True Experiment (California) (California) (California)

This category is meant for discussion of technical legal issues in workers' compensation. If you are an injured worker, do not ask questions here. Go to the Injured Workers' forum.

True Experiment (California) (California) (California)

Postby rosellavera on Thu Apr 16, 2009 12:35 pm

Two patients walk into a spine clinic. Both have with them MRIs that confirm an injury. One patient is a private insurance, the other is covered by work comp insurance. (Both patients know each other). After an examination the private patient is told to make an appt with the facilities PT, and told to take over the counter Aleve. The wc patient is given a bag filled with prescription medication (Vicodin, Soma, cream) and told to make an appt with the PT department.

Private patient will do well with Aleve. Why not the same for wc patient? BTW - this was an experiment by two individual's for an article on repackaged drugs. They had the identical MRI with them. The clinic had no clue that these two patients knew each other.
Last edited by rosellavera on Thu Apr 16, 2009 4:16 pm, edited 1 time in total.
User avatar
rosellavera
 
Posts: 440
Joined: Wed Mar 04, 2009 7:52 pm

Re: True Experiment (California) (California)

Postby jpod on Thu Apr 16, 2009 2:28 pm

This type of thing has been exposed repeatedly. Anyone who has been in the business has seen it all too often.

It is a shame b/c not all doctors behave this way, yet they give a bad name for the whole industry. Then the legislatuire has to step in and rein everybody in by making sausage, errr I mean by passing reform.

Just think what goes on in the mind of the unwitting patient with the bag of pharmacuticals - they feel their body is damaged goods, why else would the doctor give such serious medicine? They go home, look up the drugs on the interrnet, talk to their friends, remember that uncle who had a worker's comp claim where he had back surgery and was never the same....and voila - the doctor has set up the patient to fail.

While the private patient is reassured that over the counter medicine will cure his illls after a few PT visits.
jpod
 
Posts: 771
Joined: Fri Mar 06, 2009 1:21 pm

Re: True Experiment (California) (California) (California)

Postby stevepsca on Fri Apr 17, 2009 6:04 am

On the surface it would appear this 'physican' is not one in SCIF's MPN, or would have received, and presumably followed the "Treating Physicans Guide"...http://www.scif.com/pdf/TreatingMDguide.pdf
Paying particular attention to page 42..."Prescription Drugs"... "Providing unnecessary x-rays, exams...etc, ...attempt to make the injury appear more serious than it is"

Page 42 by the way falls under the heading of "Billing Fraud"...
stevepsca
 
Posts: 655
Joined: Mon Mar 09, 2009 11:50 am


Return to Legal

Who is online

Users browsing this forum: No registered users and 1 guest