My insurance said a procedure is investigational, but my doctor says its standard of care? As a physician, I am frequently asked by my patient why a procedure that is considered standard medical treatment might be denied as investigational. Even more intriguing is why some private insurance companies will approve a particular procedure under one… Continue reading Investigational procedures according to my insurance plan
Category: Uncategorized
“Soft tissue” injury, but my neck is killing me?
Following a car accident, your nagging neck pain may not be just “soft tissue.” Neck pain is one of the most common chronic pain conditions in modern medicine and can lead to depression, sleep disturbance, and inability to work. Even though there may be minimal damage to your car, you can still sustain significant whiplash. … Continue reading “Soft tissue” injury, but my neck is killing me?
Why do I need an EMG, how is it done and why?
An electromyelogram (EMG) is a test that is used to record the electrical activity of muscles. When muscles are active, they produce an electrical current. Typically, an EMG is given at the same time as a nerve conduction study (NCS). These tests are used to diagnose nerve injuries and muscle damage and are referred to… Continue reading Why do I need an EMG, how is it done and why?
They say that my pain is subjective, but it sure hurts like hell?
I am being told that my pain is subjective, that it is unprovable, and therefore I cannot be compensated. If this is so subjective and mild, why can’t I function? I have been asked the above question hundreds of times, in one form or another, by patients, attorneys, or insurers. The reality is that pain… Continue reading They say that my pain is subjective, but it sure hurts like hell?
Chronic pain and applying for disability?
Questions about social security disability. Many of our patient’s have suffered significant injuries which lead to chronic pain, which may preclude them from gainful employment, and I am often asked questions regarding the process of applying for disability. This blog is intended to provide general guidance, but should not be considered legal or medical advice.… Continue reading Chronic pain and applying for disability?
What is a functional capacity evaluation?
Chronic pain sufferers might be required to undergo “residual functional capacity,” or “RFC,” assessment. In an RFC assessment, disability claims examiners assess your physical and mental limitations to determine whether your disability limits you so much that you can’t work full-time. Unfortunately, the claims examiners at Disability Determination Services often give short shrift to pain.… Continue reading What is a functional capacity evaluation?
What are common mistakes made by patients applying for disability benefits?
Mistakes often made by pain patients applying for private disability benefits. Blindly attending an Independent Medical Exam Failing to consult with a disability insurance lawyer Misunderstanding the definitions of “disability” and “occupation” Inadequate documentation of the claim review process Believing all mental conditions are excluded or subject to limitations Inadequate communication with a treating physician… Continue reading What are common mistakes made by patients applying for disability benefits?
