Guest guest Posted December 8, 2004 Report Share Posted December 8, 2004 Dr. McGill, If it was me, I'd document the referral from the PCP. Contact the MD by letter to introduce yourself. Send updates with progress. Keep the MD informed as to your treatments, document progress. Involve the PCP/MD in communication during care. Did the Liberty NW carrier who denied care, site a medical evalutation to back up the denial? If not just be really good at your job with documentation. The claims person at LIberty may have no medical knowledge and be unable to offer a valid opinion other than following a canned denial. Many stress cases will/can develop spinal sites of pain. As long as you can relate it to the stress you should have a good reason to treat when combined with the MDs referral. Request past medical history to make sure there are not other complicating factors in the patient's pain areas. Read that attached file that Matt posted from Dr. Freeman (Pennsylvania DC). It's really great and should help with this case. I had a dear friend who filed a stress claim due to harrassment at work, he subsequently had a heart attack and needed PT to recover. His claim was eventually approved altho there was a battle his PCP and medical team needed to help with. Ask yourself as a DC if you feel the claim for spinal pain is related to his stress? If you can answer yes, go to bat for the patient. Minga Guerrero DC In a message dated 12/8/2004 11:42:59 AM Pacific Standard Time, twogems@... writes: Docs:I have a patient coming in for treatment related to a stress claim at work. He is suffering from headaches, neck and upper back pain/tightness, nausea, and dizziness. The carrier, Liberty N.W., is telling him that they don't pay for chiropractic treatment under a stress claim. Anybody know if this is true? His M.D. prescribed physical therapy and he chose to come to me instead.Lyndon McGill, D.C.Salem, Oregon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2004 Report Share Posted December 8, 2004 Docs: I have a patient coming in for treatment related to a stress claim at work. He is suffering from headaches, neck and upper back pain/tightness, nausea, and dizziness. The carrier, Liberty N.W., is telling him that they don't pay for chiropractic treatment under a stress claim. Anybody know if this is true? His M.D. prescribed physical therapy and he chose to come to me instead. Lyndon McGill, D.C. Salem, Oregon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2004 Report Share Posted December 8, 2004 Minga: I had one of my staffers call the Workers' Comp Division and they said that as long as we can relate the musculoskeletal complaints to the stress the patient is suffering from at work, it is compensable. Lyndon McGill, D.C. Salem, Oregon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2004 Report Share Posted December 9, 2004 It's like if music therapy is recommended, you cannot treat the patient because, although you consider yourself a cellist, THE INDUSTRY considers you a banjo player (kazoo player). Please go to the back of the bus and sit quietly. (for a serious answer, go to Minga's response) (Dr. Abrahamson, D.C.) Chiropractic physician Lake Oswego Chiropractic Clinic 315 Second Street Lake Oswego, OR 97034 http://www.lakeoswegochiro.com 503-635-6246 On 12/8/04 11:40 AM, " Lyndon McGill " <twogems@...> wrote: > > Docs: > > I have a patient coming in for treatment related to a stress claim at > work. He is suffering from headaches, neck and upper back > pain/tightness, nausea, and dizziness. The carrier, Liberty N.W., is > telling him that they don't pay for chiropractic treatment under a > stress claim. Anybody know if this is true? His M.D. prescribed physical > therapy and he chose to come to me instead. > > Lyndon McGill, D.C. > Salem, Oregon > > > > > > > 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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