Workers Comp

[Guest guest]

Man, tis been a goofy week and only half way through.

Have a patient that came to me on her own volition for pain in hands arms and neck bilaterally and she's only 23. Said she was diagnosed with carpal tunnel by MD, but during the exam CT was ruled out pretty quickly and it ended up being a pretty clear case of T.O.S..

Her MD ordered NCV test and it came back negative so she dropped the CT diag, and now referring her to Hand Specialist, meanwhile still doing PT at same office. Well now the PT agrees with me and the patient just mentioned yesterday(her 4th visit) that this is actually a workers comp case. So, I'm not the attending, but the attending has no idea whats going on with patient and the patient knows this and conveyed her displeasure with her in general. She is told to continue her PT. PT on what diagnosis, I don't know.

sigh

So, do i need to get referral now from attending in order to bill WC? her health ins. will deny claiming it's a WC thing no?

BTW, Vern, she claimed her company told her to specifically go to Concentra Med Center. SHe said they did not tell her she could initially go anywhere she liked.

signed, spinning in NE Portland

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

[Guest guest]

Let's start with first things first. If this is being considered a (potential) work related injury, follow the Work Comp rules.

Are you serving as the attending physician for these last 30 days, or is the patient's MD still the attending?

If you are the attending, the 827 should have been completed at the start of care, or when you became aware that the condition was being alleged as work related.

If the patient was referred to you by her attending physician for chiropractic care in conjunction with any other care, then you do not complete an 827 form. However, you would need to have developed a treatment plan that was endorsed by the attending physician.

At this point, I would recommend you contact the original attending MD and discuss a referral for chiropractic care under the (potential) Work Comp claim (a retro if the doctor agrees and the claims rep is aware of the circumstances). I would also have an open discussion with the claims representative handling the W/C case.

I would also discuss the matter with the patient and make sure she understands the circumstances, as well.

If the W/C claim is denied on causation, get a denial (or statement) from the W/C carrier in order to submit claim to her regular health insurance (assuming she has DC coverage). If not, make sure the patient is aware of her responsibility for services rendered. Provide her with regular copies of statements (unless it is a California W/C claim - where you cannot send a bill to the patient unless the claim is denied).

Tom Freedland

In a message dated 3/13/2006 2:49:37 P.M. Pacific Standard Time, deadmed@... writes:

Man, it gets worse.

The first I saw this patient was on 2-10-06, which means we just passed the 30 days. She's scheduled to come in tomorrow. Should I still have her sign 827 and then refer her out to another MD for referral back to me for additional treatment? I feel like we have barely started treating her.

Also, the case isn't officially a WC case yet as they are ordering an IME on the 28th of March(IME on the attending MD's diagnosis etc.). The case is pending until those results come. To tell you the truth, I never indicated in my exam nor was it ever indicated by the patient that there was a direct cause at work. She actually referred to an event that took place a couple of years ago as the possible cause, but never mentioned during the Hx that something occurred at the work place that may have caused the symptoms. I have sent them my chart notes. SO, this may not even result in a case.

UUUuuuugh.

Any suggestions would be extremely helpful.

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

----- Original Message

[Guest guest]

Man, it gets worse.

The first I saw this patient was on 2-10-06, which means we just passed the 30 days. She's scheduled to come in tomorrow. Should I stilll have her sign 827 and then refer her out to another MD for referral back to me for additional treatment? I feel like we have barely started treating her.

Also, the case isn't officially a WC case yet as they are ordering an IME on the 28th of March(IME on the attending MD's diagnosis etc.). The case is pending until those results come. To tell you the truth, I never indicated in my exam nor was it ever indicated by the patient that there was a direct cause at work. She actually referred to an event that took place a couple of years ago as the possible cause, but never mentioned during the Hx that something occurred at the work place that may have caused the symptoms. I have sent them my chart notes. SO, this may not even result in a case.

UUUuuuugh.

Any suggestions would be extremely helpful.

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

Workers Comp

Man, tis been a goofy week and only half way through.

Have a patient that came to me on her own volition for pain in hands arms and neck bilaterally and she's only 23. Said she was diagnosed with carpal tunnel by MD, but during the exam CT was ruled out pretty quickly and it ended up being a pretty clear case of T.O.S..

Her MD ordered NCV test and it came back negative so she dropped the CT diag, and now referring her to Hand Specialist, meanwhile still doing PT at same office. Well now the PT agrees with me and the patient just mentioned yesterday(her 4th visit) that this is actually a workers comp case. So, I'm not the attending, but the attending has no idea whats going on with patient and the patient knows this and conveyed her displeasure with her in general. She is told to continue her PT. PT on what diagnosis, I don't know.

sigh

So, do i need to get referral now from attending in order to bill WC? her health ins. will deny claiming it's a WC thing no?

BTW, Vern, she claimed her company told her to specifically go to Concentra Med Center. SHe said they did not tell her she could initially go anywhere she liked.

signed, spinning in NE Portland

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

[Guest guest]

My opinion with these cases (where the patient is a poor historian, and the injury goes back a year or two, and there were no incident reports, etc, etc, etc.,) is that the "best" thing that can happen is that w/c denies the whole TOS portion, and then you can treat this patient on her private insurance (because if w/c says it's not w/c, then private insurance has to pick it up!!!).

Clearly, w/c doesn't want to let a "cervical" diagnosis in when they were only thinking CT. Let the experts chase the peripheral s/s; you treat the source.

Good luck!!!

M. s, D.C.

Workers Comp

Man, tis been a goofy week and only half way through.

Have a patient that came to me on her own volition for pain in hands arms and neck bilaterally and she's only 23. Said she was diagnosed with carpal tunnel by MD, but during the exam CT was ruled out pretty quickly and it ended up being a pretty clear case of T.O.S..

Her MD ordered NCV test and it came back negative so she dropped the CT diag, and now referring her to Hand Specialist, meanwhile still doing PT at same office. Well now the PT agrees with me and the patient just mentioned yesterday(her 4th visit) that this is actually a workers comp case. So, I'm not the attending, but the attending has no idea whats going on with patient and the patient knows this and conveyed her displeasure with her in general. She is told to continue her PT. PT on what diagnosis, I don't know.

sigh

So, do i need to get referral now from attending in order to bill WC? her health ins. will deny claiming it's a WC thing no?

BTW, Vern, she claimed her company told her to specifically go to Concentra Med Center. SHe said they did not tell her she could initially go anywhere she liked.

signed, spinning in NE Portland

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

[Guest guest]

It is ok to write a report, short note or even in your chart notes discuss your thinking and how it evolved to where you now see this, primarily, as a work injury. It is such a mess anyway, the claims person might appreciate someone doing a chronology of injury and all the care up to and including yours explaining the problems, errors at each step. Frequently people don't know where their problem started until some time goes by and they figure it out. Ann Goldeen

Workers Comp

Man, tis been a goofy week and only half way through.

Have a patient that came to me on her own volition for pain in hands arms and neck bilaterally and she's only 23. Said she was diagnosed with carpal tunnel by MD, but during the exam CT was ruled out pretty quickly and it ended up being a pretty clear case of T.O.S..

Her MD ordered NCV test and it came back negative so she dropped the CT diag, and now referring her to Hand Specialist, meanwhile still doing PT at same office. Well now the PT agrees with me and the patient just mentioned yesterday(her 4th visit) that this is actually a workers comp case. So, I'm not the attending, but the attending has no idea whats going on with patient and the patient knows this and conveyed her displeasure with her in general. She is told to continue her PT. PT on what diagnosis, I don't know.

sigh

So, do i need to get referral now from attending in order to bill WC? her health ins. will deny claiming it's a WC thing no?

BTW, Vern, she claimed her company told her to specifically go to Concentra Med Center. SHe said they did not tell her she could initially go anywhere she liked.

signed, spinning in NE Portland

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

[Guest guest]

Dr. Medlin,

As an attorney must evaluate a case prior to accepting, you must do the same with complex payor situations. It is important to factor in frustration as a cost to you and your staff which involves a burnout point. Some cases are simply not worth the trouble. Of course, you can opt to take it on with the plan that you will do a good job, go through the motions to get paid, educate the patient for lifetime wellness care, and hope that it will all work out in the end.

Some do.

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: deadmed <deadmed@...>

Date: Mon, 13 Mar 2006 14:48:58 -0800

Vern Saboe <vsaboe@...>, < >

Subject: Re: Workers Comp

Man, it gets worse.

The first I saw this patient was on 2-10-06, which means we just passed the 30 days. She's scheduled to come in tomorrow. Should I stilll have her sign 827 and then refer her out to another MD for referral back to me for additional treatment? I feel like we have barely started treating her.

Also, the case isn't officially a WC case yet as they are ordering an IME on the 28th of March(IME on the attending MD's diagnosis etc.). The case is pending until those results come. To tell you the truth, I never indicated in my exam nor was it ever indicated by the patient that there was a direct cause at work. She actually referred to an event that took place a couple of years ago as the possible cause, but never mentioned during the Hx that something occurred at the work place that may have caused the symptoms. I have sent them my chart notes. SO, this may not even result in a case.

UUUuuuugh.

Any suggestions would be extremely helpful.

Dr. ph Medlin D.C.

Spine Tree Chiropractic

1627 NE Alberta St. #6

Portland, OR 97211

Ph: 503-788-6800

c: 503-889-6204

Workers Comp

Man, tis been a goofy week and only half way through.

Have a patient that came to me on her own volition for pain in hands arms and neck bilaterally and she's only 23. Said she was diagnosed with carpal tunnel by MD, but during the exam CT was ruled out pretty quickly and it ended up being a pretty clear case of T.O.S..

Her MD ordered NCV test and it came back negative so she dropped the CT diag, and now referring her to Hand Specialist, meanwhile still doing PT at same office. Well now the PT agrees with me and the patient just mentioned yesterday(her 4th visit) that this is actually a workers comp case. So, I'm not the attending, but the attending has no idea whats going on with patient and the patient knows this and conveyed her displeasure with her in general. She is told to continue her PT. PT on what diagnosis, I don't know.

sigh

So, do i need to get referral now from attending in order to bill WC? her health ins. will deny claiming it's a WC thing no?

BTW, Vern, she claimed her company told her to specifically go to Concentra Med Center. SHe said they did not tell her she could initially go anywhere she liked.

signed, spinning in NE Portland

Dr. ph Medlin D.C.

Spine Tree Chiropractic

1627 NE Alberta St. #6

Portland, OR 97211

Ph: 503-788-6800

c: 503-889-6204

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 would suggest that the doctor sit down with the patient prior to calling a claims adjuster or perhaps worse, documenting incorrect information in the chart, and let the patient tell the doctor the correct sequence of events etc.

sharron fuchs dc

From: [mailto: ] On Behalf Of AbrahamsonSent: Tuesday, March 14, 2006 10:34 AMdeadmed; Vern Saboe; Subject: Re: Workers Comp

Dr. Medlin,As an attorney must evaluate a case prior to accepting, you must do the same with complex payor situations. It is important to factor in frustration as a cost to you and your staff which involves a burnout point. Some cases are simply not worth the trouble. Of course, you can opt to take it on with the plan that you will do a good job, go through the motions to get paid, educate the patient for lifetime wellness care, and hope that it will all work out in the end.Some do.( E. Abrahamson, D.C.)Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com

From: deadmed <deadmed@...>Date: Mon, 13 Mar 2006 14:48:58 -0800Vern Saboe <vsaboe@...>, < >Subject: Re: Workers CompMan, it gets worse. The first I saw this patient was on 2-10-06, which means we just passed the 30 days. She's scheduled to come in tomorrow. Should I stilll have her sign 827 and then refer her out to another MD for referral back to me for additional treatment? I feel like we have barely started treating her.Also, the case isn't officially a WC case yet as they are ordering an IME on the 28th of March(IME on the attending MD's diagnosis etc.). The case is pending until those results come. To tell you the truth, I never indicated in my exam nor was it ever indicated by the patient that there was a direct cause at work. She actually referred to an event that took place a couple of years ago as the possible cause, but never mentioned during the Hx that something occurred at the work place that may have caused the symptoms. I have sent them my chart notes. SO, this may not even result in a case.UUUuuuugh.Any suggestions would be extremely helpful.Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

Workers Comp Man, tis been a goofy week and only half way through. Have a patient that came to me on her own volition for pain in hands arms and neck bilaterally and she's only 23. Said she was diagnosed with carpal tunnel by MD, but during the exam CT was ruled out pretty quickly and it ended up being a pretty clear case of T.O.S.. Her MD ordered NCV test and it came back negative so she dropped the CT diag, and now referring her to Hand Specialist, meanwhile still doing PT at same office. Well now the PT agrees with me and the patient just mentioned yesterday(her 4th visit) that this is actually a workers comp case. So, I'm not the attending, but the attending has no idea whats going on with patient and the patient knows this and conveyed her displeasure with her in general. She is told to continue her PT. PT on what diagnosis, I don't know. sigh So, do i need to get referral now from attending in order to bill WC? her health ins. will deny claiming it's a WC thing no? BTW, Vern, she claimed her company told her to specifically go to Concentra Med Center. SHe said they did not tell her she could initially go anywhere she liked. signed, spinning in NE Portland Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204OregonDCs 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]

Ya know, I'm going to do just that. I'm meeting with her this aftrnoon and will try to get to the bottom of this. I think she just went to the MD complaining of numbness and tingling in hands and MD thinks "ahhhh, Carpal Tunnel, and you work where? UPS? Must have been caused at work."

Then the pt. comes to me and says " I have pain and stiffness in my lower neck" I ask if there is any radicular S/S and yes she does. I ask how long has this been going on? " Well, for about two years, after a masseuse applied traction to my neck and i heard a loud pop in my lower neck"

So..... we have to have a little talk to get to the bottom of this. I'm looking at my intake form right now the one THEY fill out:

Reason for Visit? --- Neck pain back pain, tingling in both hands

When did symptoms appear? ----- Dec. 2004

Thats not to say work didn't exacerbate things, but surely it doesn't look as if work was causal.

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

Workers Comp Man, tis been a goofy week and only half way through. Have a patient that came to me on her own volition for pain in hands arms and neck bilaterally and she's only 23. Said she was diagnosed with carpal tunnel by MD, but during the exam CT was ruled out pretty quickly and it ended up being a pretty clear case of T.O.S.. Her MD ordered NCV test and it came back negative so she dropped the CT diag, and now referring her to Hand Specialist, meanwhile still doing PT at same office. Well now the PT agrees with me and the patient just mentioned yesterday(her 4th visit) that this is actually a workers comp case. So, I'm not the attending, but the attending has no idea whats going on with patient and the patient knows this and conveyed her displeasure with her in general. She is told to continue her PT. PT on what diagnosis, I don't know. sigh So, do i need to get referral now from attending in order to bill WC? her health ins. will deny claiming it's a WC thing no? BTW, Vern, she claimed her company told her to specifically go to Concentra Med Center. SHe said they did not tell her she could initially go anywhere she liked. signed, spinning in NE Portland Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204OregonDCs 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]

deadmed, OR DCs,

Let's hear it for good chart notes!!

C Simpson

From: on behalf of deadmedSent: Tue 3/14/2006 2:34 PM ; Sharron FuchsSubject: Re: Workers Comp

Ya know, I'm going to do just that. I'm meeting with her this aftrnoon and will try to get to the bottom of this. I think she just went to the MD complaining of numbness and tingling in hands and MD thinks "ahhhh, Carpal Tunnel, and you work where? UPS? Must have been caused at work."

Then the pt. comes to me and says " I have pain and stiffness in my lower neck" I ask if there is any radicular S/S and yes she does. I ask how long has this been going on? " Well, for about two years, after a masseuse applied traction to my neck and i heard a loud pop in my lower neck"

So..... we have to have a little talk to get to the bottom of this. I'm looking at my intake form right now the one THEY fill out:

Reason for Visit? --- Neck pain back pain, tingling in both hands

When did symptoms appear? ----- Dec. 2004

Thats not to say work didn't exacerbate things, but surely it doesn't look as if work was causal.

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

Workers Comp Man, tis been a goofy week and only half way through. Have a patient that came to me on her own volition for pain in hands arms and neck bilaterally and she's only 23. Said she was diagnosed with carpal tunnel by MD, but during the exam CT was ruled out pretty quickly and it ended up being a pretty clear case of T.O.S.. Her MD ordered NCV test and it came back negative so she dropped the CT diag, and now referring her to Hand Specialist, meanwhile still doing PT at same office. Well now the PT agrees with me and the patient just mentioned yesterday(her 4th visit) that this is actually a workers comp case. So, I'm not the attending, but the attending has no idea whats going on with patient and the patient knows this and conveyed her displeasure with her in general. She is told to continue her PT. PT on what diagnosis, I don't know. sigh So, do i need to get referral now from attending in order to bill WC? her health ins. will deny claiming it's a WC thing no? BTW, Vern, she claimed her company told her to specifically go to Concentra Med Center. SHe said they did not tell her she could initially go anywhere she liked. signed, spinning in NE Portland Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204OregonDCs 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]

Dear Vern: I just wanted to write and say thank you as well. I spoke to you approximately a year ago when I still lived in California and I remember how helpful you were in answering the questions that I had regarding Oregon Auto and Work Insurance. I distinctly remember you saying that you were fighting to open up the work comp panels and to increase the number of visits that an injured worker could see a chiropractor. I'm glad that you're on our side; your persistence should be applauded by all. I also spoke to your brother (?) at the new practitioner orientation down in Salem. He explained that by joining the CAO your efforts will continue to be funded. I'm glad to say that I called them as soon as I got back to my office after hearing

this. Please let me know if there are other ways that I can help.Sincerely, Cluen, DC

Give spam the boot. Take control with tough spam protectionin the all-new Beta.

[Guest guest]

I have filed approximately five complaints with the MRU concerning

this issue and won each time.

Here's what you do to combat this problem:

1. Always always always call the WC carrier to inquire about MCO

enrollement. Document the call.

2. When they pull this little " trick " file a complaint and reference

the call.

3. How can they deny that you have treated when you basically pre-

certified MCO enrollment and they have your billings?

Each and every complaint that has come back favorable noted in the

findings that each and every provider was to be notified of MCO

enrollment, not just the attending.

Best of luck...

, DC, DABCO, LLC

>

>

> All,

> same exact thing happened to me. I was out about $1200 by the time

I found

> out. The ins carrier is under NO obligation to send the treating

doctor the

> notice after 30 days. They're exact words when I confronted them.

VERN, this is

> a big problem with the current system of referral by MD. The MD

gets all the

> mail from the carrier. The carrier is under no obligation to send

PTs or DCs

> the same notification. The carrier kept sending notices to the MD

each time

> they got OUR billing, to notify that they wouldn't pay. The MD

office didn't

> inform us cause they figured the form letter was a duplicate and

we had

> received it as well. Can't blame them. I don't know how to curtail

this as we got

> little to no info with calling directly. We found out after

repeated calls to

> the referring MD's office when a secretary there noticed the

letters of

> denial and faxed us a copy. We were told we could NOT bill the

patient for the

> unpaid balance. I can't blame the patient either.

> Minga Guerrero DC

>

> In a message dated 5/21/2007 7:45:57 P.M. Pacific Daylight Time,

> dr-harper@... writes:

>

> Please please be careful if you are not on the panel. We had a

case where we

> were unaware that we were not on the patients panel. They sent the

letter to

>

> the patient and the MD giving ten days of notice. They did not send

us the

> letter because we were not considered primary care. They refused

all payment

> after several thousand dollars of care. Completely unfriendly to

us. I

> believe it was MHO. So ask your patient to check thier mail

carefully for

> such a letter.

>

> Franchesca

>

>

>

>

>

>

>

>

> ************************************** See what's free at

http://www.aol.com.

>

[Guest guest]

Any one know of an MD or DO in the Portland Metro area that will work with us and refer a work comp patient back to us. I'm asking for Dr. Eckel.

Thanks, Vern Saboe

workers compHey ,Who do you like these days in the MD/DO world that would be an ally for a patient with back strain/sprain? I'm nearing the 30 days mark for time off with a patient and we are cutting it close with ability to get back to work....Please let me know,Greg-- W. Eckel, N.D., L.Ac.Naturopathic PhysicianLicensed AcupuncturistNature Cures Clinic, llc.1020 SW St, Suite 330Portland, OR 97205T: 503-287-4970W: Naturecuresclinic.com <http://Naturecuresclinic.com> <http://Naturecuresclinic.com> www.facebook.com/naturecuresclinic <http://www.facebook.com/naturecuresclinic> <http://www.facebook.com/naturecuresclinic <http://www.facebook.com/naturecuresclinic> > ------ End of Forwarded Message-- W. Eckel, N.D., L.Ac.Naturopathic PhysicianLicensed AcupuncturistNature Cures Clinic, llc.1020 SW St, Suite 330Portland, OR 97205T: 503-287-4970W: Naturecuresclinic.com

www.facebook.com/naturecuresclinic

[Guest guest]

DiPaola, MD in Tualatin

dan

On Apr 6, 2011, at 4:10 AM, Vern Saboe wrote:

>

> Any one know of an MD or DO in the Portland Metro area that will work with us

and refer a work comp patient back to us. I'm asking for Dr. Eckel.

>

> Thanks, Vern Saboe

> workers comp

>

> Hey ,

>

> Who do you like these days in the MD/DO world that would be an ally for a

patient with back strain/sprain? I'm nearing the 30 days mark for time off with

a patient and we are cutting it close with ability to get back to work....

>

> Please let me know,

>

> Greg

>

> --

> W. Eckel, N.D., L.Ac.

> Naturopathic Physician

> Licensed Acupuncturist

>

> Nature Cures Clinic, llc.

> 1020 SW St, Suite 330

> Portland, OR 97205

>

> T: 503-287-4970

> W: Naturecuresclinic.com <http://Naturecuresclinic.com>

<http://Naturecuresclinic.com>

> www.facebook.com/naturecuresclinic <http://www.facebook.com/naturecuresclinic>

<http://www.facebook.com/naturecuresclinic

<http://www.facebook.com/naturecuresclinic> >

>

>

>

>

> ------ End of Forwarded Message

>

>

>

> --

> W. Eckel, N.D., L.Ac.

> Naturopathic Physician

> Licensed Acupuncturist

>

> Nature Cures Clinic, llc.

> 1020 SW St, Suite 330

> Portland, OR 97205

>

> T: 503-287-4970

> W: Naturecuresclinic.com

> www.facebook.com/naturecuresclinic

>

>

>

[Guest guest]

Dear Colleagues,

This is what we need Dr. Joan Schultze followed through and posted her recommendations to Fred Bruyns in the Workers Comp Division and recieved a response back immediately. We need all the injured workers doing the same thing prompt your injured workers to tell their stories. There are those who are against this profession that would have governmental officials believe this is just the "chiropractors making noise" it's a chiropractic thing....during our meeting the MCO, IME vendors, insurers, self insured folks said well if this is such a problem why are there no injured workers complaining it's only chiropractors complaining etc., etc. nonsense. We must get our injured workers who were forced to the local Occ med Clinic or Company doctor or nurse to write Fred Bruyns supporting the disclosure langague and signature lines on Forms 3283 and 801....

Vern Saboe

Workers Comp

This is to request that workers be informed of their choices when injured. Dr Saboe has proposed adding a line to the 801 form as well as to the 3283 form (with a disclosure statement and signature line) letting the worker know that (s)he has options in where to seek care after sustaining an injury.Having this discussion with the worker can save the system significant money in lost time from work and surgery that might not have been necessary if the worker knew chiropractic care was available.I recently provided chiropractic care to a man who was injured on the job and went through the occupational medicine facility and ultimately had 2 failed back surgeries before he came to see me. With chiropractic care he was able to walk again. This goal could have been achieved much more quickly, and less expensively if he had been told he had this option.I respectively request that both above mentioned forms be amended.Joan Schultze, DC543 Third Street Suite A-3Lake Oswego, OR 97034