Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 668
Narratives 48 N

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues I bring are 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 focus on the larger issues… a larger, more profitable practice along with more family time. 

“WHAT IS THE PURPOSE OF A NARRATIVE REPORT?”

PART 1

1. Is it to help your patient attain a large settlement for their injuries?

2. Is it to impress the attorney so that he or she sends you more of their clients?

By now all of you know the answer is neither of the 2 above. The purpose of narrative is to accurately document the subjective and objective findings after careful evaluations of your patient, post-accident.

Now, if that narrative is accurate and carefully written it will help with items 1 and 2 above; the goal all of us have in practice. Patients getting what they deserve if their injuries are accurately documented in your narrative report, and the attorney should feel good about the excellent job they did representing their client. 

Did you notice that the word accurate has been used 3 times in the above paragraphs? After writing thousands of narrative reports for clients in almost every state, we have come to the conclusion that 4 eyes are better than 2 when it comes to accuracy.  Most doctors either document too much or too little. Superfluous information that is not only not necessary in a narrative and can be detrimental because you are out of your level of expertise as deemed by the lack of credentials by the courts (I.E. speed of vehicles, road conditions, assigning blame for the crash, etc.), while too little can be just as bad, if not worse.

Having a professional narrative writer to review your files and write the narrative for you, not only frees up your time to treat patients and market your practice, it provides accuracy in interpreting your records. My job is to double check your work for accuracy and to a great degree compliance. I have “kicked back” many reports for clarification and other information to help prevent doctors from putting a “bullseye” on their forehead with inaccurate or misleading language in their documentation. I have been doing this for almost 40 years and know much of what the carriers (defense lawyers) are looking for to either discredit or turn the tables on you for fraudulent lawsuits and/or prosecution. 

What exactly is accuracy?  It is “the condition or quality of being true, correct, or exact; freedom from error or defect; precision or exactness; correctness. 

Are your reports accurate and reflect you and your office? Do you perform and document an accurate history and medical necessary diagnostic work up accurately too? It’s not just transcribing your notes to another piece of paper, it’s about doing a complete work-up and analysis that will lead to items 1 and 2 above.

In our next consultation we shall address what makes an accurate report, stay tuned.


 
Respectfully,



Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Assistant Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences 

 
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