Copyright © 2010 National Risk Services
All Rights Reserved
The Claims Management Reality
CASE HISTORY #5
CLIENT: DAIRY PRODUCTION COMPANY
CLAIM: INJURED BACK
Claimant injures back while unloading a truck at a delivery site.
Upon review of the medical bills, we discovered that the claimant received daily diathermy and hydroculation treatments for a period of two weeks, including Saturdays.
Examination of these and other reports from this particular treating physician revealed a high incidence of back claims with repetitive treatments for extended periods of time. We alerted the client to the physician’s mode of treatment, and recommended that his visits be monitored more closely.
On our recommendation, the client informed the carrier that this claim was submitted in error.