CHALLENGING VALIDITY OF OWCP CLAIMS –
If the validity of a claim is questioned, the Agency supervisor should investigate the circumstances and report the results to OWCP. However, filing of the claim
should not be delayed whether the claim is disputed or what OWCP calls controverted.
A. Allegations Must be supported by factual evidence.
1) Different Versions of incident by several witnesses, whose accounts
differ, should provide supervisor with written statements of their
information.
2) Previous Injury – Agency should request statements from witnesses if
on the date on the claimed injury the appearance of a previous
condition or injury.
3) Time Frame – Agency should provide written statement if the injury is
reported after a lapsed time from the reported date of injury.
4) Outside of Employment – If employed outside of the agency and
injury is claimed, supervisor should inquire about the duties of the
other employment and report it to OWCP.
B. Notifications and Decisions – for more information click on the show transcript!

The podcaster is Dr. Stephen Taylor, OWCP medical-legal consultant for Oberheiden Law Firm. Dr. Taylor’s contact email information is:

https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP / DOL claim in Pensacola Florida or Austin or San Antonio Texas you can make an appointment to see Dr. Taylor at the clinic at FWC Medical Centers or https://fcwtexas.com/ . To make a consultation with Dr. Taylor call the clinic at 813-215-4356 or 737-358-9307 in Texas or Florida.

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

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OWCP CLAIMS PROCESSING –

Certain procedures and responsibilities have to be accomplished once the

forms and information have reached OWCP for appropriate adjudication of

claim.

A. Initial Processing –

Once claim is received with all supporting documentation (when possible)

claim number will be assigned to the case. OWCP will notify the

employee and agency once claim has been received. Uncontroverted

claims with medical bills totaling less than $1500 will be administratively

closed by OWCP. Thos claims not meeting that criteria will be assigned to

a claims examiner for formal adjudication. When additional information is

required, the claims examiner will notify the employee by letter in ECOMP with a

copy to all parties to the claim. For more information click on the podcast transcript.

The podcaster is Dr. Stephen Taylor, OWCP medical-legal consultant for Oberheiden Law Firm. Dr. Taylor’s contact information is:

https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP / DOL claim in Tampa, Jacksonville, Pensacola Florida, Southern Mississippi or Daphne Alabama you can make an appointment to see Dr. Taylor, or Dr. Sullivan at the clinic at FWC Medical Centers or M & R Medical Centers. To make a consultation with Dr. Taylor call the clinic at 813-215-4356 or 813-877-6900 in Tampa go to our website at https://fwcmedicalcenters.net/ or https://fedcompconsultants.com/

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

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For responses email Dr. Taylor at fedcompconsultants@protonmail.com

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Continuation of Pay (COP) is continuation of regular pay up to 45 calendar

days for periods of disability and or medical care, which occur in connection

with a Traumatic Injury. COP must begin within 45 days of the injury.

A. Entitlement –

Permanent and Temporary employees are entitled to COP when

Traumatic Injury is reported within 30 days. Medical documentation must

support all periods of COP. Normally, COP will begin the day following

the date of the traumatic injury. Except for Injuries that occurred prior to

the start of the workday, then COP will begin on date of injury. Medical

documentation must be received within 10 days of the injury to receive

COP and COP will be terminated if medical documentation is not received

within the allotted time frame. For any additional details, please click on the show transcript!

The podcaster is Dr. Stephen Taylor, OWCP legal consultant for Oberheiden Law Firm. Dr. Taylor’s contact information is:

https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP / DOL claim in Tampa, Jacksonville, Pensacola Florida, Southern Mississippi or Da

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

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OWCP Claims for Compensation for federal - civil employees injuries, must meet certain requirements before being accepted. These five (5) requirements ( also known as the 5 elements of coverage determination criteria) must be met within the sequence below and if not, claim will be adjudicated or held up by requesting information from the injured work to satisfy each of the 5 element requirement in sequential order to be given due process:

A. Time

B. Civil Employee

C. Fact of Injury or Occupational Disease or Illness

Two factors are involved in the determination of whether the employee did in fact suffer the injury:

1) Occurrence of the Event 2) Existence of a Medical Condition

D. Performance of Duty

E. Causal Relationship

Each of these 5 requirements (elements) for establishing conditions of coverage criteria are covered in detail in this podcast episode to assist civil employees with successful claim adjudication of an on the job injury or illness. This episode is utilizing OWCP claims examiner training materials to explain how to meet the eligibility requirements from the claims examiner's training and understanding. It helps to understand how to speak the language that the OWCP claims examiner is trained in.

Click on the transcript for more information to source for Initiating Claims with OWCP

The podcaster is Dr. Stephen Taylor, OWCP legal consultant for Oberheiden Law Firm. Dr. Taylor’s contact information is:

https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP / DOL claim in Tampa, Jacksonville, Pensacola Florida, Southern Mississippi or Da

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

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Initiating Claims with OWCP.

Procedures initiating claims with OWCP for an employee who has (A)

suffered a Traumatic Injury, (B) suffers from an Occupational Injury or

Disease, (C) Recurrence of Injury or Disease, and (D) Death:

Seasosn 5 podcast episode 1 explaining how OWCP works from an OWCP Claims examiner's training. Today we are going over something I have never addressed in the podcast before…we are going to teach OWCP from OWCP Claims Examiner training material. In order to be successful with communication with an OWCP claims examiner, it is important to understand what they are trained to do, trained to look for and how to meet the eligibility requirements from their training and understanding. It helps to understand how to speak the language that the OWCP claims examiner is trained in.

Click on the transcript for more information to source for Initiating Claims with OWCP

The podcaster is Dr. Stephen Taylor, OWCP legal consultant for Oberheiden Law Firm. Dr. Taylor’s contact information is:

https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP / DOL claim in Tampa, Jacksonville, Pensacola Florida, Southern Mississippi or Daphne Alabama you can make an appointment to see Dr. Taylor, or Dr. Sullivan at the clinic at FWC Medical Centers or M & R Medical Centers. To make a consultation with Dr. Taylor call the clinic at 813-215-4356 or 813-877-6900 in Tampa go to our website at https://fwcmedicalcenters.net/ or https://fedcompconsultants.com/

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

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A psychiatric condition is accepted under FECA only if a qualified mental health professional diagnoses an emotional condition and provides a rationalized opinion that it was directly caused or substantially aggravated by specific, substantiated incidents or conditions of federal employment — not by general job stress or properly conducted personnel actions.

If you are pursuing such a claim, almost all successful claimants use an attorney or experienced representative who specializes in federal workers’ compensation, because the medical and factual causation burdens are extremely high.

. Medical Causation Requirements for Establishing a Psychological DSM-5 Diagnosis for a Federal Employee Work-Related Injury

Under FECA, a psychological condition (e.g., PTSD, major depressive disorder, or anxiety disorder per DSM-5 criteria) qualifies as a compensable "injury" if it arises out of and in the course of employment (5 U.S.C. § 8101(5); FECA PM Part 2, Chapter 2-0200). Emotional/psychiatric claims are scrutinized closely due to their subjective nature, and OWCP applies the Lillian Cutler criteria from ECAB precedent (28 ECAB 125 (1976)) to establish eligibility.

Click on the transcript for more information to source for scheduled awards.

The podcaster is Dr. Stephen Taylor, OWCP legal consultant for Oberheiden Law Firm. Dr. Taylor’s contact information is:

https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP / DOL claim in Tampa, Jacksonville, Pensacola Florida, Mississippi or Daphne Alabama you can make an appointment to see Dr. Taylor, or Dr. Sullivan at the clinic at FWC Medical Centers. To make a consultation with Dr. Taylor call the clinic at 813-215-4356 or go to our website at https://fwcmedicalcenters.net/ or https://fedcompconsultants.com/

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

Support the show

FEEDSPOT TOP 10 National Workers Compensation Podcast:

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For responses email Dr. Taylor at fedcompconsultants@protonmail.com

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CA-7 Form is used When the CE first becomes aware that the claimant is disabled from work (even if the COP period has not expired or a wage-loss claim has not yet been received).

(b) The first CA-7, Claim for Compensation, is approved for a nonintermittent period of leave without pay, and medical evidence supports continued disability from work. The CA-7 form asks the claimant to reportall earnings from employment (outside of his/her federal job) for the period claimed on the CA-7. The claimant is specifically advised to include all employment for which salary, wages, sales commissions, etc. are received. By signing the form, the claimant is certifying the accuracy and truthfulness of the information contained on the form.

The Form CA-7 (Claim for Compensation) is the official U.S. Department of Labor Office of Workers’ Compensation Programs (OWCP) form that an injured federal employee (or their survivor) uses to request monetary compensation under the Federal Employees’ Compensation Act (FECA).

Click on the transcript for more information to source for scheduled awards.

The podcaster is Dr. Stephen Taylor, OWCP legal consultant for Oberheiden Law Firm. Dr. Taylor’s contact information is:

https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP / DOL claim in Tampa, Jacksonville, Pensacola Florida, Mississippi or Daphne Alabama you can make an appointment to see Dr. Taylor, or Dr. Sullivan at the clinic at FWC Medical Centers. To make a consultation with Dr. Taylor call the clinic at 813-215-4356 or go to our website at https://fwcmedicalcenters.net/ or https://fedcompconsultants.com/

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

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OWCP Schedule Awards. If you’ve got a permanent impairment from a work injury, this could mean a lump-sum payout to help with the long haul. We’ll break it down for you injured feds: Who’s eligible? What’s the filing process? And what’s this “impairment rating” everyone’s talking about? Plus, we’ll touch on how this plays out for our maritime folks under Longshore—because OWCP covers more than just office desks and mail routes. Stick around; by the end, you’ll know exactly how to get what’s yours.

Alright, let’s start with the basics—who’s eligible for an OWCP Schedule Award under FECA, the Federal Employees’ Compensation Act? Picture this: You’re a fed employee, you’ve had a work-related injury or illness that’s left you with a permanent hit to a specific body part or function. We’re talking arms, legs, hands, eyes, hearing, even lungs or your back if it’s messing with your extremities. If that impairment sticks around even after years of treatment as a permanent injury you would qualify and be eligible for a schedule award settlement with OWCP. Click on the transcript for more information to source for scheduled awards.

The podcaster is Dr. Stephen Taylor, OWCP legal consultant for Oberheiden Law Firm. Dr. Taylor’s contact information is:

https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP / DOL claim in Tampa, Jacksonville, Pensacola Florida, Mississippi or Daphne Alabama you can make an appointment to see Dr. Taylor, or Dr. Sullivan at the clinic at FWC Medical Centers. To make a consultation with Dr. Taylor call the clinic at 813-215-4356 or go to our website at https://fwcmedicalcenters.net/ or https://fedcompconsultants.com/

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

For responses email Dr. Taylor at fedcompconsultants@protonmail.com

Support the show

FEEDSPOT TOP 10 National Workers Compensation Podcast:

https://podcast.feedspot.com/workers_compensation_podcasts/?feedid=5557942&_src=f2_featured_email