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Wednesday, January 18, 2012 12:18:25 AM
Your use of a quote from SPIN's website serves to make the point. SPIN would ONLY become involved after:
1) Chiropractor or Physical Therapist
2) MRI
3) Spine Surgeon determines more treatment is needed
After the attorney is contacted, investigates and confirms the viability of the case, patient will usually put into a Physical Therapy program with a Chiropractor or Physical Therapist for four to five months (blue arrow). If at the end of this period the patient still has recurring problems he will then have an MRI done. If the diagnosis at that time proves up continuing spine problems; it is at this point the Spine Surgeon will be introduced to the case
http://www.spinepaininc.com/
Should #1 above be replaced with "Emergency Room Doctor", nothing would change. Again if after the e-room visit, the patient was still experiencing pain some form of therapy would be prescribed. Or if straight to an MRI, a surgeon would be called in. From your post:
If chiropractors and PT's are replaced by emergency room doctors in making the initial diagnosis, there is less potential to string the case out based on a chiropractors recommendation (to take advantage of the PIP system). Therefore, many of the fraudulant cases (which are plentiful in SPIN's market areas and no doubt pad their revenue streams) would be nipped in the bud by the emergency room physicians and the case would never make it to SPIN.
I will only add, to assume that fraudulent cases are padding SPIN's revenue stream shows a lack of understanding of their business model.
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