Personal Injury Made Easy

10/17/2026

Another Reason for PI -- Lack of Leverage with Insurer-Payors

Only 5% of physicians say they have significant leverage with payers. And the effect means you want to EXPAND YOUR PERSONAL INJURY PRACTICE SEGMENT -- And PIMadeEasy can help you get there.

Per Medscape as reported by Beckers, here are a few things to know from the report that to me screams "INCREASE A PERSONAL INJURY PRACTICE SEGMENT!":

1. More than 40% of physicians said that private-payer decisions influence treatment decisions “a great deal” or “quite a bit."
About half of physicians reported a decline in private-payer rates, with 38% more reporting rates are about the same compared to the past five years.

2. Physicians and their staff spend an average of about 13 hours a week on prior authorization, with four in 10 devoting staff exclusively to authorization.

3. More than half of physicians have had an increase in letters of medical necessity over the past five years.

4. Only 5% of physicians said they have significant negotiating leverage when negotiating contracts with private payers.

5. More than 40% of physicians said they have no negotiating leverage.

6. More than three-quarters of physicians reported a moderate-to-large impact from Medicare pay cuts. The AMA says Medicare physician payments declined 33% between 2001 and 2026.

Contact PersonalInjuryMadeEasy.com to learn how to get the business advantage of a personal injury segment that avoids all of this!

https://www.medscape.com/p11/medscape-private-payer-and-government-insurance-report-2026-2026a1000zwy

From reimbursement rates to prior authorization, US physicians share their insights, thoughts, and frustrations with private-payer insurance as well as with Medicare and Medicaid.

10/16/2026

Time for Fun Fact Friday!

FUN FACT FRIDAY
The Desert Can Sing...and we don't mean poetically.
In a handful of deserts around the world, sand dunes can produce a deep, booming hum so powerful it can be heard miles away. Marco Polo even wrote about the mysterious sounds more than 700 years ago, describing these strange noises.

Today, scientists know the phenomenon can occur when enormous numbers of similarly sized grains of dry sand slide together in just the right conditions, synchronizing their vibrations.

Millions of grains of sand - One enormous note. Nature apparently looked at the desert and thought: Needs a soundtrack.

Have the kind of weekend worth turning up the volume for.

Have you ever heard sand sing? Listen to 15 seconds of this unusual...

10/15/2026

Watch Michael Coates present The Personal Injury Success System on Processes That Protect & Elevate, hosted by ChiroSecure Malpractice Insurance.

Michael shares how PI workflows can reduce risk while maximizing opportunities, how the biopsychosocial approach fits trauma-based care, and how storytelling documentation drives your value.

Thank you ChiroSecure for hosting!

Questions about your own PI processes? Book a free discovery call: https://personalinjurymadeeasy.com/robin/

10/15/2026

TATE HEALTHCARE AI LAWS TO KNOW

As reported in Becker's, states continue to set their own rules for AI in healthcare. Lawmakers in 47 states introduced more than 250 bills regulating AI in healthcare in 2025, and 33 were signed into law across 21 states, according to a Manatt Health analysis.

Here are some healthcare AI laws to know:

California AB 1979: The law ensures physicians and other licensed providers can exercise their professional judgment when AI or other clinical decision tools are used in patient care.
California SB 503: The law requires developers of clinical decision support systems to take reasonable steps to reduce known or predictable bias. It also requires providers and others who deploy the systems to regularly monitor them and mitigate biased impacts.
Hawaii SB 3001: The law requires AI companion operators to disclose that the companion is not human, build response protocols for suicidal ideation and self-harm, and file annual reports
Iowa House File 2635: Utilization review organizations may use AI for initial prior authorization reviews. However, AI cannot be the sole basis for denying, delaying or downgrading a request based on medical necessity. The law also prohibits health carriers from penalizing providers for out-of-network referrals.
Texas Responsible Artificial Intelligence Governance Act: Under the law, healthcare providers that use an AI system in a patient’s care must disclose that use to the patient or the patient’s personal representative. The disclosure is due no later than the date the service or treatment is first provided, or as soon as reasonably possible in an emergency.
California SB 243: Under the law, regulates companion AI chatbots and operators must disclose that users are interacting with AI, get added protections, must maintain protocols to prevent su***de and self-harm content and provide crisis referrals, and must report annually to the Office of Su***de Prevention.
California AB 489: The law bars AI tools from using titles, terms or phrases that falsely suggest a licensed human health professional is providing care or advice. Healthcare licensing boards enforce the law, and each improper use counts as a separate offense.
Texas Senate Bill 1188: Practitioners may use AI for diagnosis and treatment recommendations, but they must disclose its use to patients and review AI-generated records. The law also addresses storage requirements, parent/guardian access to minors' records, and civil penalties for negligent and knowing violations.
Illinois Wellness and Oversight for Psychological Resources Act: The law prohibits AI tools from making independent therapeutic decisions, directly interacting with patients, generating treatment plans without clinician review, and detecting emotions or mental states, and fines for violations.

10/14/2026

Being a great healthcare provider is one thing. Understanding the business side of Personal Injury is another.

Most doctors were never taught how PI billing, negotiations, documentation, and financial decisions work.

That knowledge matters when your practice depends on getting paid fairly and protecting your business.

Want to build more confidence on the business side of PI?

Schedule a discovery call with our PI Advisors today! www.personalinjurymadeeasy.com

10/12/2026

𝐖𝐡𝐚𝐭 𝐝𝐨𝐞𝐬 "𝐩𝐫𝐨 𝐫𝐚𝐭𝐚" 𝐦𝐞𝐚𝐧 𝐟𝐨𝐫 𝐲𝐨𝐮𝐫 𝐩𝐚𝐲𝐦𝐞𝐧𝐭?

When a settlement can't cover every medical bill, how is the money divided?

One common answer is pro rata, which means "in proportion." Instead of paying some providers in full and others nothing, the available funds are split according to each provider's share of the total balances.

Before you agree to one, it helps to know how your state treats the unpaid remainder.

Have you seen a pro rata payment on your cases? Tell us in the comments.

🔗 https://personalinjurymadeeasy.com/understanding-pro-rata-in-personal-injury-payments-to-medical-providers/

10/09/2026

Time for Fun Fact Friday!

Did You Know? ... Dogs can smell in stereo!

Each nostril samples odors independently, and their brain can compare the information coming from each side to help determine where a scent is coming from similar to how our two ears help us locate a sound.

The science behind a dog's nose is even more remarkable. Depending on the breed, dogs can have hundreds of millions of olfactory receptors, compared with only about 5–6 million in humans. Their nasal anatomy also helps separate some of the air used for smelling from the air used for breathing, allowing them to keep analyzing scents as they sniff.

And that rapid sniffing serves a purpose. It continually brings new odor molecules into the nose, helping dogs detect subtle differences in the scents around them.

So when your dog becomes fascinated with one tiny patch of grass that looks and smells like "nothing" to us, for a dog, it's a whole world of information.

Have a scent-sational weekend!

10/07/2026

𝐘𝐨𝐮𝐫 𝐜𝐡𝐚𝐫𝐭𝐢𝐧𝐠 𝐢𝐬 𝐭𝐡𝐞 𝐜𝐚𝐬𝐞.

The notes you write today become the evidence that carries a case later.

If your documentation is not telling the clinical story, we can help you build a process that does.

Book a free discovery call: https://personalinjurymadeeasy.com/robin/

10/06/2026

𝐀𝐮𝐝𝐢𝐭 𝐲𝐨𝐮𝐫𝐬𝐞𝐥𝐟 𝐛𝐞𝐟𝐨𝐫𝐞 𝐬𝐨𝐦𝐞𝐨𝐧𝐞 𝐞𝐥𝐬𝐞 𝐝𝐨𝐞𝐬

Payers use automation to look for risk in claims. Your practice can use similar tools to look first (with tools that meet your privacy requirements).

The Office of Inspector General (OIG) recommends at least one self-audit per year.

A structured method gives the review a clear starting point, such as Dr. Evan Gwilliam's Reverse SOAP Note Audit: begin with what you billed in the Plan, then work backward through the Assessment, Objective and Subjective sections.

When did your practice last audit itself?

🔗 https://personalinjurymadeeasy.com/avoid-audits-of-your-practice-at-all-costs-2/

10/05/2026

SB 623 has provisions that genuinely work, and provisions that create real, unintended harm for providers.

Treating the whole law as either good or bad misses the point.

The smarter move is to treat it like what it actually is: a bill with a few specific problems that need specific fixes.

That's the strategy: a surgical strike. Keep what's protecting patients and providers.

Correct what's hurting them.

Leave the rest of the compromise intact instead of fighting to tear it all down.

It's a more targeted approach, and a more realistic one.

You don't need every stakeholder to admit defeat to get the outcome providers actually need.

We broke down exactly which provisions we'd target and why, including the one clause in SB 623 that makes this whole approach possible.

Read Part 10 of the Great Betrayal Series here: https://personalinjurymadeeasy.com/the-great-betrayal-final-chapter-from-debate-to-direction/