502.495.5040

How Do I Get to Carnegie Hall?

Mar
29

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Practice, practice, practice.

 

Pardon the corny joke about the rube asking directions from the sophisticated New Yorker. But sometimes a rhetorical question must be addressed with a literal answer. For example, where do you start when you are given an 8,000 page (true story) medical record to review? Obviously you start on Page 1.

 

We routinely receive requests to review and make recommendations on old complex workers’ comp files with huge, out-of-control, growing medical expenses. These files are passed from one adjuster to the next, and typically not one professional who is approving these costs can tell you why they are appropriate relative to the original injury and subsequent treatment.

 

When our experienced clinicians review records from A to Z, we generally find the following:

  • Pre-existing conditions;
  • Ineffective (or nonexistent) treatment plans;
  • Redundant diagnostics;
  • Relatedness issues (particularly with unrelated post-injury treatment);
  • Outrageous polypharmacy;
  • Nonfunctioning claimants.

 

And when you find these, you have the opportunity for peer-to-peer physician intervention and treatment plan remediation.

 

We practice, practice, practice from Page 1 to Page 8,000.
Call us. We can do better.

 

William Faris, JD
Chief Executive Officer
502-495-5040
william.faris@omca.biz
www.omca.biz

Posted in OMCA