Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 1093
Compliance 61 CA

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. -Mark Studin 2006

"Lawyers, Attorney Generals, and Getting Paid vs. Sued"



“I love, love, love what I do… or I would leave” Mark Studin 2019



A very real and alarming trend in the United States is your fees. Close to 100% of the profession has multiple fees for the same service depending upon financial classes; cash, managed care, personal injury, workers compensation, and indemnity plans. Having this compliant has been one of the most asked questions I have gotten during my entire tenure as a consultant. With this type of practice, the stakes just got higher, and you are being warned that the immediate action must be taken right now.


Over the last few months, multiple attorneys have not paid liens based upon a dual fee system and accusing the doctors of breaking the law and as a result are the withheld lien payment or significantly reduce it. Many of those lawyers have “dug in” and sued the doctors for the same. Yesterday, I read a rebuttal to a complaint against a lawyer’s license, where the lawyer was defending a licensure complaint and stated the fact for not honoring his client’s contract (a duly signed lien) was a dual fee system for the doctor who was being greedy.


Also, there are multiple states that are now “ramping up” their efforts into potentially prosecuting doctors who practice what appears to be illegal multiple fee structures. The most recent is one state’s Attorney General who is aggressively exploring this issue, which underscores why this general business practice in our profession must be bulletproof, transparent, and remove any specter of impropriety.


It is not often that I mandate you to do business with any company or service related to your practice. I typically make general suggestions and urge you to take my lead to either increase your business or prevent you from adverse legal action. However, I see a sweeping trend across the country that is aggressively gaining momentum because both plaintiff and defense can now profit from you, and you have no safe harbor if you are not protected. I am certain that the Attorney General was fed information on the dual fee system from either the carriers or plaintiff’s counsel. Because this is a relatively high profile case, it is inevitable that others will shortly follow suit and further magnify any improprieties sooner, rather than later.


Below you will see contact information for Chirohealth USA, a company that is licensed in 49 states (Washington state disallows this) to offer a legal mechanism registered in the state allowing discount plans and the cost to you is $0.00. Do not procrastinate… They are coming.


Disclaimer: please understand that I do not get a referral fee, kickback, or any other personal financial gain from this company. They have taken a booth at our symposium in the past and in the near future, want to sponsor our podcasts, which is the extent of our relationship. I share this with you as I believe transparency will remove any level of cynicism that some might have and prevent you from protecting yourself.








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