Sunday, January 29, 2012

Pain Atlanta


The steps to determine causation are the same regardless of the type of doctor rendering care. Once causation is determined then other aspects of the claim can be evaluated. If the traumatic event did not caused or materially contributed to symptoms and diagnosed conditions then the claim has no basis.

1. Symptoms Following a MVC
Pain affects more Americans than diabetes, heart disease and cancer combined.

Symptoms related to the back and spine is among the most common everyday complaints.

Pain – 76.2 million people, National Centers for Health Statistics
Diabetes – 20.8 million people (diagnosed and estimated undiagnosed), American Diabetes Association
Coronary Heart Disease (including heart attack and chest pain) and Stroke – 18.7 million people, American Heart Association
Cancer – 1.4 million people, American Cancer Society

“Whereas PAIN is generally associated with most forms of disease it does NOT stand alone as a diagnosis to establish causation or the necessity of on-going or prolonged treatment.”

Back pain is one of the most common medical problems in the United States.  It affects up to 90% of Americans at some point in their lifetime, with more than half of those experiencing multiple episodes. 

This is a very common reason why a claim is denied or why care is reduced for insufficient documentation.

From a recent review:

The reporting of "pain" or “symptoms” alone is not sufficient to establish the medical necessity of the treatment rendered related to the car accident. Whereas pain and symptoms are generally associated with most forms of disease it does NOT stand alone as a diagnosis to establish causation or the necessity of on-going or prolonged treatment. Symptoms related to the back and the spine is among the most common of adults' everyday complaints. 

1 comment:

Anonymous said...

http://painatlanta.com/uploads/2/8/0/3/2803786/stone_mountain_chiropractor_-_atlanta_back_pain_clinic.pdf