Re: In office evaluation following car accident? should we or er?

[Guest guest]

I see after minor acident...lots of folks just need reassurance they don't need xrays; need phys tx referral; or advice on analgesia. Also serves as a paper trail for them. I think sending all to er is misuse of er.Do note...sometimes a billing hassle, as may need to bill auto insurance...Steve Hersch-- Sent from my Palm Pre

As I am working today and having seeing now 2 patients following up for minor car accidents, I have to ask--is this something the typical primary care/internal med/family med or peds doctor should be doing in their office or not?

The case I saw earlier today had a minor accident and no airbag deployment, no direct spinous tenderness and just some right sided muscular spasm in neck and upper back.

But I have a primary care sports medicine friend--one of the things he puts in for his scheduler is "No MVA-exception-one appropriate body part"

Does he know something I don't? Ok I see someone else in his group on his schedule says "NO MVAs"

Or perhaps MVAs should just go to ER for primary evaluation and reduction of liability? How many people here see their patients after a MINOR car accident?

[Guest guest]

I see after minor acident...lots of folks just need reassurance they don't need xrays; need phys tx referral; or advice on analgesia. Also serves as a paper trail for them. I think sending all to er is misuse of er.Do note...sometimes a billing hassle, as may need to bill auto insurance...Steve Hersch-- Sent from my Palm Pre

As I am working today and having seeing now 2 patients following up for minor car accidents, I have to ask--is this something the typical primary care/internal med/family med or peds doctor should be doing in their office or not?

The case I saw earlier today had a minor accident and no airbag deployment, no direct spinous tenderness and just some right sided muscular spasm in neck and upper back.

But I have a primary care sports medicine friend--one of the things he puts in for his scheduler is "No MVA-exception-one appropriate body part"

Does he know something I don't? Ok I see someone else in his group on his schedule says "NO MVAs"

Or perhaps MVAs should just go to ER for primary evaluation and reduction of liability? How many people here see their patients after a MINOR car accident?

[Guest guest]

We do. Rarely a problem. Auto insurance reimburses us 100% of what we bill. Occasionally there are records requests, but they pay for those, too. Our patients get seen faster and more thoroughly in our office than if they go to ER, usually. WC is a PITA, however. We avoid those as much as possible.

As I am working today and having seeing now 2 patients following up for minor car accidents, I have to ask--is this something the typical primary care/internal med/family med or peds doctor should be doing in their office or not?

The case I saw earlier today had a minor accident and no airbag deployment, no direct spinous tenderness and just some right sided muscular spasm in neck and upper back.

But I have a primary care sports medicine friend--one of the things he puts in for his scheduler is "No MVA-exception-one appropriate body part"

Does he know something I don't? Ok I see someone else in his group on his schedule says "NO MVAs"

Or perhaps MVAs should just go to ER for primary evaluation and reduction of liability? How many people here see their patients after a MINOR car accident?

[Guest guest]

What is it with the West vs. East coast? I, like Dr. Pratt, get reimbursed 100%

for MVCs, and pretty close to the that for L & I. Yes, paperwork is a pain, which

is why I have the patient come in for a re-check so I can properly completel the

forms and notes -- we get the facts straight on the paperwork and I get

compensated for my time. Copying is reimbursed at the usual rate plus often an

additional administrative fee.

a Garrido, ARNP

www.villagefamilyclinic.com

>

> > As I am working today and having seeing now 2 patients following up for

minor car accidents, I have to ask--is this something the typical primary

care/internal med/family med or peds doctor should be doing in their office or

not?

> >

> > The case I saw earlier today had a minor accident and no airbag deployment,

no direct spinous tenderness and just some right sided muscular spasm in neck

and upper back.

> >

> > But I have a primary care sports medicine friend--one of the things he puts

in for his scheduler is " No MVA-exception-one appropriate body part "

> >

> > Does he know something I don't? Ok I see someone else in his group on his

schedule says " NO MVAs "

> >

> > Or perhaps MVAs should just go to ER for primary evaluation and reduction of

liability? How many people here see their patients after a MINOR car accident?

> >

> >

> >

>

[Guest guest]

Being somewhat rural, we see most anything, MVA's and WMC for some of the local business (much done in cash and not filed to keep employer costs down). Revenue is revenue.

From: [ ] On Behalf Of [davidbfeig@...]

Sent: Saturday, July 02, 2011 3:53 PM

To:

Subject: In office evaluation following car accident? should we or er?

As I am working today and having seeing now 2 patients following up for minor car accidents, I have to ask--is this something the typical primary care/internal med/family med or peds doctor should be doing in their office or not?

The case I saw earlier today had a minor accident and no airbag deployment, no direct spinous tenderness and just some right sided muscular spasm in neck and upper back.

But I have a primary care sports medicine friend--one of the things he puts in for his scheduler is " No MVA-exception-one appropriate body part "

Does he know something I don't? Ok I see someone else in his group on his schedule says " NO MVAs "

Or perhaps MVAs should just go to ER for primary evaluation and reduction of liability? How many people here see their patients after a MINOR car accident?