By Rosie Moore, DNP, RN, LNC, LEHP
Functional Medicine Nurse Consultant & Workers’ Compensation Case Manager
If you’re a provider treating a federal employee through the U.S. Department of Labor (OWCP), you may be wondering how often you need to see the patient in person in order to address work status and provide documentation such as the CA-17.
Here’s what you need to know:
There is no OWCP rule that requires an in-person visit every 30 days.
While many case managers or employers prefer monthly updates, OWCP allows for completion of the CA-17 and work status documentation based on chart review, as long as your determination is based on recent clinical documentation and your professional judgment.
Can I Complete a CA-17 Without Seeing the Patient?
Yes. If the injured worker is stable and there is no new clinical change, you may complete a CA-17 indicating that work status remains unchanged. You must clearly document that your opinion is based on a review of existing records and that no in-person visit occurred.
Best Practice Language to Include in Your Note:
“Work status extended based on review of existing medical records. No in-person evaluation was conducted at this time.”
This protects you and clearly communicates the basis of your decision.
Reminder: OWCP Forms Are for Administrative Use
The CA-17 and similar forms are tools used by the employer and claims examiner to track capacity for duty. OWCP does not regulate a strict timeline for follow-up unless medical necessity or case complexity requires it.
Final Thoughts
As always, clinical judgment comes first. If the injured worker’s condition changes or you need to reassess capacity for work, schedule a visit. But if nothing has changed, chart review may be appropriate — and acceptable to OWCP — when updating paperwork.
Need Help Staying Compliant Without Extra Work?
As a nurse consultant, I help providers stay on top of OWCP documentation, functional evaluations, and return-to-work protocols—without unnecessary visits.
rosie@jrmnurseconsultants.com
jrmnurseconsultants.com
407-760-1662