PI Warriors Podcast

The Independent Medical Examination is not independent. It is a defense strategy -- a paid examination designed to produce a medical argument against your patient's case. And the most important thing to understand about how it works is this: the IME doctor does not defeat cases with new information. They defeat cases with yours. Your records. Your documentation gaps. The causation thread you l...

In every PI case, there is one argument that everything else depends on: this patient's injuries are directly and causally related to this crash. If that argument is built correctly into the record, the Empire has to honor it. If it is not -- if the causation thread is vague, incomplete, or absent after the intake -- the Empire goes around it entirely. In this episode, Dr. Spence breaks down w...

There is a tax being collected from your PI practice right now. It does not show up on a statement. There is no invoice. It comes out quietly, consistently, on every case -- in the hours you spend writing narratives that should take minutes, in the reduction letters that arrive on cases where the clinical work was solid, in the cases you cannot take because the documentation is already backed up,...

Most PI providers treat billing as an administrative function. Someone in the back office handles it. The claim goes out. The check comes back. And when the check is less than it should be, nobody can explain why. Here is the truth: in a personal injury case, your billing statement is not an invoice. It is evidence. And an adjuster with deep pockets behind them and a reduction playbook built over...

Medical necessity documentation is the number one reason personal injury cases get reduced, underpaid, or denied -- and most PI providers don't know their records aren't meeting the standard until the reduction letter arrives. In this episode of The PI Warrior Podcast, Dr. Spencer Andersen breaks down the medical necessity standard in personal injury documentation: what it actually require...

Every PI provider knows the cycle. Busy for months. Then the cases settle. Then nothing. The scramble to rebuild. Then busy again. Most providers accept it as just how PI works. It is not. The feast-and-famine cycle is not a market problem. It is a case management problem. And it is completely predictable because it comes from a specific, repeatable failure: the loss of attorney communication duri...

When an adjuster or defense attorney opens your chart, they are not reading it to understand your patient. They are reading it to find the reason to pay less. This episode takes you inside the adjuster's review process and the defense attorney's deposition strategy to show exactly what they see when they open your file -- and what they are hunting for. Dr. Spence walks through the four thi...

The insurance empire is organized, funded, and trained to fight you. And when they win, your patients pay the price. The PI Warriors Podcast is built for chiropractors, physical therapists, and PI providers who are done showing up to that fight unprepared. Hosted by Dr. Spence , a 23-year personal injury specialist, this show delivers the documentation systems, research frameworks, and legal strat...

In this War Room Briefing, Dr. Spence exposes the #1 lie sabotaging personal injury cases before they even begin. Learn why documentation—not just treatment—is the battleground for PI success. This episode breaks down critical strategies for chiropractors and physical therapists to improve personal injury claim documentation, crash intake notes, SOAP note precision, and narrative reporting. If you...