Sure loooooks like FRAUD, doesn’t it?? Where’s the DA Task Force??!! WCAB ADJ8181903

TREATMENTS AUTHORIZED BY WORK COMP INSURER

for TBI SINCE INJURY OF JANUARY 9, 2012

plus ADA Violations??

BRAIN WORK

January 9, 2012- April 2, 2012 – CHIROPRACTIC – 14 TREATMENTS, interrupted, non-consistent care.   6 additional treatments authorized in June 2013, however, a provider has not been found willing to accept workers comp insured injured worker.

January 14, 2012 – August 21, 2012  PSYCHOLOGICAL SUPPORT – 13 treatments  (20 minutes from injured worker’s home) to sort thru horrors and abuse of maze of denied medical care, incompetent legal counsel, lack of support and on-going mental abuse and denials of medical care by insurance company adjuster and lawyers; 4 treatments (2 hours from injured workers’ home)  in the summer of 2012 with a doctor of unknown credentials, aimed at ‘masking impairments of brain injuries’ and considering self-procurement of various technology gadgets to help complete a charade to cover up significant brain injuries.

April 19, 2013 – May 8, 2013 – PHYSICAL THERAPY, CERVICAL ONLY – 8 treatments, further treatment recommended, not-authorized.

end evil  step out of line

Is that possibly reasonable, appropriate or adequate medical treatment in compliance with ACOEM GUIDELINES for treatment of head trauma, concussion, TBI and more??

WCAB Information Officer was unable/unwilling to share the alleged office copy of the ACOEM book with at least THIS injured worker.

We are the media now….we do not…FORGET.

wc doc can you see the problem

DIAGNOSES reported by multiple Physicians;

Requests for authorizations for treatment and further evaluations

denied repeatedly by Adjuster and Defense Counsel, non-physicians

854 Closed head injury, 784 Headaches, 310.2 Post concussive syndrome, 850.1 Concussion with brief loss of consciousness, 850.9 Head Concussion, 309.81 PTSD, 310.2 Post concussive syndrome, 780.93 Closed Head Injury with amnesia, 921.00 Contusion (left orbit), 750.90 Concussion, 959.01 Head Trauma, 959.01 Cognitive Changes following head trauma, 850.0 Concussion, 959.00 Head Trauma (Contusion x 2) with Impaired Memory, Speech, Balance and Vision, 850-854, 959.01 Somatic/cognitive dysfunction and emotional dysfunction, 310, 310.8, 438 Mild cognitive dysfunction, memory processing,, 850 Mild TBI positive lapse of consciousness, 310.20 Post Concussive Sydrome, 309.28 Mood Disorder secondary to Post Concussive Syndrome, 959.01 Head injury,  Lobe Disorders: frontal, parietal, cerebellar dysfunction, motor dysfunction, segmental dysfunctions, Closed Head Injury with Ongoing Sequelae, Psychological sequelae, possibly secondary to industrial injury, 959.01 Closed head injury with cognitive dysfunction and speech dysfunction, 784.00 post traumatic headaches, brain based vision impairments, brain-based vestibular and balance disorders + secondary to head trauma, NECK, BACK, Shoulder PAIN and related ICD-9 codes

Is that possibly reasonable, appropriate or adequate medical treatment in compliance with ACOEM GUIDELINES for treatment of head trauma, concussion, TBI and more??

We are the media now….we do not…FORGET.

doctor drug pusher

And how many doctors have been paid thousands of dollars for reports based on incomplete records, and based on omitted reports due to denied physician requested specialty evaluations and treatments?

Denials for authorizations for requested specialty evaluations and specialty treatments have completed the fraudulent acts in order for the defense to allege by omissions of records and inclusion of records created based on omitted records and medical evidence of substantial brain injury, ‘THERE IS NO MEDICAL EVIDENCE OF INJURY’

These fraudulent acts are supported by reports by insurance-company leased/owned doctors, without expertise or even basic knowledge of brain injuries, thereby complicit in the acts of fraud with intention to deny medical care to injured worker, and profit handsomely thereby.

FRAUD IS FELONY, EVEN WHEN COMMITTED BY LAWYERS AND DOCTORS AND INSURERS.  IS IT PROSECUTED?  WE’LL SEE, WON’T WE.

liberty see hear say no evil

If the premature death of the injured worker is ultimately attributed by the Coroner’s office to be related to the brain injury sustained on January 9, 2012, while in the employ of WorldmarkByWyndham, WYNDHAM WORLDWIDE……………..WHO FACES THE DEATH PENALTY FOR SAID MURDER OF INJURED WORKER?   Some Corporation, or some employees of those Corporations?

THE LAW DOES NOT REQUIRE AN INJURED WORKER TO GROVEL AND PLEAD AND BEG FOR MEDICAL CARE FOR AN INDUSTRIAL INJURY. THE LAW IS CLEAR THAT AN EMPLOYER HAS AN IMMEDIATE AND PRO-ACTIVE RESPONSIBILITY TO PROVIDE IMMEDIATE, REASONABLE AND APPROPRIATE MEDICAL CARE TO AN INJURED WORKER.  

Those who defy those laws, and do so by fraud and for profit, must be considered enemies of the American Workers, and must be brought to Justice for their individual and collective crimes against INJURED AND DISABLED AMERICAN WORKERS.

wc attacking people with disabilities

MAKE A DIFFERENCE??  If not now, then when??  If not you, then who??How many more must be maimed, injured and killed by a corrupt group of medical and insurance killers??

CAN YOU SAY WHY AMERICA IS THE GREATEST COUNTRY IN THE WORLD??

THE MOST HONEST THREE AND A HALF MINUTES OF TELEVISION, EVER…