Marc Weiss, DC DAAMLP

Correlating spinal biomechanics secondary to trauma and MRI findings inclusive of herniation, bulging, protruded and extruded discs. Correlating co-efficient of forces translated form the bullet vehicle to the target vehicle to the occupant in determining causality of bodily injury.

Chiropractic as primary spine care based upon the literature conclusions and the documentation requirements to support those conclusions in an ethical collaborative environment inclusive of hospitals, emergency rooms, primary care medical doctors and medical specialists.

The latest scientific evidence of the effects of the chiropractic spinal adjustment on he central nervous system, both upper and lower motor neurons. A comparative analysis of chiropractic vs. other modalities and therapies.

Foundations for successful outcome in medicolegal cases. Preparing for depositions, arbitration, and court. Use of demonstrative evidence. Learn the common pit falls and how to avoid them. How to take advantage of your opponent’s weaknesses. Total confidence in all medicolegal proceedings

Comprehensive and compelling narrative report construction. How to avoid common mistakes and pitfalls. The latest cutting edge techniques and rebuttal strategies. Today’s critical forensic documentation skills and impairment requirements.

Critical history taking and physical examination skills. Radiographic and advanced imaging, including CT, MRI, scintigraphy, PET, SPECT and others. Electrodiagnostic testing and their applications in whiplash. Therapeutic approaches to successful management of whiplash and mild traumatic brain injuries and risk analysis II.

In Depth review of our current state of knowledge of whiplash phenomenon, including all factors affecting injury risk and outcome. In-depth biomechanics, traumatology, epidemiology, review of outcome studies, and common sequelae of whiplash, including brain injuries, pain syndromes, thoracic outlet syndrome, carpal tunnel syndrome, chronic pain disorders and risk analysis 1.

Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI.

Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI.

MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots.

MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized.

The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae.

MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions.

Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community.

An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate Neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury.

An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury.

MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient.

Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient.

Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare.

Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm.

The integration and understanding of the application of regulations and the documentation required to satisfy Billing & Coding for Medicare

Case studies and how to decide which diagnostic imaging technique is appropriate. How to initially scan a radiograph to separate normal from abnormal. When a finding is suspicious refer for a more specialized review and interpretation.

Review of plane film, MRI and CT scan in consideration of patient history and complaint. When and why to order advanced diagnostic imaging.

Better Results for Patients & Practice: Treatment Plans for Chiropractic Injuries Hospital Privileges for Chiropractic Doctors, Chiropractic Hospital Privileges Hospital Structure, Rules and Regulations, Chiropractic and Medicine, Legal Issues in Chiropractic Hospital Privileges, Fundamentals of Establishing Operating a Chiropractic Hospital Program

MRI Principles Procedures and Interpretation, Doctor-Patient Communications, Effectively communicating patient findings, care protocols and treatment goals along with the explanation of potential complications of the necessity for referrals & Technique.

Documentation of Medical Necessity & Compliant SOAP Note-Taking Preventing Audits & Medicare, Cross-linking ICD-9 and CPT codes in the correct coding format. Understanding the use of modifiers, correct coding initiatives and cross-coding parameters in documenting treatment accurately.

Whiplash Associated Disorders and the biomechanics of side impact vs. rear impact with emphasis on traumatic forces and body position, the mechanism of whiplash injury phases with their relationships to physiologic tolerance to trauma.

ICD-9 and CPT requirements in coding for the traumatically injured, including integrating informed consent, evaluation and management, testing orders. The utilization of research in medical reports for both the trauma and non-trauma patients.  Clinical coordination of care and reporting to healthcare and legal providers.

Injury Mechanisms, Injury Guidelines for the Cervical Spine, Procedures and modalities for the injured. Protocols and utilization guidelines for cervical spine injuries, including physical rehabilitation.

Diverse Seminar, X-Ray Technologists Certification, Personal Injury, Adjustive Technique.

Effective Personal Injury Management.

Traumatic Brain Injury.

Preventing Audits & Medicare, Cross-linking ICD-9 and CPT codes in the correct coding format. Understanding the use of modifiers, correct coding initiatives and cross coding parameters in documenting treatment accurately.

Life Chiropractic College West