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The Doctor Who Denied Care Without Ever Looking at Medical Records

In February, it was disclosed that Aetna’s medical director had been denying medical claims without ever looking at patients’ records. Thanks to a lawsuit, this negligence was brought to the public’s attention. In his deposition, former medical director Dr. Jay Ken Linuma said he was simply following the training guidelines of the insurance giant. According to Dr. Linuma, this meant nurses would review a patient’s records and make recommendations to him based on their review. Aetna refuted the doctor’s statement, reporting that their medical directors are trained to review all medical information that is available about a patient. Dr. Linuma has admitted, under oath, that not once in his three-year tenure as medical director did he look at patients’ records. It’s shocking that this was happening within one of…Read More

Discover Something New In The Pages Of A Book

Author: Wendy Bornstein I’ve always loved to read, though I struggle to find time for it these days. My favorite book is one that I first read in school, as I’ m sure many of you did, Antoine de Saint-Exupery’s “The Little Prince. ” It’s one of those books you can read over and over again. Most likely if I read it now, I’d remember a lot of it, but I’m sure there are details I’ve forgotten. With the best books, you discover something new each time you read them. If you see “The Little Prince” in a bookstore, it appears to be a children’s book, but it isn’t, really. It’s child-like story actually has many life lessons, some of…Read More

Private Practice One Of The Best Things I’ve Ever Done

Author: Lisa Pezzano Mickey I am totally focused on my clients at PMB, but when I get home from work, it’s all about my family. Todd and I will be celebrating our 19th wedding anniversary this year. We have two boys, Jake and Ryan, who have grown into wonderful teenagers. Jake is my 17-year-old. He is a well-rounded kid who’s very involved in student government and theater. He’s an amazing singer, plays guitar, and has a real presence on stage. I’m only a tad biased! He’ll be graduating from high school this June to attend college. You never can believe how quickly they grow up, can you? My little one, Ryan — well, not so little now, but he’ll always be…Read More

INSIDE WENDY’S WORLD

Author: Wendy Bornstein Helping people is my passion, and I feel fortunate to have made a career out of it. Outside of work, my daughters are my world. As a parent, I enjoy watching them discover and pursue their own passions, and being along for the ride is fun and oftentimes surprising. My girls are fraternal twins, adopted from Russia when they were 8 years old. That sets them apart right off the bat, but they’ve also set themselves apart in the pursuit of their dreams. When my daughter Leyla was 10 years old, she was friends with a boy down the street. He introduced her to something that has become her biggest passion: WWE wrestling. She came home one day…Read More

The workers’ compensation system in New Jersey was designed to provide injured workers with prompt medical attention and wage replacement benefits when they are disabled due to a work injury. There is no need for an employee to prove that the employer committed negligence in order to collect benefits. As long as the injury occurred during the course of employment, the injury is considered “compensable” under the New Jersey Workers’ Compensation Act, N.J.S.A. 34:15-1 et seq. In other words, even if the employee injures himself while tripping over his own two feet at work, he is potentially entitled to benefits. The workers’ compensation insurance carrier must pay 100% of all related medical treatment. During the time that the employee is…Read More

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