Complaint Review: State of Texas - Austin Texas

Dee- thank goodness I am not your nurse Here we go..again and you again avoid the fraud issue. Yes I am thankful I am not your nurse.

You are just so full of it....Angry, maybe, yes. I was injured on the job, can't ever work again, collecting SIBS, and have no other health insurance because this stupid god forsaken state says that .... well, I don't want to quote the specific rule, as it applies. Since this isn't something I want to air publicly. However, I will say that I DO KNOW what I am talking about... Legal expert you ask, I would say so... Paralegal as a matter of fact... Do I do research, think so.... So, my dear MARY, you don't know what you are talking about... You, well, I am to good a person to go there... Talk about me being angry.... well you must be, because you mis-spell so many words it's pitiful. Thank God you aren't my nurse, phew....

Dee- you obviously have some issues. Also I do sleep very well at night, thanks for asking. Also read what I have written I am not talking ab out going into the exam room I am talking about a conference with the physician--big differece. And no I dont ruin lives you can thank the folks that commit fraud for that. I noticed you did not comment on the fraud issue. Fraud is a major problem and it eventually costs everyone, our auto insurance policy to our health insurance policies. And that is why the State of Texas ammends the workers comp laws......think about it. This is it for me I have work to do! Best of luck to you. I wish you well

Dee- are you a RN? Certified case Manager? a Certified Disablity Management Specialist? I did not think so, was easy to see you are not. Or maybe yet are you an attorney? Get a real job.. are you a comic?? Hello Wake up!! I spent 14yrs in hospitals exposed to disease and many other conditions. And what did I get for it. A bad back and no appreciation. I am a case manager by choice, and again you are obviously misinformed. If you have not noticed hospitals do not value an experinced nurse..foreign nurses are brought in and have been for the last 10+ years. They work for lower wages and worse conditons (lack of adequate staffing). FYI I make substancially more than the average RN. Say what you will. I will no longer deal with misinformed/misguieded. Especially those who are not even aware of TWCC cam can be of assistance to the injuried worker. FYI an attorney can legally stop a case manager from meeting with the Dr.

Look, I guaran d**n tee you, that the law doesn't allow for the nurse spies to come into the examine room. I do believe this is one of the "Priviledges" one has, Doctor Patient Priviledge. Sure you idiots want the patient to be back in "gainful" employment, irrespective to how demeaning the work is. You just want them off of the insurance company's "payroll". You idiots don't give a rat's patuty about the injured worker so don't try to tell me or any other worker you care, cause your pay and bonuses are based on how many "patients" you get OFF of your d**n case load. I was an injured State Of Texas employee. I still am and on total disability both with the State and based on my filing with the IRS. But, I guarantee you, you would find some demeanial task for me to do which would take me off of the insurance payroll and stop my comp money... no doubt you would.. So don't sit there and lie to these folks, I know what I am talking about, I know how to get what is rightfully mine, and how to keep people such as the likes of you out of my life and out of my doctor's office. So there, stupid... if you are a nurse, get a real job... they pay better, plus you obviously can't or you would have. You just like the control of pushing patients around... You obviously can't cut it as a real nurse, so you had to do this to others. I hope you sleep well at nights knowing how you ruin other peoples lives and families. Cuddos to the post where the worker got the nurse 14ys... Wonder how she's doing pushing the other inmates around... Maybe she will end up on a friend of mines Parole Case Load, he, he, he...

Look, I guaran d**n tee you, that the law doesn't allow for the nurse spies to come into the examine room. I do believe this is one of the "Priviledges" one has, Doctor Patient Priviledge. Sure you idiots want the patient to be back in "gainful" employment, irrespective to how demeaning the work is. You just want them off of the insurance company's "payroll". You idiots don't give a rat's patuty about the injured worker so don't try to tell me or any other worker you care, cause your pay and bonuses are based on how many "patients" you get OFF of your d**n case load. I was an injured State Of Texas employee. I still am and on total disability both with the State and based on my filing with the IRS. But, I guarantee you, you would find some demeanial task for me to do which would take me off of the insurance payroll and stop my comp money... no doubt you would.. So don't sit there and lie to these folks, I know what I am talking about, I know how to get what is rightfully mine, and how to keep people such as the likes of you out of my life and out of my doctor's office. So there, stupid... if you are a nurse, get a real job... they pay better, plus you obviously can't or you would have. You just like the control of pushing patients around... You obviously can't cut it as a real nurse, so you had to do this to others. I hope you sleep well at nights knowing how you ruin other peoples lives and families. Cuddos to the post where the worker got the nurse 14ys... Wonder how she's doing pushing the other inmates around... Maybe she will end up on a friend of mines Parole Case Load, he, he, he...

Look, I guaran d**n tee you, that the law doesn't allow for the nurse spies to come into the examine room. I do believe this is one of the "Priviledges" one has, Doctor Patient Priviledge. Sure you idiots want the patient to be back in "gainful" employment, irrespective to how demeaning the work is. You just want them off of the insurance company's "payroll". You idiots don't give a rat's patuty about the injured worker so don't try to tell me or any other worker you care, cause your pay and bonuses are based on how many "patients" you get OFF of your d**n case load. I was an injured State Of Texas employee. I still am and on total disability both with the State and based on my filing with the IRS. But, I guarantee you, you would find some demeanial task for me to do which would take me off of the insurance payroll and stop my comp money... no doubt you would.. So don't sit there and lie to these folks, I know what I am talking about, I know how to get what is rightfully mine, and how to keep people such as the likes of you out of my life and out of my doctor's office. So there, stupid... if you are a nurse, get a real job... they pay better, plus you obviously can't or you would have. You just like the control of pushing patients around... You obviously can't cut it as a real nurse, so you had to do this to others. I hope you sleep well at nights knowing how you ruin other peoples lives and families. Cuddos to the post where the worker got the nurse 14ys... Wonder how she's doing pushing the other inmates around... Maybe she will end up on a friend of mines Parole Case Load, he, he, he...

This is an additional response for Lynda, a release is not necessary with workers compensation cases-due to the insurance company paying the bills-which does not fall under HIPPA guidelines. So again you were given the wrong information. I will not argue with someone of your level or lack thereof, you are obviously misinformed regarding worker's compensation guidelines in the state of Texas.

Hello not a low-tech spy, most case managers are Registered Nurses or Vocational Nurses who held to the standards established by the state board of Nurse Examiners. Also certified case managers Are held to even higher standards of practice. If fraud were not such a problem in area of workers compensation then the need for case management would not be so great. In Texas the TWCC (Texas Workers Compensation Commission) has ombudsman available to assist workers with their concerns, I supply the TWCC information to my injured workers upon their request. Again check the laws in Texas an attorney cannot stop a case manager from meeting with a Dr. The attorney can stop the case manager regarding a federal file such as Long shore, or Jones Act. * This was verified with a specialized labor attorney. Case management is not about "winning or losing" it is about obtaining appropriate medical care, and returning the injured worker to gainful employment. And some injured do not wish to return to gainful employment.

The insurance company would like you to think that these "Nurse Case Manager" are supposed to go into the exam room with you. NOT SO. They can go to your office visit with you IF they are keeping all payments current and up to date. If they are not they have no right to be there. Their only defense to being there in the first place is because they are paying the bills. You don't have to let these people go into the exam room. What is said between you and your doctor is private. What your doctors tells them is up to your doctor. I once had a Zurich nurse case manager tell me that she knew more than any doctor... SO..on my next office visit I invited her into the exam room and told the doctor what she had said. Strange, she never showed up for appointments after that, stranger, they found a way to boot me off of comp. That didn't work out to well for them, the judge made them pay my back pay, plus a little bit for the pain and suffering they caused me while playing games. Most of them are low tech spies for the insurance company, then most of them are sell outs that couldn't make it in the medical field. By the way, the one I had was charged with practicing medicine without a license on another persons case. My attorney told me she got 14 years.

I am sorry lady, but you are wrong. An attorney CAN stop you or anyone else from talking to the Doctor. The patient HAS to sign an authorization to allow any one of their representatives to converse with the doctor and if they are smart, it wouldn't be a case manager. It would ONLY be someone like their attorney. Because the case managers work for the insurance company and really don't want to pay the injured worker what he/she is entitled to. People, DON'T let these "case managers" intimidate you into going in to the exam room. Let them get the info another way, the legal way!!

I am one of those "insurance company nurses" we are known as "Case Managers". I give my patients the option of allowing me to accomapany them to the doctor's appointment. You always have the right to refuse. The attorney can not stop the case manager from meeting with the Dr. However, I do feel it is courtsey to ask the patient. I think it is rather unprofessioanl not to ask the patient their agreement to attend the appointment. I have had patients tell me they prefer to be examined alone by their doctor and I meet with both the patient and the doctor following the examination. These are only some suggestions.

I am one of those "insurance company nurses" we are known as "Case Managers". I give my patients the option of allowing me to accomapany them to the doctor's appointment. You always have the right to refuse. The attorney can not stop the case manager from meeting with the Dr. However, I do feel it is courtsey to ask the patient. I think it is rather unprofessioanl not to ask the patient their agreement to attend the appointment. I have had patients tell me they prefer to be examined alone by their doctor and I meet with both the patient and the doctor following the examination. These are only some suggestions.

I am one of those "insurance company nurses" we are known as "Case Managers". I give my patients the option of allowing me to accomapany them to the doctor's appointment. You always have the right to refuse. The attorney can not stop the case manager from meeting with the Dr. However, I do feel it is courtsey to ask the patient. I think it is rather unprofessioanl not to ask the patient their agreement to attend the appointment. I have had patients tell me they prefer to be examined alone by their doctor and I meet with both the patient and the doctor following the examination. These are only some suggestions.

I am one of those "insurance company nurses" we are known as "Case Managers". I give my patients the option of allowing me to accomapany them to the doctor's appointment. You always have the right to refuse. The attorney can not stop the case manager from meeting with the Dr. However, I do feel it is courtsey to ask the patient. I think it is rather unprofessioanl not to ask the patient their agreement to attend the appointment. I have had patients tell me they prefer to be examined alone by their doctor and I meet with both the patient and the doctor following the examination. These are only some suggestions.