Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 1099
Office Systems 94 OS

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

"Speaking the Language of the Lawyer & Take a Quiz"

"Lawyer wants me to bill the managed care company first"


Dr Studin: What's your question?

Guest Doctor: My question is that we have a personal injury patient that we've been treating that was through PIP where we were billing PIP and we're working with this new lawyer and now the lawyer doesn't want to wait till sediment. They want us to build her health insurance for the last 10ish visits, which you'll have a $40 copay and obviously will take less money for it through the health insurance. So, I wanted to know what we should say to the lawyer.

Dr Studin: First are you a part of Chiro Health USA?

Guest Doctor: I am.

Dr Studin: Great. That protects you, smart move. This is a money grab by the lawyer, and this is a national phenomenon. So, what the lawyers are doing instead of billing, in your state the average is like two and a quarter of a visit is revisit reimbursable. They want you to put this through a manage care, which is like $40 to $50 a visit. So therefore, you're locking yourself in to a much lower fee. The lawyer gets more money at the backend. This is a pure money grant by the lawyer now in some states, but I don't believe yours, insurance have joined forces with the trial lawyers and they've got to legislate it in where if there's a managed care plan that all of a sudden you have to put it through there it's built at that rate and you have to check if that legislation happen in your state. My answer always is no. However, the answer of what you tell the attorney is simple. This is a personal injury case, it is unethical for me to build and indemnity carrier indemnity means managed care, major medical, etc. It's unethical for me to build an indemnity carrier for a personal injury auto case. They are not responsible if the auto carrier denies care and there's no care, then at least you gone there first, but the answer was no, it's not part of what I do, it's just unethical. The lawyer is going to hoot and Holler and well you could do what I've done it before it blah, blah, blah. The answer is, I'm sorry it's not happening. I'll build the auto carrier because this is an auto case. And if the lawyer threatened, I'm never going to work with you again. You don't want to work with him. If you want you to work for $40/$50 a visit instead of two and a quarter of visit, you don't want to work with them anyhow. Did that answer your question?

Guest Doctor: That it did answer my question. Thank you very much. 

PLEASE TAKE FURTHER NOTICE: CONFIDENTIALITY AND PROPRIETARY INFORMATION NOTICE:  This email including attachments is covered by the Electronic Communications Privacy Act (18 U.S.C. 2510-2521) and contains confidential information belonging to the sender.  Nothing contained in this message or in any attachment shall constitute an Electronic Signature or be given legal effect under 44 U.S.C. 3504 Sec. 1707.  The information is intended only for the use of the individual or entity to which it is addressed.  If the recipient of this message is not the intended recipient, you are at this moment notified that any unauthorized disclosure, dissemination, distribution or reproduction of this message or any attachments of this communications is strictly prohibited and may be unlawful.  If this communication has been received in error, please notify the sender immediately by return email, and delete or destroy this and all copies of this message and all attachments.