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Essential Documentation
One of the highest rated injury types recognized by the AMA is known as “Alteration Of Motion Segment Integrity” (AOMSI). According to The AMA Guides to the Evaluation of Permanent Impairment, 5th Edition, AOMSI is in the exact same category as a severe spinal compression fracture with vertebral collapse of more than 50% and congenital/surgical spinal fusion.
Higher Case Values
By failing to diagnose AOMSI, you have failed to accurately, thoroughly and honestly describe your patient's injuries to the claim adjusters and attorneys, who will use the facts in your patient chart as the basis for the personal-injury settlement.  A jury needs to understand this injury to decide how much to award your patient in a trial verdict.
Personal Injury Expert
Determining that your patient has suffered ligament laxity requires specialized computer software to diagnosis and locate torn ligaments. This requires a precise measurement termed RADIOGRAPHIC MENSURATION ANALYSIS. Sometimes referred to as “Digital Radiographic Mensuration Analysis” or DRMA. Be the doctor in your area offering this service.

Did you know there's a specific injury that is missed 35% to 45% of the time in car accident cases and it not only severely damages your patient's injury case but may also be malpractice!

It’s hard to imagine missing this major injury, especially given the seriousness and high impairment rating by the AMA Guides, yet subtle factors cause this specific injury being missed or not diagnosed by treating doctors in 35% to 55% of their PI cases.

AMA Guides Rates This Injury at 25% Whole Person Impairment:

Torn Cervical Ligament causes “Alteration Of Motion Segment Integrity”

Misdiagnosing or missing this injury rated as “severe” by the AMA Guides, can have dire consequences to the injured and the injury case. Yet it has happened with more frequency than one would imagine.

Known as “Alteration Of Motion Segment Integrity” (AOMSI), this severe spinal injury has been routinely misdiagnosed until a recent radiographic measurement diagnostic procedure.

A former Superintendent of Insurance at Allstate, James Mathis, stated that Colossus assigns a case settlement reserve value of $66,000 for a Diagnosis of AOMSI.

In many cases of vehicular collisions, including low-speed accidents, G-Forces are sufficient to produce a tear in the ligament that stabilizes the vertebra thus altering the integrity of cervical spine and leading to this serious injury, according to AMA Guides, 3rd, 4th, 5th and 6th Editions.

This by itself, is a serious situation, and when overlooked, may lead to the injured returning to activity that may further injure or damage the cervical spine. The other factor is that the loss of this diagnosis leads to a loss of the valuation of the case.

According to attorney and chiropractor, Steven Eggleston, DC., Esq., Since 35% to 55% of trauma patients have this injury, it is very likely you have failed to diagnose it many, many times. By failing to diagnose this injury, you have failed to accurately, thoroughly and honestly describe your patient's injuries to the claim adjusters and attorneys, who will use the facts in your patient chart as the basis for the personal-injury settlement. These people need you, the doctor, to give them all the facts so a fair settlement can be reached. The jury also needs to understand whether your patient had this injury in order to decide how much to award your patient in a trial verdict.

The AMA has taken a position that such injuries could cause significant, consequential and permanent loss of function leading to a reduction in a patient's health status. In the 90’s the AMA created the INJURY MODEL with Diagnostic Related Estimate Categories to represent the evidence-based data that establishes the preponderance of evidence and meets evidentiary burdens of proof to win the “Greater Weight” challenges and eliminate varying opinions among administrators and evaluators in the presence of this injury.

It is commonplace to find that adjusters, administrators and adjudicators  have not heard of CRMA or AOMSI because the CRMA diagnostic test has not been available until a few years ago.  Most doctors did not even screen patients for AOMSI prior because it required manual measurements on x-ray films that carried an error rate of 26% according to research – until now. 

The measurement done according to the 5th or 6th Edition AMA protocol via CRMA protocol is performed by computer and is accurate to within 0.01 mm and 0.01 degrees and basically has negligible error rate.     

The AMA Guides state that AOMSI is a rare occurrence without severe trauma. 

Given the high amount of mis-diagnosis of this injury, whenever it is suspect that there is a greater than 50% reasonable medical probability that the motor vehicle accident could cause this injury,  and in the light that it is routinely missed 35% to 55% of the time, the doctor should order the radiographic mensuration analysis procedure.

Make no doubt about it; this injury should not be taken lightly as determined by AMA.


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WHAT PEOPLE ARE SAYING

Attorney and Chiropractor Steven Eggleston

"Since 35 percent to 45 percent of trauma patients have this injury, it is very likely you have failed to diagnose it many, many times. By failing to diagnose this injury, you have failed to accurately, thoroughly and honestly describe your patient's injuries to the claim adjusters and attorneys, who will use the facts in your patient chart as the basis for the personal-injury settlement. These people need you, the doctor, to give them all the facts so a fair settlement can be reached. The jury also needs to understand whether your patient had this injury in order to decide how much to award your patient in a trial verdict. Total translation of greater than 3.5 mm in the cervical spine is a DRE Category IV permanent impairment of 25 percent to 28 percent whole person in the AMA Guides. This is the same percentage of impairment for a patient who has had spine surgery to fuse two vertebrae."

James Mathis, Former Superintendent of Allstate says:

"A diagnosis of AOMSI (Alteration of Motion Segment Integrity) assigns a case settlement reserve value of $66,000."

Dr Frank Liberti, Chiropractor, Speaker, Author:

"I’ve seen apathy and fixed ideas in personal injury. But the one thing we can all agree on is that unfair settlements exist and must be dealt an effective blow. You have to be realistic when you look at what’s going on in the P.I. arena, laced with unrealistic settlement offers.  When PI settlement values are low, it’s mostly because the decision points and value drivers are missing. AOMSI determination is crutial to establishing injury"

Dr David Ritchie, DRMA Client, Anchorage, Alaska

"Thank you Dr. Bohn. Documenting with the digital radiographic mensuration analysis (DRMA) has changed the way I approach personal injury (PI). Since I started regularly ordering a DRMA in my PI cases, I'm confirming ligamentous damage more accurately and consistently and in strict accordance to the AMA Guidelines as never before possible. I've had cases pay policy limits as soon as the defense received the DRMA report that clearly demonstrated the alteration of motion segment integrity (AOMSI) damage and the seriousness of the patient's injuries. 
It has certainly raised the bar in the diagnostic process."

We Are The Industry's Most Affordable, With A Plan For Everyone.

Pay: $100 per read (we do the work)

Rent DRMA Software: $279 per month (unlimited in-office use)


Bill Insurance Code: CPT 76499

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