I had a failed back surgery in Dec 07 and am currently on LTD and waiting for my SSD hearing with an ALJ. Well, I haven't had any problems with my LTD carrier until today. My PM doc is also the one that performed the surgery on me. After the surgery (I have been seeing him for 4 years) he told me that the surgery was failed and that he had done everything that he could for me. My only option was to take long term pain meds and apply for disability. He said that he would be behind me 100% and that as long as he was in practice he will continue to treat me with meds. He was in it for the long haul. He has been the doc filling out all of my LTD forms. In the beginning I had to have disabilty forms filled out every other month. (quite expensive because I am charged for this). It was a 2 page form and the second page asked questions like how long can patient sit?, stand?, walk? How much can patient carry? Things like that. The last question was do you feel that this patient needs a functional capacity exam? My PM would always put an X on that page and say we do not rate. After about the 3rd time that he did this I got a letter from my LTD carrier stating that the form would have to be filled out completely or my payments would stop. I took it to my family doc and he thankfully filled it out that I could do none of those things for even 2 hours. The next time that I saw my PM I told him that the fact that he would not fill the entire form out has created a real hardship on me. Keep in mind that over the past year this guy has turned out to be a real jerk, contradicting himself from one visit to the next. He said OK, I will fill the next form out but I am going to say that you do need a FCE. I was never sent another form to be filled out by my LTD. Today I got a call from a nurse at my LTD carrier saying that she was reviewing PM's notes and he wrote in my chart that I need a FCE. She said that she put a call in to him and if he really still feels that way than they will have to have one done on me. I have heard real horror stories about these! I also go to an LTD forum and saw tons of people talking about how the test is biased and will lean towards the person paying the bill for it. Also, they will make you do something that you can't normally do and because you did it for that 1 split second (no matter how much pain it caused) they will say that you could do it in a full time job. I am terrified! I am truly disabled and not able to work. We are holding on by a thread and if my LTD payments were to stop right now we would lose everything we have quickly. I put a call in to my docs office but he has been such a jerk towards me lately that I doubt it will do any good. If anyone here has undergone one of these tests I will really appreciate any info on it that you could give. Thanks.
Tue, 01/27/2009 - 8:41pm#1
Functional Capacity Test-Help!