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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:

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foster communication and collegiality. No personal attacks on listserve

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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.

>

>

>

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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.

>

>

>

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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.

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Share on other sites

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.

>

>

>

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