[Fwd: Another IME ? & Phone Consult Fees]

[Guest guest]

--- Another IME ? & Phone Consult Fees

From: " Dr. Charlie Caughlin DC " <caughlindrc@...>

Date: Tue, June 8, 2004 10:02 am

< >

#1-I received a copy of an IME report from SAIF performed by WMCI Prime

Evalutations on a pt of mine performed by Mark Leadbetter MD. In the

discussion portion where the MD is answering the questioins from SAIF,

the #1 response starts off " The examinee, on a historical basis, has

complaints of mid back pain dating back to August 2003. The only reords

that document this are chiropractic records which start in November

2003. The veracity or the accuracy of these cannot be determined by me. "

Now I don't know if I am just being over sensitve but this guy is

actually implynig that I (thats me)am being untruthfull and innacurate

in my chart notes! In other words he is calling me a LIAR!!! Isn't this

slander??? #2-I cant find the current rvu for telephone consult ie with

adjustor or Attorneys and do you bill in 15min incriments? ie 25min =

30min billed. Thanks for the help I have to go fabricate some more chart

notes and exams!

DR CHARLIE CAUGHLIN DC. CAC

155 NW 1ST AVE

JOHN DAY, OR 97845

OFF-541-575-1063

FAX-541-575-5554

HM-541-575-1103

DR CHARLIE CAUGHLIN DC. CAC

155 NW 1ST AVE

JOHN DAY, OR 97845

OFF-541-575-1063

FAX-541-575-5554

HM-541-575-1103

[Guest guest]

Dr. Caughlin:

re: "The veracity or the accuracy of these cannot be determined by me"

Personally I've seen variations of that numerous times, and choose to regard it as a little legalistic footwork disassociating the reviewer with any responsibility for records forwarded to him regardless of his clinical findings....and I am proud to nearly have learned to not bristle too badly over something that may well represent what you suggest.....on the other hand, so what if it is?

If your records present a strong and accurate view of the patient it will stand in court if you have to go there. I love it when in spite of the noisome and loutish opposition for rational health care from those Dark Powers, they can do nothing because of the clarity of my own chart notes..... And you are far too busy in your life to let this tweak too much at your ever-more tenuous grasp at pleasant social comportment in difficult circumstances.... Welcome to the club.

a semi-quote from the Bard:

"Some strive to be a-holes, some are born to be a-holes, and some have a-holeness thrust upon them....especially IMEs and Insurance Drones"....

Whether that is the case with this IME, at the least you can refrain from occupying one of those positions yourself....

cheers, and

yours in health,

kindly Dr Pedersen

Sweet Home

[Guest guest]

Charlie – When you respond to the

IME (as I am sure you will), make the same disparaging remark about his

examination findings, especially after you pick them apart in minutia. What

this practitioner has done is arrogant, and professionally very self centered. It

probably is somewhat self serving for future business………

after all, how can you assure that his examination was correct? Just use your

charting and clinical reasoning to justify your treatment.

From: Dr. Charlie

Caughlin DC [mailto:caughlindrc@...]

Sent: Tuesday, June 08, 2004 4:43

PM

Subject: [Fwd: Another

IME ? & Phone Consult Fees]

--- Another IME ? & Phone Consult Fees

From: " Dr. Charlie Caughlin DC "

<caughlindrc@...>

Date: Tue, June 8, 2004 10:02 am

< >

#1-I received a copy of an IME report from SAIF

performed by WMCI Prime

Evalutations on a pt of mine performed by Mark

Leadbetter MD. In the

discussion portion where the MD is answering the

questioins from SAIF,

the #1 response starts off " The examinee, on

a historical basis, has

complaints of mid back pain dating back to August

2003. The only reords

that document this are chiropractic records which

start in November

2003. The veracity or the accuracy of these cannot

be determined by me. "

Now I don't know if I am just being over sensitve

but this guy is

actually implynig that I (thats me)am being

untruthfull and innacurate

in my chart notes! In other words he is calling me

a LIAR!!! Isn't this

slander??? #2-I cant find the current rvu for

telephone consult ie with

adjustor or Attorneys and do you bill in 15min

incriments? ie 25min =

30min billed. Thanks for the help I have to go

fabricate some more chart

notes and exams!

DR CHARLIE CAUGHLIN DC. CAC

155

NW 1ST AVE

JOHN DAY, OR 97845

OFF-541-575-1063

FAX-541-575-5554

HM-541-575-1103

DR CHARLIE CAUGHLIN DC. CAC

155

NW 1ST AVE

JOHN DAY, OR 97845

OFF-541-575-1063

FAX-541-575-5554

HM-541-575-1103

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.

[Guest guest]

Hi Charlie,

I agree with Mike; however, I am sorry to say that any protests from you are likely to fall on the deaf ears of the folks who were paying $40K per month to a serial rapist so they could continue to avoid paying $500 to you for reasonable case. Despite what this Leadbetter character wrote in his report he did not state that your records were unreliable or untruthful, and thus he presents no basis for doubting any of your findings or care. I would make certain that you mention this in any rebuttal.

Freeman RE: [Fwd: Another IME ? & Phone Consult Fees]

Charlie – When you respond to the IME (as I am sure you will), make the same disparaging remark about his examination findings, especially after you pick them apart in minutia. What this practitioner has done is arrogant, and professionally very self centered. It probably is somewhat self serving for future business……… after all, how can you assure that his examination was correct? Just use your charting and clinical reasoning to justify your treatment.

From: Dr. Charlie Caughlin DC [mailto:caughlindrc@...] Sent: Tuesday, June 08, 2004 4:43 PM Subject: [Fwd: Another IME ? & Phone Consult Fees]

--- Another IME ? & Phone Consult FeesFrom: "Dr. Charlie Caughlin DC" <caughlindrc@...>Date: Tue, June 8, 2004 10:02 am< >#1-I received a copy of an IME report from SAIF performed by WMCI PrimeEvalutations on a pt of mine performed by Mark Leadbetter MD. In thediscussion portion where the MD is answering the questioins from SAIF,the #1 response starts off "The examinee, on a historical basis, hascomplaints of mid back pain dating back to August 2003. The only reordsthat document this are chiropractic records which start in November2003. The veracity or the accuracy of these cannot be determined by me."Now I don't know if I am just being over sensitve but this guy isactually implynig that I (thats me)am being untruthfull and innacuratein my chart notes! In other words he is calling me a LIAR!!! Isn't thisslander??? #2-I cant find the current rvu for telephone consult ie withadjustor or Attorneys and do you bill in 15min incriments? ie 25min =30min billed. Thanks for the help I have to go fabricate some more chartnotes and exams!DR CHARLIE CAUGHLIN DC. CAC155 NW 1ST AVEJOHN DAY, OR 97845OFF-541-575-1063FAX-541-575-5554HM-541-575-1103DR CHARLIE CAUGHLIN DC. CAC155 NW 1ST AVEJOHN DAY, OR 97845OFF-541-575-1063FAX-541-575-5554HM-541-575-1103OregonDCs 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. 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.

[Guest guest]

Dr. Thille

I disagree in the extreme with your suggestion. Always take the high road in

any debate. Do not take what an insurance examiner says as a personal insult,

but rather, use their our arrogance against them. You can throw their BS right

back in their face, but it must be done with grace and with at least an air of

seeming respect for the dumbkoff that said all those nasty things about you in

the first place. If you would like, I can forward any of you several rebuttals

to IME's I have done over the years.

Also, Art Croft has a great section in his Whiplash & Brain Traumatology course

about IME's, rebuttals to insurers, etc., that is worth reading.

Take the derogatory things they say, laugh ithem off and then turn around and

stick a fork in 'em with logic and truth. But do it with at least a semblance

of dignity. No name calling, no insinuating comments about the man's mother (or

father), and always use proper English, i.e., no swearing! Please.

That's my opinion, and I could be wrong, but I don't think so in this case.

Dr. Ray

Charlie – When you respond to the

IME (as I am sure you will), make the same disparaging remark about his

examination findings, especially after you pick them apart in minutia. What

this practitioner has done is arrogant, and professionally very self centered. It

probably is somewhat self serving for future business………

after all, how can you assure that his examination was correct? Just use your

charting and clinical reasoning to justify your treatment.

From: Dr. Charlie

Caughlin DC [mailto:caughlindrc@...]

Sent: Tuesday, June 08, 2004 4:43

PM

Subject: [Fwd: Another

IME ? & Phone Consult Fees]

--- Another IME ? & Phone Consult Fees

From: " Dr. Charlie Caughlin DC "

<caughlindrc@...>

Date: Tue, June 8, 2004 10:02 am

< >

#1-I received a copy of an IME report from SAIF

performed by WMCI Prime

Evalutations on a pt of mine performed by Mark

Leadbetter MD. In the

discussion portion where the MD is answering the

questioins from SAIF,

the #1 response starts off " The examinee, on

a historical basis, has

complaints of mid back pain dating back to August

2003. The only reords

that document this are chiropractic records which

start in November

2003. The veracity or the accuracy of these cannot

be determined by me. "

Now I don't know if I am just being over sensitve

but this guy is

actually implynig that I (thats me)am being

untruthfull and innacurate

in my chart notes! In other words he is calling me

a LIAR!!! Isn't this

slander??? #2-I cant find the current rvu for

telephone consult ie with

adjustor or Attorneys and do you bill in 15min

incriments? ie 25min =

30min billed. Thanks for the help I have to go

fabricate some more chart

notes and exams!

DR CHARLIE CAUGHLIN DC. CAC

155

NW 1ST AVE

JOHN DAY, OR 97845

OFF-541-575-1063

FAX-541-575-5554

HM-541-575-1103

DR CHARLIE CAUGHLIN DC. CAC

155

NW 1ST AVE

JOHN DAY, OR 97845

OFF-541-575-1063

FAX-541-575-5554

HM-541-575-1103

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.

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.

[Guest guest]

I agree. It was early and that statement probably hit me wrong. I was

speaking off the cuff and did not intend to be taken literally. One can get

one's point across in a dignified manner.................

M. Thille, D.C.

RE: [Fwd: Another IME ? & Phone Consult Fees]

Dr. Thille

I disagree in the extreme with your suggestion. Always take the high road

in any debate. Do not take what an insurance examiner says as a personal

insult, but rather, use their our arrogance against them. You can throw

their BS right back in their face, but it must be done with grace and with

at least an air of seeming respect for the dumbkoff that said all those

nasty things about you in the first place. If you would like, I can forward

any of you several rebuttals to IME's I have done over the years.

Also, Art Croft has a great section in his Whiplash & Brain Traumatology

course about IME's, rebuttals to insurers, etc., that is worth reading.

Take the derogatory things they say, laugh ithem off and then turn around

and stick a fork in 'em with logic and truth. But do it with at least a

semblance of dignity. No name calling, no insinuating comments about the

man's mother (or father), and always use proper English, i.e., no swearing!

Please.

That's my opinion, and I could be wrong, but I don't think so in this case.

Dr. Ray

[Guest guest]

Charlie,

At least you live in Day where it is legal to call the IME out in the

street and call him a dirty lowdown yella dawg and open up a can of wuppass

on him. Over here the closest we get to an ass wuppin' is writing reBUTTals.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

drscott@...

or

info@...

> From: " Dr. Charlie Caughlin DC " <caughlindrc@...>

> Date: Tue, 8 Jun 2004 16:43:16 -0700 (PDT)

> < >

> Subject: [Fwd: Another IME ? & Phone Consult Fees]

>

>

> --- Another IME ? & Phone Consult Fees

> From: " Dr. Charlie Caughlin DC " <caughlindrc@...>

> Date: Tue, June 8, 2004 10:02 am

> < >

>

> #1-I received a copy of an IME report from SAIF performed by WMCI Prime

> Evalutations on a pt of mine performed by Mark Leadbetter MD. In the

> discussion portion where the MD is answering the questioins from SAIF,

> the #1 response starts off " The examinee, on a historical basis, has

> complaints of mid back pain dating back to August 2003. The only reords

> that document this are chiropractic records which start in November

> 2003. The veracity or the accuracy of these cannot be determined by me. "

> Now I don't know if I am just being over sensitve but this guy is

> actually implynig that I (thats me)am being untruthfull and innacurate

> in my chart notes! In other words he is calling me a LIAR!!! Isn't this

> slander??? #2-I cant find the current rvu for telephone consult ie with

> adjustor or Attorneys and do you bill in 15min incriments? ie 25min =

> 30min billed. Thanks for the help I have to go fabricate some more chart

> notes and exams!

>

>

> DR CHARLIE CAUGHLIN DC. CAC

> 155 NW 1ST AVE

> JOHN DAY, OR 97845

> OFF-541-575-1063

> FAX-541-575-5554

> HM-541-575-1103

>

>

> DR CHARLIE CAUGHLIN DC. CAC

> 155 NW 1ST AVE

> JOHN DAY, OR 97845

> OFF-541-575-1063

> FAX-541-575-5554

> HM-541-575-1103

>

>

>

>

>

>

> 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.

>

[Guest guest]

Dr. :

I

heard

that!

Willard Bertrand, D.C.

[Fwd: Another

IME ? & Phone Consult Fees]

--- Another IME ? & Phone Consult Fees

From: " Dr. Charlie Caughlin DC "

<caughlindrc@...>

Date: Tue, June 8, 2004 10:02 am

< >

#1-I received a copy of an IME report from SAIF

performed by WMCI Prime

Evalutations on a pt of mine performed by Mark

Leadbetter MD. In the

discussion portion where the MD is answering the

questioins from SAIF,

the #1 response starts off " The examinee, on

a historical basis, has

complaints of mid back pain dating back to August

2003. The only reords

that document this are chiropractic records which

start in November

2003. The veracity or the accuracy of these cannot

be determined by me. "

Now I don't know if I am just being over sensitve

but this guy is

actually implynig that I (thats me)am being

untruthfull and innacurate

in my chart notes! In other words he is calling me

a LIAR!!! Isn't this

slander??? #2-I cant find the current rvu for

telephone consult ie with

adjustor or Attorneys and do you bill in 15min

incriments? ie 25min =

30min billed. Thanks for the help I have to go

fabricate some more chart

notes and exams!

DR CHARLIE CAUGHLIN DC. CAC

155

NW 1ST AVE

JOHN DAY, OR 97845

OFF-541-575-1063

FAX-541-575-5554

HM-541-575-1103

DR CHARLIE CAUGHLIN DC. CAC

155

NW 1ST AVE

JOHN DAY, OR 97845

OFF-541-575-1063

FAX-541-575-5554

HM-541-575-1103

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.

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.