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MPN Ortho. Mess (California) (California)

PostPosted: Sat Nov 21, 2009 9:32 am
by dollarbill
We have 5 offices in 5 large cities with two ortho. specialists. We deal with over thirty MPN's for spine ortho. and general ortho in five differnt cities. We have called each ortho. listed on the approved list of the 30 plus MPN's in the five different cities. If you can take the word of the receptionist, medical assistant, RN,
or doctor, the injured worker about 1/2 of the time is out of luck when seeking orthopedic treatment. Not only do MPN lists contain deceased doctors, doctors who no longer treat WC injuries, doctors who do not treat the type of injury presented by the injured worker or the access standards have simply not been met by the MPN and the IW is denied the choice of doctors.

This situation is made even worse because no MPN differeniates the at least four types of orthopedic surgeons, foot, spine, hand, and general (upper and lower extremities). There may be 15 orthopedic surgeons on a MPN list but only one of these is a hand or spine surgeon. The DIR Industrial Relations Councel states it has no control over which providers are included in a MPN but that chiropractors should be considered when judging a MPN's ablity the to meet the needs of covered employees with spine injuries.

After almost five years of implementation there does not seem to be anybody looking over the shoulder of insurance carriers to insure that injured workers have the choice of doctors as required by the Labor Code. In five years everything could be the same and all along the IW is the one who suffers.

Re: MPN Ortho. Mess (California) (California)

PostPosted: Wed Nov 25, 2009 9:52 am
by rider001
Seems like a valid resaon to treat outside the MPN with proper documentation of time spent researching who you called etc.