Re: Fw: Link to the publication?

[Guest guest]

Vern,

You da man! You're proof that hard work, persistence and good looks can one day overcome all obstacles!

Christian Mathisen, D.C,.

3654 S Pacific Hwy

Medford, OR 97501

cmathdc@...

Re: "Link to the publication?"> Dr. Saboe,> I tried the link from my "sent" folder. It worked for me, so it is> possible that you do not have the most recent edition of Adobe Reader. I> have attached the file that we posted to our Web site. If this will not> open, you may go to the Adobe site for a free download:> http://www.adobe.com/products/acrobat/readstep2.html>> In case our site was just temporarily out of order, here is the link> again:> http://www.cbs.state.or.us/external/wcd/communications/industry_notices/choose_prov.pdf>>> Please let me know if these options don't work for you - I can fax over> a copy of the notice and attachments.>> Sincerely,>> Fred Bruyns, Policy Analyst/Rules Coordinator> Oregon Workers' Compensation Division> Policy Section> (503) 947-7717 fax (503) 947-7581> fred.h.bruynsstate (DOT) or.us>>>>> "Vern Saboe" <vsaboecomcast (DOT) net> 7/24/2007 4:41 PM >>>> Fred,>> The link you sent me relative to the notice to approx. 90,000> employers, medical providers, and insurers didn't work? Could we try> that link again??>> Thanks,>> Vern>

[Guest guest]

Thanks I like it...especially the "good looks" part ha!

Vern

Re: "Link to the publication?"> Dr. Saboe,> I tried the link from my "sent" folder. It worked for me, so it is> possible that you do not have the most recent edition of Adobe Reader. I> have attached the file that we posted to our Web site. If this will not> open, you may go to the Adobe site for a free download:> http://www.adobe.com/products/acrobat/readstep2.html>> In case our site was just temporarily out of order, here is the link> again:> http://www.cbs.state.or.us/external/wcd/communications/industry_notices/choose_prov.pdf>>> Please let me know if these options don't work for you - I can fax over> a copy of the notice and attachments.>> Sincerely,>> Fred Bruyns, Policy Analyst/Rules Coordinator> Oregon Workers' Compensation Division> Policy Section> (503) 947-7717 fax (503) 947-7581> fred.h.bruynsstate (DOT) or.us>>>>> "Vern Saboe" <vsaboecomcast (DOT) net> 7/24/2007 4:41 PM >>>> Fred,>> The link you sent me relative to the notice to approx. 90,000> employers, medical providers, and insurers didn't work? Could we try> that link again??>> Thanks,>> Vern>

[Guest guest]

I notice on the document that " if your claim is denied you may be

charged for your medical (sic...ho ho) care " .

Does this also apply to PIP?

My assistant and I were debating this just now. Also, does this mean

we can charge the patient for the amount our friends at the insurance

companies have discounted?

Thanks for going over the same ground again.

Annette Simard

On Tuesday, July 24, 2007, at 09:15 PM, Vern Saboe wrote:

> <choose_prov.pdf>

[Guest guest]

No, and yes…..Annette and colleagues

no the “denial deal” doesn’t translate over to PIP which is

completely different law only the W/C fee schedule (no treatment length doesn’t

transfer over either) applies to PIP cases. Yes, if the Workers

compensation case is denied you can charge your usual and customary fees.

Don’t lose sight of the fact that many Workers will fight the denial and

secure a W/C attorney.

Vern Saboe

From:

[mailto: ] On Behalf Of Annette Simard

Sent: Wednesday, July 25, 2007

9:46 AM

Vern Saboe

Cc: Oregondcs

Subject: Re: Fw:

" Link to the publication? "

I notice on the document that " if your claim is

denied you may be

charged for your medical (sic...ho ho) care " .

Does this also apply to PIP?

My assistant and I were debating this just now. Also, does this mean

we can charge the patient for the amount our friends at the insurance

companies have discounted?

Thanks for going over the same ground again.

Annette Simard

On Tuesday, July 24, 2007, at 09:15 PM, Vern Saboe wrote:

> <choose_prov.pdf>

[Guest guest]

Thanks, Vern.

Annette

On Wednesday, July 25, 2007, at 10:22 AM, vsaboe wrote:

> No, and yes…..Annette and colleagues no the “denial deal” doesn’t

> translate over to PIP which is completely different law only the W/C

> fee schedule (no treatment length doesn’t transfer over either)

> applies to PIP cases.  Yes, if the Workers compensation case is denied

> you can charge your usual and customary fees.   Don’t lose sight of

> the fact that many Workers will fight the denial and secure a W/C

> attorney.

>

>  

>

> Vern Saboe

>

>  

>

<image.tiff>

>

>

> From: [mailto: ] On

> Behalf OfAnnette Simard

> Sent: Wednesday, July 25, 2007 9:46 AM

> Vern Saboe

> Cc: Oregondcs

> Subject: Re: Fw: " Link to the publication? "

>

>  

>

> I notice on the document that " if your claim is denied you may be

> charged for your medical (sic...ho ho) care " .

>

> Does this also apply to PIP?

>

> My assistant and I were debating this just now. Also, does this mean

> we can charge the patient for the amount our friends at the insurance

> companies have discounted?

>

> Thanks for going over the same ground again.

>

> Annette Simard

> On Tuesday, July 24, 2007, at 09:15 PM, Vern Saboe wrote:

>

> > <choose_prov.pdf>

>

>

>

[Guest guest]

Pandering to Vern will get you no where. Besides, I said he looks good first.

( 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: Vern Saboe <vsaboe@...>

Date: Wed, 25 Jul 2007 08:26:58 -0700

Oregon Chiropractors < >, Christian Mathisen <cmathdc@...>

Subject: Re: Fw: " Link to the publication? "

Thanks I like it...especially the " good looks " part ha!

Vern

Re: " Link to the publication? "

> Dr. Saboe,

> I tried the link from my " sent " folder. It worked for me, so it is

> possible that you do not have the most recent edition of Adobe Reader. I

> have attached the file that we posted to our Web site. If this will not

> open, you may go to the Adobe site for a free download:

> http://www.adobe.com/products/acrobat/readstep2.html

>

> In case our site was just temporarily out of order, here is the link

> again:

> http://www.cbs.state.or.us/external/wcd/communications/industry_notices/choose_prov.pdf

>

>

> Please let me know if these options don't work for you - I can fax over

> a copy of the notice and attachments.

>

> Sincerely,

>

> Fred Bruyns, Policy Analyst/Rules Coordinator

> Oregon Workers' Compensation Division

> Policy Section

> (503) 947-7717 fax (503) 947-7581

> fred.h.bruyns@... <mailto:fred.h.bruyns%40state.or.us>

>

>>>> " Vern Saboe " <vsaboe@... <mailto:vsaboe%40comcast.net> > 7/24/2007 4:41 PM >>>

> Fred,

>

> The link you sent me relative to the notice to approx. 90,000

> employers, medical providers, and insurers didn't work? Could we try

> that link again??

>

> Thanks,

>

> Vern

>

[Guest guest]

Annette,

A lawyer has to evaluate a case before taking it. Likewise, we need to evaluate a WC case before taking it on. If it is dicey and has a chance of being denied but then bouncing around in appeals, you may have to sit on the bill for awhile. Sometimes the patient makes a geographic move leaving you to seek accessories to go with the bag you are left holding.

I had a terrible case where Starbucks accepted for awhile then denied more care for a simple slip and fall WC claim. The patient came to me referred by her MD in Eugene for 2 rounds of 12 visits. Great results because I am an excellent adjuster and I made her start lifting weights. Although the MD was paid for all re-exams, I was forced to sit in the back of the bus, was called names, and my payments were denied.

It gets better.

She went for a special hearing and the insurer was ordered to send them ALL OUTSTANDING BILLS for evaluation. (All this without my knowledge as we kept asking and waiting for months for results.) They sent about half of the bills to the WC referee. The hearings referee forced them to pay. They paid me my fees for the bills sent and gave the patient a wad of money for her trouble. When I asked where the rest of the money was, they said it was all doled out properly. When I sent them copies of the EOB’s showing the steenking comp. carrier had been billed and had denied payment for twice the number of dates of service that they reported thus proving that they had intentionally failed to forward the rest to the WC carrier, the WC referee said, Gosh, that’s too bad. I said, It’s fraud. They said, yes, it’s terrible. I said, it’s illegal. They said, sure, quit whining, you made tons of money off this claim, be grateful, is there anything else we can help you with today.

As far as the patient I helped: She moved to another town with her money but I’ll always remember her.

( 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: Annette Simard <drsimard@...>

Date: Wed, 25 Jul 2007 09:46:17 -0700

Vern Saboe <vsaboe@...>

Cc: <Oregondcs >

Subject: Re: Fw: " Link to the publication? "

I notice on the document that " if your claim is denied you may be

charged for your medical (sic...ho ho) care " .

Does this also apply to PIP?

My assistant and I were debating this just now. Also, does this mean

we can charge the patient for the amount our friends at the insurance

companies have discounted?

Thanks for going over the same ground again.

Annette Simard

On Tuesday, July 24, 2007, at 09:15 PM, Vern Saboe wrote:

> <choose_prov.pdf>

[Guest guest]

Thanks for the story. There are some patients we never forget, aren't

there?

Annette

On Wednesday, July 25, 2007, at 10:09 PM, Abrahamson wrote:

> Annette,

> A lawyer has to evaluate a case before taking it. Likewise, we need to

> evaluate a WC case before taking it on. If it is dicey and has a

> chance of being denied but then bouncing around in appeals, you may

> have to sit on the bill for awhile. Sometimes the patient makes a

> geographic move leaving you to seek accessories to go with the bag you

> are left holding.

> I had a terrible case where Starbucks accepted for awhile then denied

> more care for a simple slip and fall WC claim. The patient came to me

> referred by her MD in Eugene for 2 rounds of 12 visits. Great results

> because I am an excellent adjuster and I made her start lifting

> weights. Although the MD was paid for all re-exams, I was forced to

> sit in the back of the bus, was called names, and my payments were

> denied.

> It gets better.

> She went for a special hearing and the insurer was ordered to send

> them ALL OUTSTANDING BILLS for evaluation. (All this without my

> knowledge as we kept asking and waiting for months for results.) They

> sent about half of the bills to the WC referee. The hearings referee

> forced them to pay. They paid me my fees for the bills sent and gave

> the patient a wad of money for her trouble. When I asked where the

> rest of the money was, they said it was all doled out properly. When I

> sent them copies of the EOB’s showing the steenking comp. carrier had

> been billed and had denied payment for twice the number of dates of

> service that they reported thus proving that they had intentionally

> failed to forward the rest to the WC carrier, the WC referee said,

> Gosh, that’s too bad. I said, It’s fraud. They said, yes, it’s

> terrible. I said, it’s illegal. They said, sure, quit whining, you

> made tons of money off this claim, be grateful, is there anything else

> we can help you with today.

> As far as the patient I helped: She moved to another town with her

> money but I’ll always remember her.

>

>

>

> ( 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

>

>

<image.tiff>

>

> From: Annette Simard <drsimard@...>

> Date: Wed, 25 Jul 2007 09:46:17 -0700

> Vern Saboe <vsaboe@...>

> Cc: <Oregondcs >

> Subject: Re: Fw: " Link to the publication? "

>

>  

>  

>  

>

> I notice on the document that " if your claim is denied you may be

> charged for your medical (sic...ho ho) care " .

>

> Does this also apply to PIP?

>

> My assistant and I were debating this just now.  Also, does this mean

> we can charge the patient for the amount our friends at the  insurance

> companies have discounted?

>

> Thanks for going over the same ground again.

>

> Annette Simard

> On Tuesday, July 24, 2007, at 09:15  PM, Vern Saboe wrote:

>

> > <choose_prov.pdf>

>

>  

>     

[Guest guest]

I remember an auto claim years ago where the patient was given a large amount of money in his settlement while his bills at my office went unpaid. We called the insurance company and were told that part of the settlement was to pay for the medical bills. We tried for months to get paid by the patient. I think we finally suggested that maybe a collection agency would have to be involved. Soon after that, the patient walked into the office with a big stack of $1 bills and said "Here's your effin' money!" and threw it in my receptionists face! We had a good laugh over that, never saw the patient again, but remember him fondly.....

Rod , DC

Tillamook Natural Health Center

Re: Fw: "Link to the publication?" I notice on the document that "if your claim is denied you may becharged for your medical (sic...ho ho) care".Does this also apply to PIP?My assistant and I were debating this just now. Also, does this meanwe can charge the patient for the amount our friends at the insurancecompanies have discounted?Thanks for going over the same ground again.Annette SimardOn Tuesday, July 24, 2007, at 09:15 PM, Vern Saboe wrote:> <choose_prov.pdf>