State Farm v. 1776

In State Farm v. 1776 filed in 2012, State Farm claimed that a PTP was taking place.  The neurologist that worked at Metro Injury referred virtually every patient for chiropractic care for daily visits for the first two weeks followed by three visits per week for four weeks as part of a pre-determined treatment protocol to maximize the amount of money received from PIP.  The neurologist could not recall a single patient that he had not referred for chiropractic care.  His initial report showed patterns like (a) pulse of 72; (b) full range of cervical motion along with a diagnosis of cervical strain/sprain; (c) full painless range of motion to both shoulders; and (d) a finding of no tenderness to the dorsal spinous processes along with a diagnosis of thoracic strain/sprain.  This medical doctor examination always reported different findings than the chiropractor’s examination.  A former employee said that Metro Injury encouraged her to provide ten minute massages to every patient and encouraged her to see at least six patients every hour for ten hours a day.  Therapeutic Exercise 97110 requires direct one-on-one patient contact with the physician or therapist, however, the patients reported that they rode an exercise bike in a room alone with no supervision.  Neuromuscular Re-Education 97112 requires direct one-on-one patient contact with the physician or therapist, however, patients reported that they stood alone in a room on top of a shaking machine.