Hello, fellow practitioners!
I was recently invited to complete Worker's Comp reviews for a URO service (an attorney who is hired to do such work, who in turn subcontracts health care practitioners who determine to medical necessity of the reviewed treatments). The difficult part for me (other than saying that another acupuncturist's treatment is worth being paid upon) is siting credible source material that states, for example, what a reasonable treatment plan would be six months after commencing treatment. I feel that the reasonableness of treatment is taught to us in school as a felt plan, not as hard-and-fast rules. If you are treating a pain patient twice a week for 2 months and that patient is only getting a few hours of relief after each treatment, there is a point where, I believe, you must be honest with the patient and discontinue treatment. But is there a book that states that? What do you think? Thanks!