Understanding OWCP Benefits and Treatment for Federal Workers’ Injuries
If you are a federal employee who has suffered an injury or illness on the job, you may be eligible for benefits under the Office of Workers’ Compensation Programs (OWCP). Navigating the OWCP system can be complex, but understanding your rights and treatment options is essential to ensuring you get the care and compensation you deserve.
What is OWCP?
The OWCP is a federal program under the Department of Labor designed to provide wage replacement, medical treatment, and vocational rehabilitation services to federal employees injured at work. It covers employees across various federal agencies, including postal workers, law enforcement officers, and administrative personnel.
Who is Eligible for OWCP Benefits?
To qualify for OWCP benefits, your injury or illness must be:
- Work-related — meaning it occurred while performing your official duties.
- Reported promptly to your supervisor or agency.
- Documented with appropriate medical evidence.
Common covered injuries include musculoskeletal issues, repetitive stress injuries, slips and falls, and occupational illnesses caused by exposure to hazardous substances.
How Does OWCP Work?
Once an injury is reported, your employing agency and OWCP will investigate the claim. If accepted, OWCP covers reasonable and necessary medical treatment related to your injury, provides compensation for lost wages if you cannot work, and may offer vocational rehabilitation if you can’t return to your previous job.
Medical Treatment Under OWCP
OWCP-authorized providers must deliver care according to established guidelines. Treatment may include physical therapy, chiropractic care, pain management, surgery, or other modalities tailored to your condition.
WIN Medical Group in Upper Darby, PA, is proud to be an authorized provider specializing in comprehensive care for OWCP patients. Our team offers chiropractic adjustments, physical therapy, and rehabilitative exercises designed to optimize your recovery and help you return to work safely.
Common OWCP Billing Codes and Documentation
Proper coding and documentation are critical for claim approval and timely reimbursement. Some common ICD-10 diagnosis codes for OWCP claims involving musculoskeletal injuries include:
- M54.5 — Low back pain
- S83.20 — Knee sprain
- M75.1 — Rotator cuff syndrome
- M19.90 — Osteoarthritis, unspecified joint
- S43.40 — Shoulder dislocation
Our experienced billing team at WIN Medical Group ensures accurate coding and compliance with OWCP requirements to streamline your claims process.
Steps to File an OWCP Claim
- Report your injury immediately to your supervisor and seek medical attention.
- Complete the necessary forms, including the CA-1 (Federal Employee’s Notice of Traumatic Injury) or CA-2 (Notice of Occupational Disease) depending on your injury type.
- Submit medical evidence to support your claim, including reports from your treating physicians.
- Follow your treatment plan and attend all medical appointments.
- Communicate with your OWCP claims examiner for updates and requirements.
Helpful OWCP Forms
- Form CA-1: Notice of Traumatic Injury
- Form CA-2: Notice of Occupational Disease
- Form CA-16: Authorization for Examination and/or Treatment
Why Choose WIN Medical Group for Your OWCP Treatment?
At WIN Medical Group, we understand the unique challenges faced by federal workers navigating OWCP claims. Our dedicated team provides:
- Expert knowledge of OWCP regulations and documentation
- Comprehensive chiropractic, physical therapy, and pain management services
- Personalized treatment plans focused on your goals and return-to-work timeline
- Assistance with claim-related paperwork and communication with OWCP representatives
Located conveniently in Upper Darby, PA, we serve federal employees from Havertown, Drexel Hill, Broomall, Philadelphia, and surrounding areas.
Frequently Asked Questions About OWCP
Can I choose my own doctor for OWCP treatment?
Yes, once your claim is accepted, you can select an OWCP-authorized physician or chiropractor. We encourage you to consult with WIN Medical Group for specialized chiropractic care designed for federal workers.
How long does OWCP pay benefits?
OWCP provides wage-loss compensation for the period you are unable to work due to your injury. Benefits can continue until you reach maximum medical improvement or can return to your job.
What if my claim is denied?
If your claim is denied, you have the right to appeal. WIN Medical Group can assist by providing medical documentation and supporting your case.
Contact WIN Medical Group for OWCP Care in Upper Darby
Don’t let an injury keep you from your federal job. Contact WIN Medical Group today at 610-789-1800 to schedule a consultation and learn how we can support your OWCP claim and recovery.
Visit us online at winmedicalgroup.com or come see us in person at our Upper Darby office.
Disclaimer: This article is for educational purposes only and does not constitute medical or legal advice. Please consult your physician and legal counsel regarding your specific situation. WIN Medical Group complies with all HIPAA and federal regulations.