Casentric, LLC

Webinar: Negotiating treatment necessity in personal injury claims - July 11th, 2pm ET Bringing up the necessity and justification for treatment can seem like touching the “third rail” in negotiations. When treatment is questioned, reactions from plaintiff’s counsel can be swift and emphatic – no one but the medical provider who ordered and carried out the treatment is in a position to know whether it was necessary. In this webinar we will tackle the challenges of successfully addressing treatment justification by covering the following: 1.???????Know the basics of proving justification by documentation. 2.???????Use effective tactics to introduce and discuss justification with plaintiff’s counsel. 3.???????Deal with common objections by plaintiff’s counsel. 4.???????Work with defense counsel to develop evidence that creates negotiating leverage. I will be joined by Chrissy Stango, LPN who has a deep background in managing medical documentation so that it provides clear justification for treatment and Ben Leonard, Esq. who is a partner with Cipriani and Werner with extensive experience litigating cases involving personal injuries. Register Here: https://lnkd.in/expGYBpg

Our recent webinar on "Understanding and using impairment in personal injury claim negotiations" was very well received. Over 250 claims professionals and defense attorneys attended. Most demands revolve around medical bills, treatment and diagnoses. The key factor for any medical professional is first understanding how an injury has affected function. This controls their diagnosis and treatment plan. Nearly all claim professionals use treatment bills as a proxy for injury severity. It is not. At Casentric we find no correlation between the objective evidence for an injury and the treatment a claimant receives. This is wrong. High medical bills should yield clear evidence of a significant injury. It typically does not, but most adjusters do not know how to convert that into negotiating leverage. This webinar provides insights into the examination process and how to use medical documentation from it to negotiate better. Here is the video: https://lnkd.in/g3cjKyHD. (Note: You can select the content you are most interested in using the "chapters" feature that appears in the bottom right of the player.)

Stop talking about treatment. Start talking about the injury. The insurance industry needs a new way to evaluate and negotiate personal injury claims. Currently, claims are evaluated and negotiated primarily around medical costs and care. This approach fans the flames of inflated medical care. The rapid inflation in personal injury claim settlements has been driven by the rapid inflation in medical costs. It is out of control. This webinar focuses on a new approach that we have helped our customers implement and which has had a dramatic impact on their settlements. This approach focuses on proven impairment and how to build your negotiation of the entire case, including treatment, around it. Our webinars are practical. This webinar has been approved for CE credit in Texas and Georgia. Our last webinar on Spinal Injections garnered an average score of 9.3 on a scale of 10 for the question “How likely are you to recommend a peer to attend this webinar?”. We hope you can join us. There are already 250+ claims professionals and defense attorneys registered from over 30 different organizations. You can register here:??

For all of you that have been told "You're not a doctor" when trying to negotiate an injury claim, I think you will find this blog useful. At every event in which we train negotiation, the most common question we get is "how can we challenge treatment necessity?" When we ask what the impediments are that adjusters face, the response is universal. Adjusters are quickly greeted by a response from plaintiff's counsel that "you are not a doctor." Aside from being frustrating, it leaves too many with the false impression that they need a doctor to refute a doctor. Don't mistake negotiation with expert testimony and don't assume that experts can talk their way around anything. Not only are you allowed to ask questions. there is no rational way to settlement if you don't. The blog will give you more insight why this response is best: "If you don't know whether the evidence you provided proves medical necessity, what are you asking me to evaluate?"

Resolving personal injury claims is getting more difficult and is placing increasing pressure on insurance company profitability.?Industry data?on average settlement costs for third party personal injury claims cannot be ignored. In the 5 years between 2017 and 2022, the average cost to resolve a third party personal injury claim rose by an astounding 49%! So where do you start to untangle this mess? In a recent blog, we discuss how management of bodily injury claim needs to shift to build negotiation as a core competency. See more here: https://lnkd.in/gD4JFwxE