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By Dr. Alex G. Peros, D.C.
SIGN-IN SHEETS will indicate whether the claimant was in on that particular day for treatment. This can be valuable as a cross-reference.
PATIENT INTRODUCTION CARD (or Form) contain much useful information.
PATIENT HEALTH QUESTIONNAIRE If this is incomplete it could be an indication that the claimant did not fill out the questionnaire or that it was filled out by someone else.
“REGARDING YOUR ACCIDENT” FORM. Many times, the place and time of the accident, what happened and whether or not the patient was hospitalized have not been filled in.
CHIROPRACTIC, ORTHOPEDIC AND NEUROLOGICAL EXAMINATION FORM.
Take note if this form is incomplete or a single-page form with a fee not commensurate with the examination.
COPIES OF ANY AND ALL X-RAYS TAKEN. These should all be labeled and be limited to the areas of complaint.
LEDGER CARD (not a computer print-out). Information should include all office visits and all physiotherapy used. If massage therapy (myotherapy) is indicated, the card should also indicate who administered the massage and its duration.
THE S.O.A.P. NOTES should be dated and indicate what the claimant told the treating physician, what the physician found upon examining the claimant, and the plan of treatment (including duration).
ALL BILLINGS need to be studied very closely. The date of the accident and of the first treatment should be noted. Any billing in excess of $300 for the first date of treatment needs to be scrutinized, as do any and all excessive fees for the examination or the physiotherapy. High fees may also be charged for X-rays, re-X-rays, review of outside reports, narrative reports and telephone consultation.
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