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Rawnoc

01/17/12 9:09 PM

#1518 RE: shrlck9 #1517

Again, I don't think any of SPIN's patients are "initial diagnosis" patients so how would that be relevant?

Correct me if I'm wrong.
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umiak

01/18/12 12:18 AM

#1522 RE: shrlck9 #1517

Although I believe my previous post addressed this post as well, I will reiterate. According to the article the fraud is coming from auto injury clinics that use primarily massage therapy. Again this is not a typical case that SPIN would be involved in.

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.