a typical slip-and-fall case, if you slipped and fell on someone else’s property it doesn’t mean that the person who owns the property (or anyone else) was negligent. Accidents, where no one is at fault, do happen.

You will not be able to sue the property owner for damages unless you and your lawyer can prove that they negligently maintained the property. The same is true in a car accident situation: you can only recover damages from the other driver if the other driver was at fault.

 

Fault is not required in Workers’ Compensation cases

In a workers’ compensation case, any employee injured on the job is entitled to workers’ compensation benefits, with some very limited exceptions.

In contrast to personal injury claims, workers’ compensation claims have nothing to do with fault. If you sustained an accident in the workplace, you don’t need to prove that your employer (or co-worker) was at fault. Whether they did or did not do anything wrong, you are still entitled to receive workers’ compensation benefits. Even if you were negligent yourself, and your negligence caused your injury, you will still receive the benefits.

 

Workers’ Compensation Patients

Within the Workers’ Compensation system, there are specific treatment guidelines at the national and at the state level that help provide the right care to the injured worker.

In some cases, they are similar, such as prescribing typical medications to treat the injured employee, but they can also differ, i.e. by indicating what is considered unsuitable therapy and what should be avoided. For this reason, the Worker’s Compensation claims are different from the average group health insurance claim.

 

If you have been injured at work, suffer from an occupational illness, or have become ill as a result of your work, contact our experienced Staten Island work comp doctor today to discuss your individual case.

 

Anagenesis Spine & Joint Health is the right approach to the medical treatment of Workers Compensation patients

Our goal is to get injured employees back to work as fast as possible, having the patients’ long-term physical well-being in mind, and, whenever possible, aiming at a full recovery.

At Anagenesis Spine & Pain Medicine our work comp back pain doctor in Staten Island and the rest of the medical team will provide the assistance any patient may need to navigate the WC system. Our personnel fully understand the rules and regulations of the Workers’ Compensation regulations applicable in New York City and State.

Our Workers’ Compensation pain and back doctor in Staten Island, is authorized by the Workers’ Compensation Board of the State of New York.

 

Learn more about our workers’ comp doctor in Staten Island

If you would like to schedule an appointment or have any questions regarding pain management & spine care provided at our clinic, contact us directly at 212 – 235 – 1265 or use the contact form available on our contact us page.

Rest assured that you will be seen by a doctor as soon as possible and receive the best medical assistance, including help in streamlining the claim process.

Dr. Kountis – our Workers’ Compensation pain doctor in Staten Island – is experienced in the evaluation and treatment of workers’ compensation cases and works collaboratively with adjusters, nurse case managers to assure the most effective return-to-work outcome possible.


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Requesting a second opinion is a common practice among patients. Unless the patient’s condition or injury is life threatening and they require an emergency care, then the patient is a perfectly good candidate for a second opinion.

Inquiring a second opinion is necessary when:

  • Surgery is said to be the only treatment available for the patient.
  • The patient suffers from a complex condition or a severe injury.
  • The patient is told that there is no treatment available to improve their condition or address the injury.
  • The patient is not comfortable with the impressions and diagnosis from the pain management doctor.
  • The patient is not given detailed and clear answers to their questions about their orthopedic injury or condition.
  • The condition returns shortly after the course of treatment.
  • The symptoms keep occurring, but the pain management doctor can’t find the cause.
  • The patient feels their condition or injury is incorrectly diagnosed.
  • The doctor does not understand why the treatment is not working.

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Dr. Vasilios Kountis will review and interpret your MRI study and issue a detailed, informative and definitive (when possible) MRI review and second opinion report of our findings.

If requested, he will compare your MRI radiology second opinion test to previous radiology exams you’ve had.

Dr. Kountis will comment on the quality of MRI exam and recommend a repeat study if the quality is not adequate.

Based on this review, he will make a specific recommendation for a further course of action or follow up examination.

 

Why do I need an MRI Second Opinion?

A magnetic resonance imaging (MRI) exam is among the most powerful diagnostic tools for detecting many types of illnesses. Your doctor ordered an MRI exam because he or she wanted to make sure you had the best diagnostic care possible, leading to the best back pain treatment, if treatment is needed. An MRI second opinion is an important part of that process.

MRI images are captured by machines using enormous magnets and evaluated by radiologists. However, the interpretation of MRI results is not clear cut. The machine provides a view inside the body, but it is up to human eyes and the judgment of the treating physician to analyze what the machine has recorded and clinically correlate this findings.





Disclaimer


The information on this web site is not designed to replace a physician’s independent judgement about the appropriateness or risks of a procedure for a given patient. Always consult your doctor about your medical conditions or back problem. Use of the anagenesisspine.com web site is conditional upon your acceptance.




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