Jun
10
2009
1

Medical Provider Network Lists Updated!

This Medical Provider needs net work

Wanted: "Net work" for MPN's

I’ve updated the Medical Provider Network lists as of 6/5/2009.  Most of the updates to the MPN lists page are contributed by loyal users of this website.  What’s interesting about the latest update is that it was actually contributed by an insurance company themselves![1]

One thing I’ll never understand is why so many MPN lists have logins and passwords.  The whole point of a website is to make that kind of information available.  Its not like these lists of MPN doctors and providers are secret, right?  If anything, making these website more user friendly and more navigable will enable people (injured workers, applicant attorneys, defense attorneys, and judges) to actually find physicians and help smooth the operation of the system.

In any case, I think this is a great first step.  I would love to offer everyone a unified source for all California Medical Provider Network websites, logins, and passwords.  It would be even better to have the insurance companies and third party administrators just send me the updated information for their links as they update their sites.

  1. Photo courtesy of júbilo·haku []
Mar
23
2009
0

How has Almaraz/Guzman changed workers’ compensation?

AMA Guides 5th Ed.

AMA Guides 5th Ed.

Clearly, Almaraz/Guzman has been a boon to the U.S. Postal Service.  I’ve been receiving Almaraz/Guzman letters from Applicant attorneys on my files ever since the en banc decision came out.  These letters typically fall into one of three categories:

  1. Increased demands for settlement
  2. Demands for additional discovery per Almaraz/Guzman
  3. Letters to the PQME/AME requesting their opinions on impairment outside the AMA Guidelines to the Evaluation of Permanent Impairment, Fifth Edition

I’ve also heard of some doctors completely abandoning the AMA Guidelines to the Evaluation of Permanent Impairment, Fifth Edition, in favor of just analogizing impairment.  This is not what was intended by the en banc panel in WCAB in Almaraz/Guzman.

Here’s what Almaraz/Guzman means for workers’ compensation practitioners:

So, remember:

  1. Whether you agree with the AMA Guides or the 2005 PDRS they’re still the law of the land and must be addressed.
  2. Whether you agree with Almaraz/Guzman, it’s still good law and must be addressed.
  3. Almaraz/Guzman does not absolve a doctor from the responsibility to generate a medical report which addresses the AMA Guides and constitutes substantial medical evidence.
Aug
22
2008
0

Who uses PDRater.com?

When a user registers with this website they are given the option of listing a little bit of biographical information about themselves. Have you ever wondered who else uses this website? Well, wonder no longer! The people using this website include:

  • Injured workers without attorneys
  • Claims administrators and supervisors
  • Applicant attorneys
  • Office managers and paralegals
  • Defense attorneys
  • In-house counsel
  • City and state agencies
  • Medical groups
  • Doctors

That’s a pretty diverse group!

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