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Friday, October 19, 2018

Pleas for Adequate Compensation Dominate MLFS Hearing

  • By Greg Jones
  • State: California
  • Topic: Top
  • - Popular with: Legal
  • -  7 shares
OAKLAND, Calif. — The solution to concerns over abusive billing practices and low-quality…

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Ron Perelman Oct 19, 2018 a 1:10 pm PDT

I believe Mr Parisotto means what he says We met with him at COA. He understands that the present system has failed and degenerated into a system where any QME is subject to fraud allegations, loss of QME status and licensure issues. I guess we needed to reach this level before realizing the system needs fixing. The answer is simplicity. A flat rate for a report plus payment for an overage of record review. Per page/ inch. The carrier can calculate in advance, so everyone will know the amount in advance Payment does need to be adjusted upward It takes hours and staff to do these things right. In addition, delivery of records is a major problem. They are arriving the night before many times. We need the ability to reschedule the Evaluation if this is a problem. It is better to do a cohesive eval knowing the history when you with the patient. I think most of us do a report thinking the purpose is to resolve the case. That is why we are here. I am glad we can finally deal with this sensibly

Dr Oct 19, 2018 a 1:10 pm PDT

A plethora of CDs to replace boxes of records is not a solution for large data-heavy cases with multiple reports -- comparing page 315 of report A with page 16 of report B with page 63 of report C is unwieldy by computer. Paper fiies are better for this task. But not when they've been poorly organized, dumped into a crate, and sent to the QME untimely (like the day before the eval or not until after the evaluation). As for further courses, not necessary -- that's just more time away from the actual task. But feedback about reports is welcome. When that's asked for now it isn't forthcoming unless the parties disagree on points in the report and ask for supplementals -- that's the parties at odds, not the evaluators. -- robert weinmann, MD

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