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Welcome
to the former site of the Orange County Chiropractic District |
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PACIFICA
ORTHOPEDICS Sports
Medicine & Rehabilitation Pacifica Tower18800
Delaware Street, Suite # 150, Huntington Beach, California 92648 (714)
841-5333 /
(800) 540-3077 /
(714) 841-5303 Marketing
to the Worker’s Compensation Industry in California
Thomas
S Bakman, DC, FAFICC
August
21, 2001
Four Basics “Venues” to Market.
q Their goal: profitability (to have profit at the end of the “one” year policy.) · Little costs as possible (including reserves) · Heavily scrutinizing “pre-existing” · Not DC friendly-they do not see DC as a PTP. q Your goal: early RTW & D/C in 30 days with as little to no residuals (You need high volume of NP)
q Their goal: depends on the level of sophistication · Unsophisticated: a. Make it “user friendly” b. They believe that it always too expensive & that there is nothing that they can do to affect the overall economics with the exception of finding a “better” rate. (Make it a better experience) · Sophisticated: will want to drive the costs & will participate with all aspects a. Experience modification rates/unit stats report b. Early return to work c. First aid plans q Your goal: make it user friendly, satisfy the injured (take time), early RTW & D/C in 30 days with as little to no residuals (You need high volume of NP)
q Their goal: profitability (paid hourly by an agreed contract) · Probably will use you for “defense exams only” · Very little treatment with DC, possibly limited future care · You will probably observe slowing of the case · Amount of treatment not as important when it is with medical, safety of the claim is important · Amount of PD, VR, prior cases and Apportionment very important · “Slant” of the PD report q Your goal: defensive posture (You need high volume of defense exams)
q Their goal: profitability (paid on contingency - %of the total PD or C&R sum) · Reports have to be pristine · Treatment has to be reasonable · Rather C&R than Stips ·
“Slant” of the PD report Reportingq Almost mandatory to be a QME in order to survive in the industry. q Use the language and handle the issues properly · SFOD · OFOD · Aggravation vs. Exacerbation · AOE/COE ·
Apportionment- only disability (work restrictions) Top 10 mistakes by DCs in Work Comp. 10. Rx supplements, pillows… 9. Using
terms that are common only to our profession- subluxation, cervicalgia,
lumbalgia… 8. Not
taking care of the legal issues- signed PTP selection, reporting… 7. Not networking with the medical community for consults-document medical justification 6. SFOD and
assigned work restrictions not congruent 5. Not knowing where the case is & expecting payment for treatment 4. Abusive with the claims people 3. Quoting Labor code to the adjuster 2. Holding on to
the “Chiro Claw” (D/C 90 days) 1. Not understanding the intent of LC 4600. |
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