It's not just the chiropractors who are on the spot. Orthopedic physicians deal with auto accidents all the time. We ask them the same questions we ask the chiropractors. After 30 days of care, if the patient isn't better, the treatment plan should be reassessed. There's a lot of literature that says the complaint should be resolving within that period of time and if it isn't, we have to pay, deny, or send the case out for review.
Orthopedic physicians have to reauthorize for continued treatment by PTs, too.
We have medical abbreviations available to us, but not chiropractic abbreviations. We need our claims adjusters to understand chiropractic language. We need to know parameters, objective findings. We need to be able to figure it out. We need to know what the assessment was and what was done.