March 2007
Welcome to the ChiroSecure Risk Management Newsletter
 



Professional liability insurance is a must in this day and age. If you do not have it, you are massively at risk, and you have nothing to stand between you, your practice, your family’s assets and your future should you be confronted by a serious malpractice incident. Having said that, those proactive doctors of chiropractic who have acted to protect themselves by obtaining chiropractic malpractice coverage cannot and should not assume everything is taken care of through a one-time action. Your malpractice coverage needs to be routinely reviewed to make sure that any and all emerging issues and probabilities are covered.

In recent years, we have seen in very real terms the emergence of new threats and issues, such as aggressive state boards charging DCs with what might be called frivolous procedural matters. ChiroSecure’s coverage has been updated and upgraded to provide protection from this new set of challenges.

Another serious issue has emerged that needs to be addressed by any DC who also happens to have incorporated their practice, and especially those who might also employ associates. In recent months, malpractice suits that are being filed have been crafted to incorporate all aspects of the doctor’s professional status, naming the individual doctor, and the corporation that represents their practice. If you are incorporated, you need to have coverage that includes both you by name, and your corporation. As well, practices that employ associates need to make sure that any coverage those associates may obtain also includes naming the corporation as an additional “named” insured party. The legal industry has honed their procedures and litigation target list to cast the widest possible net. You need to remain one step ahead of the legal industry, and ChiroSecure can help.

Coverage for associate doctors is a potentially problematic issue in a number of other ways. The turnover in associates that many practices report may create a malpractice exposure that most doctors assume is covered by the associate’s policy. When an associate leaves, it is vital that coverage for any act or acts that the departing associate may be held liable for is covered, and that the assumed coverage does not leave the corporation vulnerable. Remember, the turnover in associates is another vitally important reason to only purchase “occurrence” coverage, thus making sure that the policy covers any acts that took place while the associate was employed, and that coverage does not terminate on their departure or expose the practice as the result of future acts on their part.

Most if not all practices employing associate doctors require malpractice coverage as a standard part of the employment agreement. What is not always addressed is the residual coverage of both the employing doctor and that DC’s corporation. This can be handled in a number of ways, but it does need to be handled.

The legal industry is working hard to not only represent any and all clients with ruthless efficiency, but through the Internet, a new means of aggressively soliciting as well as coaching potential malpractice clients has emerged. Patients can sit at their home or work computers and search the world wide web for point by point templates on how malpractice complaints can be most effectively filed, and how a patient can develop the strongest possible case.

The national debate on “tort reform” legislation is also driving more aggressive marketing and public outreach by the legal industry in which the horror stories of countless malpractice victims are used to help defend the legal industry against legislation that might limit their activities and the massive settlement trend.

The key for any doctor of chiropractic is to have a professional liability partner who understands that the health care system, especially in malpractice terms, is a rapidly evolving and increasingly difficult and complicated environment in which to operate. ChiroSecure works hard every day to be that partner for its growing community of policy holders. ChiroSecure not only offers sound, comprehensive coverage at competitive rates, it offers peace of mind. How much is that worth to you?

FEATURED ARTICLES
"THINK TWICE OR PAY THE PRICE!"
by Dr. Ken Freedman

Think clinically appropriate findings satisfy the guidelines of medically necessary care? THINK AGAIN!
 
This issue is at the heart of huge reimbursements from insurance audits of DCs whose documentation failed to substantiate that their care of the patient was medically necessary. The intent of this article is to improve awareness of this important concern, so chiropractors can more effectively document their care of the patient. This fosters a climate of better patient service while protecting the practitioner's assets, professional license and peace of mind.

A Chiropractor cannot care for a patient unless the patient has clinically appropriate exam findings.  This is statutorily-based, and interpreted by the state chiropractic board.   What most chiropractors are unaware of is that if a patient presented with clinically appropriate findings, it may be improper to submit for insurance reimbursement.  Here is why - - insurance carriers' coverage is based upon whether or not care is “medically necessary."   Click here to read more..

How to adjust patients more safely
by Dr. Ted Koren

Three things can happen whenever a force (an adjustment) is introduced: 1. The body is helped by the force 2. The body rejects the force 3. The body is harmed by the force. (Usually all three happen to different degrees).

Our goal is to use the least amount of force for maximum benefit. For this to happen specificity is needed: 1. You need to know exactly where and in what direction to adjust.
 
Diversified, cracking, lumbar rolls etc. are old osteopathic moves that are highly non-specific, high-force and less safe than specific, low-force adjustments. Apart from them being hard on the patient (potential for trauma such as broken ribs), they are hard on the doctor as well. Too many doctors will suffer from a shortened practice life because of high force techniques. Many doctors have told me, “Some days I’m in more pain than my patients.”

Click here to read more..

3 Great Tips for Managing Risk
by Dr. David Singer

1. Create a caring relationship with your patients!
Establishing a great rapport with your patients is perhaps the single most important thing you can do. I highly recommend calling patients after their first adjustment. You might offer them a free adjustment or some other small gift of acknowledgement for their birthday or even consider giving out flowers for Valentine’s Day. Expressing your interest in how your patients are progressing by reevaluating them every twelve visits helps promote patient retention and motivation. Get feedback from them by asking how their experience with your office has been regarding their care, their interaction with your staff and anything else that would promote a positive outcome. There are many wonderful ways to let them know you care.

Click here to read more..

If you have a question you'd like answered or would like a quote on Malpractice Insurance, email Dr. Hoffman at drhoffman@chirosecure.com
www.chirosecure.com
 866-802-4476

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