Dock W et al. Hides J, Richardson C, and Jull G. Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Hides JA et al. Fornage B and Efekhari F. Sonographic diagnosis of myositis ossificans. In this approach the provider is required to submit only the paperwork customarily completed for each patient such as billing statements and chart notes rather than additional, burdensome forms and reports.
Reimbursement is commensurate with the quality of patient care and the credentials of the provider.
When providers are expected to adhere to a higher standard of care required in managed care organizations, their reimbursement schedules should reflect it. This alternative paradigm of managed care relies neither on price discounting arrangements as the primary method of cost control nor pre-certification of care to control utilization. There is growing recognition that high quality care, defined as the delivery of the most appropriate care leading to the best outcomes, is the most cost-effective care. Quality care is not necessarily the result of discounted pricing or pre-authorized treatment plans. To not participate in managed care means losing patients to other chiropractors who have joined, but becoming a panel provider might just mean working a lot harder for less money and compromising patient care in the process.