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From The BLOG

Are Injured Workers Entitled to Home Care as a Workers’ Compensation Benefit?


Employees who sustain injuries in the performance of their duties are entitled to workers’ compensation benefits including home care and rehabilitation – if these are required for the patient’s recovery.

Many workers that are covered by workers’ compensation insurance are not really aware that if they are injured, they are actually entitled to home health care. In order to take advantage of this benefit, the injured worker’s treating physician must indicate and assert that home care is medically necessary, then, home care workers compensationis sought as the best possible solution.

Home health care for injured workers is particularly necessary if the patient’s injury has cost the ability to do basic tasks like dressing, cooking and taking care of themselves. In situations like this, the injured employee’s workers’ compensation insurance has to pay for the home health workers’ compensation benefits.

While home care is a part of the workers’ compensation benefits, it is the workers’ compensation insurance carrier who chooses the home health care provider for the injured worker. Aside from their authority to choose a caregiver, the insurance company can also opt to send the patient to a nursing home if it determines that committing the patient to a nursing facility is more cost effective than providing them with 24-hour care. But if the patient’s need for home care is minimal (example: 2 hours per day) a good home health workers compensation provider will work to make that happen, especially if a doctor attests that the injury is work-related, asserts the necessity of home care, and is willing to make a written request regarding the matter.

What is Workers’ Compensation?

Workers’ compensation is a form of insurance paid for by employers on behalf of their employees as mandated by law. It is intended to provide compensation, medical care, and rehabilitation to employees who sustain injuries, become ill, or die as a result of their employment. Employers are duty-bound to provide their injured or sick workers with benefits including home care workers compensation regardless of whether they are at fault or not. In return, they are protected from lawsuits arising from the injury or sickness of their employees.

Accidents resulting in injury are not uncommon in workplaces. As a matter of fact, incidents that result in employee injury occur every 7 seconds in the United States, according to the National Safety Council.

Processing your employees’ claims for workers compensation and expediting medical scheduling for them can be a gruelling task for your staff. With that said, you can delegate these tasks to a professional who has the skills, experience to navigate the world of medical claims processing and scheduling.

Call Direct Pay Provider Network now at (866) 214-5920.

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