My PTP (a pain management specialist) has been recommending in his monthly reports to IC, the trial for a Medtronics SCS for approx 28 months now . Meanwhile I have been using TENS Units to help with the pain. IC has not approved the trial of the SCS as they state that they want to exhaust all other avenues before commencing a one week trial. In September 2008 I reached that point and they still do not want to authorize the trial of the SCS. My attorney has since been in contact with opposing counsel and we have had 1 informal meeting about settlement. The number on future medical care that was discussed does not at all seem “realistic” to me as the cost alone of the medtronics device from my research is significantly more considering the life span of the device and how often it needs to be replaced.
I was given the task from my attorney to try to get a “cost summary” list for this device along with the surgical procedure and any other costs. I have asked my PTP to inform my attorney of all this but it seems a bit confusing to me why it is not easily available. I am told that the PTP just bills this out using codes, and the billing dept. takes care of this with the surgical center and the vendor. I get the funny feeling that I am getting the run around because I am not asking the correct questions for an “itemized cost summary” list Can anyone offer an idea what items I need to include in the cost of this procedure along with future medical care or at least what terminology I should be using?
One more question, we will begin trial in early February, after being rescheduled many times. What do I expect on this day if we do indeed start? Do most “trials” last a day or many days? If they need to be continued, are they scheduled reasonably soon or weeks later? Would it be wise for me to show up with all my files in regards to my case or do I solely rely on my attorney to have everything I have? What am I not thinking of? If the WCAB Judge rules in my favor, how long would one guess it would take an IC to get things rolling for my much needed surgical trial then implementation if everything goes as hoped for?
Thank you all who take the time to read this and respond,