Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 671
Narratives 49 N 

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“Timelines”

In the lawyer’s handbook that I have been referencing, there is a chapter on “timelines.” The author writes:

If your situation involves a complex set of facts, have a timeline created and question the doctor about the timing of the events. Many doctors are just plain lazy and won’t be familiar with the medical records. Make sure your timeline follows a chronological order because it is important to the let the timeline “speak” to you. 

This for me is simple and basic. Most of our patients have complicated timelines. There are police accounts, ambulances, hospitals, primary care doctors, medical specialists, disability issues, test results, etc. In your history you MUST inquire and then get the records for this background information (when possible and if not, speak to the lawyer who will probably have it) and you also must gather all the results of testing and specialists reports while your patients are under care. 

In the examination template I offer there are many areas to document ALL of that information and I mandate to many of you that you get that document after I do your compliance review. The purpose, the document will protect you from YOU!!  Too many of you have gotten into bad habits and forgot everything you learned in school. In addition, your EMR programmer has also become the authority in what you document and you abdicate the responsibility to someone who has NOTHONG to lose in an audit, prosecution or trial for your patient. It is for that reason we recommend Software Motiff. It isn’t perfect, but it has everything you need to protect you and is the closest to the paper document I strongly recommend for your EMR follow. 

As you can see, the lawyers are trained to dismantle your timeline to see if you have all the facts. In politics and especially today (during a presidential election) there are organizations that act as “fact checkers” and before you decide on a candidate, no matter what your political position, you should always check independent “facts” of what candidates are saying.

In court, audits and licensure hearings are far worse than with a politician. You must have your facts together or it can cost you your license, your home or all of your savings because being wrong in a legal proceeding can cost you… BIG! You do not have the leeway of a bullcrap politician. You are constantly under the microscope once a hearing or trail commences and it is why I am so tough on compliance reviews. The FACTS must be accurate and a timeline is a great place to ensure you have the facts correctly. 

The opposing counsel is prepared to dismantle your records and the facts are critical, inclusive of timelines. This is only scary if you don’t do it, or do it wrong. Doing it right simply adds to your sleep at night.

Sweet dreams and WIN BIG!!!!
 
 
 
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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