Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 1044
Narratives 80N

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

“Including IME and DME Findings in your E&M and 4-Corners Report”

Do you want to know how I really feel???



“I am Truth & Transparent” Mark Studin 2019

We have been discussing rebutting improper IME and DME’s for years

IME: Insurance ordered examinations to limit or cut care

DME: Defense lawyer ordered an expert to testify in the trial against your patient.

Both carry potential issues that must be responded to and may not go unanswered. If so, it both erodes your reputation and can work against settlement or verdicts of your pateint…. AND… the lawyers know it!

You must have the rebuttal included in your records. The best place to place the IME rebuttal is in the body of evaluation and for the DME, is in the 4-corners report, or lawyers narrative. It can put as an addendum or include in the body of the report. I urge you read Section #9: IME, Peer Review and Carrier Rebuttals and utilize Dr. Ron Manoni who has perfect rebutting improper IME’s and DME’s. He can be found at Section #18: IME, Peer Review and Carrier Rebuttals. He can be hired to do them for you.

If you do not have your rebuttal in your report, preferably the narrative prior to trial, there is a good chance that doctors, no matter how many lies or ommissions are in the report, will rule the final opinion. First, he will have seen the patient last and secondly, by not rebutting it, you give the courts the impression that you agreed with him and the opposing counsel will do their worst to prove that!!!!.
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