How To Play HMO HARDBALL
From Exam Room to Courtroom Get Necessary Tests & Treatments
Click Book To Read Chapter One
THE HMO POISON PEN
The ultimate HMO anti-patient weapon is the POISON PEN, wielded by HMO lawyers, bureaucrats and doctors to prevent patients from enforcing their rights. The HMO POISON PEN is filled with venom. The HMO POISON PEN writes fraudulent enrollment applications, unfair contracts, rigged appeals procedures, and other documents that contain "weasel words," permitting the HMO to delay and deny healthcare.
HMO legal assassins use the POISON PEN to whack patients who try to enforce their rights and to whack HMO doctors who act as patient advocates. HMO legal assassins teach HMO doctors and bureaucrats how to use the POISON PEN to write medical records, notes in patient files, memos to HMO lawyers, and letters to patients, etc. Patients are defenseless when they must play HMO HARDBALL to get medically necessary healthcare. They have no documents to prove their cases.
THE WHY AND HOW
Why do HMO legal assassins instruct HMO bureaucrats and doctors how to use the POISON PEN and how do they do it?
HMO bureaucrats, doctors and lawyers are taking a break from the beach, golf course, and wine tastings at their annual "networking" conference in Miami Beach each December. They attend the POISON PEN Seminar. An HMO lawyer picks up the POISON PEN, lifts it in the air, and with deadly seriousness, warns that winning or losing complaints, grievances, appeals, arbitration and lawsuits depends on how skillfully they use the POISON PEN.
HMO HARDBALL’S POISON PEN
The antidote to the HMO POISON PEN is patient pressure, using HMO HARDBALL documents to present facts and to ask questions that cause sufficient pressure to force your HMO and its doctors to help you.
How to Play HMO HARDBALL teaches patients how to prepare their own documents that prevent and reverse the wrongful denial of healthcare. HARDBALL’S easy, fill-in-the-blanks forms organize facts, present facts and ask questions. Most of the work is done. Patients just need to plug in the facts and have the courage to protect themselves.
Patients must use the antidote – the Patient Pressure System from my book and other forms on the website. It’s easy to administer the HMO POISON PEN antidote. The antidote empowers ordinary patients to short-circuit their HMOs’ complaint, grievance and appeals obstacle courses.
How to Play HMO HARDBALL teaches patients to use their own pens to pressure HMOs and their doctors to change test and treatment decisions from "no" to "yes." The forms persuasively document the need for healthcare. Patient documentation is critical to winning grievances, appeals, arbitration and lawsuits. Persuasive patient documentation is critical to preventing them. Remember: Prevention is always preferable to payback time!
HOW DOES MY HMO’S POISON PEN WORK?
My HMO’s Legal-Medical Department instructs doctors and bureaucrats how to wield the POISON PEN to win appeals and lawsuits. My HMO’s lawyers’ instructions to my HMO’s doctors plainly state how they should use the HMO POISON PEN and why:
• "Documenting is necessary to support the physician in the event of a conflict between patient and physician…Detailed, specific information is needed."
• "Carefully provide documentation that is nothing that you would be ashamed of if the written record is enlarged photographically for scrutiny by a jury."
• "When talking to patients or documenting in the records, do not accuse the health plan of denying proper medical care…the patient may not have exhausted appeals rights."
HARDBALL FORMS SUPPORT THE PATIENT IN THE EVENT OF A "CONFILCT ... APPEAL ... AND JURY" TRIAL.
Created and produced by Robert and Jacquelyn Finney, CounterPoint Communications.
Website consultant Ray Koch, Groundswell Productions