The News-Gazette
By DR. DAVID FLETCHER
There’s a crisis looming in our state’s workers’ compensation system. If allowed to fester, it will keep workers from receiving timely medical treatment for workplace injuries. It will delay workers’ recoveries and their return to their jobs. And it will end up costing more for the very businesses and insurers seeking efficiencies in the system.
This crisis is not one you’ve heard about from the business and insurance communities. It’s a crisis created by their failure to implement laws that have been on the books in Illinois for more than a decade.
As doctors who care for workers compensation patients, here are our concerns: Illinois law spells out the right for medical professionals to receive prompt payment for the care we give to patients with workplace injuries.
Just like any other business or profession, we need to be paid for that care we give, so that we can compensate our employees and keep open the doors of our medical practices.
Yet, many Illinois workers’ compensation insurers completely ignore the prompt payment law. To date, there has been no remedy for doctors and other caregivers who remain unpaid for months and months at a time.
Furthermore, state law mandates that insurers accept electronic billing and documentation for workers’ compensation claims. This expedites the process.
Yet, many insist on an obsolete paper-based medical billing system, which delays medical care to injured workers and wastes resources.
Add to this bleak reality a recent, alarming increase in delayed payments for already-approved workers’ compensation medical care claims. The result is more and more physicians unable or unwilling to treat injured workers.
Since 2005, the Workers’ Compensation Act has allowed medical professionals a late interest penalty for approved workers’ compensation medical care.
Yet there is no way for doctors and others to enforce or collect this interest.
Even if the workers’ compensation insurer approves care for an injured worker, it can and often delays payment for the medical treatment rendered. These delays can last for years.
A recent court ruling found that medical professionals can’t even go to court to collect this interest.
Since the court decision, these payment delays have worsened to the point of doctors dropping out of the system.
What’s lost in the current debate on workers’ compensation policy is that medical professionals — the physicians, surgeons, hospitals and specialists — actually provide the care that supports our entire system.
Medical professionals are the ones who get injured employees back to work, reduce employer costs for time off and long-term injuries and work with employers to prevent work-related accidents from even happening in the first place.
We are often blamed for the system’s ills, even though we are in a unique position to make that system function.
When workers are hurt on the job, they need timely access to dedicated physicians, surgeons and specialists to treat their injuries. We in the medical community stand ready with solutions to the problems that are threatening the health of our workers’ compensation system.
It’s time to pass legislation that forces workers’ compensation insurers to start following the law. The alternative is having doctors and care centers rush to the exits.
John Maszinski, who works for the Illinois State Medical Society, submitted this piece by Dr. David Fletcher of Champaign.

The City of Chicago Commissioner Randy Conner said he will buckle down on the Department of Water Management employees that continue to walk around doing nothing as Chicago Citizens are leaving Chicago. New Chicago Water Rates are going to make more people move soon.
The Illinois Workers’ Compensation Program is under fire again as insiders game the system for their benefit. The City of Chicago, The Department of Water Management, Mayor Rahm Emanuel, Alderman Burke, Illinois Lawyers have been fixing workers compensation cases for decades. One of the best tricks is the MMI maximum medical improvement doctors give to aid in the remove of employees and forcing settlements. The City of Chicago refuses to allow workers to return unless they receive a full Doctors release. The City of Chicago, under Alderman Burke’s direction, still allow major settlements for well-connected lawyers and employees that game the system year after year. Despite the major settlements, the City signs off on the loss of the person, quite opposite the full release. What? When you settle the Illinois Workers Compensation claim, you sign off the permanent loss. So, if you have a permanent loss, how can you return with no restrictions? The Illinois Lawyers have been working that angle for years and it is Insurance FRAUD. Alderman Burke takes hack Chicago law department lawyers off the cases and puts his private law firms to handle the cases for massive campaign contributions. 