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Re: PTs working for Chiros?
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Re: PTs working for Chiros? - March 17, 2005 9:03:00 AM
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JLS_PT_OCS
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From: USA
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Could you explain what you mean by no-fault, chirx, and why that encourages a PT to for modalities? Thanks, and forgive my lack of knowledge of insurance/reimbursement issues... :) J
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Jason Silvernail DPT, OCS, CSCS "It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT **I no longer post on RehabEdge**
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Re: PTs working for Chiros? - March 17, 2005 12:28:00 PM
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dross
Posts: 54
Joined: March 16, 2005
From: NJ
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Jason, No problem. PI is personal injury. Slip and falls, boxes falling on heads at walmart, etc. People get hurt and seek a Personal Injury attorny to sue whoever they feel is responsible. The attorneys have a few DC/MD/PT clinics they send their clients to for care. This way the patients injuries are documented by a DC and they are treated excessivly to make the claims look more severe. The DC writes a nice report for the attorney. The DC gets paid when the patient/clients case settles. No-Fault refers to the no-fault clause in car insurance. No matter who is at fault in a motor vehicle accident, your automobile insurance will cover a certain dollar amount of your medical bills. Again, attorneys send their clients for tx and a nice report. The DC can bill and collect more money if a PT does the therapy. Having a PT on board also makes the clinic more of a full service center so the patient/client doesnt have to travel around. It a little shady and not easy to do without raising red flags. Some guys are very good at it, very honest, and provide quality care. Others are not so honest. Hope that helped.
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Re: PTs working for Chiros? - March 18, 2005 7:07:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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Yes, that was great. I knew there were some shenangians going on, but I had no idea what a slick deal it was. My skepticism of the legal profession does not allow me to be surprised by this, but it's still a sad situation. J
_____________________________
Jason Silvernail DPT, OCS, CSCS "It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT **I no longer post on RehabEdge**
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Re: PTs working for Chiros? - March 18, 2005 8:35:00 AM
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dross
Posts: 54
Joined: March 16, 2005
From: NJ
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Jason, Thats just the surface of the it. There is much more involved as far as other docs and procedures go. But it all revolves around the DC's practice. I'll tell you everything you want to know of the record. Not that anything illegal is going on, but I dont want to air dirty laundry in public. Lots of good docs do this to make more money because 3rd party reimbusement is so low.
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Re: PTs working for Chiros? - March 18, 2005 3:28:00 PM
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Dr.Wagner
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From: Indianapolis
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I know there was a study not long ago that concluded that traumatic LBP with an attorney on the case vs without an attorney had a longer time to recovery, more expensive, and longer rehab time.
It would be great if someone could find that article.
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Dr. Wagner DO Moderator of Medical Complexity Forum
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Re: PTs working for Chiros? - March 18, 2005 3:54:00 PM
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steve
Posts: 470
Joined: May 14, 2003
From: Canada
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Dr. Wagner,
I think there has been a number of studies involving attornies and length of time to settlement. I believe Gunn is one of the authors of a recent study and it was published in Spine, although the methodology was not great. Another study found it was the biggest indicator of not recovering from an MVA. I'll have a look in my pile of studies on Monday - I know I have 2 or 3.
Steve
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