Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 722

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.

“IME/DME Mandate”

IME and DME are now interchangeable. The “D” stands for defense and as we all know, 99.9% of them do the bidding of the carriers and are rarely in today’s marketplace honest or accurate. I did leave the .1% for the ones that are honest. In the trial lawyers association meeting last week that I attended they finally stated what I have been shouting for at least 3 years; you MUST rebut the opinion of the DME if you disagree. In addition, if they are breaking the law/regulations, you must render a complaint (my opinion), which research indicates happens in approximately 80% of the time. That has been my stance for 3 years now and those that have rendered the complaint have made more money, except for 1 doctor who got scared when they said “Boo” and refused to fight. The lack of a “spine” cost him both money and his reputation when he should have stood his ground, where he would have easily prevailed based upon the facts. Not just in that case, but in others where he caught the doctor lying and now that DME doctor feels that he can lie all he wants and no one will stand up to this bully.  

To the rest of the profession who has fought back, you have now realized the power of being on the side of facts, truth and the law. The result is you are making more money; have the respect of the lawyer you work with and your patients who you have verified that you will fight for their rights to get well and get compensated based upon the truth. 

The trial lawyers association came out this past week and stated that to neutralize the DME’s, the treating doctor MUST rebut the opinion of the DME if they feel they are inaccurate. Your absence of a rebuttal signifies that you are agreeing with the DME report and often it is saying your diagnosis is wrong, your treatment is wrong and that you are both inflammatory and out to make money and nothing else. You must be very careful about being silent.
I have given you an education on how to rebut improper (99.9%) IME’s in section #9 of the consultations and should you desire, in section #18, you can learn how Dr. Manoni will do them for you as they do take time.  Either way, you MUST rebut them remembering that New Jersey is a “bell weather state” and in all 50 states (yes Connecticut, you too) DME’s are ramping up their game to SCREW YOU AND YOUR PATIENTS!

Rebut, let the truth prevail and get paid. That is the way it is supposed to be and now it is a mandate!



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

Academy of Chiropractic
US Chiropractic Directory
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