Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 81

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 Script vs. a Prescription"

Cecil B. DeMille wrote a script and named it "Gone with the Wind." It was the complete saga of Scarlet O'Hara and by the end of the script, you knew everything you needed to form an opinion. Ordering an MRI is no different.

When you order an MRI or other imaging from a radiologist or preferably a neuroradiologist, do you write a script or a prescription? Most of us write prescriptions and nothing more. In other words, we will write on letterhead or a prescription pad, “MRI cervical spine to R/O herniated disc.” In fact, many of you just write “MRI C-Spine.”

First, when you do that you are potentially screwing the MRI company by not giving them enough information to submit to the carriers for necessity and then they run the risk of non-payment. Second, you are not giving the radiologist the clinical information that will help immensely in coming to an accurate diagnosis. Although you should be reading your own films, you still want that second opinion from the radiologist and you want it to be consistent with yours. I often send a complete report and make sure that the MRI orders are in the report. Remember, the more information on the order, the more accurate the read. Create your own script for every patient.

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