Top 7 reasons why colossus devalued PI cases: 1. Poor soap notes 2. Failed to refer for a second opinion 3. Used the wrong terminology 4. Used the wrong prognoses 5. Did not objectify findings with diagnostics 74
Top 7 reasons why colossus devalued PI cases: 1. Poor soap notes 2. Failed to refer for a second opinion 3. Used the wrong terminology 4. Used the wrong prognoses 5. Did not objectify your findings with diagnostics 6. Did not use active care procedures 75
Top 7 reasons why colossus devalued PI cases: 1. Poor soap notes 2. Failed to refer for a second opinion 3. Used the wrong terminology 4. Used the wrong prognoses 5. Did not objectify your findings with diagnostics 6. Did not use active care procedures 7. Poor diagnostic evaluations 76
8 clinical tools that we have seen make a significant difference. 77
1. Full Flexion / Extension Views 78
Clinical Tools that should be used… 79
Clinical Tools that should be used… 80
1. Full Flexion / Extension Views 2. Lateral Flexion Open Mouth views bilateral 81
APOM VIEW Alar & Accessory Ligament Damage 82
APOM VIEW Alar & Accessory Ligament Damage 83
APOM VIEW Alar & Accessory Ligament Damage 84
APOM VIEW Alar & Accessory Ligament Damage 85
1. Full Flexion / Extension Views 2. Lateral Flexion Open Mouth views bilateral 3. Flexion oblique views bilateral 86
RIGHT OBLIQUE FLEXION VIEW Capsular Ligament Damage 87
LEFT OBLIQUE FLEXION VIEW Capsular Ligament Damage 88
1. Full Flexion / Extension Views 2. Lateral Flexion Open Mouth views bilateral 3. Flexion / Extension oblique views bilateral 4. Digital Motion X-Ray 89
1. Full Flexion / Extension Views 2. Lateral Flexion Open Mouth views bilateral 3. Flexion / Extension oblique views bilateral 4. Digital Motion X-Ray EMG / NCV – Certified Neurologist 5. 90
1. Full Flexion / Extension Views 2. Lateral Flexion Open Mouth views bilateral 3. Flexion / Extension oblique views bilateral 4. Digital Motion X-Ray EMG / NCV – Certified Neurologist 5. Diagnostic Ultrasound – Certified 6. Radiologist 91
1. Full Flexion / Extension Views 2. Lateral Flexion Open Mouth views bilateral 3. Flexion / Extension oblique views bilateral 4. Digital Motion X-Ray EMG / NCV – Certified Neurologist 5. Diagnostic Ultrasound – Certified 6. Radiologist 7. Proton Density MRI ( Upper Cervical Studies ) 92
1. Full Flexion / Extension Views 2. Lateral Flexion Open Mouth views bilateral 3. Flexion / Extension oblique views bilateral 4. Digital Motion X-Ray EMG / NCV – Certified Neurologist 5. Diagnostic Ultrasound – Certified 6. Radiologist 7. Proton Density MRI ( Upper Cervical Studies ) 8. AMA Guides For Permanent Impairment 93
Soft Tissue Injuries and the Attack by the Insurance Companies 94
Soft Tissue Injuries and the Attack by the Insurance Companies • Most doctors treat Soft Tissue Injuries 95
Soft Tissue Injuries and the Attack by the Insurance Companies • Most doctors treat Soft Tissue Injuries • All doctors should be looking for. “CONNECTIVE TISSUE INJURIES” 96
IV Phases You Should Know 97
UNDERSTANDING THE EQUATION • No human intuitive abilities • Depends on the input of the claim handler alone • Garbage In – Garbage Out 98
IN THE ABSENSE OF COMMUNICATION, THE PATIENT IS THE VICTIM We need to speak the language of Colossus - Symptoms - Diagnosis - Treatment - Prognosis - Additional Factors - Permanent Impairments 99
What Is The Second Most Important Factor for PI Cases: • Permanent Impairments. 100
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