Get Ca-20 - Attending Physician’s Report

Completing the CA-20 - Attending Physician’s Report online is a critical process for documenting a patient's work-related injury. This guide provides a step-by-step approach to ensure that every section is filled out accurately and thoroughly, catering to users with varying levels of experience.

Follow the steps to fill out the CA-20 form effectively.

1. Press the 'Get Form' button to access the CA-20 form. This will allow you to open and interact with the document in the online editor.
2. In box 1, enter the patient's full name as recorded on their identification documents. Ensure spelling is accurate to avoid delays.
3. If available, provide the OWCP File Number in box 2. If this information is not prepopulated, you may leave the box blank.
4. Record the date of the patient's initial treatment for the work injury in box 3, which establishes a timeline for the case.
5. In box 4, input the date when the examination for this report took place.
6. Detail how the patient's injury occurred in box 5. Be specific to ensure clarity on the nature of the incident.
7. In box 6, provide objective findings from the physical examination, including results of any diagnostic tests and references to any pre-existing conditions.
8. List the medical diagnosis(es) related to the injury in box 7. Remember that 'pain' is not an acceptable diagnosis on its own.
9. Assign the appropriate ICD codes for each diagnosis noted in box 8 to support coding accuracy.
10. Address the causal relationship in box 9. Specify whether the condition was caused or aggravated by the employment activity, and provide a thorough explanation.
11. Indicate the patient's current disability status in box 10 by circling the appropriate option between 'Totally Disabled,' 'Partially Disabled,' or 'Not Disabled' and providing relevant dates.
12. If the patient is partially disabled, box 11 requires details about their physical limitations and types of reasonable work.
13. Add any additional comments or remarks regarding the patient's condition in box 12.
14. Sign and date the form in box 13, ensuring that if you are not a physician, a co-signature by a physician is included.
15. Complete boxes 14 to 17 with your name, address, tax ID number, and specialty if applicable.
16. Once all sections are filled out, review the form for accuracy. You can save your changes, download, print, or share the completed form as necessary.

Complete the CA-20 - Attending Physician’s Report online to ensure a smooth claims process.