What is an Authorized Treating Physician in Workers’ Compensation Cases?

What Is an Authorized Treating Physician in Missouri Workers’ Comp Cases?

Quick answer: In a Missouri workers’ compensation case, the employer or its insurer generally chooses the treating physician and pays for authorized medical care. An injured employee may use a different physician at their own expense, while the Division or Labor and Industrial Relations Commission may order a change when the provided care endangers the employee’s life, health, or recovery.

If you’ve been injured on the job in Missouri, the doctor you see isn’t always your choice. Missouri’s workers’ compensation system designates specific physicians, known as Authorized Treating Physicians, to oversee your medical care. Understanding who these physicians are, what they do, and how they affect your claim can make a significant difference in the outcome of your case. The workers’ compensation attorneys at Labovitz Law Firm can help you understand ATPs and how to get the compensation you need after suffering a workplace injury.

Who Qualifies as an Authorized Treating Physician in Missouri?

What Medical Professionals Are Recognized by Missouri’s Workers’ Compensation System?

Missouri’s workers’ compensation system, governed by the Missouri Division of Workers’ Compensation under the Missouri Department of Labor and Industrial Relations, recognizes licensed physicians who meet state requirements. These include medical doctors (MDs), doctors of osteopathy (DOs), and in some cases chiropractors and other licensed practitioners, depending on the nature of the injury.

How Do Physicians Become Authorized in Missouri?

Authorization typically comes through the employer’s insurance carrier or self-insured employer. Employers and insurers maintain lists of approved providers. Under Missouri Revised Statutes Chapter 287, employers generally have the right to direct medical care, which means they select the initial ATP for injured workers.

The Role and Responsibilities of an ATP

How Does an ATP Diagnose and Treat Work-Related Injuries?

The ATP evaluates the injured worker, diagnoses the work-related condition, and prescribes a course of treatment. Their assessments carry significant legal weight in Missouri workers’ compensation proceedings.

Why Is ATP Documentation So Important for Your Claim?

The ATP’s written reports and medical records form the foundation of a workers’ compensation claim. These documents establish the connection between the workplace incident and the injury, support disability determinations, and guide decisions about benefits.

The ATP also communicates directly with the employer and insurance carrier, providing updates and reports that shape how the claim moves forward.

Patient Rights with an Authorized Treating Physician

Can You Choose Your Own ATP in Missouri?

Missouri law generally gives employers the right to select the initial treating physician. However, injured workers do have some rights. If you are dissatisfied with the care you’re receiving, you may request a change of physician. 

Under Missouri Revised Statutes Section 287.140, injured workers may petition the Division of Workers’ Compensation for a change of physician under certain circumstances.

What Should You Expect During ATP Treatment?

Your ATP should conduct thorough evaluations, communicate clearly about your diagnosis and treatment plan, and document your progress accurately. You have the right to understand your treatment and to raise concerns if you believe your care is inadequate.

Common Questions About ATPs in Missouri

Can you change your treating physician mid-treatment?

Yes, but it requires approval. Missouri workers can petition for a change of physician through the Division of Workers’ Compensation. Acting quickly and documenting your concerns is important.

What happens if you disagree with your ATP’s assessment?

You may seek an independent medical examination (IME). An IME provides a second opinion that can be presented during dispute resolution or a workers’ compensation hearing.

How do ATPs handle pre-existing conditions?

Missouri follows the “prevailing factor” standard. Under this rule, the work-related injury must be the prevailing factor causing the medical condition. ATPs are required to distinguish between pre-existing conditions and new, work-related injuries in their documentation.

How Labovitz Law Firm Can Help You Navigate the ATP Process

Working with an Authorized Treating Physician is one of the most consequential parts of a Missouri workers’ compensation claim. The ATP’s reports influence your benefits, your treatment timeline, and the overall outcome of your case.

If you have concerns about your ATP, disagree with a medical assessment, or need guidance on your rights as an injured worker, Labovitz Law Firm is here to help. Our team assists Missouri workers through every stage of the workers’ compensation process, from the initial claim to dispute resolution.

Contact Labovitz Law Firm to discuss your case and protect your rights under Missouri law.

Written by Brent Labovitz

Brent Labovitz is a St. Louis personal injury lawyer who specializes in accident cases and is as dedicated to his clients as he is to his family — because at the end of the day, it's all about people.

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