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commission decision
#13
he agreed with me-the arbritrators first decision was to state that if I am requesting additional surgery for the broken stimulator ( a lead wire has broken loose) and additional surgery of a spinal cord stimulator in the upper extremeties than i should attend yet he wanted more information as to what has been going on prior to this. as i told you i am not getting any ttd however, they pay for all my meds--you go figure my attorney cannot figure that one out. the request went first to w/comp to pay for the broken stimulator and trial as they paid for the first one. they wanted their medical department to make a decision. my dr and those who manage my stimulator sent off all the revelant informationa and medical documents. the same day that their medical department deemed both the surgeries were medically nesscessary was the day w/comp attorney sent out the letter for another ime. (didnt like what their own dr. said so why not try and pay another one to disagree) so basically i already have two opinions one from my doctor and one from theirs. also the decision to implant a spinal cord stimulator is not from physically looking at a patient. it is the review of medical records whether or not any other treatment out there has worked(I have had every treatment out there and this is the only little relief i get) and what relief you get from the trial or in my case an implanted one. I might also add that w/comp drs had a telephone conference with my doctors a couple of months ago they agreed all the treatment my dr is giving me is essential--and as long as i stayed on this course of treatment which included an additioanl stimulator if needed they would continue to pay for all my meds. mind you all this baffles my attorney paying for my meds!!! even considering paying for the surgeries when the commission has not rendered a decision on their appeal. like my atty said if they thought they would win then they could care less about my medical care. w/comp atty has stated that she will neither agree or deny me the treatment until i attend the appt. i ask can they really not give me a denial. my dr said all he needs is a denial and medicare will pay. the stimulator has been broken since the first of the year---how long can they leave me in the inhumane condition? can the arbritrator require them to give me a denail?
I will let you know as soon as i get the next response from my attorney--thank gosh i have an awesome one!!!!!!!!!!!!!!!

cheers!!!!!!!!!!!!!!!
 
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Messages In This Thread
commission decision - fireball - 07-27-2010, 08:17 PM
RE: commission decision - Bad Boy Bad Boy - 07-27-2010, 09:43 PM
RE: commission decision - fireball - 07-27-2010, 10:26 PM
RE: commission decision - Bad Boy Bad Boy - 07-27-2010, 11:12 PM
RE: commission decision - fireball - 07-27-2010, 11:36 PM
RE: commission decision - Bad Boy Bad Boy - 07-27-2010, 11:52 PM
RE: commission decision - fireball - 07-28-2010, 12:42 AM
RE: commission decision - Bad Boy Bad Boy - 07-28-2010, 08:44 AM
RE: commission decision - fireball - 07-28-2010, 03:27 PM
RE: commission decision - Bad Boy Bad Boy - 07-28-2010, 03:57 PM
RE: commission decision - fireball - 07-29-2010, 02:58 PM
RE: commission decision - Bad Boy Bad Boy - 07-29-2010, 03:35 PM
RE: commission decision - fireball - 07-29-2010, 04:19 PM

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