CASE Audit Settlement Evaluation
e-book

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 doctors 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
Timothy Warren, D.C.

Timothy Warren, MS, D.C.

(316) 529-3700 •  (316) 529-0200 • doctimm@titanmedcenter.com

1415 W. 31st S., Wichita, KS 67217

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.

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Jerky jowl pork chop tongue, kielbasa shank venison. Capicola shank pig ribeye leberkas filet mignon brisket beef kevin tenderloin porchetta. Capicola fatback venison shank kielbasa, drumstick ribeye landjaeger beef kevin tail meatball pastrami prosciutto pancetta. Tail kevin spare ribs ground round ham ham hock brisket shoulder. Corned beef tri-tip leberkas flank sausage ham hock filet mignon beef ribs pancetta turkey.

Clinic Assets
  • I am proud to have studied to acquire a very high level of skill and confidence in accident related cases.
  • My staff and I are very Knowledgeable, friendly, dedicated and eager to help with your treatment and injury claim processing.
  • Our patients know that when they choose our office, they can feel good that they have made the right decision.
  • Our patient satisfaction rating has been consistently high and our patients realize that we care about them and we are thoroughly knowledgeable in auto accident related treatment & case representation. This is based not only on our successful treatment and resolve of a patient’s condition and claim representation, but also because people need to know their doctor cares about them as much as he is knowledgeable about their injuries.
Claim Audit Services
  • 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.
  • We strive to keep our satisfaction rating high and show that we care. 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.
  • 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.
Curriculum Vitae

EDUCATION AND LICENSURE

Doctor of Chiropractic
Cleveland Chiropractic College
Kansas City, Missouri
Education, May 1990 to December 1993

Board Certified in Disability Analyst by the; American Board of Disability Analysts (A.B.D.A.) 2007

Certified Independent Medical Claims Examiner Logan Chiropractic College (C.I.M.C.E.) 1997

Certified Chiropractic Insurance Consultant Texas Chiropractic College (C.C.I.C.) 2007

Certified Professional Coder
American Academy of Professional Coders (C.P.C.) 2007

Certified Professional Compliance Officer
American Academy of Professional Coders (C.P.C.O.) 2011

Medical Compliance Specialist-Physician Level Medical Compliance Training (M.C.S.-P) 2008

ChiroCode Certified Chiropractic Professional Coder ChiroCode Institute (C.C.C.P.C.) 2012

AHIMA ICD-10-CM/PCS Certified Trainer and Ambassador American Health Information Management Association 2014

AHIMA Healthcare Privacy and Security Training (not certified) American Health Information Management Association 2016

 

POST-GRADUATE TRAINING

Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards}, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Impairment Rating, The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation and functional loss are also detailed in relation to impairment ratings. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards'], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimbursors’ requirements for complete documentation. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Mild Traumatic Brain Injury/Traumatic Brain Injury/Concussion, Deferentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Spinal Anatomy and Protocols, Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Methodology of Analysis, MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. New York Chiropractic Council, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Clinical Application, The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequalae, including bulge, herniation, protrusion, extrusion and sequestration. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Lumbar Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Central canal and cauda equina compromise interpretation with management. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Cervical Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolisthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Orthopedic Testing: Lumbar Spine, Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. [Texas Chiropractic

College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017Othropedic Testing: Clinical Grand Rounds, Integration of orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequalae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequalae. This includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post- Doctoral Division, Buffalo, NY, 2017

Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential. [Texas Chiropractic College, PACE Recognized by The Federation of Chiropractic Licensing Boards> ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Trauma Pathology: Ligament Anatomy and Injury Research and Spinal Kinematics, Spinal ligamentous anatomy and research focusing on wound repair, future negative sequelae of abnormal tissue replacement and the resultant aberrant kinematics and spinal biomechanics of the spine. [Texas Chiropractic College, PACE Recognized by The Federation of Chiropractic Licensing Boards,] ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Trauma Pathology: Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanical engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal gray matter, thalamus and cortices involvement. [Texas Chiropractic College, PACE Recognized The by Federation of Chiropractic Licensing Boards,] ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post -Doctoral Division, Buffalo, NY, 2017

Spinal Trauma Pathology: Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequala from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law. [Texas Chiropractic College, PACE Recognized by The Federation of Chiropractic Licensing Boards,] ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Trauma Pathology: Clinical Grand Rounds, The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured. [Texas Chiropractic College, PACE Recognized by The Federation of Chiropractic Licensing Boards,] ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Trauma Pathology: Research Perspectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology. [Texas Chiropractic College, PACE Recognized by The Federation of Chiropractic Licensing Boards,] ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards>, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology in stroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or

manual medicine clinical setting. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding defense medical documentation and consistent reporting of bodily injuries, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018

Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018

Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanding all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018

Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018

Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, The evaluation, interpretation and reporting of collaborative medical specialists results and
concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an accurate diagnosis, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018

Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determining and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018

Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018
Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawyer, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018

Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018

Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2018

Northwest Chiropractic College
Bloomington, Minnesota
Successful completion of postgraduate course of instruction in chiropractic sports injuries taught by a college holding full accreditation with the Council on Chiropractic Education. Completed 100 classroom hours.

Northwest Chiropractic College
Bloomington, Minnesota
Attended postgraduate course of instruction in chiropractic rehabilitation of injuries taught by a college holding full accreditation with the Council on Chiropractic Education. Completed 100 classroom hours.

Spine Research Institution of San Diego in association with Los Angeles Chiropractic College
Whiter, California
Successful completion of postgraduate course work of instruction in cervical trauma as taught by a college holding full accreditation with the Council on Chiropractic Education Completed 60 classroom hours.

Logan Chiropractic College
Chesterfield, Missouri
Successful completion of postgraduate course of instruction in utilization review and insurance claims. Which lead to being a Certified Independent Medical Claims Examiner. Completed 100 classroom hours.

Cleveland Chiropractic College
Kansas City, Missouri
Attended program in neurology as taught by a college holding full accreditation with the Council on Chiropractic Education. Completed 145 classroom hours.

Northwest Chiropractic College
Bloomington, Minnesota
Successful completion of postgraduate course of instruction in neurology taught by a college holding full accreditation with the Council on Chiropractic Education. Completed 300 classroom hours, currently a board eligible chiropractic neurologist.

Texas Chiropractic College
Pasadena, Texas
Successful completion the 50-hour Chiropractic Peer Review Program, 50-hour Independent Chiropractic Examination Program and 100-hour Certified Chiropractic Insurance Consultant Program. Achieving a certificate of completion diplomas by Texas Chiropractic College.

Medical Compliance Training
Dallas, TX
Successful completion of 34 classroom hour’s interaction.
Clearly define and explain the guidelines, regulations and statutes associated with the implementation of a comprehensive Compliance Program for a physician’s practice.

Northwestern University of Health Sciences Bloomington, Minnesota
Attended16 hours taught by a college holding full accreditation with the Council on Chiropractic Education in DOT Physical Exams for the National Registry of Certified Medical Examiners and DOT Drug Testing and Alcohol Screening Certification

American Health Information Management Association
Chicago, IL
Successful completion of 24 hours of instruction in the ICD-10-CMPCS guidelines with extensive examples and coursework to increase my ability to teach other providers the uses and guidelines to complete the successful transition to ICD-10-CMPCS.

American Health Information Management Association
Chicago, IL
Completion of instruction in designing, implementing, and administering comprehensive privacy and security protection programs in all types of healthcare organizations.

 

LICENSE

  • Chiropractic, State of Kansas Since June of 1994 #01-04242Chiropractic, State of Colorado Since June of 2017 #CHR.0007629

 

PROFESSIONAL EMPLOYMENT

Director of Titan Medical Center Wichita, Kansas
1994 to present

Performs chiropractic treatment of patients with acute and chronic conditions, personal injury conditions and worker’s compensation injuries.
Performs Sports Physicals and Weight Loss Programs
Perform Independent Medical Examinations and Records Peer Reviews for insurance companies as well as for doctors or attorneys seeking expert opinion.

President of Titan Medical Compliance Wichita, Kansas
2008 to present

Perform lectures regarding E/M and CPT coding & billing, diagnosis, state compliance issues and fraud & abuse issues. Present CE courses in billing, coding, documentation and compliance. Presented over 100 times in the last 5 years in locations independently and for State Associations all over the United States and Mexico.

Taught multiple webinars for Chirocode Institute on the proper use of modifiers, documentation guidelines for the proper documentation of the chiropractic treatments, and the utilization of compliance programs in the chiropractic office.

Within this structure I also a consultant & compliance officer for many doctors with the implementation of compliance programs on coding, billing & documentation. Includes providing assistance when being audited by an insurance company as they go through the appeals process.

Works with insurance companies at implementing documentation and treatment guidelines. These guidelines include unit usage limitations, documentation requirements, reviews for medical necessity and the appeals process with disciplinary guidelines.

Works with multiple clinics across the United States to implement compliance programs into their offices: by performing medical records auditing, compliance program implementation and continuing implementation of compliance. This includes HIPAA and OSHA compliance manuals, (which are updated quarterly), updating and improving verbiage to comply with the requirements from third party payers.
Organizations:

American Health Information Management Association, since 2013

American Academy of Medical Legal Professionals, since 2018

American Board of Disability Analyst and Senior Disability Analyst and Diplomat, member since 2004; Diplomat since 2007

American Academy of Professional Coders, Member Since 2006

American Academy of Trauma Professions, Member Since 2007

Kansas Chiropractic Association, Member Since 1997

American Chiropractic Association, Member Since 1994

     

    POSITIONS OF SERVICES

    • Past President of the Kansas Chiropractic Association 2007-2008
    • President of the Kansas Chiropractic Association for 2005 - 2006
    • Vice- President of the Kansas Chiropractic Association for 2004
    • Director of the Sedgwick Division for 2002 – 2003, 2009
    • Vice-President of the Sedgwick Division for 2001
    • KCA Medicare Committee Chairman 2002-2006
    • KCA Insurance Committee Chairman 2007-2013
    • Member of the KCA Insurance Committee 2001-2013
    • Member of the KCA Budget Committee since 2003
    • Medicare Carrier Advisory Committee Chairman 2006-2009
    • Member of the ACA Governor’s Advisory Panel 2002-2009
    • International Academy of Clinical Neurology member since 1998
    • Past Chairman of Toys for Tots Wichita, KS 1994 to 1998

     

    RECOGNITION

    • Kansas Chiropractic Association Doctor of the Year 2008
    • Presidential Commendation for Outstanding service to the profession 2002, 2003, 2004, 2007, 2008, 2010, 2011, 2012
    • Commander’s Award -United States Marine Reserves Toy for Tots President 1994-1998

     

    REFERENCES

    Constance Ohler
    3745 S. Hoover Wichita, Kansas 67215 Psychologist 316-522-3388

    Dr. Jade Malay
    Apex Physical Medicine 2800 Dallas Parkway #150 Plano, Texas 75093 972-468-8746

    Kelly Hoffman
    Two Canal Plaza P.O. Box 4600 Portland, Maine 04112
    PH: (207) 774-7000
    FX: (207) 775-0806
    Attorney at Law

    Certifications
    • Certified Impairment Rating Attending Physician
    • ertified in Injury Model Examination Protocol
    • Certified In Electronic Medical Injury Record System Certified by Ligament Injury Institute
    Injury Claim Audit Services
    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.

    We strive to keep our satisfaction rating high and show that we care. 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.

    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.
    Clinic Statement of Purpose
    Where Knowledge and Care Come Together.
    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 confident that you are in caring hands and thank you for trusting me.