Started By
Message

re: Personal injury fraud ring is hitting the news.

Posted on 11/2/18 at 9:16 pm to
Posted by boosiebadazz
Member since Feb 2008
84402 posts
Posted on 11/2/18 at 9:16 pm to
I clicked reply to respond but then turned to my wife and said I just don’t have it in me tonight
Posted by Roscoe
Member since Sep 2007
3069 posts
Posted on 11/3/18 at 5:29 am to
quote:

You people are so naive.

Every 18 wheeler or commercial vehicle on the road has at least a million dollars in liability coverage. If a greedy, unscrupulous plaintiff lawyer gets that case, there is NO WAY he is letting it go for soft tissue money. There is NO WAY he is settling it before filing suit. (Contingency goes up from 33% to 40% once suit is filed.)

You have to "work it up." You send him to the shake and bake doctor for a few months. No better? Well let's get some MRI's. Considering the fact that most adults over the age of 25 have some sort of disc pathology anyway, they will find a herniation or a bulge of something, which the plaintiff-friendly doctor will causally attribute to the accident.

Now it's time to start the money train rolling. Let's get some facet injections, maybe epidurals, maybe a more invasive diagnostic test like a discogram. And here comes the inevitable surgical recommendation. This man needs a fusion!

And when an attorney tells a client, "Hey, if you get the surgery, the value of your case triples," most will jump at the deal. "I just settled a neck surgery case for $750,000! Do you have any lost wages? We can send you to a voc rehab expert, and get the total value of the claim up over a million."

This is the ORDINARY COURSE OF THINGS. I see it every fricking day. I have at least 40 pending cases where that exact same scenario has played out.

No, it's not the insurance companies' fault. If you think that, you are are on team plaintiff, or you are a fricking idiot.


Who needs a surgery recommendation when you can get the ortho and pain management docs who are in bed with the Attorney to say it’s the facets, give 2 rhizotomies before trial, then right before trial, have the doc say that this patient will need rhizotomies for the remainder of their lifetime and then dump a $1MM life care plan for future meds. Unfortunate thing is juries are buying this crap, despite the fact that there is no objective proof of injury, but the attorneys have now made what was formerly a soft tissue case more valuable than a surgery case and are able to get away with it because they are in cahoots with the litigation doctors.
Posted by TigerGman
Center of the Universe
Member since Sep 2006
13395 posts
Posted on 11/3/18 at 5:32 am to
quote:

Did he say the word? No. But it's clearly what he's intimating.


Ummmm...no he isn't. It obviously has NOTHING to do with deterrence. it's embarrassing you still don't get that...
Posted by rumproast
Member since Dec 2003
12384 posts
Posted on 11/3/18 at 6:33 am to
Or maybe, just maybe....people actually get hurt sometimes. I've had clients who had to use pain management because they were hurting and had no other option. I guess they should have just sucked it up to help out the poor caring scrupulous insurance company. Truthfully...most lawyers cannot stand crooked lawyers because it makes the others look bad, and taints truly injured clients. Medical treatment is dictated by doctors, not lawyers. That being said, if a lawyer and doctor conspire to fabricate unnecessary treatment for financial gain, they should be kicked out of the practice and probably put in jail.
Posted by Butch Baum
Member since Oct 2007
3512 posts
Posted on 11/5/18 at 12:36 pm to
quote:

quote: You people are so naive. Every 18 wheeler or commercial vehicle on the road has at least a million dollars in liability coverage. If a greedy, unscrupulous plaintiff lawyer gets that case, there is NO WAY he is letting it go for soft tissue money. There is NO WAY he is settling it before filing suit. (Contingency goes up from 33% to 40% once suit is filed.) You have to "work it up." You send him to the shake and bake doctor for a few months. No better? Well let's get some MRI's. Considering the fact that most adults over the age of 25 have some sort of disc pathology anyway, they will find a herniation or a bulge of something, which the plaintiff-friendly doctor will causally attribute to the accident. Now it's time to start the money train rolling. Let's get some facet injections, maybe epidurals, maybe a more invasive diagnostic test like a discogram. And here comes the inevitable surgical recommendation. This man needs a fusion! And when an attorney tells a client, "Hey, if you get the surgery, the value of your case triples," most will jump at the deal. "I just settled a neck surgery case for $750,000! Do you have any lost wages? We can send you to a voc rehab expert, and get the total value of the claim up over a million." This is the ORDINARY COURSE OF THINGS. I see it every fricking day. I have at least 40 pending cases where that exact same scenario has played out. No, it's not the insurance companies' fault. If you think that, you are are on team plaintiff, or you are a fricking idiot. Who needs a surgery recommendation when you can get the ortho and pain management docs who are in bed with the Attorney to say it’s the facets, give 2 rhizotomies before trial, then right before trial, have the doc say that this patient will need rhizotomies for the remainder of their lifetime and then dump a $1MM life care plan for future meds. Unfortunate thing is juries are buying this crap, despite the fact that there is no objective proof of injury, but the attorneys have now made what was formerly a soft tissue case more valuable than a surgery case and are able to get away with it because they are in cahoots with the litigation doctors.


The legislature of this State and the governor's mansion are not filled with insurance executives. Yes, both sides suck, but the lawyers on both sides stand to profit with status quo. Nothing is about to change.
Posted by weadjust
Member since Aug 2012
15641 posts
Posted on 11/5/18 at 1:40 pm to
quote:

Every 18 wheeler or commercial vehicle on the road has at least a million dollars in liability coverage.


A lot of the large national freight carriers self insure
Posted by LSUGrad9295
Baton Rouge
Member since May 2007
36905 posts
Posted on 11/5/18 at 2:39 pm to
quote:

I clicked reply to respond but then turned to my wife and said I just don’t have it in me tonight


Did she look at you with disdain and say "looks like I don't either"?
Posted by Lakeboy7
New Orleans
Member since Jul 2011
28148 posts
Posted on 11/5/18 at 2:56 pm to
(no message)
This post was edited on 5/11/21 at 3:24 am
Posted by MrLSU
Yellowstone, Val d'isere
Member since Jan 2004
28967 posts
Posted on 8/16/19 at 9:00 am to
Bump
Posted by RedMustang
Member since Oct 2011
6915 posts
Posted on 8/16/19 at 9:24 am to
quote:

lied to him and fricked him.


Well, at least I hope the adjuster was hot.
Posted by wadewilson
Member since Sep 2009
40097 posts
Posted on 8/17/19 at 7:51 am to
quote:

Adjuster told him they would front him $10,000 to help with expenses just sign a couple of documents.


That adjuster should be placed against a wall and shot.
Posted by Bestbank Tiger
Premium Member
Member since Jan 2005
79006 posts
Posted on 8/17/19 at 8:00 am to
If you're injured at work you have to report it to Human Resources within 24 hours.

Should have the same rule here. Especially if you claim to be in a wreck but there is no damage to the vehicle.
Posted by Anaximander
3524 Third St New Orleans, LA
Member since Jun 2018
3412 posts
Posted on 8/17/19 at 8:00 am to
Corrupt medical providers are a huge part of tge problem. It used to be just the witch doctors, er Chiropractors but now it is MD/PT clinics whose reports all look alike. and will treat a claimant for years for accidents with no damage. These clinics often treat the same claimant for multiple accidents for separate suits were filed but each report will fraudulently not mention the other accidents.
This post was edited on 8/17/19 at 8:01 am
Posted by TDsngumbo
Member since Oct 2011
49052 posts
Posted on 8/17/19 at 8:06 am to
quote:

These clinics often treat the same claimant for multiple accidents for separate suits were filed but each report will fraudulently not mention the other accidents

I’m not a doctor but that’s probably not “fraud” as much as it is the doctor not wanting to opine about possible causes of injuries. Yes, it’s possible that sore neck is due to the accident last year but it’s also possible the guy has terrible posture. The doctors job is to treat the injury, not decide what caused it.
Posted by HotKoolaid
Member since Oct 2017
444 posts
Posted on 8/17/19 at 8:21 am to
quote:


I’m not a doctor but that’s probably not “fraud” as much as it is the doctor not wanting to opine about possible causes of injuries. Yes, it’s possible that sore neck is due to the accident last year but it’s also possible the guy has terrible posture. The doctors job is to treat the injury, not decide what caused it.



You don't even need an injury anymore. Gordon McKernan will get you paid if you have...

-PTSD
-Mental and emotional pain
-Loss of enjoyment of life
Posted by Anaximander
3524 Third St New Orleans, LA
Member since Jun 2018
3412 posts
Posted on 8/17/19 at 8:21 am to
quote:


I’m not a doctor but that’s probably not “fraud” as much as it is the doctor not wanting to opine about possible causes of injuries. Yes, it’s possible that sore neck is due to the accident last year but it’s also possible the guy has terrible posture. The doctors job is to treat the injury, not decide what caused it.


To omit possible evidence as to causation is FRAUD. It is purposely omitted. The request sent requests ALL records for any treatment by that provider. And I am not talking years apart. Some claimants treat SIMULTANEOUSLY for different accidents just months apart and the MD reports do not mention this. One I recall was a pos md putting the causation for 18 months of treatment on a parking lot accident where the claimant was a passenger in a car which had under 300 in damage. The report omitted that the same MD was already treating the claimant for an accident a month prior where the claimant car was totaled.
This post was edited on 8/17/19 at 8:27 am
Posted by Napoleon
Kenna
Member since Dec 2007
73144 posts
Posted on 8/17/19 at 8:26 am to
I knew of a lawyer that would get people fake MRIs of real injuries. Make people wear neck brace, etc.



Posted by TSLG
Member since Mar 2014
6724 posts
Posted on 3/30/20 at 12:57 am to
Bumpin' this mudda flucker like Escobar in a room full of hookers.

Jic.
Posted by biglego
San Francisco
Member since Nov 2007
83023 posts
Posted on 3/30/20 at 1:07 am to
Yup. I’m in.
Posted by MrLSU
Yellowstone, Val d'isere
Member since Jan 2004
28967 posts
Posted on 3/30/20 at 1:11 am to
Well the DOJ will be archiving these threads.
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