The insurance company is sending me to my former treating doctor for an IME tomorrow.
I am hearing impaired and have trouble communicating, due to my hearing loss so I take someone with me to my medical appointment to help me communicate with the doctor, and to take notes.
The doctor I see tomorrow refused to let someone in the exam room once in the past.
Given this doctor's history I called the Kansas Disability Rights Center today, (each state has an advocacy & protection center), I asked them if I have the right to have someone at the appointment with me, and this is what they said.......
I am to tell the doctor "I have Jane Doe with me to today to help me communicate & understand what you are saying to me"
If I have problems with the doctor I am to tell him, I have the right to have some with me at the appointment per Reasonable Accomodations under ADA.
Of course the DRC wants to know if I have any problems with the doctor.
I have shared this with my wc attorney and he told me to go for it.
The person going with me to this appointment is a member of this forum.
At this IME the insurance's companies purpose is to gather information to use against me in the appeal.
THe judge granted medical treatment March 15th, The insurance company filed and appeal 2 days later. In the appeal documents the insurance company say thery will present additional evidence.
That is why I am being sent to the IME doctor today, so the insurance company can gather evidence to use agaist me at the appeal.
Bummer Knees Wrote:At this IME the insurance's companies purpose is to gather information to use against me in the appeal.
THe judge granted medical treatment March 15th, The insurance company filed and appeal 2 days later. In the appeal documents the insurance company say thery will present additional evidence.
That is why I am being sent to the IME doctor today, so the insurance company can gather evidence to use agaist me at the appeal.
It is
my opinion, that the Insurance Company has the additional evidence they believe they needed before hand. And the IME is being used for possible additional evidence, or for other reason's. You also need to keep in mind, the Insurance Company doesn't need to use any information from such IME. It is an option and also their choice to use the IME report. The Insurance Company isn't going to apply for an Appeal stating they wish to add additional evidence, unless they have that before hand.
They wouldn't rely on the IME only to give them the evidence.
I don't think the insurance's companies purpose is to gather information to use against you in the appeal just from the IME. They have what they think they need. They are just seeking their own medical report and medical opinion is all. Again, they don't have too, nor are they forced too use the IME report if they don't want too.
Judge granted medical treatment March 15th for what, and what parts?
You making yourself believe the IME is going to be the only evidence the IC will have as to what is called bringing NEW evidence in allowing them the right to Appeal. I think your incorrect, as I would think they have evidence they just haven't brought up in the past. I do think we touched on this recently in 1 of your other Threads.
I would even bet, your Attorney has a very good idea, to what the IC is going to be bringing to the table with them at the Appeal Hearing also. You need to squeeze this from your attorney before hand. I think there are going to be some
surprises at such Appeal Hearing, and someone isn't going to like what takes place that day. I do recommend someone bring the Box of Tissues the day of the Appeal Hearing. I know you and some others may think these may be harsh words. But, I always like to bring the possible what IF's to the table. I do pray all does go just well for you. But, keep in mind, your case has took a turn in the other direction for now, and all this will be done with the day of the Appeal hearing.
Bad Boy I will ask the attorney this question.
I received the report yesterday from the surgeon who did the replacement.
He writes about the progression of the right knee, this is the knee I am seeking additional treatment for.
He also writes the left knee replacement is stable.
I do have the report from the neourosurgeon on the back, the insurance company has not seen this report yet.
I hope you are wrong but I need to see how this plays out.
Bummer Knees Wrote:Bad Boy I will ask the attorney this question.
I received the report yesterday from the surgeon who did the replacement.
He writes about the progression of the right knee, this is the knee I am seeking additional treatment for.
He also writes the left knee replacement is stable.
I do have the report from the neourosurgeon on the back, the insurance company has not seen this report yet.
I hope you are wrong but I need to see how this plays out.
Bummer, my God, what goes on when you go to these Doctor's? I am saying, you state and claim to be having some
major Knee Replacement issues. Yet, you show a medical report where the Doctor is stating
your knee replacement is Stable? What about the issues you have with that knee replacement? Nothing being said about that? Why? Why? Why?
Something wrong is going on. Why? Nothing stated about your issues with the Knee Replacement????????????
Bad Boy I am sending corrections of the written report to my attorney.
I do have a witness that was with me in the exam room, and an audio tape of this visit.
The surgeon said the problems I am having with this knee are normal.
At the appointment the surgon mentioned problems with scar tissue, nothing in the report about this.
Today's IME should be fun.
Bad Boy this is what my attorney sent me in response to the e-mail I sent him per post 4.
"They cannot present any new evidence at the appeal. There is normally no hearing for a preliminary hearing appeal. We just get a decision in the mail eventually. Having written my response earlier this week, I feel we are in good shape."
Remember I am from Kansas, our laws are different from other states, injured workers from Kansas receive the lowest wage loss in the nation.
My God Bummer, the problems you have stated with the Knee Replacement are not normal. My God, what kind of doctor's are you being seen by? You really believe this crap?
Bummer, I like to think your Attorney is giving you a Snow Job. For if the IC requested an Appeal Based on New and Additional Evidence. (((Not an IME))) it is a way of requesting a Hearing, to be Heard, because the IC is wishing to take a stand now in the case.
As I do know you from Kansas, I too have been reading up on your State, including the Work Comp Laws and Rules.
I just don't believe your Attorney's statement to you, sorry.... I am saying, caution yourself, for I do smeel something like a Rat here....