cpt. 8 page 1 Chiro 3327 Dr. Joel E. Margolies Cpt. 8: Risk Management: (pg. 217) Record Keeping: Think defensively .. Conservatively .. Not paranoiac .. Litigious society Nuisance Cases .. Lawyers and their Contingency Fees .. Have Insurance!!!! .. Poor Communications .. Billing breeds distrust .. Write off .. Use your Judgment Never play „letžs get even .. Ižll show themū .. Not worth the headache Good Patient Management = Great Risk Management .. Starts from Day One Keep proper records .. Have folders .. Hard copy as well as computer data Our work is routine .. Technic dictates structural and physical changes keep data Nothing goes out without a copy .. Sanitize what goes out .. Look over shoulder Establish a policy .. keep up with paper work .. donžt get overwhelmed .. Policy! PI cases require additional notes .. litigation at some point .. Staff helps S.O.A.P notes: Use a computer create macro sentences (pg. 219) .. keep up daily In depositions and court clear notes helps to recreate the patient visit .. Less stress How long must you keep records? Check your state Board .. Purge and store them Staff Communications should be written and followed through .. Avoid clutter Requested information: Only information they request .. Donžt open a can of worms No patient authorization .. No send ... If there is an attorney get permission Use consistent folders .. Create record keeping habits .. Should be in office manual .. Reactivate after purging and in drop out log .. Use photo ID .. out of sight -- out of mind Use a computer for office flow and records? .. Have a back-up and power back-up Back up every other day .. Separate important office computer folders -- Back these up Store back ups in fire proof box or away from office .. Know the program! Personal Injury: (pg. 222) Auto .. Workers Comp ... Slip and Fall ... Contingency Fees .. Medpay ... Drs. Liens Notes of today may be used two years later .. Keep them clear and simple Take Courses: Murphy .. Stan Kaplan ... videos ... Attorneyžs --- need each other Keep „paper trailsū to a minimum ... settlement packages .. demand letters Subpoenas ... send records and keep copies in envelope .. . sealed ... discovery Leave out personal office letters ... Know previous history of accidents ... Depositions: Pre-depo meeting ...charge for your time not for your testimony Let your patientžs attorney know weak areas ... discuss his qualifying questions Fee ... $300 for any portion of first hour .. pro-rate after that ... Paid in advance Court: Exception ... take props ... give lay lecture ... Hot Dog for soft tissue injury ... Not clear of the question ... answer honestly ... donžt be led ... I donžt know ... Narrative Reports: They will be your deposition .. understand to defend ... template Practice Goals: Realistic ... action steps .. rungs of ladder ... Maintain policies Keep numbers in view .. staff meetings ... who and what is contributing ... Counter Intention ... Non-Compliance ... Unwillingness ... Opposition ... No fun ...!!! Counter - Intention = Non Agreement .... Clear the air .. Remove the obstacle Donžt get complacent ... especially with staff .. Non-Compliance = Disagreement Stifled growth is the result of counter - intention .. Resolve Disagreement Ask CA: „How would you feel if we doubled our practice?ū ... Response ... „Greatū „Greatū means more work .. Double Practice = Double Work = Double Paper Work Burn Out: Can happen at any time .. look within ... take vacations .. talk to others Keep numbers private .. Keep ears wide open ... always strive to learn ... Have Fun Accumulate and Profit: (pgs. 240) Whitehall Mgt. ... Bucket ... Half full or empty Savings: Estimated taxes ... Retirement ... No Load Mutual Funds .. Muni Bonds SEP acct: ... IRA ... Save 10% per deposit ... discipline ... DRIPs ...