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Medical certificate ARC18

#1 User is offline   Shapeshifters 

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Posted 20 February 2008 - 02:59 PM

90 Days unfit for any duties is what my GP puts on my ARC 18 ,I can remember them being issued for longer once upon a time
My injuries are permanant and probably wont improve any
My case manager has told me 90 days is the maximum and I cant for the life of me understand this
I will be retraining for the next year or to and my situation will not change while this is happening
Can anyone help here ,Im under the 1982 act
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#2 User is offline   Alan Thomas 

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Posted 20 February 2008 - 03:17 PM

Quite a lot of us are now providing medical certificates once per year.

If you have been permanently incapacitated since the 1982 act check amongst your file to see whether they have made a decision that your injury is temporary or permanent. Frequently decisions have been made on file but not disclosed. a decision does not need to be disclosed To the claimant for it to be a decision. Generally the ACC were trying to take a but either way. Either your injury was temporary whereby they could get rid of the claim easily or it was permanent where they did not have to pay for any form of vocational rehabilitation. Obviously they cannot have it both ways
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#3 User is offline   doppelganger 

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Posted 20 February 2008 - 05:29 PM

The ACC are requiring you to continue to obtain medical assessments by a medical health profesional and do these assessments at the Corporation expense. Section 72.

Put a claim into the ACC for any extra including any travel for the expense of the medical certificate.

You have nothing to loose and it might just get ACC to wake up about the management of the ACC Act and the expense that they accure.

Good to see that you are getting some rehabilitation that should have been supplied before now especially if there is a reduction in the Compensation.
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#4 User is offline   Shapeshifters 

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Posted 20 February 2008 - 09:26 PM

Alan
ACC tried hard to exit me though the goon squad some time back
I can not get any decisive answers on the incapacity from my files at present as they are proving very elusive to get a complete copy of all files and pathways
Two shots and alot of missing and incomplete infomation so far has called for a detailed request having to go to a higher level
Having been in the system for along period I am very appreciative of any positive assistance that I have recieved


doppelganger
The admin costs to run the corporation are calossal and rising
I will take your advise and put in a claim for expenses "a great idea"
It took a great deal to get the rehab
cheers
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#5 User is offline   MG 

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Posted 22 February 2008 - 10:09 AM

If ACC aren't giving you complete and accurate disclosure of your health information, contact the Office of the Ombudsmen asap. They are quite effective at getting ACC to disgorge the information it holds about people.
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#6 User is offline   Alan Thomas 

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Posted 22 February 2008 - 10:27 AM

I was at the review hearing yesterday and the reviewer made comment about my previous application for reimbursement for the of pharmaceuticals. The ACC have repeatedly received the original and copies from the pharmacist but still had not paid. ACC had given me illegible photo copies of what they claim to have on file. The reviewer wanted to look at what is the ACC had on file so rejected the copies from the pharmacist. r

The ombudsman and the privacy Commissioner were completely ineffectual in making the ACC surrender a copy of my file.

The reviewer decided to have a look at 27 file boxes of my files looking for the receipts given to the ACC. I have received Only 4 file boxes. The reviewer made a decision that the ACC did not have a liability to reimburse thousands of dollars worth of pharmaceutical costs (tramol) because the ACC have not got the paperwork.

Amongst the 27 file boxes there was not one single original document so the originals are somewhere else.

The problem appears that despite receiving independent proof the ACC and making decisions upon information that they are holding after they have thrown the critical documents away. My continuing to provide them with copies, which are also thrown away, does not seem to be helping.

With regards to the medical certificates ARC 18 my doctors continue to send a showing continued deterioration and increased incapacity together with specialist reports and descriptions of information retrospectively to remove any possibility of confusion about when they cancelled my claim 1997. The ACC appear to be relying upon their own impressions rather than the medical information. They are meant to reassess current information to compare with information they had at the time of the decision.

What should I do?
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#7 User is offline   Easyrider 

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Posted 22 February 2008 - 10:46 AM

The problem appears that despite receiving independent proof the ACC and making decisions upon information that they are holding after they have thrown the critical documents away. My continuing to provide them with copies, which are also thrown away, does not seem to be helping.



You Fax the reviewer a copy of the receipts.
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#8 User is offline   Alan Thomas 

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Posted 22 February 2008 - 11:00 AM

Shapeshifters & Easyrider I think the problem is that ACC come up with a hypothesis as to what they desire or perceive the real truth to be and resist all evidence to the contrary. This means disregarding all professional and independent information in favour of anything they can find choose their own belief system.

My file has grown to the incredible 27 file boxes probably because they are deliberately creating copies of copies of copies that are no longer legible and such a mess that no one could possibly decipher them justify my case being in the too hard basket. I think that my file should only extend to approximately 3 - 4 file boxes.

Easyrider the reviewer had copies that were made at the same time the pharmacist issued new copies of previous receipts. He looked at the original receipts that had been photocopied more than seven times to make them illegible for comparison with the reissued receipts. Any reasonable person can see that they are the same. He mentioned both items in his decision. His reasoning was that I could not have the thousands of dollars reimbursement for pharmaceuticals because the ACC had neglected to give me the specialised reimbursement form. I have previously requested these types of forms without success. Between the two year terms of trespass notices I went to my local ACC branch to politely request these forms and I was politely offered a trespass notice instead.

What should I do?
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#9 User is offline   Not Waddie 

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Posted 22 February 2008 - 11:41 AM

Thats easy. Anyone wishing reimbursement for pharmaceuticals can get a printout from their chemist showing the items and amounts and provide these to ACC. However, I suspect Alan, as with everything, will even make that simple task complicated. If ACC don't accept the printout from the chemist as proof, then review the decision, then appeal the review decision if necessary.

I'll even take a barrier away by attaching the ACC link to the form.

http://www.acc.co.nz/claims-and-care/forms...urceSiteId=1494
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#10 User is offline   Shapeshifters 

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Posted 22 February 2008 - 12:28 PM

Never had any problems get pharmaceuticals costs reimbursed ,the only issue was delay over Tramal
When my erc was terminated a while back ,the catalyst sent my a letter shortly after saying how my other benfits would continue even though my ERC was terminated [phamaceuticals,doc visits etc]
Also I have handed in reciepts that have been very old and have recieved payment for these
years ago I got a print out from my then pharmacist,was very detail and lengthy,sadly it was misplaced and when i went back to them to get another print out there was very little of it and the reason was in referrence to the acc because the majority was related to my treatment
Can anyone advise how i can obtain this information ,is there a national register or is this infomation stored by the health department perhaps elsewhere
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#11 User is offline   doppelganger 

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Posted 22 February 2008 - 12:59 PM

request it again and the Dr will have a list of medication prescribed as a check up.
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#12 User is offline   MG 

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Posted 22 February 2008 - 02:24 PM

Good, clear and simple advice from Not Waddie and Doppelganger - for God's sake take heed of it Mr Thomas and stop wasting everyone's time here.
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#13 User is offline   Alan Thomas 

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Posted 22 February 2008 - 02:58 PM

Not Waddie, shape shifter, doppelganger, MG naturally all of those things have already been done. As previously stated these things have been done repeatedly and it has even gone to review hearing with the reviewer claiming to have gone through all 27 boxes and not being able to find any of the paperwork even though acknowledging the paperwork in his hand.

Naturally I cannot apologise for the ACC being confused. I suspect that they are carefully hand-picked employees for this type of work. People on the site had many complaints about ACC "accidentally" losing information. This is surprising that they claim not to have such information given that the branch medical adviser has written to my doctor challenging the use of tramol and other even more expensive medications trying to persuade him to use cheaper medication. It seems to me that ACC accidentally lose this information while they try to "negotiate" a claimant's treatment entitlements and the liability.

It is reasonably obvious to those who are in the loop that some of us have been targeted for special attention. Obviously in cases like mine is not economical proposition for advocate and neither will be resolved through the courts in an efficient manner.

Going back to the original topic of this thread I think this type of situation indicates the way in which various cases are processed. Cases like mine that I would far rather forget the quite happy to have medical certificates only once per year whereas others they think they can have an active change I might want to have more frequent information from the doctor through the medical certificates.
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#14 User is offline   MINI 

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Posted 22 February 2008 - 06:37 PM

Shapeshifters

As for the reimbursement for your travel expenses. I have just received reimbursement of over $3,000 for work related travel of years 1996, 97 & 98.

Now adays I beleive one has to travel more than 80km each month on ACC business, be it rehab work medical prescriptions etc etc before one can claim the 28? cents per klm for use of your vehicle.

Please get the documents necessary, set out dates times klm travelled etc and apply for reimbursement. If you dont try you dont get.

Do you first application completely and fully explained so that if you have to go to review and appeal. It is all there.

Good Luck
Mini
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#15 User is offline   BLURB 

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Posted 24 February 2008 - 12:10 PM

re post #10

"... I got a print out from my then pharmacist,was very detail and lengthy,sadly it was misplaced and when i went back to them to get another print out there was very little of it and the reason was in referrence to the acc because the majority was related to my treatment"

Sounds like the ACC have been busy behind your back to ensure all evidence of medication relevant to your treatment disappears .... making their (acc's) passage thru the review and appeal go without complications

ShapeShifters, You mention CATALYST, so I presume your file is now being managed by the LTCU

If your case manager is Leanne MacDonnell, then please, I wish to hear from you asap

cheers

Fran Van Helmond
RD4
waiuku
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#16 User is offline   Tomcat 

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Posted 24 February 2008 - 12:28 PM

Your Own Medical Records will show what was prescribed and When...
Could be easier to get... (in part)
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#17 User is offline   Shapeshifters 

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Posted 24 February 2008 - 01:06 PM

Blurb
I feel the acc have created a process ,which has been implemented as part of their generic process to remove from the face ,evidence which shelters certain professional's from certain responsibilities
This is to the advantage of both parties and not the claimant or suffer's
My dealings were with the catalyt down by the shamrock in wellington and my case was transferred back to my branch after reinstatement
Sorry can't be of assistance ,have read some of your postings and seen what this woman has done ,had same crap different woman myself

NoDrsl
I had one pharmacy for years, during the period of main interest for me,I am following other lines of enquiry to gain this info will let everyone know how it works out

Tomcat
You are correct ,unfortuately I have had alot of Doctors which adds to the problem and some are not as helpfull as others in this area
Hopefully percerverance will win over
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#18 User is offline   MINI 

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Posted 24 February 2008 - 02:45 PM

Shapeshifters

ACC may be able to misplace your documents but they cannot misplace their own list of payments made to you for reimbursement of your medical expenses.

Ask them for a list of all payments made to you and a list of all the code numbers for the differing items so that you can match up what is for what.

Under the Privacy act you should be able to atain it for the exact period of time you are looking at.

Good Luck
Mini
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#19 User is offline   Gloria Mitchell 

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Posted 24 February 2008 - 04:18 PM

View PostMINI, on Feb 24 2008, 03:45 PM, said:

Shapeshifters

ACC may be able to misplace your documents but they cannot misplace their own list of payments made to you for reimbursement of your medical expenses.

Ask them for a list of all payments made to you and a list of all the code numbers for the differing items so that you can match up what is for what.

Under the Privacy act you should be able to atain it for the exact period of time you are looking at.

Good Luck
Mini


Just what I was going to advise. You can send an Official Request for Information.......they have seperate departments who make payments/disbursements/reimbursements. Ask for full opies of all documentation as to costs and dsbursements on your claim.

You might even be surprised.....sometimes you might find payment for something has not happened even.....grin.

Gloria.
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#20 User is offline   BLURB 

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Posted 13 March 2008 - 01:58 AM

View PostAlan Thomas, on Feb 22 2008, 12:00 PM, said:

Shapeshifters & Easyrider I think the problem is that ACC come up with a hypothesis as to what they desire or perceive the real truth to be and resist all evidence to the contrary. This means disregarding all professional and independent information in favour of anything they can find choose their own belief system.


Thats pretty much on the mark Alan, well written

Could also add that if they can't find anything in their box of scams to use for "their own belief system", they make it happen ie send you (or your files) to one or more of their specialist toadies who issues a report(s) in ACC's favour!

ref: Dr's Chris Wall, Tony Chew and Tim Sprott

View PostAlan Thomas, on Feb 22 2008, 12:00 PM, said:

My file has grown to the incredible 27 file boxes probably because they are deliberately creating copies of copies of copies that are no longer legible and such a mess that no one could possibly decipher them justify my case being in the too hard basket. I think that my file should only extend to approximately 3 - 4 file boxes.


found quite a number of dupicates (two of the same, well sort of the same) in my files

checked each dupicated copy, as you do

hmmmmm
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