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
Robert Johns, D.C.

Robert Johns, D.C.

(O) (503) 656-4993 • (C) (503) 348-9390 •  (503) 657-0411 • drbob40j@yahoo.com

619 High Street, Oregon City, OR 97045

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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Clinic Assets
  • I am proud to have studied to acquire a very high level of skill and confidence in accident related cases.
  • My staff and I are very Knowledgeable, friendly, dedicated and eager to help with your treatment and injury claim processing.
  • Our patients know that when they choose our office, they can feel good that they have made the right decision.
  • Our patient satisfaction rating has been consistently high and our patients realize that we care about them and we are thoroughly knowledgeable in auto accident related treatment & case representation. This is based not only on our successful treatment and resolve of a patient’s condition and claim representation, but also because people need to know their doctor cares about them as much as he is knowledgeable about their injuries.
Auditing 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.
Core Competency
  • 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. The CASE software we use has "Computer Aided Decision Making' functionality and is in a rare class of semantically interoperable software's. It also is a "Decision Support System" and will include "Statements of Undisputed Facts', "Memorandum of Points' research and references to show its side has greater believability than the defense.
    • Fair and equitable settlement valuation is the injured's rights, and we provide our audit services to reverse undervaluation when it occurs in injury claims. You trust our audit services and we take that seriously. When unfair, unreasonable undervaluation occurs, there is accompanying stress and anxiety over injuries, future prognosis, total costs, wage loss, property damage and the implications that arise from insurance issues. In fact, there are 26 sections comprised of medical, legal, economic and administrative factors of an injury claim. The audit is like a search engine to assemble all the factors of the claim in the correct language, format and sequence to interface with the insurers software's, exchange data among the insurers 67,880 decision points of an injury claim to reverse undervaluation and add to the worth of the claim.
    • I have trained to become an auditor and 'knowledgeable observer' of facts, including missing value drivers especially when there is no legal or factual basis for low valuations. We will audit each case using MECE Standards; Mutually Exclusive and Collectively Exhaustive, to apply the highest standards to establish the preponderance, win the greater weight of the evidence challenges and reverse undervaluation's of injury claims. You can be confident that you are in caring hands and thank you for trusting us with your client's audit.

An Audit Refines your client's Diagnoses by thorough record integration. A 3rd Party Independent Medical Validation (IMV) is included in our fee to validate the Audit. An IMV provides Statements of Fact and Appropriate Declarations, Memoranda, Exhibits and Animations when indicated. We Provide Your Report in the Required Table Format of the AMA Guide's 5th Edition. This can improve Medical Value of the Injury Claim by 25%.

Our job is to provide details about injuries that optimize payment for the case. Audits:

  1. Identify and label any of the Decision Points that exist but have not been included in the claim. (Each carries added value in the insurers’ payment formula.)
  2. Ensure that every medical test has been performed that can document the proof of your client's injury experience.
  3. Address pre-existing conditions, 2nd accidents that complicate the case, gaps and interruption in care.
  4. Itemize Medical diagnoses, treatment, referrals, degree of stabilization of condition, future care and prognosis
  5. Provide MMI for each body part, % Impairment Rating, and % Whole Body Impairment.
  6. Overcome an IME and win the “Greater Weight of Evidence Challenges” by Providing a 2nd Opinion of our work. An Independent Medical Validation (IMV) of our Determinations are included in every Audit.
  7. Provide a comprehensive report including tables, exhibits and animations that validate the extent of the injuries and provide Whole Person Impairment Rating (WPI).
  8. Provide a comprehensive settlement package for your case with 26 sections using language and the format that compels the Adjuster to pay.
  9. Provide a Comprehensive Rebuttal. All 48 Ethics Codes of the Adjuster and the Unfair Claim Settlement Practice Acts are built into our software to counter any attempt by the Payor to Unfairly Treat your Claim. Include Statements of Fact and Declarations that Compel equitable settlement evaluation and discourage dispute, denial, discount and omission of value drivers of the claim.
Practice Achievements
  • 21 years in practice handling those affected by motor vehicle accidents.
Curriculum Vitae
EDUCATION AND LICENSURE

  • Doctor of Chiropractic, Licensed in the State of Oregon, License # 3223, 2000-Present
  • Doctorate of Chiropractic, Western States Chiropractic College, Portland, Oregon, 2000
  • National Board of Chiropractic Examiners, Part II, 1999
  • National Board of Chiropractic Examiners, Part III, 1999
  • National Board of Chiropractic Examiners, Part IV, 2000
  • Undergrauate Studies in Pre-Medecine, Clackamas Community College, Oregon City, Oregon, 1993 - 1996


SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

  • Triaging the Trauma and Non-Trauma Patients, Correlating clinical findings and the patient history in determining the correct course of care in triaging the patient utilizing orthopedic and neurological evaluations in the clinical setting. Understanding the parameters for immediate referrals vs. following the continuum of care to determine the necessity for referrals CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2011
  • Head Trauma, Brain Injury and Concussion, Brain and head physiology, brain mapping and pathology as a sequella to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation, advanced diagnostic imaging and electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2012
  • Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2012
  • Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2012
  • Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2012
  • Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2012
  • Physical Therapy 101, An in-depth understanding of the use of electrical therapy to control pain and establishing parameters for therapeutic rehabilitative exercises. This includes how sacroiliac manipulation effects anterior knee pain, post fracture manipulation and ankle rehabilitation University of Bridgeport, College of Chiropractic, Rocky Hill, Connecticut, 2011
  • Forensic 102, Introduction to forensic science developing a level of knowledge, comprehension and understanding of the medical legal system as it relates to the practice of forensic science. Identifying a new dimension of chiropractic practice that will minimize risks and failure in court appearances as a practitioner University of Bridgeport, College of Chiropractic, Rocky Hill, Connecticut, 2011
  • Forensic 105, Medical legal issues including identifying risks and liabilities that may be encountered by examiners with electronic communications and developing a level of understanding of the medical legal system as it relates to junk science University of Bridgeport, College of Chiropractic, Rocky Hill, Connecticut, 2011
  • Forensic 106, Understanding the medical legal system as it relates to the ethical expert witness. This includes a new dimension of chiropractic practice that will minimize risks and failure in court appearances as an ethical expert witness, nurture skill sets and forensic examination and appearing as an expert witness through certification University of Bridgeport. College of Chiropractic, Rocky Hill, Connecticut, 2011
  • Forensic 107, Emphasizes that each chiropractic provider must keep informed as to the laws, their interpretation and their particular state of practice. Identifies Daubert criteria, discusses what each chiropractic expert should look for when preparing for the opposing attorney. Develops nurturing of skill sets improving expert opinion University of Bridgeport, College of Bridgeport, Rocky Hill, Connecticut, 2011
  • Forensic 108, Identifies the basics of deposition, discusses the tricky question types and suggested responses, develops knowledge of comprehension and understanding of the an impairment rating based on evidence-based literature, science and AMA guidelines University of Bridgeport, College of Chiropractic, Rocky Hill, Connecticut, 2011
  • Emergency Procedures, How to prepare for a medical emergency including extensive review of common medical emergencies, heart attacks, stroke, difficulty breathing and diabetic emergencies. How to provide the appropriate medical legal system as it relates to the deposition process to encourage skill sets in responding to questions posed in a deposition University of Bridgeport, College of Chiropractic, Rocky Hill, Connecticut, 2011
  • Impairments, Identifies criteria used by formally trained forensic examiners, develops a level of understanding, knowledge and comprehension of the criteria used by impairment rating reviewers, and identifies certain practices that lead forensic examiners to question the reports of IME examiners. Developing and nurturing of skill sets when formulating emergency treatments University of Bridgeport, College of Chiropractic, Rocky Hill, Connecticut, 2011
  • Patient Intake, History and Physical Examination, Determining the etiology of the patient's complaints in a trauma or traumatic scenario, analyzing the patient's history and review of systems along with the performance of a complete orthopedic, neurological and clinical examination to correlate both past, current and causality issues to formulate an accurate diagnosis, prognosis and treatment plan. There is an emphasis on triaging both the trauma and non-trauma patient Academy of Chiropractic Post Doctoral Division, New York Chiropractic Council, New York State Educational Department, Long Island, New York, 2011
  • Neurodiagnostics, Imaging Protocols and the Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Training includes maintaining ethical relationships with the medical-legal community CMSC Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, New York, 2010
  • Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding of how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department for Chiropractic, Long Island, New York, 2010
  • Crash Dynamics and Its Relationship to Casualty, 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, Newton’s 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 .The course provides insight in determining the clinical correlation of forces and bodily injury CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2010
  • MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiological and clinical indications, and x-ray clinical indications for the trauma patient CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2010
  • Neurodiagnosic Testing Protocols, Physiology and 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 CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, New York, 2010
  • Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the IDC-9 and the CPT to accurately describe the injury through diagnosis, Understanding and utilizing state regulations on reimbursement issues pertaining to health care CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, New York, 2010
  • Documenting Clinically Correlated Bodily Injury to Causality, 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, pathophysiology in both a functional and structural paradigm CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, New York, 2010
  • Anti-Aging Certificate Program, The factors and influences associated with aging and what can be done to slow the aging process. Aging statistics and the variables associated with aging, including exercise, stress, emotions, social relationships, religion, alcohol, smoking, antioxidants and their relationship to cancers and heart disease, food nutritional value and quantities and weight control University of Bridgeport College of Chiropractic, Rocky Hill, Connecticut, 2009
  • The Pathophysiology of Degenerative Joint Disease and Its Relationship to CMT, The epidemiology of LBP, degenerative joint disease and its association to degenerative disc disease, concept of axial load shift, biomechanics and manipulation value, vertebral self-righting principal with annular fiber disorganization and disc bulge, facet mechanics including intra-articular adhesions and intra-articular hemmorage DC Tracts, Brooklandville, Maryland, 2008
  • Osteoarthritis, An Overview, Cartilage disintegration and osteoarthritis, risk factors for osteoarthritis, secondary osteoarthritis, clinical presentation with the paradigms for understanding disease risk factors DC Tracts, Brooklandville, Maryland, 2008
  • Diagnosis and Treatment of Epicondylitis, The two types of epicondylitis, clinical presentation, symptoms of epicondylitis, diagnosis, cervical spine evaluation, treatment options including rehabilitive exercise, high-volt galvanics, ultra sound, splinting and surgical options DC Tracts, Brooklandville, Maryland, 2008
  • Pain Management of Lower Extremities, The definition of pain, chronic and acute, treatment parameters for pain, P.R.I.C.E., proteoliytic enzymes, electrical stimulation,high volt, T.E.N.S., microcurrent, acute injury pain management and chronic pain management DC Tracts, Brooklandville, Maryland, 2008
  • Pre-hospital Assessment of Seriously Ill or Injured Patient, The chiropractors role in prehospital care, practicing universal precautions, primary survey of the medical patient, trauma patient and secondary survey: vital signs, patient history and head-to-toe examination DC Tracts, Brooklandville, Maryland, 2008
  • Plain Film and MRI Interpretation of Common Shoulder Conditions/Glenohumeral Instability, X-ray and MRI interpretation of acromioclavicular separators, glenohumeral joint instability, lateral tears, and impingement syndrome and rotator cuff tears DC Tracts, Brooklandville, Maryland, 2008
  • Chiropractic Pediatrics, The state of pediatric research, pediatric adjusting, pediatric radiology from a chiropractor’s perspective. Techniques and case management for pregnancy birth and infant care Oregon X-Ray Council, Portland, Oregon, 2008
  • Foot Orthotics-Instructions and Patient Care, The history of walking surfaces and shoes, overview of gait, primary shock absorber, basic biomechanics, pronation, supination, structural deformities and leg length discrepancy, functional and accommodative orthotics Oregon X-Ray Council, Portland, Oregon, 2008
  • Myofascial Therapy, Information and techniques needed to treat myofascial restrictions. Anatomy and physiology of fascia and its relationship to proper physiological function Oregon X-Ray Council, Portland, Oregon, 2007
  • Injury Prevention: What Your Patient Should Know, Injury prevention instruction in safe body mechanics to teach patients, including proper posture, lifting, sitting and stretching techniques Oregon X-Ray Council, Portland, Oregon, 2007
  • Physioball Rehabilitation, Exercise rehabilitative training for professionals with utilization of exercise balls to provide a well rounded home workout Oregon X-Ray Council, Portland, Oregon, 2007
  • The Diagnosis and Chiropractic Management of Scoliosis, Scoliosis and spinal deformity, including spinal anatomy scoliosis in children and adults, and idiopathic adolescent scoliosis. Radiographic and other imaging, curve measurement and classification, and non-surgical treatment Oregon X-Ray Council, Portland, Oregon, 2007
  • Pain Management, New research in the processing of pain in the context of CNS, neuroplasticity, the neuromatrix of the body and interventions which alter the unique genetically determined neurosignature Western States Chiropractic College, Portland, Oregon, 2007
  • Evidence Based Outcomes Assessment, Outcome management tools appropriate for curative chiropractic treatment. Evidence that supports use of these tools and present methods or protocols for use, including documentation that offers specific treatment approaches and proves the need or not for ongoing care Western States Chiropractic College, Portland, Oregon, 2007


SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING

  • Consultant, Back Safe and Sitting Safe Injury Prevention Specialist, Future Industrial Technologies, Santa Barbara, California, 2004 SELECTED MEMBERSHIPS
  • Business Networking International, Member, 2001 - 2003
  • Business Networking International, President, 2002
Clinic Statement of Purpose
  • Our Purpose is to Provide Demonstrative Evidence Ruling out Rhetoric to assist Crash Victims and their Legal Representative regarding Causation, bodily Injury and Persistent Functional Loss to reverse carrier cost containment measures by establishing the preponderance, winning the greater weight of the evidence challenges and show that one side has more believability than the other, ultimately reversing low ball offers to fair settlement values.
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.