Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 6

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.

Chiropractic Needs Need to be Legally Defensible

Where do you get you fees from? Do you call 3 friends and use theirs? Do you think about it and then it comes to you? Do you subscribe to a national service?
Most doctors get their fees from colleagues in the local area and usually that is enough…However, in today’s environment, that is no longer acceptable. I have been consulted by many doctors that have been challenged by the insurance companies on where their fees have been derived from. In both cases, the doctors could not back up that request with any statistical information and both are having significant legal issues. At the end of the day, both will prevail in their fight with the insurance companies, after they pay the lawyers, lose sleep, lose their focus on their practice, etc. The easiest way to prevent any problems is to use a national publication that lists the fees by geographic location. In these publications, they list 50th, 75th and 95th percentile…You should choose whatever you want, even the 95th because you are that good. If challenged, you have a legally defensible answer and the insurance can try to find another avenue to try to take advantage of us, but at least this door is closed.
It is now NON-NEGOTIABLE that your fees are relfective of the national standard in a published text. BUY THE BOOK.. The carriers are using this on a regular basis to NOT pay you and the basis for law suits. 
The following are 2 links to companies that offer similar resources. I used the first for many years.

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