Printing - FECA-PT2 - National Association of Letter Carriers

2-0812-6 Medical Elements of Review
6. Medical Elements of Review. Medical evidence should be obtained in accordance with the case
status, as noted in paragraph 5 above, in order to determine the progress of the employment-related
condition and the extent of impairment resulting from this condition.
General procedures for obtaining medical evidence are contained in FECA PM 2-0810. Where adequate
medical reports are not received at intervals reasonable to the particular case, it is the CE's responsibility
to obtain them or to make an appropriate referral using the authority provided in 5 U.S.C. 8123.
The CE may contact the physician directly, with a copy to the claimant, to obtain medical evidence
containing the information shown below. Alternatively, the CE may write directly to the claimant and
advise that current medical evidence must be submitted to support continuing payment of benefits. The
claimant need not be examined if the physician can provide the requested information from his or her
records and an examination has occurred since the last periodic roll review as described in paragraph 5
above.
If appropriate, specific questions should be addressed to the physician regarding whether a temporary
aggravation has resolved or whether the aggravation has caused a material change in the
pre-existing/underlying condition; whether the claimant's physical condition permits a return to the job
held at time of injury or to a restrictive position; or whether the claimant would be a candidate for
vocational rehabilitation. A copy of a current and accurate SOAF should be enclosed if it would assist the
physician with providing a response.
a. Content of Medical Reports. Regardless of whether the CE contacts the physician or the
claimant, the medical report should include:
(1) The date of most recent examination.
(2) Results of recent objective testing.
(3) Physical examination findings.
(4) The diagnosis of any conditions present.
(5) A well reasoned medical opinion supported by the physical findings and objective
testing as to whether the current condition(s) is related to the employment.
(6) The claimant's work restrictions, including a completed Form OWCP-5 if applicable.
(7) The type and frequency of medical treatment being provided or recommended.
b. Follow Up Actions.
(1) If sufficient medical evidence is in file, the CE should review the reports to determine
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