Now that critical transition to lifestyle care, this is the portion of the care that's clinically appropriate, it's certainly appropriate to get that care. It's an important choice for individuals and families, but this is not covered in our world by third party pay, and we draw a very fine line. When we talk to our doctors, and we train our doctors, we let them know that it is important that when crisis care is over and people have relief and stability then don't continue to bill. We have heard doctors who have been billing lifetime patients every year, every year, 12, 18, 20 visits a year, 30 visits a year some of them, and some of them it's coming back to bite them. We do not recommend that you do that. We recommend that you draw the line at crisis care, you document that care, you document it for the insurance companies, you document it appropriately, you put it in your computer system, you're very thorough and complete and then you dismiss that piece of the care and then you have the critical transition to lifestyle care which is not covered by insurance, it's cash only, but it's still important to document it. You must document it. The days of where the cash practitioner, or all cash, or even the box on the wall people, who if you're still around and you're still doing that, way out-of-date system which I don't think you probably promote and we don't think it's a good idea either, but even in that case you have to document. So you have to keep records. If you're seeing people, you have to document it, it's just for one set, the crisis care, the documentation is specifically for the insurance company in that moment and then ongoing that critical transition to lifestyle care documents what you're doing, so you have a record of it just in case, God forbid, you need it. So just to re-cap from what I heard you say, is that once we're done with crisis care, the patient should be dismissed from an insurance claim, if you're dealing with insurance, and put on to a more, of what most of the people listening will call wellness using your continuum as well. Once we do that, you still need to document no different than if they were still a brand new patient. It's one of the things that I want to re-enforce because I really appreciate you saying that, with a lot of doctors that call me don't seem to always understand is that it's not documenting for the sake of just documenting for insurance companies, it's documenting because (a) your license depends on it because every state licensing board has certain requirements for documentation for new patients versus ongoing patients, and (b) the second thing which certainly applies to us, is the number one reason people lose a malpractice claim is because they didn't document correctly, or not enough, or sometimes quite frankly, not at all and I appreciate that. I think it's important because listen we have all had lifetime patients in our practice, at least I hope we have, that we have taken care of for years and years, and years and God forbid, let's say, that person gets in an accident and then you open up a new claim, so their lifestyle care is suspended, they have a new injury, you do a new examination, you check them out thoroughly and now maybe you're billing some third party, maybe there's an attorney involved, or
Dr. Hoffman:
Dr. Plasker:
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