Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 287

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"P-IME Fees"

Disclaimer: Dr. Mark Studin, Dr. William Owens, The Academy of Chiropractic andCMCS Management do not set, make recommendations or suggest fees for your practice. You have to independently make that determination. This consultation is for educational purposes only. 

A doctor in California wrote inquiring about P-IME fees. Dr. Owens responded about a simple and concise formula that he uses. Here is his response to the request for guidance on P-IME fees:

Regarding P-IME's...I charge by the hour.  You should fall within the going rate for lawyers in your area.  I charge $200 per hour (Buffalo, NY), which includes seeing the patient, reviewing ALL medical, reviewing imaging, correlating findings and writing a report.  I also include any time that I spend visiting with the lawyer on that particular case. You want to ALWAYS be able to explain where you got your fee from.  This is the best way to do it.  I have been asked on the stand multiple times.  That is a VERY comfortable answer.  P-IMEs would run $700-$1500 depending on what you are doing.  I don't want to make my cost prohibitive either.  On testifying, it is based on time; 1/2 day or full day plus prep...but see Dr. Studin's consultation on the Web site about testifying fees.  
Regarding testifying fees, I actually am starting to do a formal PowerPoint presentation with imaging at trial so that takes it to a different level.  Therefore, my fee will increase if the lawyers want it. My fees will then include all prep, meetings, travel time, and court time, so for a trial I will bill on average for 12-20 hours depending on what I need to do.  I hope that helps.  Let me know if you need any more help.  The hourly billing helps with everything including arbitrations and depositions.  It is very simple and the lawyers understand hourly billing and certainly know what to expect.  That is important in building your reputation.  I send them an invoice ahead of everything.  For the P-IME they pay and get the report.  
Thanks, Bill 
Although Dr. Owens has a special set of circumstances for testifying, I urge all of you to read consultation #198 for a complete explanation before you price yourself out of business.

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