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UNFAIR P.I. CLAIMS TACTICS EXPOSED:

This is an information presentation for plaintiff P.I. attorneys to reveal:

1). How To Prevent Unfair, Unrealistic, Lowball Settlements…and 2). How to win the “Greater Weight” of the Evidence Challenges.

THIS%IS%INFORMATION%THE%INSURANCE%COMPANIES%DON’T%

WANT%YOU%TO%HAVE.%

“Greater Weight” of the Evidence Challenges. THIS%IS%INFORMATION%THE%INSURANCE%COMPANIES%DON’T% WANT%YOU%TO%HAVE.%
“Greater Weight” of the Evidence Challenges. THIS%IS%INFORMATION%THE%INSURANCE%COMPANIES%DON’T% WANT%YOU%TO%HAVE.%

COMPLIMENTARY BOOK GIFT

I have trained in this environment and offer you a complimentary book.

in this environment and offer you a complimentary book. Please e-mail the author, mention my name

Please e-mail the author, mention my name and ask for your complimentary copy. f_liberti@msn.com

The author, Dr. Frank Liberti was expert medical witness who set a State Supreme Court precedent on a “Serious Injury Threshold” case.

UNFAIR P.I. CLAIMS TACTICS EXPOSED:

Insurance Companies' created a

new “Business Culture”, which warrants lawyers and medical experts to change the way they conduct their personal injury business!

THIS%IS%INFORMATION%THE%INSURANCE%COMPANIES%DON’T%

WANT%YOU%TO%HAVE.%

EXPOSED Insurance Company Changes include new:

1. Business%Processing%Improvement%Culture% “BPIC”'

2. Claim%Core%Process%Redesign% “CCPR”'

3. Decision%Points% that'determine'se2lement'value.'

The'10,720'coveted' Medical,-Legal,-Administra6ve-& -Legal- Decision( Points( remain'secret'as'they'have'been'withheld'from'lawyers'and' doctors'unDl'this'presentaDon. '

This%is%informaLon%the%insurance%companies%don’t%want%you%

to%have.%

43 DECISION POINT REQUISITES FOR P.I. Case Settlement Determination

There(are(a(total(of(43(Decision(Points(that(should(be( represented(in(the(legal(demand. '

There'are'30'medical'and'13'legal,'administraDve'&' economic'Decision'Points.'

The'a2orney'must'represent'these'requisite'Decision'Points'

to'prevent'unfair,'lowball'se2lements'and'win'the'Greater'

Weight'of'the'evidence'challenges.'

Weight'of'the'evidence'challenges.'

The insurance companies make their decisions about how to value a P.I. case by the # of Decision Points represented.

But – they keep the decision points a coveted secret! The insurance companies continue to ignore a superior Court Oder To release The Points.

decision points a coveted secret! The insurance companies continue to ignore a superior Court Oder To

ATTORNEYS must represent 43 requisite DECISION POINTS in the language, format & sequence to interface with the Insurance Companies claims determination software’s.

the Insurance Companies claims determination software’s. A;orneys(must(know(and( document(the(30(requisite( Medical(

A;orneys(must(know(and(

document(the(30(requisite(

Medical( PLUS (the(13(Legal,(Admin.( &(Economic(DECISION(POINTS((

We%Reveal%the%Requisite%43%Medical,%legal,%AdministraLve%

and%Economic%decision%Points% that(Determine((Fair)( Se;lement(Value(and(Win(The(“Great(Weight”(Challenges!'

Attorneys should seek PHYSICIANS with:

knowledge of the 30 Medical Decision Points as myself. This can win the “Great Weight” Challenges and meet evidentiary burdens of proof in court admissible format to prove that injuries meet injury thresholds. Seek(Physicians(who(know(and(

document(the(30(requisite(

Seek(Physicians(who(know(and( document(the(30(requisite( MEDICAL(DECISION(POINTS.( We%Reveal%a%

MEDICAL(DECISION(POINTS.(

We%Reveal%a%Demand(Le;er(Producer(to(Meet(“BPIC”,(

“CCPR”(&(the(requisite(“Decision(Points”(that(Determine(

Se;lement(Value(and(Win(The(“Great(Weight”(Challenges!'

Decision Points Determine

Settlement Value and Consist Of:

1). Value Drivers 2). Case Maximizers 3). Prolonged Modifiers

These convert into Injury Severity Points which then translate into

into Injury Severity Points which then translate into a dollar $$$ amount based on each insurers

a dollar $$$ amount based on

each insurers rate and formula!

ABOUT MISSING DECISION

POINTS:

The average demand letter contains only 9 of the 43 Requisite Decision Points.

80% of the Decision Points are missing in the average demand – …hence 80% lower settlement!

Requisite Decision Points. 80% of the Decision Points are missing in the average demand – …hence

ABOUT MISSING DECISION

POINTS:

Missing Decision Points = Missing Settlement Dollars!

ABOUT MISSING DECISION POINTS: Missing Decision Points = Missing Settlement Dollars!

Review this presentation and then compare the # of medical decision points in your medical experts’ file and the legal, administrative and economic decision points in your demand.

When you are missing medical decision points, you are subject to lower settlement value.

Because, 30 Of The 43 Decision Points Are Medical – you are largely, in part, dependent on the medical expert to be knowledgeable in this environment.

Because'the'requirements'to'win'the'Great'Weight' Challenges'are'so'extensive,'we'use'a'proprietary'soMware' that'prompts'our'medical'documentaDon'of'the'decision' points.'The'soMware'then'gives'us'the'ability'to'send'you' the'file'electronically.'For'your'convenience,'you'will'receive' an'access'code'to'the'soMware'which'allows'you'to'create'a'

demand'le2er'with'all'the'requisite'decision'points'listed'in'

the'correct'format'and'sequence'to'interface'with'the'

insurance'companies'claim'determinaDon'soMware’s.'

The insurance companies have claim software's and DECISION POINTS on their side. Now you can counter them!!

DECISION POINTS on their side. Now you can counter them!! You can auto create a demand

You can auto create a demand letter in minutes which may contain up to 12+ pages of all the requisite decision points.

Attorneys:

Compare your DEMAND LETTERS with our model to locate areas of Missing Decision points '

Physicians:

Compare your P.I. examination & documentation to this model

THIS%IS%INFORMATION%THE%INSURANCE%COMPANIES%DON’T%

WANT%YOU%TO%HAVE.%

ATTORNEY INVITATION:

The P.I. demand system incorporates medical, legal, administrative & economic decision points. It is a cloud based software which we make available to Attorneys

DOCTOR((((((((AUDIT(((((((LAWYER(
DOCTOR((((((((AUDIT(((((((LAWYER(

AT NO COST!

DOCTOR((((((((AUDIT(((((((LAWYER(
DOCTOR((((((((AUDIT(((((((LAWYER(

SoMware'Merges'Medical,'Legal,'AdministraDve'and'Economic'Files' Through'Cloud'Based'ApplicaDon'within'Minutes.'' No'WaiDng'For'File' Retrievment.''' 3 rd 'Party'Medical'Audit'Validates'P.I.'Case.''

Attorneys Need Physicians To Document The 30 Medical Decision Points Based Upon:

To Document The 30 Medical Decision Points Based Upon: •  

The'3'Grade'Modifiers'of'the'AMA'

5 th 'and'6 th 'EdiDon'AMA'Guides'

The'Injury'Model'

The'DRE'Categories'

The'DBI'Categories'

Specific'Disorders'of'the'Spine'

Spine'Impairment'Summary'

Whole'Person'Impairment'

The%funcLonal%history%must%include%funcLonal%losses%in% areas%of%“DuLes%Under%Duress”%and%“Loss%of%Enjoyment”.% '

Therefore,(You(Must(Change(the(Way(You(Conduct(Your( Personal(Injury(Business(
Therefore,(You(Must(Change(the(Way(You(Conduct(Your( Personal(Injury(Business(

Therefore,(You(Must(Change(the(Way(You(Conduct(Your(

Personal(Injury(Business(

Therefore,(You(Must(Change(the(Way(You(Conduct(Your( Personal(Injury(Business(
Therefore,(You(Must(Change(the(Way(You(Conduct(Your( Personal(Injury(Business(

Therefore,(You(Must(Change(the(Way(You(Conduct(Your(

Personal(Injury(Business(

Therefore,(You(Must(Change(the(Way(You(Conduct(Your( Personal(Injury(Business(
Therefore,(You(Must(Change(the(Way(You(Conduct(Your( Personal(Injury(Business(

Therefore,(You(Must(Change(the(Way(You(Conduct(Your(

Personal(Injury(Business(

Therefore,(You(Must(Change(the(Way(You(Conduct(Your( Personal(Injury(Business(
Therefore,(You(Must(Change(the(Way(You(Conduct(Your( Personal(Injury(Business(

Therefore,(You(Must(Change(the(Way(You(Conduct(Your(

Personal(Injury(Business(

Therefore,(Both(Doctors(&(A;orneys(Must(Change(the(Way(of( ConducZng(Your(Personal(Injury(Business(
Therefore,(Both(Doctors(&(A;orneys(Must(Change(the(Way(of( ConducZng(Your(Personal(Injury(Business(

Therefore,(Both(Doctors(&(A;orneys(Must(Change(the(Way(of(

ConducZng(Your(Personal(Injury(Business(

Doctors(Must(Document(The(Medical(Decision(Points(In(The(Exam.(

Doctors(Must(Document(The(Medical(Decision(Points(In(The(Exam.(

A;orneys(Must(Represent(The(30(Medical(Decision(Points(AND(Also(

The(13(Legal,(AdministraZve(And(Economic(Decision(Points(As(Well.'

Doctors(Must(Document(The(Medical(Decision(Points(In(The(Exam.(
Doctors(Must(Document(The(Medical(Decision(Points(In(The(Exam.(

Doctors(Must(Document(The(Medical(Decision(Points(In(The(Exam.(

A;orneys(Must(Represent(The(30(Medical(Decision(Points(AND(Also(

The(13(Legal,(AdministraZve(And(Economic(Decision(Points(As(Well.(

Doctors(Must(Document(The(Medical(Decision(Points(In(The(Exam.(
Doctors(Must(Document(The(Medical(Decision(Points(In(The(Exam.(

Doctors(Must(Document(The(Medical(Decision(Points(In(The(Exam.(

A;orneys(Must(Represent(The(30(Medical(Decision(Points(AND(Also(

The(13(Legal,(AdministraZve(And(Economic(Decision(Points(As(Well.(

Doctors(and(Lawyers(Must(Work(Together(and(Be(on(The(Same(Page(
Doctors(and(Lawyers(Must(Work(Together(and(Be(on(The(Same(Page(

Doctors(and(Lawyers(Must(Work(Together(and(Be(on(The(Same(Page(

to(document(and(represent(each(requisite(Decision(Point(in(order(to(

prevent(unfair(se;lement(valuaZon(and(win(the(Great(Weight!(

Doctors(and(Lawyers(Must(Work(Together(and(Be(on(The(Same(Page(
Doctors(and(Lawyers(Must(Work(Together(and(Be(on(The(Same(Page(

Doctors(and(Lawyers(Must(Work(Together(and(Be(on(The(Same(Page(

to(document(and(represent(each(requisite(Decision(Point(in(order(to(

prevent(unfair(se;lement(valuaZon(and(win(the(Great(Weight!(

OK. THAT WAS AN OVERVIEW

The'following'presentaDon'material'gets'specific' and'if'you'lose'any'understanding'–'don’t'be' concerned,'especially'if'this'is'your'first'exposure'to'

the'Insurance'Companies'new-Business-Processing-

Improvement-Culture.'Just'read'and'learn'–'then'if'

you'want'to'look'further'at'how'you'can'try'using'

this'in'your'pracDce,'or'on'a'test'series,'contact'me.'

We'have'many'portals'of'entry'to'saDsfy'any' schedule'or'level'of'interest.'

Read'on'and'enjoy!''

• •     Spine Impairment Summary & AIS The 3 “Grade 5 Specific Of
• •     Spine
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Summary &
AIS
The
3 “Grade
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Disorders
The Spine
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5 the Axioms
Of &
AMA
Whole
Person
Impairments
New(Automated(Exam/Demand(System(Does(The(Work(

for(You'

Auto Auto DEMAND Generator DEMAND Generator meets language, writes new in format demands Auto sequence
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You want to PREVENT unfair, lowball P.I. case Evaluators Injuries settlements disagree about aren’t and
You
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Include(The(Requisite(Decision(Points,(Meet(The(

BPIC,(And(CCPR(New(Business(Environment'

New(EASIER(Way(for(Doctors(and(Lawyers(To(Do(P.I.(Business( and(Win(the(“Great(Weight”(of(the(evidence(challenges
New(EASIER(Way(for(Doctors(and(Lawyers(To(Do(P.I.(Business( and(Win(the(“Great(Weight”(of(the(evidence(challenges

New(EASIER(Way(for(Doctors(and(Lawyers(To(Do(P.I.(Business(

and(Win(the(“Great(Weight”(of(the(evidence(challenges'

DifferenZate(Yourself(From(The(Rest(–(Simply(&(Easily '

DifferenZate(Yourself(From(The(Rest(–(Simply(&(Easily'

Different(Yourself(From(The(Rest(–(Simply(&(Easily.( Overcome(liZgaZon(obstacles(and(win(the(Greater(Weight! '
Different(Yourself(From(The(Rest(–(Simply(&(Easily.( Overcome(liZgaZon(obstacles(and(win(the(Greater(Weight! '

Different(Yourself(From(The(Rest(–(Simply(&(Easily.( Overcome(liZgaZon(obstacles(and(win(the(Greater(Weight! '

There are 4 Medical Factors That Account for The Medical Value Of The P.I. Case As Follows:

Account for The Medical Value Of The P.I. Case As Follows: 1.  

1. (Double'Digit)'INJURY'TYPES'='25%'CASE' VALUE' 2. LOSS'OF'FUNCTION'IN'“DUTIES'UNDER'

DURESS”'='25%'CASE'VALUE'

3. LOSS'OF'FUNCTION'IN'“LOSS'OF''

''''''ENJOYMENT”'OF'LIFE'='25%'

4.''WHOLE'PERSON'IMPAIRMENT'

Begin(With(An(Overview(of(the(Medical(and(Legal(Decision(

Points(and(The((Injury(Types(&(Injury(Model(Of(The(AMA'

REVEALED:

The following reveals the preliminary Medical Decision Points that are requisite of the P.I. case evaluation.

NOTICE:((

If(you(are(an(A;orney(and(would(like(to(view(our(auto(demand(

producer(that(will(automaZcally(incorporate(the(medical,(legal,(

administraZve(and(economic(Decision(Points(in(your(demand(

le;er(and(save(you(Zme(–(contact(us(to(set(up(a(screen(share(

with(no(obligaZon.( '

Dr.%Tim%Redenbaugh% stormlakedc@gmail.com% (712)732\3349% office% phone%

Recognizing Value Drivers

Recognizing Value Drivers

'''''''''Exam'and'S.O.A.P.'Note'DocumentaDon'

click'arrow'to'advance'slide'

Doctor'
Doctor'

Some'Medical'Decision'Point'Value'Drivers'

1.'Every'Individual'Injury'Type'

2.'Every'Diagnoses'(double'digit)'

3.'Every'Daily 'Complaint'by:' 4.''''''… Intensity 'of'pain' 5.''''''… Type'of'pain' 6.''''''… Frequency 'of'pain' 7.''''''… Radia6on 'of'pain' 8.''''''… Further-effects-of'pain'

9.''DuDes'Under'Duress'

10.Loss'of'Enjoyment'

11.Treatment'Type(s)'

12.PrescripDons'

Recognizing Value Drivers

Recognizing Value Drivers

'''''''''Exam'and'S.O.A.P.'Note'DocumentaDon'

click'arrow'to'advance'slide'

Doctor'
Doctor'

More'Medical'Decision'Point''Value'Drivers'

13.Referrals'

14.ImmobilizaDon'Devices'

15.Stability'of'Medical'CondiDon'

16.Medical'DeterminaDon''

17.Prognosis'Overall'

18.Prognosis'(of'each'body'part)'

19.Grade'of'Severity'Of'Injury'

20.'Future'Treatment'Plan'

21.Number'of'Future'Treatments'

21.Future'Treatment'DuraDon'

22.'Total'Current'&'Future''

'''''''Treatment'Costs'

23.MMI'(for'each'body'part)'

24.%'Whole'Person'Impairment'

''''''Closing'Comments '

ATTORNEY OUTLINE/ CHECKLIST FOR DEMAND LETTER

'''''''''“Claim'FinalizaDon'and'Demand'Le2er'Decision'Points”''

A2orney'
A2orney'

A2orney'Automated'Decision'Point''Demand'Le2er'

1. A2orney'receives'the'medical' file'through'the'clouds'

automaDcally'forma2ed'with'

the'medical'decision'points'in' the'correct'language'and'in'the' correct'sequence'to'interface' with'the'insurance'companies' soMware's.'' 2. A2orney'fills'in'data'fields' pertaining'to'legal,' administraDve'and'economic' decision'points.' 3. Click'a'bu2on'and'automaDcally'

produce'a'Demand'Le2er'on'

your'le2erhead'within'minutes.''

1. Medical History 2. Medical Office records 3. Hospital Records 4. Records From Other Source 5. Records From Client 6. Explain Delay in Seeking Care 7. Explain Gaps in Treatment 8. Physical Examination 9. Injuries (ICD-9 codes) 10. Symptoms (Documented) 11. Laboratory Tests 12. Special Tests 13. Diagnostic Procedures 14. Specialist’s Evaluation 15. Medical Validation & Determination 16. Diagnoses(double digits)

ATTORNEY OUTLINE/ CHECKLIST FOR DEMAND LETTER

'''''''''“Claim'FinalizaDon'and'Demand'Le2er'and'Decision'Points'Requisites”''

A2orney''
A2orney''

A2orney'Demand'Le2er'

17. Complaints – have to be

rated according to; intensity, frequency, type, radiation, further effects 18.Duties Under Duress 19.Loss Of Enjoyment

20.Treatment

21.Stability of Medical Condition

22.Medical Determination of Future Treatment 23.Prognosis Overall 24.Prognosis Each Body Area 25.Future Treatment Plan 26.Number of Future Visits (if Not Stable)

27. Future Treatment Duration and Time Line

28.MMI For Each Body Part 29.% Whole Person Impairment

(Provided by MD Utilizing 5 th Edition AMA Guidelines or with a Medical Validation Letter as a 2 nd Opinion from an MD)

30.Monetary Damages Current Medical Costs Future Medical Costs and Probability Economic Loses Property Damage & any additional losses Vehicle Repair Costs Car Rental Expenses Mileage calculated @52 cents per mile Current Income Loss Future Income Loss Supportive Statements of Costs & Losses

No Overwhelm

The'following'data'is'not'meant'to'overwhelm' rather'to'show'what'is'required'to'prevent'unfair,'

unrealisDc,'lowball'se2lements'and'win'the'Greater'

Weight'of'the'Evidence'Challenges.''

It'is'designed'to'show'that'a'majority'of'the' decision'points'must'be'documented'by'the' physician'and'this'is'not'likely'to'occur'without' specific'personal'injury'decision'point'soMware.'

However%without%it,%you%are%subject%to%unfair,% lowball%se_lements%and%may%not%overcome% liLgaLon%obstacles%or%win%the%Great%Weight!%

For'the'last'decade,'P.I.'case'se2lements' These(Are(The(Medical(Decision(Points(
For'the'last'decade,'P.I.'case'se2lements'
These(Are(The(Medical(Decision(Points(
have'declined'by'2/3rd’s'and'ins.'Co.'s.'
have'been'cited'with'unfair'claims'
That(Should(Be(Include(In(The(Exam(
pracDces.'
Findings(and(In(Your(demand'

Injury Types of the Injury Model

(value = 25% of Case)

1.

Mild'TraumaDc'Brain'Injuries'(Closed'Head'Disorders)'

2.

Dense'ConnecDve'/'Collagen'Contusions'(Tissue'Injuries)'

3.  

3. Dermatome'Injuries'(Dorsal'root'injury)'

4. Myotome'Injuries'(Ventral'root'injury)'

5. Muscle'Injuries'–'motor'weakness'(diminished'DTR)'

6. Radiculopathies'(according'to'6 th 'ediDon'AMA'Guides)'

7. Ligament'Injuries'(AOMSI)'

8. Disc'Injuries'

9. Bone'Injuries'('Angular'MoDon'/translaDon'of'Vertebra)'

10. 10.'Specific'Disorders'Of'The'Spine'(Radiculopathies/fractures/narrowed' canal'size/disc'disorders,'spondylo’s )'

Begin(With(The(10(Injury(Types(&(Injury(Model(Of(The(AMA '

MMI for each individual Body Part Determination Static V. (not MMI general btw. Stable Static
MMI for
each
individual
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Part
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(not
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Physicians:(Learn(the(30(Areas(Of(“Medical(Decision(Points”(
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Doctor,(You(Are(An(AcZve(PracZZoner(Busy(PracZcing…(

You(Must(Use(A(Proven(System(to(Do(The(Difficult(Work'

The(Insurance(Companies(have:(Se;lement(Socware’s,(Insurance(
The(Insurance(Companies(have:(Se;lement(Socware’s,(Insurance(

The(Insurance(Companies(have:(Se;lement(Socware’s,(Insurance( Adjusters,(IME(Doctors(–(all(designed(to(DeeValue(Your(P.I.(Claim.( With(This(Plan,(you(will(prevent(unfair(se;lements(and(win(the( Greater(Weight.(Contact(us(for(a(FREE(Preview. '

Insurance(Companies(Have(Socware’s,(Adjusters(And(IME’s(To( Deny,(Delay,(Deevalue(And(Cut(You(Off.(

Insurance(Companies(Have(Socware’s,(Adjusters(And(IME’s(To(

Deny,(Delay,(Deevalue(And(Cut(You(Off.(

Look Further At This Automated P.I. Exam & Legal Demand System to Prevent Unfair Settlements!

This'presentaDon'is'NOT'designed'to'answer'all' your'quesDons'or'present'all'the'data.'It'is'a' capsule'summary'to'help'you'decide'to'get'the' rest'of'the'informaDon'by'contacDng'us.'You'

can'''''''set'up'a'FREE'Screen'Share'or'a2end''''''

a'live'webinar'with'many'other'professionals'

around'the'country.'References'available.'

Your(name(here( Your(eemail(here( Your(phone(number(here(

Your(name(here(

Your(eemail(here(

Your(phone(number(here(

Dr.%Tim% Redenbaugh% stormlakedc@gmail.com% (712)732\3349% office % phone %

Dr.%Tim%Redenbaugh% stormlakedc@gmail.com% (712)732\3349% office% phone%

Now(You(Have( A(New(Way(to(Prevent(( Unfair(Se;lements(and(( Win(The(Greater(Weight! '