case audit settlement enhancement

NOTICE TO ATTORNEYS:

I am a contributing author and trained Auditor whose sole purpose is to assist in the reversal of unfair, undervaluation of injury claims.

I am a member of a select group of chiropractic physicians trained as an Auditor and Knowledgeable Observer to independently audit and provide medical validation when it is believed there is an undervaluation of an injury claim with inadequate explanation of the legal and factual basis for so low a valuation. The independent audit is for the correction of any omissions or misstatements of the claim by either the claimant or defense or rebut the engagement of any “Unfair Claim Settlement Practice Acts” or violations of the “Ethics Codes of the Adjuster” that result in unfair, undervaluation of an injury claim.

I am available to audit, consult and provide data to assist plaintiffs' attorneys in the benefits of P.I. Claim Audits to reverse low ball injury claims. I offer free subscriptions to: eBulletin series, eBook, Audit Report, Audit Brochure, Audit Magazine and CLE Accreditation.

I can provide the most thorough education presentation with CLE credits available for Ethics, via screen share or "meet & greet" presentation.

Free Audit
David McFadden, D.C.

David McFadden, D.C.

(586) 206-1463 •  drdavidmcfaddendc@gmail.com

21360 Cass Ave., Clinton Township, MI 48036

The Medical Records Are the Insurance Company’s Primary Source of Data Which They Use to Determine Settlement Valuation. One of the Single Most Important Considerations That Determine Settlement Valuation is derived from “Value Drivers” and "Decision Points" that Insurance Companies Use to Determine the range of worth of an injury claim. There Are 26 Value Driver sections, and 67,880 decision points. The insurance companies refuse to release their decision points to the public making it difficult to navigate the claim. The audit however, contains a search engine to detect overlooked value drivers and decision points and exchange them in the correct language, format and sequence to interface and input added valuation into the injury claim, and reverse claims that have been undervalued.

We engage a proprietary softwarein our audit process to make the same medical determinations as the insurer's software's. Using ambient intelligence technology, our software features a rare Computer Aided Decision-making functionality (CAD) and Decision Support System (DSS). This ability is no match for the human mind and this technology advancement is a key component of our ability to reverse undervaluation's on injury claims.

As an auditor and 'Knowledgeable Observer', we apply MECE standards to our audits. MECE = Mutually Exclusive / Collectively Exhaustive. This essentially means that we are mutually exclusive as an injury claim auditor and exhaust all methods to audit 26 sections and 60 factors on each claim in order to reverse undervaluations of injury claims.

Core Competence
  • I am proud to have studied to acquire a very high level of skill and confidence in the auditing of accident-related cases.
  • My staff and I are very Knowledgeable, friendly, dedicated and eager to help with our audit services to reverse undervaluation's of injury claims.
  • Plaintiff's attorneys know that when they engage our audit services, they can feel good that they have made the right decision.
  • Our satisfaction rating has been consistently high, and attorneys soon realize that we care about their clients and that we are thoroughly knowledgeable in auto accident-related audits to reverse undervaluation's. This is based not only on our successful actions but also because attorneys want to know that their auditor cares about getting a reversal of low settlement valuations especially when there is no legal and factual basis and when Unfair Claim Settlement Practice Acts have been engaged and the adjuster violates his own Ethics Codes of the Adjuster. The audit is the solution to unfair, undervaluation of injury claims.
  • I am proud to have studied diligently to acquire a very high level of skill and confidence to become an auditor of accident-related injury claims and subscribe to the "Observer Rule of law and Empowerment."
  • We are eager to assist when injury claims have been undervalued and there is no legal or factual basis for so low a determination.
  • We want our plaintiff's representatives to feel that when they choose our audit services, you have made the right decision.
  • We understand how frustrating it is for all plaintiff's parties to be on the low end of a settlement valuation. No one should have to go through that — and we are truly grateful that you are allowing us the opportunity to bring a more favorable resolve to this issue of unfair, injury claim undervaluation. That is our sole purpose.
  • The human mind is no match against the insurers software's, therefore we have acquired the CASE Audit Settlement Evaluation software that makes up to 600 decisions and determinations to match the insurers software's and exchange decision points, interface and input added valuation into an injury claim. The CASE software we use has "Computer Aided Decision Making' functionality and is in a rare class of semantically interoperable software's. It also is a "Decision Support System" and will include "Statements of Undisputed Facts', "Memorandum of Points' research and references to show its side has greater believability than the defense.
  • We strive to keep our satisfaction rating high and show that we care. Thank you for being our valued customer. We are grateful for the pleasure of serving you and meeting your injury claim audit and enhancement needs.
  • Fair and equitable settlement valuation is the injured's rights, and we provide our audit services to reverse undervaluation when it occurs in injury claims. You trust our audit services and we take that seriously. When unfair, unreasonable undervaluation occurs, there is accompanying stress and anxiety over injuries, future prognosis, total costs, wage loss, property damage and the implications that arise from insurance issues. In fact, there are 26 sections comprised of medical, legal, economic and administrative factors of an injury claim. The audit is like a search engine to assemble all the factors of the claim in the correct language, format and sequence to interface with the insurers software's, exchange data among the insurers 67,880 decision points of an injury claim to reverse undervaluation and add to the worth of the claim.
  • I have trained to become an auditor and 'knowledgeable observer' of facts, including missing value drivers especially when there is no legal or factual basis for low valuations. We will audit each case using MECE Standards; Mutually Exclusive and Collectively Exhaustive, to apply the highest standards to establish the preponderance, win the greater weight of the evidence challenges and reverse undervaluation's of injury claims. You can be confident that you are in caring hands and thank you for trusting us with your client's audit.
Curriculum Vitae

PROFESSIONAL EDUCATION

  • Life University, Marietta, GA: Doctor of Chiropractic DC 2001

  • Indiana University-Purdue University (IUPUI), Indianapolis, IN: BA 1997

  • Vincennes University, IN AS 1996

LICENSURE/CERTIFICATION/CERTIFICATES

  • Board Certification:  National Board of Chiropractic Examiners                                     
                                        Part I, Part II, Part III, Part IV, Physiotherapy Examination 

  • Doctor of Chiropractic: Michigan (#2301009192) – 2006

  • Doctor of Chiropractic: Georgia (#CHIR007811) – 2005

  • Certified Functional Medicine Practitioner, August 21, 2013 

  • Certified Whiplash and Brain Injury Traumatology, Spinal Research Institute San Diego, CA Oct. 25, 2015 

  • Certified Soft Tissue Injury Assessment Trained, Myovision DynaROM trained. 

  • Certified Notary Feb. 25, 2022 

  • License Insurance Producer: - 2018  MI, GA, AZ

SPECIALIZED / PROFESSIONAL KNOWLEDGE

  • Vice President of Mount Clemens Communities Schools Board of Education

  • Vice Chairman Mount Clemens Housing Commission

  • Board Member- Macomb Family Young Men’s Christian Association (YMCA)

  • Certificate of Entrepreneurship: Goldman Sachs 10,000 Small Business Program April 21, 2001

POST-GRADUATE EDUCATION

  • The Five Essentials of a Comprehensive Nutritional Practice, Standard Process Nutrition of Southeast Michigan, Northville, MI 

  • Principles of Nutritional Support for Major Body Systems, Dr. Michael Dobbins, Standard Process, Northville, MI 

  • Essentials of Sports Medicine for Chiropractic, Fetterman Events Romulus MI 

  • Functional Endocrinology, University of Bridgeport, CT 

  • Functional Blood Chemistry Analysis, University of Bridgeport, CT

  • Chiropractic Research, Seminars in Chiropractic Research, Ft. Collins, CO

  • Integrated Technique and Diagnosis, Life College, Marietta, GA

  • Chiropractic Radiology Theories and Practice, Parker College, Dallas TX

  • Human Energy, A basic understanding of the role of the macronutrients in the bodies different energy systems, Marietta, GA

  • Upper Extremity Adjusting Workshop, Marietta, GA

  • Extremity Adjusting, Marietta, GA

  • Neurology, Neuromechanics and Patient Outcomes, Marietta, GA

  • Advances in Biomechanics and Kinesiology and their Clinical Relevance: Impact on Training/Performance and Rehab, Marietta, GA

  • Neurology for the Practicing Chiropractor, Marietta, GA

  • Specific Neurology Testing of Sacroiliac Joint Lesions, Marietta, GA

  • The Art of Pediatric Technique, Marietta, GA

  • Advances in Exercise Physiology and their Clinical Relevance: Impact on Training/Performance and Rehab, Marietta, GA

  • Advances in Nutrition and supplementation and their Clinical Relevance: Impact on Training/Performance and Rehab, Marietta, GA

  • Risk Management, Georgia Law, Dynamic Spinal Analysis, Marietta, GA

  • Essentials of Sports Medicine for Chiropractors, adjusting technique, pain management, physical measures, performing test. Fetterman Events, Romulus, MI

  • Treating for Kinetic chain: Upper and Lower Extremities with Boundaries, Ethics and Boundaries. Fetterman Events, Toledo, OH

  • Chiropractic Visceral Manipulation, adjusting techniques, physical measures, performing and ordering tests, pain management, ethics, sexual boundaries. Fetterman Events, Romulus, MI

  • Inflammation and Food sensitivity, performing and ordering test, pain, and symptom management. Fetterman Events, Romulus, MI.

  • Dry needling applications and protocols, Fetterman Events, Mount Clemens, MI

  • Inflammation and Food sensitivity, Fetterman Events, Mount Clemens, MI., Tampa, FL

  • Chiropractic Thompson technique, Fetterman Events, Toledo, OH.

  • CDC Heads Up Concussion Training 2020

MEDICARE UNIVERSITY TRAINING PROGRAM, CERTIFICATE OF TRAINING

  • Advance Beneficiary Notice of Noncoverage

  • Medicare Coverage of Chiropractic Services

  • Glucose Monitoring Equipment and Supplies

  • Certificate of Medical Necessity and DME Forms

  • Modifiers for Chiropractic Services

  • Introduction to Medicare 101 intake

  • Introduction to Medicare Billing Process

PROFESSIONAL EXPERIENCE:

Special Information

Your health is my first concern and you've entrusted it to me after your accident. I take that seriously. When you're involved in an accident, there is accompanying stress and anxiety over your injuries, your future prognosis and the implications that arise from insurance issues. I have trained in the medical-legal aspects of trauma medicine and will treat you and your injuries with the highest care possible and process your case according to the highest standards so be condent that you are in caring hands and thank you for trusting me.