IME increase

[Guest guest]

From: Bradley K

Rethwill, DC

Sent: Monday, March 26, 2012 9:09

AM

To: ' Grice'; 'vsaboe'

Cc: ' Schneider';

'hillcrestchiro'; 'oregondcs '

Subject: RE: IME

increase

I agree. Being a new board member I

am more grateful for your watchful eye Vern. Saturday was a markedly

productive day, great cohesion in the board. I am impressed with the

OCA’s progress and what out future looks like. As it has been repeated before, one

can’t stand alone but many can stand together.

Brad Rethwill DC

Eugene

From:

oregondcs [mailto:oregondcs ] On Behalf Of Grice

Sent: Monday, March 26, 2012 8:54

AM

To: vsaboe

Cc: ' Schneider'; 'hillcrestchiro';

oregondcs

Subject: Re: IME

increase

Vern,

Thanks for this post to the field. I think it is also important for the

DCs in Oregon to realize we are one of only a

handful of states that still have PIP coverage in Auto insurance, and of the

ones that still do, we DCs have a very good benefit in PIP coverage in Oregon. We can't

allow to happen in Oregon what just happened

in Florida.

Docs, if you are a member of the OCA, Thank You. If you are not, now is

the time to think long and hard about what you can do to support your fellow

DCs. Please call Jan at the OCA office, . Talk to her

about how little it costs to support your " only " state

association. Also think about supporting ChiroPac. Vern has done

wonders in the State Legislature, and to keep this going the PAC needs

funding.

When you think about all of this, it really isn't that much. Please call

Jan today. There is a small number of DCs taking on a large amount of

work. We could use your help, not only financially, but with your

volunteer efforts.

Thank you for reading.

Grice, DC

OCA VP

Legislative Chair

Albany, OR

Will, and colleagues,

Know that your only state association is looking out for you,

the profession and consumers injured in auto crashes. The OCA Executive

Board met over the weekend for a strategy and goal setting meeting for our

collective futures. One of the issues discussed was the real continued

abuses in auto PIP by a few who would trash our wonderful PIP law by

over-utilization, excessive treatment. We are putting our “Insurance

Relations Committee†back together Co-Chaired by two of our Board

members. The insurance relations committee will address the auto PIP

issue, determine what stakeholders to invite to the table for discussing the

problems they see on their end which may included doctors who treat auto PIP

cases, IME physicians, plaintiff and defense attorneys, representatives from

the insurance auto PIP industry, OBCE Peer Review colleagues, officials from

the Univ of Western States etc., etc.†The OCA Insurance Relations

Committee will then determine what issues will be discussed, probable solutions

to those issues/problems, actions steps to implement those solutions and

timelines to complete the committees work. Whatever the Insurance

Relations Committee comes up with must be approved by the OCA Executive Board

and then by the General Membership of the OCA before full statewide implementation.

The Oregon Chiropractic Association is simply not going

to passively sit back but rather we will indeed be proactive and pre-emptive

and address the auto PIP issue head-on. Dear colleague please know

our resources wear thin and we need your financial support, we need your

thoughts, ideas, your energy and we need them now if there were ever a time

that we needed to stand together this would be it. Please call the OCA

office today and sign up as a new member it will cost but $66 per month that is

the cost of a regular membership…and what of the cost if we lose the privilege

(yes privilege) of treating Oregon

consumers injured in auto accidents? Help us, help you add your shoulder

to that great stone wheel today help us reach that mountain top together! Call

the OCA office at .

To The Continued Good Fight!

Vern Saboe

Questions? Call me any time 41-231-4528 cell

From: oregondcs [mailto:oregondcs ] On Behalf Of Schneider

Sent: Sunday, March 25, 2012 9:41

PM

To: hillcrestchiro

Cc: oregondcs

Subject: Re: IME

increase

, I

believe you are dead on correct in your assessment of what is happening with

IME increases as of late. I have noticed an increase myself and I usually

rarely see IMEs of my clients.

Schneider DC

PDX

On Sun, Mar

25, 2012 at 7:05 PM, hillcrestchiro

wrote:

IME

rate is increasing across the board and it has everything to do with cost

management.

I had two different auto insurance adjusters give me the same spiel verbatim

concerning two different patients and their potential IMEs.

Even with documentation supporting causation, objectively documenting injury

supporting medical necessity, and providing outcome markers demonstrating

improvement adjusters simply are not reading the submitted documentation

(reports).

, DC, FACO

> >

> > Storm clouds, the Oregon Chiropractic Association is being proactive

and pre-emptive as per troubled areas in PIP including excessive IMEs, biased

IMEs, file reviews and other forms of abuse on the “over side of the fence.â€

We do not wish to end up like Florida wherein you are reduced to having to

receive a referral from a medical professional including a physician’s

assistant and limits of care to $2,500….Vern Saboe PS: Have you joined the

fight colleagues? Have you joined the OCA? We need your financial help and your

ideas call he OCA office and join today…, Vern Saboe if you have specific

questions call me any Time

Cell

> >

> >

> >

> >

From: oregondcs

[mailto:oregondcs ]

On Behalf Of ph Medlin

> > Sent: Thursday, March 15, 2012 11:07 AM

> >

To: oregondcs

> > Subject: IME increase

> >

> >

> >

> >

> >

> > The increase as of late in IME’s has been enormous in our office.

We have more patients going to IME’s than not at this point. I used to NEVER

have an IME requested of my patients. There is something in the water. Anyone

else noticing this to a high degree as of late?

> >

> >

> >

> > I mean cases that are 8 visits in with pain levels of 5-6 of 10 and

they’re getting IMEd.......uuughhh.

> >

> >

> >

> > ph Medlin D.C.

> >

>

--

Schneider DC

PDX