From: Dr. Margolies .. 7-29-11
www.chirosmart.net
www.chirosmart.net/shop

Note: I received a number of e-mails requesting additional information about the cold 
laser I use. It is affordable, has lots of research behind it, was the first to receive FDA 
approval and has great support and educational programs. The unit is the ml830. I may 
have provided the wrong website, so here it is again. www.myml830.com I just bought a 
new one and received a 10% discount and I will have 90 days to return it if not satisfied. 
If you want to e-mail the representative I spoke with, reply to Greg at: gdigio13@aol.com 
or call him at: 888-789-0745  I send my patients to youtube and have them key in ml830 
laser, lots of great information there

Postings this week:

For sale SAM Mark VII unit and Spinal Decompression 

E-mail message for the week .. It's a Dilemma

I recently received a letter from a managed care health insurance contractor requesting I 
sign their agreement to accept a reduced fee for auto insurance patients that have 
coverage with a major auto carrier. Until now, auto insurance did not play the managed 
care game, at least not in my town but recently the cat seems be getting out of the bag. A 
few weeks later another contractor requested my signature to agree to accept auto 
insurance patients for a set fee of $50 per visit. 

I realize money is being squeezed everywhere and auto insurance carriers want to slim 
down their expenses but considering that PI patients may need and benefit with 
rehabilitative exercises, durable supports, a more extensive and progressive evaluations 
and most likely x-rays and let's not forget a few more adjustments than usual, a set $50 
limit per visit prevents a simple business person, with compassion, to consider the time 
factor involved in processing these cases realizing that taking these patients cost more 
than it's worth.

The insurance industry finally provided us with decent CPT EM, evaluation and 
management codes, that placed a value on the time needed to perform a service. Time is 
money and a fee structure was made a bit more liberal. Now this, a regressive trend that 
stifles our economic future and one in which we are asked to sign and agree to. What is a 
professional business person to do when their own bills are due, salaries must be paid, 
loans and others expenses will be coming from the same well and it is being dried by the 
paymasters, the insurance industry.

I guess the answers harkens to the days of yore when cash was king and patients readily 
understood they were paying for their service. A cash practice takes more commitment, 
communication and compliance but even at this level, the energy expelled to create the 
ultimate cash practice, with insurance hovering in practices nearby, is difficult at best.   

So, the dilemma remains, be in or be out. Sign with the trend that belittles our skills or 
keep face and face any consequences.

It's a Dilemma for sure

Have a Great Day

Dr. M

Postings:

Dr. Joel E. Margolies or www.chirosmart.net have no responsibility for anything posted 
or purchased either on the website, message board or within his weekly e-mail.

For sale SAM Mark VII unit and Spinal Decompression: 

SAM Mark VII for sale. comes with carrying case, display and posters. 
located in King of Prussia, PA . pick up only.  $850.
Decompression Ads: Professionally created ads.
I used these ads to build my Decompression practice; over 20 ads ready for newspaper or 
inserts. $80. Reply to drerdogan@aol.com