Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 2177
"Let's Be Honest"
I got heavily involved in personal injury at the very beginning for one reason...MONEY. There it is. It's on the table and it is the pure, stark truth. I got tired of getting raped by managed care, by being insulted by workers compensation judges who never listened to the truth because of the political pressure to not award payments and by patients who claimed they couldn't afford my cash fees while they went on vacations, bought fancy cars and laughed all the way to the bank. I worked 12 hour days and sacrificed my family life for them daily. Therefore...I turned to personal injury because the system had the most integrity, although flawed, but gave me a finite set of rules and the financial rewards were the best choice I had. I also realized that people in car accidents deserved to get adjusted and UNSUBLUXATED just like families and children and seniors and athletes.
Although I had a family practice a the time, I also had a decent core of personal injury cases and with that "conscious" decision, I was on my way. I made lots of mistakes, more than most of you put together, and those have been well-defined. They led me to realize I needed to learn admissibility and be clinically excellent. Again, that has been well-chronicled and you understand the necessity of both. However...today, in retrospect, I am sorry that I didn't make the decision sooner so that I could have spent more time getting credentialed and reading research. I have spent countless hours over the last few years simply reading 1000's of research articles. It sounds like a lot, but if you look at one article every day or so, it adds up and my knowledge base has increased exponentially taking away any fear, anxiety or confusion about what I am treating to ensure the best outcome.
It all started when one day I woke up and got 200 denials in the mail from the Empire Statewide Insurance Plan who informed me that I wasn't on their "newly formed panel." The carrier, my main source of income for 40% of my patients, went from indemnity to managed care and the only DCs placed on the panel were the friends and cronies of the current president of the state origination. From that day forward, managed care was here and when I did get on other panels, I saw reimbursements of $12 and $14 dollars with a mega amount of paperwork. This wasn't for me and the politics disgusted me.
Although finances motivated me as I had to feed my family, you have to remember that in New York we have a state mandated fee, which at that time was $28 per visit and eventually went to $33 per visit. That lasted until 2010. In 2010, our fee went to $42 per visit and is still the lowest level of reimbursement nationally. Therefore...when I said money motivated me, it wasn't greed for $200+ per visit like in many other states, it was simply for survival in a state where I knew that because of family, I wasn't moving. Again, in retrospect...I should have moved instantly and would have become a very wealthy man. However, I have no complaints because my family is very happy.
If you are financially motivated as I was, that is not a bad thing as long as you have made the commitment to be the best-of-the-best at what you do. However, unless you make the commitment to learn what it takes to be the best in personal injury, you are solely in it for the money without the hard work and that is a bad place to be. I would recommend that you go back to where you were.
I have read too many narratives and spoken to too many doctors to realize that people will be hurt physically and financially because you haven't made the commitment. Conversely, I have spoken to so many who have taken the time and they have become the best at what they do, nationally and worldwide (literally), in trauma care and nothing will stop them. To quote a famous motivational speaker, Zig Zigler, "See you at the top!"