Who You Gonna Call? | Pre-Authorization Required | Print This Page
In the California Worker's Compensation system, acupuncturists are considered to be "primary care physicians". Thus, an acupuncturist can manage your Worker's Compensation case and provide care to you following an on-the-job injury.
Under current Worker's Compensation Law, all non-emergency treatment is subject to pre-authorization based on the guidelines of the American College of Occupational and Environmental Medicine (ACOEM).
If you are referred by your physician, Eastern Body Therapy will request authorization for your treatment based on the doctor's prescription prior to beginning treatment. back to top
In Worker's Compensation, the primary treating physician is responsible for managing your entire claim and all of your medical care relating to your work-related injury. An acupuncturist CAN be the primary treating physician for a California Worker's Compensation case. If would like us to become your primary treating physician, you will need to be seen for an initial examination. The evaluation will include review of your medical records, physical examination, and Oriental medicine evaluation as well as development of a customized treatment plan. The results of the examination and our treatment plan are submitted to your insurance carrier for authorization. NO TREATMENT WILL BE RENDERED (except for referral for appropriate emergency care) UNTIL WE HAVE AUTHORIZATION FROM YOUR INSURANCE CARRIER. Once your treatment plan is authorized, we can provide acupuncture and other care within the scope of practice of an acupuncturist. Each time a change is made to your treatment plan or the treatment authorized is completed, a report is submitted and authorization for further treatment is requested. Again, no treatment will be rendered without authorization from your carrier. back to top
Lisa Nicholson, L.Ac. is a Qualified Medical Examiner in the California Worker's Compensation system. She is familiar with the Worker's Compensation laws, procedures for filing claims and requesting authorization, and she is qualified by the State of California to perform independent medical examinations to resolve disputes between the injured worker and the insurance carrier/employer. She is available to answer your questions about your Worker's Compensation benefits.
If you would like to explore whether acupuncture is an appropriate treatment for your work-related injury, please contact Lisa at (619)772-4002 to discuss your case.