Complaint Review: Governor John Kasich - Columbus Ohio

Physician complaints at the State Medical Board of Ohio are 'confidential' - leading to huge expenditures in investigations of false cases, where just verification of the signers & events would throw the cases out.  This wastes physician careers, taxpayer monies, and is fraud.

One case has been going on at the State Medical Board of Ohio for 20 years, Mr. Whitehouse won't answer the phone about it.  The woman MD lost her medical license for 'making too much [reporting] bad care' - care that the Ohio Medical Board admitted was bad, but that the woman MD needed their 'help' to handle it.  The Medical Board refused to do anything about the bad care - to warn the physician to improve the care so that it was billable care.

The woman MD only asked that the orthopedics sign off & refer - not for psychiatry help - she knew the care was bad & that she deserved 'real' care that BC/BS would reimburse.  At the time, physician courtesy for care was gone.  The one orthopedic would not sign off and send his care summary - care that couldn't be billed and was not standard fracture care in any sense - a cast for 5 days.  It was a case of a 'neighbor' trying to do care that the neighbor orthopedic did not do; hip-and-knee guy tries to do wrist fracture for whatever reason. 

But the fact is that Blue Cross/Blue Shield would not pay for the care from the one orthopedic - would not admit that the orthopedic did billable care worth one cent - in any legal sense.  So the woman MD was correct that the care was not 'standard' or 'normal,' not 'care' in a Medical Board sense. 

In asking for the Medical Board's help to get her records, that the orthopedics sign-off, and that the derogatory comments stop - the woman MD was not asking for anything abnormal as the orthopedics refused to discuss & transfer the care - care that wasn't billable 'care.'  In fact her complaint to the Medical Board of Ohio was not investigated - it was just given to the orthopedic so that he could counter-complain -- again about care that he supposedly did that the BC/BS did not recognize as 'care.'  The orthopedic appears to have been exaggerating - not the woman MD - but the orthopedic had 'friends' on the State Medical Board of Ohio.  So this case has gone on without resolution for 20 years and several Governors, including Governor Kasich - who promised to reform these practices of fraudulent investigations of physicians for 'confidential' complaints.

The State Medical Board of Ohio yearly spends tens of thousands of taxpayer dollars investigating physicians that have no complaints, physicians that bring bad care situations to the Board's attention for some standard-setting.  The care in this case was not orthopedic care as is recognized in any other state where BC/BS does reimbursements. 

Dr. Resnick has been asked to psychiatrically evaluated this woman MD - with no patient complaints - for the 7th time for 2 days - which no medical insurance will reimburse.  It's hard to say whether Dr. Phillip Resnick has a hallucination, or that the Board has 20 years of hallucinations about this orthopedic care in question.  This fraud not a reason to take the woman MD's medical license for 20 years, 2 Hearings, and one Court of Appeals judgment (where the Ohio Court of Appeals tried to throw the case out, but the Medical Board restarted it).  

The woman's medical license needs to be returned, and the costs of her getting re-credentialed paid by the State of Ohio - as in every other state that does this nonsense to increase the stats of 'bad' physicians.

Complaints about physicians need to be checked as to whether the complaint was about a physician complaining about bogus care practices - which are frauds that physicians should be reporting and have to report in every other State but Ohio.