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Thread: Re-Evaluation

  1. #1
    Join Date
    Apr 2010
    Posts
    58

    Default Re-Evaluation

    I just got my report from my re-evaluation. The qme doctor states in his report patient deserves a trial of conservative care before discharging her. Could the IC really discharge me without any type of treatment ?

  2. #2
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Re-Evaluation

    ... patient deserves a trial of conservative care before discharging her.
    IW's are not ever actually "discharged" in WC.
    You are entitled to medical care "for life", or until you cash out the medical in your claim. (however, there are provisions whereby medical is not sought for 18 months...the claim may be closed)

    Even after your PTP declares you MMI, you are entitled to further medical care.
    So the statement by the PQME/AME you have doesn't really mean anything.

    Could the IC really discharge me without any type of treatment ?
    The "IC" doesn't determine what treatment you are to be provided. Your PTP does that. The IC doesn't 'discharge' any IW....PTP declares MMI, or PQME/AME can determine MMI.
    You were seen/evaluated by PQME because there is a disputed medical isssue in your claim... that would likely be relative to treatment.
    So, don't understand your question... "discharge without any kind of treatment".
    What treatment have you had?
    What is your PTP saying about your status?
    Has the PTP requested treatment?
    The PQME needs to be much more specific than "conservative care"... what is that?
    Basically, there isn't enough info here to tell what the situation may be....(?)

  3. #3
    Join Date
    Oct 2006
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    9,108

    Default Re: Re-Evaluation

    no. only the treating doctor can discharge a patient.
    the QME is not your treating physician.

  4. #4
    Join Date
    Feb 2007
    Location
    Calif
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    Default Re: Re-Evaluation

    PQME/AME... can certainly declare an IW MMI and rate. PQME/AME will trump any PTP every time.
    only the treating doctor can discharge a patient.
    If that were the case, there would be no reason for PQME/AME, or the WCAB judges to resolve a disputed medical issue.

  5. #5
    Join Date
    Oct 2006
    Posts
    9,108

    Default Re: Re-Evaluation

    what????
    discharge from care has nothing to do with MMI determinations or treatment authorization decisions from the comp system.
    you're commenting on posts and meanings that are not there.

    don't make stuff up; this stuff is confusing enough.
    Last edited by .SH; 11-02-2010 at 12:08 PM.

  6. #6
    Join Date
    Feb 2007
    Location
    Calif
    Posts
    18,011

    Default Re: Re-Evaluation

    Read the thread SH...I already said the same thing...IW's are not ever actually "discharged" in WC.
    You are entitled to medical care "for life", or until you cash out the medical in your claim.Even after your PTP declares you MMI, you are entitled to further medical care.
    So the statement by the PQME/AME you have doesn't really mean anything.


    If an IW is 'discharged" from care, that could surely mean MMI and release to return to work.
    Be a good idea if YOU were not to confuse issues here.

    Your statement of no. only the treating doctor can discharge a patient., is patently wrong. Talk about confusing issues.

  7. #7
    Join Date
    Apr 2010
    Posts
    58

    Default Re: Re-Evaluation

    Thanks .SH and BvIA. Question was answered.

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