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Medical Terminology Used to Identify Malingering

Doctors use certain insider terms to indicate a patient may be exaggerating (faking) an injury, such as:

  • positive axial compression test
  • positive trunk rotation
  • positive flip test

These tests should be "negative." Thus when doctors say the test is "positive" they mean patients may be exaggerating symptoms. For example, pressing down on the top of a patient's head does not compress the spine. Therefore, when a patient indicates the test causes pain, the doctor notes a "positive" axial compression test. In "medicalese" the doctor is saying, the patient is imagining or exaggerating the pain; however, an inexperienced or untrained adjuster may think a "positive" test is verification of the injury. It's NOT.

Other terms to be aware of:

  • Inconsistent/invalid effort.
  • Nonorganic/nonanatomic disturbance in strength, sensation or pain.
  • Non-dermatomal/inconsistent patterns.
  • Exaggerated response.
  • Inappropriate tenderness.
  • Facial grimacing.

If any of these terms are found in the medical reports of your claims, you should immediately notify your adjuster or medical director.


Make no mistake adjusters make mistakes!  Adjusters work on different claim scenarios making many different decisions daily on many types of claims. Read on.

If employers and adjusters work together knowing what information is needed and take the time to create personal interest in all wc claims, the whole process is smoother and more efficient. 

There are a lot of ways that an adjuster can suspend or deny a claim, even though it may be compensable in the beginning. What should you look for within each claim?

It is the law in every jurisdiction that the money to pay a workers comp claim is set aside and held separately from the insurer or self-insured's other funds. How are reserves broken down?

Change is in the air! Workers compensation is never going to go away. In order to become more relevant to today's needs, the system has to be updated. Read three trending changes. 

Advisen and Amaxx have teamed up to produce this comprehensive but easy to understand desk reference. Avoid common program pitfalls with this lesson plan to cost containment which is the difference between success and failure. New material in 11 chapters! This 183-page step-by-step manual is available with your company logo.
New summaries for "drug testing and workers compensation state laws" for every jurisdiction are NOW posted on our website. Click on the link above to check it out.

Don't gamble when it comes to Medicare/Medicaid Compliance!  

Gould & Lamb, LLC gather together some of the industry's most respected leaders and experts to provide attendees with 2 full days of compliance education and training, as well as an exciting look into the future of Medicare/Medicaid Compliance.

In this widely acclaimed SEAK program, the nation's leading workers' compensation professionals, occupational physicians, occupational nurses, and attorneys will join together to discuss cutting edge issues. Frank discussions and lively question and answer sessions will complement each presentation.This conference is currently the largest and longest-running national workers' compensation and occupational medicine conference of its kind in the United States.

REDUCE WC COST 20% to 50%
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Lowering Workers Comp Costs for Employers

Rebecca Shafer, Attorney & Risk Consultant

Contact Us: Becki@ReduceYourWorkersComp.com

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