Originally Posted by painman2009

Ok ive put it off, because I knew it would cause me more grief , but today i thought I had it in me to deal. Im talking about setting up an appointment with my pain psychiatrist. last time I went they advised me that I needed authorization in writing from comp. that they intend to pay. Now comp in NY does not work that way, I see a dr they billcomp they get paid or denied then I get billed and have to fight for payment if an issue is present, but this DRs office said I will be responsible for paying the office visit the day of visit if I didnt have written authorization. now I spoke with atty, as last time I had a hearing this was brought up and judge "said" as long as I had resonable need for it, then he looked into notes and said he found sufficient evidence supporting the need, of course my written decision did not have that on it. Ok so atty said that the dr,s office should call carrier and get what they need them selves, so I called Dr,s office back. they said sorry. they do not do this. Now Im pretty confident I understand all the laws for comp, but to make sure I call NYWCB and using my WCB# I ASKED LOADS OF QUESTIONS.. just to be walled out . they said to ask my attorney they will not discuss this with me. so . angry and defeated I still refused to give up, so i searched the internet for answers, (not easy to find out detailed laws for NY workers comp)finally I got a hint to what i was looking for so .. again I called NYWCB. this time I asked questions that actually reaped benefits.. all that work to find I understood the law better than my atty,s office. so Here in new york ; any doctor participating in Ny WCB must accept the patient, with out authorization ,(those are meant for tests costing more than $500) and then bill comp with evidence of needed follow up of clearing the patient from future need of their services. and that is Against the law to bill PATIENT for service,s prior to a denial from the carrier and the NYS WCB> all that said this is a psychiatrists office and their job is to care for the mental stability of a patient, this BS is not in the best interest of mental stability for the patient. this being said, though I HAVE seen this dr before ... I shal not return, and I am now completely done with the system. .. the treatment of a patient should come first,, and their wallet should come secondary or better yet??? further down the line. this also further strengthens my distrust of psychiatry.. (hi let me see you to help you out.. the way I do that is to 1.) make sure you can afford me ,, if not tough poop you suffer with the paupers. 2.) seat you down whilst i pretend to listen, and I catch up on some Z,s after my late night partying on the money paid to me by the poor schmuck I saw yesterday, then when you are done give you some of the same repetitive advice that means nothing that I gave the poor schmuck yesterday and day before. then tell you that you must follow up because you need help and must get better.. but the real reason is.. you just bought a third house an new BMW, yacht and you have a big trip planned to Europe and this all needs to be paid for.. If they really were in it to help people, the last thing they would deal with is insurance and payment.. I mean come on .. 600 dollars for 30 minutes.. and then you complain that your landscaper bills you $40 a weak to mow your lawn.. 120 for fertilizer, or $35 and hour per person for landscape design or other labor work not maintenance related?? yeah they are not in it for the patient or to help and make a difference. they get paid to be judgmental , for stature, and accolades . so stop lying to us..


Sorry .. had to Vent.. other wise It play over and over in my head tonight while I pretended to sleep so my wife wont worry.

Thanks again for letting me.. I hope every one is doing ok.