Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 1045
Narratives 81N

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. Mark Studin 2006

“Using RULE-OUT Diagnosis”


Do they exist??


“My Greatness is Found… in the Mirror” Mark Studin 2019


Let me be CLEAR…RULE-OUT Diagnosis do not EXIST, therefore can never be utilized in your diagnosis section of ANY report. Once you diagnose something, it already exists.

You diagnose what is there at the time of your encounter and nothing more. HOWEVER… you may in a discussion or “Plan” section of your E&M [evaluation and re-evaluation for those of you who have had your head up your butt and not listened in the past!!!] reports you can report the following as an example:

A cervical MRI has been ordered to differentially diagnose a space occupying lesion such as a herniated disc and rule out tumor, fracture or infection.

That is acceptable as you are not diagnosing anything but giving your clinical rationale for future care or testing.
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