Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 Lily what is the nature of the complaint against the IME doc? Was his/her examination inappropriate...your patient could be sore because for once the IME-Doc did a function examination....was comprehensive in their examination....eg., actually challenged the facet joints, SPs for sprain vs strain, fished around legitimately for trigger points, performed a real motion palpation exam, etc., etc. True objective provocative testing is by it's very nature designed to reproduce the " pain generator " in hopes of validating an existing DX or finding something that has been missed etc., etc. When I once did IMEs I always informed the patient that they were going to probably be sore afterward and probably would need to follow-up with their D, but that for me to do a " good job " I need to " push, poke, and prod around. " I for one am sick of hearing from my patients who were IME'ed by many times a retired orthopod who uses such light palpation that they couldn't of found a compound fracture....let alone a functional problem! Me two cents worth, Vern Saboe, DC Albany PIP question > Docs, > I have PIP pt who experienced severe exacerbations of her s/s as a direct > and immediate result of her recent IME exam. Aside from detailed > documentation on my part and complaint by patient to the insurance carrier, > what else can be done? Complaint to insurance commissioner?? > Many thanks. > Lily Roselyn, DC > Tillamook > > OregonDCs rules: > 1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated. > 2. Always sign your e-mails with your first and last name. > 3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 Lily, If you feel that the IME doc was in any way abusive to the patient, the best thing you can do for the patient is to get another Chiro opinion exam performed ASAP. Your opinion and documentation will certainly count, but a second opinion will hold more weight. The plaintiff's attorney will probably find this to be useful, as well. However, a temporary flare-up of previous S/S is common following exam, and does not by itself represent poor technique or failure of duty. Roy -- Roy Steinberg DC DABCO Steinberg Consulting Services Inc. 14136 NE 32nd Place Bellevue WA 98007 425-883-8783: voice 425-556-0616: fax > Docs, > I have PIP pt who experienced severe exacerbations of her s/s as a direct > and immediate result of her recent IME exam. Aside from detailed > documentation on my part and complaint by patient to the insurance carrier, > what else can be done? Complaint to insurance commissioner?? > Many thanks. > Lily Roselyn, DC > Tillamook > > OregonDCs rules: > 1. Keep correspondence professional; the purpose of the listserve is to foster > communication and collegiality. No personal attacks on listserve members will > be tolerated. > 2. Always sign your e-mails with your first and last name. > 3. The listserve is not secure; your e-mail could end up anywhere. However, it > is against the rules of the listserve to copy, print, forward, or otherwise > distribute correspondence written by another member without his or her > consent, unless all personal identifiers have been removed. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 Patients need to tell IME doctors when they are being hurt and then they will stop that manner of exam. IME exams are not meant to injure patients. If the patient indeed told the IME doctor to stop and the doctor continued 'hurting' them then absolutely refer the IME group to the insurance commish. Also, I agree with Roy that a second opinion (documentation) with another DC helps the process. sharron fuchs dc PIP question Docs, I have PIP pt who experienced severe exacerbations of her s/s as a direct and immediate result of her recent IME exam. Aside from detailed documentation on my part and complaint by patient to the insurance carrier, what else can be done? Complaint to insurance commissioner?? Many thanks. Lily Roselyn, DC Tillamook OregonDCs rules: 1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated. 2. Always sign your e-mails with your first and last name. 3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2003 Report Share Posted December 16, 2003 Follow-up: As per Sharron's post...if indeed the IME doc acted inappropriately have the patient fill out a complaint form with the insurance division and give in their own hand writing, their story as per what took place. I would then have the patient file a complaint with that " IME doc's " Board of Examiners. The key being the " consumer " not you the provider needs to file these complaints....it simply carries more H2O with these agencies. Vern Saboe PIP question > > > Docs, > I have PIP pt who experienced severe exacerbations of her s/s as a direct > and immediate result of her recent IME exam. Aside from detailed > documentation on my part and complaint by patient to the insurance carrier, > what else can be done? Complaint to insurance commissioner?? > Many thanks. > Lily Roselyn, DC > Tillamook > > OregonDCs rules: > 1. Keep correspondence professional; the purpose of the listserve is to > foster communication and collegiality. No personal attacks on listserve > members will be tolerated. > 2. Always sign your e-mails with your first and last name. > 3. The listserve is not secure; your e-mail could end up anywhere. However, > it is against the rules of the listserve to copy, print, forward, or > otherwise distribute correspondence written by another member without his or > her consent, unless all personal identifiers have been removed. > > > Quote Link to comment Share on other sites More sharing options...
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