Printing - FECA-PT2 - National Association of Letter Carriers

16. Physical Therapy 04/01 01-06
03/94 94-14
17. Authorization for Diagnostic Testing 04/93 93-19
18. Transfer of Medical Care 04/93 93-19
19. Claimants in Prison 12/93 94-05
20. Functional Capacity Evaluations (FCEs) 11/96 97-03
Exhibits
1 Sample Request for Information from
Treating Physician re Health Club/Spa
Membership 10/94
2 Sample Request for Information from
Claimant re Health Club/Spa
Membership 10/94
3 General Guidelines for Review of
Non-Emergency Back Surgery
10/94
4 Instructions for Orthopedic Surgeons,
Neurologic Surgeons and Neurologists
Who Review Cases Where Authorization
for Back Surgery Has Been Requested 10/94
5 Sample Paragraph Authorizing Physical
Therapy 10/94
6 Sample Letter to Physician Requiring
Additional Medical Justification 10/94
7 Sample Letter of Warning to Physician
Who Fails to Supply Requested
Information or Who Furnishes
Inappropriate Treatment 10/94
95-02
95-02
95-02
95-02
95-02
95-02
95-02
2-0810-1 Purpose and Scope
1. Purpose and Scope. This chapter discusses the Claims Examiner's (CE's) function in developing
and evaluating medical evidence and provides guidelines for weighing varying and conflicting medical
opinions.
2-0810-2 Introduction
2. Introduction. The purpose of this paragraph is to describe briefly the sources of medical evidence
and some of the factors involved in evaluating it.
a. Proper development and weighing of medical evidence is essential to the sound adjudication
of claims for benefits, and to the comprehensive management of accepted disability cases. Medical
evidence in disability cases consists of four major types:
(1) Evidence from the attending physician (or from consultants chosen by him or her).
FECA-PT2 Printed: 06/08/2010 321