Thursday, July 11, 2013

This is totally improper and unacceptable


Thus, with the exception of Dr. Ehrlich’s brief review of the patient’s history and Dr. Bleicher’s records in the introductory portion of these reviews, the body of the discussion section of the reviews totally ignores the clinical findings by Dr. Bleicher and all other health care providers, or any other diagnostic testing results, and he must simply use a boilerplate word processing summary to serve as his “discussion” of why the services in question were not medically necessary. In theory, Dr. Ehrlich’s use of a template form of a peer review “discussion” for the services claimed in this case, could serve in each and every other case in which he is requested to prepare a peer review report when the claim involves electrodiagnostic testing. This is totally improper and unacceptable.

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