Workers - Council of Prison Locals - C-33

emplo)'er should use Form CA-i 7 to obtain interim reports concerning the duty status of
an emplo,vee with a disabling injury.
Sec. 10.332 What additional medicai information will OWCP require to support
continuing pa)'nent of benefits
In all cases of serious injury or disease, especially those requiring hospital treatment
or prolonged care, OWCP rvill request detailed narrative reports from the attending
physician at periodic inten,als. The ph1'sician w-ill be asked to describe continuing
medical treatment for the condition accepted by OWCP, a prognosis, a description of
rvork limitations. if any, and the physician's opinion as to the continuing causal
relationship betu'een the employee's condition and factors of his or her Federal
emplovment.
Sec. 10.33i What additional nredical information will O\\/CP require to support a
clair-n for a schedule award
To sr.rpport a claim for a schedule au'ard. a medical report must contain accurate
rreasurements of the function of the organ or member. in accordance with the American
N{edical Association's Guides to the Evaluation of Permanent Impairment. These
measurements mav include: The actual degree of loss of actil'e or passive motion or
defonnir.v; the amount of atrophy; the decrease. if any. in strength: the disturbance of
se nsation; and pain due to nerve impaim-rent.
\{edical Bills
Sec. 10.335 How are medical bills submitted
Usually, medical providers submit biils directly to OWCP. 'fhe rules for submitting
and paf ing biils are stared in subpart I of this pzrt. An emplol''ee claiming
reimbursement of medical expenseshouid submit an itemized biil as described in Sec.
10.802.
Sec. 10.336 What are the time frames for submitting bills
To be colsidered for pa1,ment. bills must be submitted by the end of the caiendar year
after the r,ear when the expense was incurred. or by the end of the calendar yea-r after the
1,ear when OWCP first accepted the claim as compensable. n'hichever is later.
Sec. 10.337 IfOWCPreimbursesanemplo-u-eeonll'partiall,vfora medical expense.
must the provider refund the balance of the amount paid to the employee
(a) The OWCP fee schedule sers maximum limits on the amounts payable for many
sen'ices (see Sec. 10.80-5).The emplo)'ee ma)'be only partially reimbursed formedical
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