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The Independent Medical Examination: When is Enough, Enough?

TASA ID: 2379

I have been performing Independent Chiropractic Medical Examinations (IMEs) for more than 20 years. One of the most frequent questions I am asked is what criteria I use in determining whether an examinee should have more chiropractic treatment recommended or not, as a result of my examination.

  
Certainly, patients know how they feel about this: the need for more care is obvious, doc: I am still in pain! Pain is an important feature of my own clinical decision-making process.  But what else is there to consider when making a decision regarding future treatment?


Depositions: How To Handle Yourself & Develop Your Court Face

TASA ID: 2379

Standard legal advice applies here: Sit upright; keep your hands in your lap; always answer questions in short, concise sentences, and never extemporize or add more to your answer than was asked.  This can lead to an opposing attorney taking something you said, and using it against you, or finding an opening to lower your credibility, or have you seem less clear as an expert in the matter being discussed.  If you do not know the answer to a question, or you are not sure, say so, and do not make up an answer in order to seem more expert.

Peer Review: Why You Are Losing Care

TASA ID: 2379

 I have been performing peer and utilization reviews for a multitude of carriers for many years now, and I can tell you that, first off, it is not personal.  It is policy.  Insurance companies need some way to “manage care,” and utilization reviews are a part of that management.  They need to know if a bill is their responsibility or not.  Is the treatment for an acute spell of care?  An exacerbation?  Is it effective, or just going on and on with no end in sight?  Are there other, more effective means of treating the presenting condition?  

A Case Study of Patent Abuse: Printing Industry Faces New Nemesis Impacting Growth and Employment —Patent Trolls

Whitepaper

TASA ID: 7210

Patent trolls, the epitome of greed, thoughtlessness, and unethical behavior, are impacting the survival, growth, and development of printing and related companies.

 

The printing industry in the United States has been in a state of decline over the past 20 years (from approximately 55,000 companies to under 30,000 today). Traditionally a low-profit industry, printing companies and their suppliers are trying to find ways of increasing products and services focusing on digital technologies and related applications in order to increase profits and to save jobs. Patent trolls are inhibiting such growth and are causing companies to consider closing, downsizing, and laying off employees because they cannot afford to absorb the huge fees being demanded by the trolls, while also maintaining or growing business. The trolls are equivalent to extortionists with no sense of business morals and ethics, or of the nation’s push to grow companies, produce jobs, and keep or bring back as much business as possible to the United States.

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