Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 998
Office Systems 82 OS

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.

“This is about your $$$”

AND… I am rip-shitting pissed at too many of YOU


 "Can I be that stupid?”  Mark Studin 2018 

I will do whatever it takes. I will educate you, show you forms, give you strategies, explain the laws to you and dictate what you should say to the sect of lawyers who are working very hard to SCREW you. I will give you a “pep talk,” I will curse the lawyer out, and I will curse you out if that is what it takes to get your attention. I am all in… Really… ALL IN WHEN IT COMES TO YOU GETTING PAID!!! Nothing pisses me off more than YOU getting screwed!


However, when I hear on the other side of the phone either whispering out of fear, or a lack of willingness to fight for your money, I want to jump through the phone and smack you very hard on the back of the head and yell “Wake up… you stupid bastard, you are getting screwed with your “clothes on.”


In the relationship between you and the lawyer, you have the leverage provided you have followed the procedures on correct documentation regarding liens and letters of protection. The lawyer CAN NOT distribute any money until your fees are negotiated and resolved (in most states).


Here is the next HARD RULE: You do not work for the lawyer unless you have your documents in place; liens, etc. No narratives, no testifying, no documents unless subpoenaed and even then you will not cooperate. In today’s marketplace, lawyers are trying to get all doctors to bill the managed care carriers in a money grab so they can get paid a higher amount in the end, but late in the game ask you for a narrative. The answer is NO because in most instances you did not even get paid the lower amount as the managed care carrier knows this is an auto claim and usually withhold payment. Do not bill anyone except who is ultimately responsible… The auto carrier and IDNGARA what the lawyer asks you to do or the patient. You do what is right.


This past week I had one doctor on the phone who was willing to write anything for the lawyer and wasn’t quite sure of coverages because the patient was complicit with the lawyer in having him bill the commercial carrier and being vague in their intake although there was a history of an accident. This doctor did not call the auto carrier to ask about med pay provisions and has no lien on file. Now the lawyer wants documentation to win the third-party case, and the doctor has been paid ZERO and has no lien.


Every case has unique nuances, but in the end, you bill the responsible party and ensure you have your documentation completed, with notices going to the lawyers or any other responsible party. You have to do your homework hopefully before the first visit, so you know what you are doing BEFORE you see the patient. That is what your staff should be doing.


Moreover…Take no crap from anyone trying to take advantage of you. This is not my money, it is yours, and I do not understand why I am angrier than you when you already know you are getting screwed?????????


Be pissed!

Be angry!

Be Rip-Shitting Pissed!


However, don’t roll over and play dead and do nothing but complain. This is your money, and you have earned it. Go get it!






Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical 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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