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Workers’ Compensation

Raleigh Orthopaedic Clinic provides high quality orthopaedic care for work-related illnesses and injuries covered under North Carolina workers’ compensation. The Raleigh Orthopaedic Clinic Workers’ Compensation Care and Industrial Rehabilitation programs are designed to restore functionality and relieving pain for employees from all industries. We work with employers to minimize lost time, protect employees from injury, and safely rehabilitate and return employees to work in a safe and expedient manner.

We understand that accessibility and communication are critical to the successful treatment and rehabilitation of the injured worker. Raleigh Orthopaedic Clinic has designated workers’ compensation staff members to assist with the necessary communication, and to serve as a liaison between our physicians and the insurance companies, case managers, employers, and the patients. Our team of workers’ compensation professionals will make authorized appointments, work to obtain timely authorization for diagnostic tests and surgeries, and are willing to take your calls to make the referral process as smooth as possible.

Our work injury services include:

  • Dedicated workers’ compensation coordinators and direct hotline
  • Evidence-based return-to-work and discharge practices
  • Independent Medical Exams (IME) and Second Opinions
  • On-site Mobile MRI Diagnostic Imaging
  • Workers’ Compensation Medication Pharmacy
  • Certified Hand and Occupational Therapy Services including Functional Capacity Exams (FCE)

In order to better help us serve you, please review the following information regarding the workers’ compensation referral process:

Workers’ Compensation Appointments

To request a workers’ compensation appointment with one of Raleigh Orthopaedic Clinic doctors, we ask that the employer or insurance carrier to complete the workers’ compensation information sheet.  Once the form is received, we will contact the requesting party to schedule an appointment at a convenient time.

For questions or concerns regarding workers’ compensation appointments, please contact our Workers’ Compensation Hotline: 919-863-6804.

Independent Medical Exams (IME) and Second Opinions

Occasionally an Independent Medical Exam or Second Opinion is necessary to provide the appropriate treatment to the injured worker. A “special exam” is required, if the patient’s date of injury exceeds two months and they have been treated by another specialist (orthopaedist, neurologist, neurosurgeon, physiatrist, podiatrist, etc.). The injured worker’s medical records will be reviewed prior to scheduling an appointment.

To expedite this process, please complete the workers’ compensation information sheet, and email or fax the completed form to the Workers’ Compensation Coordinator listed below. In addition, please forward all relevant medical records for the physician to review. You may mail the medical records to the attention to the Workers’ Compensation Department at the following address:

Raleigh Orthopaedic Clinic
3001 Edwards Mill Road, Suite 200
Raleigh, NC 27612
Attn: Workers’ Compensation Department

If the medical records are less than 30 pages, you may fax them to: 919-863-6809. If the physician agrees to see the patient, the requesting party will receive a pre-pay statement that indicates which physician has agreed to perform the exam, and the fee for that service. Once the payment is received in our office, our Workers’ Compensation Coordinator will contact you to arrange an appointment at a convenient time. If the physician denies the exam, the requesting party will be notified.

For questions or concerns regarding IME’s or second opinions, please contact our Workers’ Compensation Hotline at 919-863-6804.

Authorization Status

The key to a timely plan of care is persistence.  Our team will actively attempt to obtain authorization for any procedure, diagnostic test or surgery the Raleigh Orthopaedic Clinic provider recommended.

For questions or concerns regarding the authorization status, please contact our Workers Compensation Hotline at 919-863-6804.

Workers’ Compensation Team:

Workers’ Compensation Hotline: 919-863-6804
Workers’ Compensation Fax Line: 919-863-6809

Workers’ Compensation Coordinators

Donna Knott
Phone: 919-863-6863
Email: dknott@raleighortho.com

Sheila Maldonado
Email: smaldonado@raleighortho.com

Bryant Ramirez
Email: bramirez@raleighortho.com

Workers’ Compensation Supervisor

Krista Poole
Phone: 919-863-6839
Email: kpoole@raleighortho.com

Workers Compensation Billing Specialist

Phone: 919-863-6818
Fax: 919-863-6930

Physical Therapy/ Hand Therapy Appointments

Phone: 919-863-6996
Fax: 919-781-5246

Functional Testing Coordinator

Phone: 919-863-6900
Fax: 919-863-6901