On 4/1/09 a new set of forms to be used by medical providers will go into effect. They are:
1-C-4. Doctor’s Initial Report
2-C-4.2 Doctor’s Progress Report
3-C-4 AMR (Ancillary Medical Report) for providers of ancillary services
4-C-4.3 Doctor’s Report of MMI/Permanent Impairment
Get the FORMS – The forms can be found on the NY WCB website or Google “NY”, “WCB” and “C-4”
The C-4.3 is necessary for a judge to close a claim. Even if there is no permanent damage as a result of the injury, failure to have this form in the file will cause the judge to adjourn the claim for it to be produced.
The C-4.2 progress reports should be filed every two weeks to ensure that a employee’s benefits will not be halted. New Board procedure strictly enforces a policy that there is no longer an informal presumption that disability continues until a report says that it no longer exists.
A funding crisis in workers’ compensation is driving efforts at stricter laws and rules. Medical practices that comply will face far fewer problems since the majority of medical groups make good faith efforts which fall short of Board requirements. These result in delay of payments and duplication of efforts.
Attorney Theodore Ronca is a practicing lawyer from Aquebogue, NY. He is a frequent writer and speaker, and has represented employers in the areas of workers’ compensation, Social Security disability, employee disability plans and subrogation for over 30 years. Attorney Ronca can be reached at 631-722-2100.
WC Cost Calculator www.ReduceYourWorkersComp.com/calculator.php REAL COST of work comp.
WC 101 www.ReduceYourWorkersComp.com/workers_comp.php for the basics about workers comp.
Do not use this information without independent verification. All state laws are different. Consult with your corporate legal counsel before implementing any cost containment programs.
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