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Occupational and Environmental Lung Diseases Program

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Occupational and Environmental Lung Diseases Program

Treating a patient with inhalational injury at their workplace requires both medical expertise and detailed knowledge of the unique State Workers’ Compensation documentation requirements, prior authorization process and follow-up requirements. Our team has this unique expertise.

What to Expect from the Occupational and Environmental Lung Diseases Program

Our team of expert providers specialize in occupational and environmental lung conditions including:

  • Occupational asthma
  • Reactive airway dysfunction syndrome (RADS)
  • Wildfire smoke exposure
  • Burn pit exposures during deployment
  • Other environmental exposures

We also offering the following services:

  • Pulmonary function testing (hyperlink when treatment page is live)
  • Methacholine challenge testing
  • Chest x-rays

Scheduling

When scheduling your Workers’ Compensation visit here with us, please let us know it is Workers’ Compensation related for billing purposes.

You can schedule an appointment once you have connected with a legal team and established a Workers’ Comp case:

  • Your case may be active/ongoing
  • Your case may be settled
  • Your case may be processed in NYS or another state

When scheduling an initial visit for your inhalational injury to be evaluated (prior to your worker’s compensation claim being approved), you will likely have a copayment due as your private insurance, or Medicare/Medicaid will be billed for this visit.

After your workers’ compensation claim has been approved (and your case is active), you will not have a co-payment due at visits. If you settled your case with the workers’ compensation board (with no ongoing medical coverage), your co-payments will resume.

Your Visit

We offer visits in the office and via telehealth. By current worker’s compensation board guidelines, the initial visit and every third visit must in person. The following information will be needed by the first visit here to process your Workers’ Compensation claim:

  • NY State Workers’ compensation board case number (if case is active)
  • Last 4 digits of your social security number (SSN)
  • Name of your lawyer/firm/case worker/WC Insurance carrier
  • Brief summary of your injury, % of your disability from prior providers.

Your initial visit will be 60 minutes, while follow-up visits will be 30 minutes.Follow-up visits are required by the Workers’ Compensation Board every 90 days in order to receive the benefits (medication coverage, etc.). A lapse in follow-up visits may lead to loss of WC coverage or a need for an additional court hearing.

Most medications, medical equipment and testing require prior authorization approval via Workers’ Compensation Portal. Our expert team will provide guidance through this process.

What Sets Us Apart?

Our experts have extensive training and medical practice treating patients with occupational and environmental lung disease. We ensure effective communication between the patient, clinic, legal team, and worker’s compensation board.

For patients with active worker’s compensation cases, we complete the prior authorization processes and to meet follow-up requirements to comply with the New York State Workers’ Compensation regulations.

At UR Medicine, our approach to solving pressing health issues involves sustained commitment to collaborative research, education, and engagement. Our team collaborates with others across the university to tackle major issues that intersect environmental factors and human health.

Providers

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Locations

We serve you in the Rochester metropolitan area and surrounding region.

1 location

Mary Parkes Center for Asthma, Allergy & Pulmonary Care - Henrietta
Part of Strong Memorial Hospital

Red Creek (Calkins Corporate Park)
400 Red Creek Drive, Suite 110
Rochester, NY 14623

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