HOW WE PREPARE FOR REVIEWS:
There is no secret to the conduct of a successful review
application. Everything depends on a complete understanding of
the insured person’s ACC file and the implications that the
file has on the application of the Statute by which cover has
been originally granted or the statute by which a decision has
been made.
Our experience as hands on advocates provides a
unique perspective
on the way in which ACC and CATALYST case managers operate in a
way that is not available to most legal counsel that undertake
ACC reviews. An ACC review is a specialised field of endeavour
for which our service is demonstrably focused and empowered from the
outset of a
review application.
Having established the issue at review our first step is to
gain the insured person’s complete file from ACC and if
necessary we also seek third party files that may not
necessarily be held by ACC.
We then data base in chronological order from the insured
person’s file the relevant extracts of documents that we
identify as being related to the issue at review. The effort and
cost involved of
data basing the file documents that we have titled as a ‘Strategic
Report’ has the following advantages: -
This usually determines that by the time that we go to
review we present far more relevant documents for the reviewer to
take into account against the arguments that we put forward.
It is noticeable how often ACC or CATALYST case managers
fail to include all of the documents that should be put
forward at the time of the review.
The chronological snap shots offered by the data base
enables the identification of actions by all of those
providors and profeesionals who have been associated with the file in any way. This is a very
important process as the arguments of fact or omission and
commission can be identified and related to a specific point in time.
Data basing the file also opens up the avenue of
identifying missing documents from an insured person’s
file, which for the review of an issue can become an
important fact in itself.
The method that we employ in data basing the file
identifies the legal arguments and or case law that may be appropriate to the particular review.
Where it is evident that there should be an independent third
party opinion relevant to the issue at hand we prepare the
necessary questions to be put to the third party and provide all
of the relevant documents that we have identified along with a
copy of our databased ‘Strategic Report’. The reason for
seeking an independent third party opinion so early in the
review process is that where a review application is reasonably
brought, even if the review application fails the cost of the
independent report is met by ACC.
We always provide the reviewer with a copy of our submissions
well before the hearing date, which provides the reviewer with
an opportunity of understanding the grounds and arguments that
we have determined to present at review.
ACC and CATALYST case managers have a policy of ambushing
review applicants by presenting their submissions AFTER the ACC
recipient has presented their submissions during the
review hearing. This policy is unconscionably immoral, as in all
other legal forums the party that has made an adverse decision such as
that brought to a review hearing are required to make their legal submissions
available to the appellant BEFORE the review hearing commences. By
ACC providing an insured
person their submissions half way through the review hearing the
ACC and CATALYST case manager's deliberately disadvantage those
insured person’s who are not represented at review and for
that matter those persons who are able to afford to employ
legal counsel.
We never provide the ACC or CATALYST case manager with a copy
of our client’s submissions until the review hearing commences
in retaliation to the unprincipled manner that ACC conceals its
supporting arguments. It is our form of settling accounts for the highly
immoral way that the ACC or CATALYST case managers conceal the
basis of their reasoning when making adverse decisions against ACC
recipients.
The best retribution however is to
succeed at the review hearing.
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