case audit settlement enhancement
e-book

NOTICE TO ATTORNEYS:

I am a contributing author and trained Auditor whose sole purpose is to assist in the reversal of unfair, undervaluation of injury claims.

I am a member of a select group of chiropractic physicians trained as an Auditor and Knowledgeable Observer to independently audit and provide medical validation when it is believed there is an undervaluation of an injury claim with inadequate explanation of the legal and factual basis for so low a valuation. The independent audit is for the correction of any omissions or misstatements of the claim by either the claimant or defense or rebut the engagement of any “Unfair Claim Settlement Practice Acts” or violations of the “Ethics Codes of the Adjuster” that result in unfair, undervaluation of an injury claim.

I am available to audit, consult and provide data to assist plaintiffs' attorneys in the benefits of P.I. Claim Audits to reverse low ball injury claims. I offer free subscriptions to: eBulletin series, eBook, Audit Report, Audit Brochure, Audit Magazine and CLE Accreditation.

I can provide the most thorough education presentation with CLE credits available for Ethics, via screen share or "meet & greet" presentation.

Free Audit
Richard Falcone, D.C.

Richard Falcone, D.C.

(412) 831-3607  (412) 831-3608 falconechiropractic@verizon.net

4947 Library Rd., Bethel Park, Pennsylvania 15102

The Medical Records Are the Insurance Company’s Primary Source of Data Which They Use to Determine Settlement Valuation. One of the Single Most Important Considerations That Determine Settlement Valuation is derived from “Value Drivers” and "Decision Points" that Insurance Companies Use to Determine the range of worth of an injury claim. There Are 26 Value Driver sections, and 67,880 decision points. The insurance companies refuse to release their decision points to the public making it difficult to navigate the claim. The audit however, contains a search engine to detect overlooked value drivers and decision points and exchange them in the correct language, format and sequence to interface and input added valuation into the injury claim, and reverse claims that have been undervalued.

We engage a proprietary softwarein our audit process to make the same medical determinations as the insurer's software's. Using ambient intelligence technology, our software features a rare Computer Aided Decision-making functionality (CAD) and Decision Support System (DSS). This ability is no match for the human mind and this technology advancement is a key component of our ability to reverse undervaluation's on injury claims.

As an auditor and 'Knowledgeable Observer', we apply MECE standards to our audits. MECE = Mutually Exclusive / Collectively Exhaustive. This essentially means that we are mutually exclusive as an injury claim auditor and exhaust all methods to audit 26 sections and 60 factors on each claim in order to reverse undervaluations of injury claims.

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Certifications
  • How G-Forces Relate to the Diagnosis of Accident Related Trauma Injuries of the Head and Neck: The physics of the auto accident, including G forces and the effects of impact. A review of the variables in the mechanisms of the; side, rear, front and oblique impacts and the forces that can be transferred to the occupants of the vehicle causing damage to the occupants.

    Parker College of Chiropractic - Dallas, Ligament Injury Institute, Tampa, FL 2018
  • Significance of Spinal Anatomy and Tissue Damage to the Delicate Structures in Accident Related Trauma Injuries of the Head and Neck: The anatomy of the cervical spine, including the role of mechanoreceptors, proprioceptors andNocieceptors in the function of the spine. How the ligaments, tendons, facets and discs respond to the impact and the damages that are caused.

    Parker College of Chiropractic - Dallas, Ligament Injury Institute, Tampa, FL 2018
  • Diagnosing Concomitant Injuries in the Presence of Accident Related Trauma Injuries of the Head and Neck: The injuries that accompany the CAD that cause permanent impairment to the spine. The concomitant injuries include: AOMSI,Uncinate Process Fractures, MTBI, Posterior Cervical Sympathetic Syndrome and Vertebrobasilar Insufficiency. An overview of the diagnostic testing required for diagnosis and evaluation.

    Parker College of Chiropractic - Dallas, Ligament Injury Institute, Tampa, FL 2018
  • Certified in Injury Model Examination Protocol
  • Certified In Electronic Medical Injury Record System
  • Certified by Ligament Injury Institute
Injury Claim Audit Services
I am proud to have studied diligently to acquire a very high level of skill and confidence to become an auditor of accident-related injury claims and subscribe to the "Observer Rule of law and Empowerment."

We are eager to assist when injury claims have been undervalued and there is no legal or factual basis for so low a determination. We want our plaintiff's representatives to feel that when they choose our audit services, you have made the right decision.

We understand how frustrating it is for all plaintiff's parties to be on the low end of a settlement valuation. No one should have to go through that — and we are truly grateful that you are allowing us the opportunity to bring a more favorable resolve to this issue of unfair, injury claim undervaluation.

We strive to keep our satisfaction rating high and show that we care. The human mind is no match against the insurers software's, therefore we have acquired the CASE Audit Settlement Evaluation software that makes up to 600 decisions and determinations to match the insurers software's and exchange decision points, interface and input added valuation into an injury claim.

Thank you for being our valued customer. We are grateful for the pleasure of serving you and meeting your injury claim audit and enhancement needs.
Clinic Statement of Purpose
The Purpose of our Clinic is to help as many People as we can.
Special Information

Your health is my first concern and you've entrusted it to me after your accident. I take that seriously. When you're involved in an accident, there is accompanying stress and anxiety over your injuries, your future prognosis and the implications that arise from insurance issues. I have trained in the medical-legal aspects of trauma medicine and will treat you and your injuries with the highest care possible and process your case according to the highest standards so be confident that you are in caring hands and thank you for trusting me.