Occupational Injuries and Illness Care and Follow Up
You have someone injured on the job.
- What are you supposed to do?
- What type of a condition is it?
- What paperwork is required?
How Does NMCPHC Help?
NMCPHC is working on a project with Commander Naval Installations to help maintain the integrity of the Federal Workers' Compensation program by having physicians review claims. The physicians may choose to write opinion letters that can be considered and that may have an effect on the decisions that the Office of Workers' Compensation at the Department of Labor make when they adjudicate the claim. The goal of the program is to provide Agency input into the process and thereby make sure that accepted claims for occupational illness and injury are valid.
To date, NMCPHC has provided opinions in 268 cases. Claims that our doctors have challenged for what we believe to be inappropriate diagnosis or not due to occupational factors have resulted in denials in many of the cases. In a 36 month span, the cases have amounted to over $44 million in cost avoidance for the Navy.
See a Guide to Writing Effective Medical Opinion Letters
Pertinent Document Links
- DOD Directive 1400.25-M, Sub-chapter 810
DOD Civilian Personnel Management System Directive - BUMEDINST 12810.1
Civilian Employee Injury Compensation and Department of Defense Pipeline Reemployment Programs
Department of Labor Links
- Regional Map and Contact Phone Numbers
- Office of Workman's Compensation Program
- Employee Compensation Appeals Board Decisions
Content last reviewed on April 15, 2010.