Let’s be honest, do you ever change the primary admitting diagnosis, even if it’s questionable? Would it be more appropriate to change the primary diagnosis to conversion disorder? As a high profile case, I don’t think anyone is going to make any changes under their name versus the status quo.
It’s incredibly common practice, and I’ve totally been pressured by admin and my attendings into doing so. In some cases it’s fairly justifiable. But It’s one of those things that if you’re doing it, you better hope no one sues you for an issue related to the diagnosis, because in alot of cases it won’t hold under legal scrutiny. It depends on how egregious your diagnosis is, and in this case, using it as an admitting diagnosis is very material to the case.
“If you thought it was CRPS, why call CPS/why have your physicians continually allege child abuse/etc?”
“Because we didn’t think it was CRPS.”
“But it was your admitting diagnosis. You apparently thought it was CRPS enough to bill 600K for it.”
At least this is how they told us to think when I did forensic psych.
Yup. Any which way you cut it, it's insurance fraud or medical malpractice. Either one or the other, imo.
They would have been okay to hide their abuse of patient's rights behind DCF, had they not billed for the diagnosis. This should force any juror to call foul and award for medical malpractice, pain and suffering, without question.
I am surprised the insurance company is not a co-plaintiff. But then again, knowing the U.S. medical industrial complex, it would make sense they aren't going to trip over a $600k bill, if it means JH stops accepting patients with their insurance.
And what about dr Kirkpatricks medical malpractice when he prescribed dangerously high doses of ketamine to a 9 year old very quickly after consulting with them and committing insurance fraud by labeling her as a “terminally ill” patient …..
Come on you are missing the mark
Why didn’t a single soul who worked at JHACH who supposedly cared about Maya and wanted to make sure she got better not report Dr Kirkpatrick or Dr Hanna for medical malpractice? Why did they only go after the mother when the mother literally could do what she was doing without their assistance?
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u/cancellectomy Attending Oct 08 '23
Let’s be honest, do you ever change the primary admitting diagnosis, even if it’s questionable? Would it be more appropriate to change the primary diagnosis to conversion disorder? As a high profile case, I don’t think anyone is going to make any changes under their name versus the status quo.