FRANKLYWNOW - Beckley Doctor Removed From Workers' Comp Program

Beckley Doctor Removed From Workers' Comp Program

Beckley Doctor Removed From Workers' Compensation Program The West Virginia Workers' Compensation Commission has terminated a Beckley physician from the program, "for providing health care that is excessive, medically unreasonable and unethical." The WCC determined Dr. Michael Kostenko of Beckley abused the workers' compensation system by allowing massage therapists to administer intravenous fluids and certain types of injections to injured workers, and he engaged in "upcoding" in billing for services rendered. In a "Notice of Termination" to Kostenko dated Feb. 18, the commission informed Kostenko that his right "to obtain payment for services rendered to injured employees from the West Virginia Workers' Compensation Commission shall be terminated permanently and irrevocably." The commission also informed more than 350 of Kostenko's patients of the termination in a separate letter. The commission offered to help those patients transfer their care, providing them a list of other health professionals in the Beckley area. Among the grounds cited for termination:

  • Kostenko "routinely performed exams/labs which were unrelated to the work-related injury and assessed diagnoses which are unaccepted by the general medical community."
  • Kostenko either administered tendon sheath injections in excess of the treatment guidelines where the documentation did not support the medical necessity of a tendon sheath injection, or he billed for tendon sheath injections which were not administered, or both.
  • Kostenko allowed massage therapists to compound and administer IVs and administer tendon sheath and trigger point injections in violation of the massage therapists' licensing.
  • Kostenko engaged in upcoding, or billing for services that imply a higher level of complexity than is documented in the medical records.

According to the WCC, Kostenko must appear before an administrative law judge in Charleston April 5 to show cause why his right to receive payment from the commission should not have been terminated. Injured workers who choose to continue receiving services from Kostenko will be solely responsible for payment for those services.

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    Wednesday, February 12 2020 6:45 AM EST2020-02-12 11:45:23 GMT
    Wednesday, February 12 2020 6:47 AM EST2020-02-12 11:47:29 GMT
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