The “Good Doctor”

workplace-doctor

An injured worker’s own workplace Doctor took it upon herself to “share” her personal opinions about the injured worker in her statement to the ACCS, the workcover insurer, and possibly the injured worker’s employer…

 

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The “Good Doctor”

By “Snappy Tom”

My workplace Doctor took it upon herself to “share” her personal opinions about me in her statement to the ACCS, the insurer, and I  believe my employer.

This became one of three “pillars” for rejecting my claim.

I believe she also disclosed information about my marital situation following questions she asked at a time when I was extremely vulnerable, on anti-depressant medication with suicidal ideation (her own diagnosis, probably about the only thing she got right).

After giving the matter some considerable thought and coming to the decision I had nothing to lose by fighting fire with fire, I spoke to the Health Services Commissioner whom advised me to request an internal review of her actions by the practice manager. If I deem the outcome unsatisfactory she recommended filling in the supplied complaints form to enable her office to begin their own investigation. Should the matter still remain unresolved it will then be referred to the Australian Health Practitioner Agency.

To assist the practice manager to maintain clarity and transparency of the issues at hand and look closely at the “Good Doctors” personal views communicated as opposed to purely medical opinion I also forwarded the email to the Law firm acting on my behalf. I could  see no good reason for not helping them assist me with my case and destroy the insurer’s case for rejecting my claim.

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2 Responses to “The “Good Doctor””

  1. Injured worker’s treating psychiatrist has been convicted of Workcover fraud. What’s the bet the workers who were treated by Dr Pralay Mazumdar had their benefits terminated as Workcover will reckon this doctor was saying they were sicker than they were to over service and inflate his bills to Workcover.

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    Psychiatrist convicted over client treatment scams
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    A psychiatrist who told the VWA his patient was sicker than she was in order to prolong her stay in hospital so he could receive further payments was last week sentenced to six months in prison (wholly suspended for nine months) and ordered to pay almost $50,000 in fines and restitution.

    Dr Pralay Mazumdar pleaded guilty in Ringwood Magistrates’ Court last week to six charges under the Accident Compensation Act relating to his dealings with injured workers at a Dandenong hospital in 2012 and 2013.

    Dr Mazumdar was charged with two counts of fraudulently obtaining payments, two counts of knowingly provide false information, and two counts of providing false information.

    He was sentenced to six months in prison (wholly suspended for nine months), fined $5000 and ordered to pay restitution to the VWA of $44,539.78. He was also ordered to pay legal costs of $3677.

    The court heard that Dr Mazumdar had been providing psychiatric services to VWA clients since 1998. In 2009, he began operating a psychiatrist service at the St John of God Pinelodge Clinic in Dandenong, seeing both inpatients and outpatients.

    While working at the clinic, he began providing psychiatric services to a number of VWA clients. He then sought payments from VWA agents for these consultations.

    The court heard that while dealing with VWA clients between 5 March 2012 and 9 September 2013, Dr Mazumdar committed a number of offences and obtained a total of $44,539.78 in payments to which he was not entitled. These included:

    Overstating the length of his consultations on 114 occasions. As a result, he fraudulently obtained payments totalling $24,341.63.

    Claiming payments for particular types of consultations he was not entitled to on 37 occasions, thereby receiving $13,790.60 to which he was not entitled.

    Providing false information that misled VWA agents as to the health of four inpatients. In one case, an inpatient’s stay was extended beyond what it should have been. As a result, Dr Mazumdar received $1519.95 for himself and $7493.55 for the St John of God Pinelodge Clinic for which there was no entitlement.

    The court heard that clinic staff was not complicit in Dr Mazumdar’s offending in any way.

    The VWA’s Executive Director of Insurance, Clare Amies, said it was the first time the VWA had prosecuted a psychiatrist.

    “Psychiatrists are respected for the important work they do in restoring the mental health of people from all parts of the community,” Ms Amies said.

    “Their patients are often vulnerable people who rely on them to work in their interests at all times. So it is extremely disappointing that a trusted medical practitioner has misrepresented the state of his patients’ mental health for personal gain.”

    Ms Amies said the vast majority of medical experts were professional who worked hard to ensure injured workers received the best possible care during their recovery.

    “However, it is important that we continue to identify and prosecute those who do the wrong thing by the scheme, injured workers and employers,” she said.

    “We need to make sure the focus always remains on providing quality health care to injured workers, and that their recovery is the key priority.”

    Thursday 18 December 2014

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