Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 52

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.

"A Special Consultation to My Current & Former Members...It's that Important"

"Treatment Orders"

I have been entrenched over the last few weeks doing a forensic audit for a doctor on the east coast that has been sued for RICO, fraud and a whole host of other very, very bad things. Is he guilty? Yes and no, but what he is guilty of is tiny in comparison and there is probably not one major issue. Will he have to pay lots of money back? Probably, and lots of it. Why? The number 1 issue is treatment orders. Where are they and do they match the services rendered?


In order to render care, you must have a plan that is followed and a follow-up plan based upon a re-evaluation or at the very least, a SOAP note altering your initial plan. You cannot treat with “Ouija board” technology, making it up as you go. There must be a written care plan that directs the care so you can follow the continuum of care and the rationale behind your orders. I just left an office where the doctor said, “Why do I need to write this down, as I am the doctor doing the work? Therefore, I do not need an order.” That same doctor just left a healthcare lawyer’s office yesterday at $450 per hour for 4 hours and who said to the doctor, “Hire a compliance consultant because your previous notes were so deficient, that you are now exposed to an audit in a very bad way.”


The first step towards bullet-proofing your practice; write down your treatment plan and stick to it until you amend it in an evaluation or SOAP note. Once again, I urge you to go to the Audio Library and listen to the interview with the healthcare lawyer.


If there is only 1 thing you do with me on faith, this should be it. Get a compliance audit, and I strongly recommend Dr. Michael Scholnfeld at 516-695-7732. It is the least expensive thing you can do to ensure compliance.


Treatment Plans: Create them, follow them, amend them as you go and adhere to what you ordered for your patient.

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