For Texas personal-injury counsel

Care decided by the injury,
not by the policy limit.

Every referral and every charge has to stand on the medicine alone. The thresholds are published in advance, the fee basis is a stated multiple of the State’s own schedule, and the notes are written to be read aloud in court.

Seen within 24 hours of referral No out-of-pocket cost to your client Telehealth, statewide in Texas
24hFrom your referral to a physician consult. Imaging reviewed at that first visit.
1.75×The Texas DWC fee guideline. One published schedule, applied to every patient.
4–6Visits in a typical twelve-week course, so you can plan the case timeline.
12Weeks of documented care before an elective surgical opinion. The thresholds are published.
The problem

Three things defense counsel goes looking for in letter-of-protection medicine.

They are the same three every time. This practice is built so that none of them finds anything.

“The treatment was generated for the claim.”

Escalation runs on thresholds published before your client was ever seen: six weeks of documented conservative care before an epidural is appropriate, twelve before an elective surgical opinion, both measured from the start of care rather than the date of the collision. Patients are discharged when they improve. A visit that changes nothing does not happen, because a note identical to the last one is exactly the pattern they look for.

“The billing is inflated.”

Charges are 1.75× the Texas DWC Medical Fee Guideline for the same CPT code — the State’s own schedule for treating injured workers. One schedule applies to every patient of the practice; there is no separate letter-of-protection rate, and nothing is inflated in anticipation of a reduction. A typical twelve-week course of physician care runs about $2,050. The formula and the full table are on this site.

“The physician is a hired opinion.”

Examination findings are attributed to their source and date, never recorded as though performed over video when they were not. Imaging correlation is stated carefully or explicitly declined. No causation opinion is offered beyond what the record supports. The limits of a telehealth examination are stated in the notes rather than left to be discovered.

Referrals out

We refer only when the criteria are met, and we say which criteria.

An unnecessary epidural costs your client a procedure and costs you a line item you have to defend. Every escalation from this practice is gated.

Referred, when the threshold is met

  • Epidural — radicular pain, concordant imaging, six weeks of care, no progressive deficit
  • Facet or sacroiliac — three months of axial pain, with diagnostic blocks requested first
  • Surgical opinion — twelve weeks, or immediately on a progressive deficit
  • Vertebral augmentation — acute, severe and refractory, all three

Not referred

  • Injections for spinal stenosis — the evidence recommends against it
  • Intra-articular facet injections — Level IV evidence, weak
  • Imaging with no red flag and no clinical question to answer
  • Anything whose only justification is that a claim exists