Non-Industrial Injury Claims
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Case Challenge #2
A Police Officer, already recovering from a work-related spinal fusion, was rear-ended in a motor vehicle accident the morning of a doctor's appointment. This accident prolonged her rehabilitation, increased her pain, caused muscle spasms, delayed her return to work, and required MRI studies to rule out displacement.

Our Solution
Because of persistence and asking questions, the nurse case manager was able to get the precise details of the accident only a few hours after it had occurred. After confirming the time and place with the MD, the nurse discussed apportionment and obtained percentages for PT and delayed recovery, resulting in significant cost savings. In addition, she also had a history of a non-industrial injury that had affected her entire recovery and need for surgery. Apportionment was discussed for this prior to this accident as well.