Whiplash Group CERTIFICATION
Level 1 - Module 1
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1. Personal Injury insurance covers 100% of
2. What is the difference between PIP and MedPay?
3. Is MedPay mandatory in the non-PIP states?
Yes
No
4. Attorney Michael Coats has a program to help doctors beat the games insurance companies play to reduce medical bills. It is called:
Business Advantage
Personal Injury Made Easy
Negotiation Aikido
Black Belt Billing
5. What is the proper terminology for a car crash? (check all that apply)
Car Crash
Auto Accident
Motor Vehicle Collision
Motor Vehicle Accident
Cervical Acceleration/Deceleration Injury
6. Doctors, what is the most important form in a PI patient file (according to Dr. Shetlin)
The Intake Form
History of Collision Form
The Lien
The Initial Report
7. What is “Modified Comparative Fault?”
8. What is the difference between a Lien and a “Letter of Protection?”
9. Is it a good idea to work with attorneys who refuse to sign a lien or LOP?
YES
NO
If YES, explain why.
10. Which does your state use?
LIEN
LOP
11. Is it acceptable to charge interest on a Personal Injury case?
YES
NO
Why?
12. Is treating only to exhaustion of PIP or MedPay ethical?
YES
NO
Why?
13. GOOD and BAD in PI work…
14. What percentage of Personal Injury patients have chronic problems following an MVC.(Reference is SDSRI)
15. “Personal Injury is not ‘per-visit’ care but rather."
16. Explain the “No Suprises Act."
17. Why does Michael call Personal Injury the “High Profit Highway?” (List reasons)
18. What frequency of chiropractic visits per week is considered “corrective care?”
1-2 x per week
3 or more times per week
7 x per week
All of the above
19. What frequency of chiropractic visits per week is considered “wellness or passive care?”
1-2 x per week
3 or more times per week
1 x per year
None of the above
20. Even with auto insurance (PIP / MedPay) or a lien, every patient is still
21. What is the Whiplash Group’s mantra for fair exchange?
No time like the present
The rising tide floats all boats
Income is a byproduct of service
I am worth $400/hour, period!
22. Billing standards for Personal Injury is NOT Medicare rates, etc…It is ___ charges and rates. (According to Michael Coates)
23. What is “Up-coding,” and is it legal?
24. How do doctors show that their fees are not too high?
Letter of explanation on your letterhead
Relative Value Scale (RVS)
3rd party
Redacted records showing payment in full
Testimony from a patient
Testimony from another doctor who treats PI patients
25. How many years of past medical records should both attorneys and PI doctors request on a PI patient?
2 years
3 years
4 years
5 years
None of the above
26. How many “working diagnoses” should a skilled Personal Injury doctor have for a PI patient?(Remember, there are 10,000 ICD codes to choose from)
2-4 Dx codes
10-20 Dx codes
30-40 Dx codes
Not important, only the ER doctor’s Dx codes matter
27. Do ADL’s count as “value drivers” in a case?
28. Is it better when Doctor or Attorneys list ADL’s affected by injury?
Doctor
Attorneys
29. Does it help or hurt a case when doctors diagram the crash as described by the patient?
Help
Hurt
30. Statistically speaking, are more people injured in high-speed or low speed collisions?
High-speed
Low speed
31. “Preexisting” vs “preconditioned” tissue injury…How does this make someone more susceptible to injury? Explain:
32. How many diplomate specialties are there in chiropractic?
TWO – “Mixers” and “straights”
10
43-46
52 or more
33. Negotiation is
Strategic language combat
Arguing down to a common denominator
Discussing
Creating a win/lose without the other person knowing
34. Less than _____ % of cases actually go to trial (National Average as per Michael Coates)
35. List 3 key things you want to gain by being a member of the Whiplash Group
36. What was your biggest take away from this module?
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