August 30, 2024

Edited by Shawn Steel

BREAKING NEWS

Open Season on Pedestrians

With significant political overtones, the LA City Council voted to authorize a study that aims to limit how often motorists are stopped for low level traffic violations.

 

Sounds like a good idea... except it may not be.

 

The council wants “pretextual” traffic stops ended. When a driver is suspected of a crime, police officers can pull over that driver for breaking a less serious traffic law. Police sometimes find guns and drugs in the car that are clearly visible.

 

Fortunately, Oklahoma didn’t have that law and stopped Timothy McVeigh when he was fleeing the scene of the Oklahoma City bombing. McVeigh was stopped for a traffic violation.

 

The roads in LA have never been more dangerous.

 

Traffic deaths achieved a record high last year with 336 people killed in crashes --- up from 312 in 2022, more than the number who died in homicides. More than half, 179, were pedestrians.

 

Many more pedestrians and bicyclists are maimed and can suffer life-changing injuries. Only to be made worse by the California legislature that has legalized jaywalking. The Freedom to Walk bill will surely kill many more pedestrians.

 

According to the Office of Traffic Safety, pedestrian deaths account for just over a quarter of all state traffic fatalities. We are seeing more pedestrian injuries than ever in California’s history.

 

PRO TIPS

  1. Most pedestrians will get coverage from their own car insurance policy IF they are stuck by another car.
  2. That coverage includes Med Pay and Uninsured Motorist.
 

FEATURED ARTICLES

A.I. Insurance Surveillance Over Your Clinic

LEWKOVICH FORM

You are being watched, begins the ominous analysis by Gary Lewkovich.


As Personal Injury technology evolves, it is our job to keep doctors up to date.

 

The government dramatically is expanding more coercive enforcement. Insurance companies imitate the government intimidating working doctors.


We expose the hype and offer solutions.

 

Here are some Lewkovich issues :


  • AI review of billing
  • AI algorithms regarding upcoding
  • AI meta analysis long term pattern of billing errors
  • AI’s False Claims Act. This one is potentially huge
  • MOST IMPORTANT: HOW TO PROTECT YOURSELF 

To get this new free form email, John Tawlian.

 

⚖️ACE LIT TIP⚖️

In recent years, AI has become a powerful tool in the insurance industry, and insurance companies were among the first to harness its capabilities to analyze vast amounts of data from auto accidents, helping them predict case values and set premiums. Today, AI is also being used to scrutinize bills and records submitted by chiropractors , with a focus on ensuring that treatments are reasonable, medically necessary, and free from fraud. To help DCs working in PI achieve better outcomes when their records are reviewed by AI, here are three key tips:


  1. Maintain Consistent and Thorough Documentation: Ensure that every visit is well-documented with clear reasoning for each treatment, progress notes, and detailed descriptions of the patient’s condition. AI tools flag inconsistencies or missing information, so comprehensive documentation is essential.
  2. Follow Treatment Guidelines Closely: AI systems are programmed to detect treatments that deviate from established norms or seem excessive. Stick to accepted treatment protocols and avoid over-treating, which could raise red flags during AI analysis.
  3. Accurate Billing is Crucial: Double-check all billing codes and ensure that charges reflect the treatments provided. AI will likely flag any discrepancies between the treatments listed and the billed amounts, so accuracy is key to avoiding delays or rejections.


By aligning your practice with these AI-driven trends, you can improve the chances of your bills being processed smoothly and fairly.

 

FEATURED VIDEO

 

STAYING ALIGNED: THE STEEL & EISNER PODCAST

Episode 45 with Brad Walkon

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