Injuries that occur at one’s place of work are often evaluated and treated under an employer’s Worker’s Compensation insurance policy. Work injuries cost employers approximately $1 billion PER WEEK in direct costs (compensation payments, legal services and medical care). In addition, indirect costs can be enormous as costs associated with training replacement employees, accident investigations and implementation of corrective measures, lost productivity, repairs of equipment or facilities and costs associated with lower employee morale and absenteeism must be considered. Studies have shown that an injured worker that does not rapidly return to some form of work will likely have a long term disability, regardless of how minor the actual injury. The financial hardships incurred by both employer and employee can be substantial if the claim is not resolved promptly and appropriately. Thus, is is imperative that that the injured worker be evaluated and treated by a skilled physician, including specialists when indicated.
In the State of Arizona, it is unlawful for an employer not to provide this insurance. However, if an employee is alleged to have sustained an injury, a specific series of events must take place for this injury to be covered under this insurance policy. This includes timely reporting requirements by the employee, evaluation by an occupational medicine physician (or other initial employer-contracted provider) and, on occasion, an Independent Medical Examination, in order to determine Medical Causation. Clinical “correlation” does not equal “causation” and MEDICAL causation and LEGAL causation must both be proven to a reasonable degree of probability before the injury claim is accepted. Sometimes, one or all of these components can delay treatment substantially and lead to further problems or inability to treat the injury as effectively. When an injury is unclear or there are confounding variables (such employee credibility or pre-existing conditions) and the parties cannot agree on causation, an Administrative Law Judge at the Industrial Commission of Arizona is tasked with the responsibility of determining claim acceptance and benefits.
Dr. Bailie has treated worker’s compensation injuries at the request of employees, employers, law firms and referring physicians since 1996. He has mastered the nuances of the “industrial system”, and the unique requirements of healthcare providers to not only provide care and advocate for his patients but also maintain a proper line of communication with the insurance carrier and even the employer. He approaches work injuries in the same manner as he does with “in season” sports injuries (which in professional sports are considered worker’s compensation and governed by the same rules and regulations). This means the injury needs to be rapidly diagnosed, treated and the employee returned to the work force as soon as reasonably safe. His mission is to treat the injured worker as he would the highest paid athlete and is entrusted with their care and safety until treatment is complete. He is a preferred knee/shoulder specialist for many employers because of his proven track record of successful treatments, honesty and integrity and ability to return the injured employee safely to gainful employment.
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