Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 93 I

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.

"MRI Prescriptions"

quickie 93i


Very simply put, the MRI script to order an MRI is either your initial evaluation or your re-evaluation. In the testing section, when ordering the MRI, you need to add your rationale for ordering the test, as you do with all tests. Since all of your findings are on this document, verification becomes very easy.


You should have templated paragraphs that you can customize for each patient. (This is what EMR macros do.) In addition, a research citation could be added to this section.


With the complete evaluation present, the reading radiologist will now have a clear understanding of the clinical issue beyond your cryptic works on a standard prescription. With the full clinical picture, a more accurate interpretation will be afforded. AND...with your full evaluation, the MRI company will be more likely to get paid. The #1 reason MRI companies do not get paid is due to a lack of necessity from doctors. They are entitled to get paid for delivering a high level of service and if you are one of the only doctors to take this action, you will get every consideration from the imaging company, including quicker reads and possible cookies at Christmas! (Who cares?)

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