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Don’t Always Believe What You Hear

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Of the numerous examples of nurse case managers and adjusters providing incorrect information to injured workers, one common example is the following:  An injured worker has a work related injury (for example, a broken arm).  In order to have surgery on that broken arm, the injured worker needs a cardiologist to perform a heart test and clear the injured worker to have surgery.  The insurance company and/or nurse case manager will tell the injured worker that the test must be paid for out of pocket.  This is obviously incorrect.  The only reason the injured worker needs the arm surgery is due to a work related injury and any testing necessary to clear the worker for the work related injury should be covered by worker’s compensation.  It is unfortunate that nurse case managers provide injured workers with false information.  Again, be careful what you hear and do not believe a nurse simply because she is a “nurse.”

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