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Scheduled Test Information
              To print results, please use only the "Printable Version" print button at the
              bottom of this page. Please DO NOT use any other print method.
              Today's Date : Apr 20, 2010
              Prefix:
              First Name:                                   Keith
              Middle Initial :                              X
              Last Name:                                    XXXXX
              Suffix :
              Street Address (2) :                          XXXXXXX
              Street Address :
              City :                                        XXXXXXX

              Country :                                     United States
    My Home   State or Province :                           New Jersey
    Page      Postal Code :                                 XXXXXXX
              Phone Number:                                 (    )     -

              Client Company :                              Free Test User
    Logout    Claim / Account Number:                       5555
              Authorization Number :                        100002902
             Test Language :                               English
              Test To Take :                                Pain Validity Test (tm)
              Test Scheduled to be taken between :          04/20/2010 -04/21/2010
              Test Completed :                              04/20/2010
              Test Status :                                 Completed
              Test Score :                                  15.000000
              To print results, please use only the "Printable Version" print button at the
              bottom of this page. Please DO NOT use any other print method.
              Test Messages :
              Scoring Category: Objective Pain Patient

              Interpretation: Based on the above score, the claimant is categorized as
              an Objective Pain Patient. The PVT was originally validated on 796
              chronic pain patients, with the results published in seven peer-reviewed
              articles in medical and other journals. As documented in the most recent of
these articles, 95% of the time claimants categorized as Objective Pain
Patients by the PVT will have moderate or severe pathology corresponding
to their complaint of chronic pain on at lease one objective diagnostic test
or laboratory study such as an MRI, EMG, nerve velocity conduction
study, facet blocks, peripheral nerve blocks, root blocks, neuromter (CPT),
myelogram, CT, 3D-CT, provocative discogram, X-ray or bone scan, and
other tests.

Recommendation: It is recommended that the Diagnostic Paradigm (DP)
and Treatment Algorithm (TA) be administered to this patient. This is
because 40%-67% of chronic pain patients are misdiagnosed. The DP&TA
provides diagnoses, for the source of the pain experienced by patients who
have real medical problems but are not getting well. The DP&TA has a
95% correlation with diagnoses of Johns Hopkins Hospital staff members.
It also outlines the most appropriate courses of diagnostic studies and
treatments for such patients. These treatment algorithms begin with the
least expensive and least invasive diagnostic test and treatments and then
progress through a series of increasingly complex diagnostic tests and
treatments. By following the recommended course of tests and treatments,
treating physicians can expect results comparable to those obtained at one
of the country's leading pain clinics.

These results are intended to provide information that will assist an insurer or other payer
in evaluating a claim. They should not be used as the sole basis for accepting or denying a
claim. The test results do not constitute medical advice or a diagnosis, and the test is not
intended to be a substitute for a medical examination. Test users should exercise their own
professional judgment when evaluating the usefulness of the test results.
To print results, please use only the "Printable Version" print button at the
bottom of this page. Please DO NOT use any other print method.
 Save Changes                      Printable Version                     Cancel

View or Print the Authorization Letter

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Sample objective pvt

  • 1. Scheduled Test Information To print results, please use only the "Printable Version" print button at the bottom of this page. Please DO NOT use any other print method. Today's Date : Apr 20, 2010 Prefix: First Name: Keith Middle Initial : X Last Name: XXXXX Suffix : Street Address (2) : XXXXXXX Street Address : City : XXXXXXX  Country : United States My Home State or Province : New Jersey Page Postal Code : XXXXXXX Phone Number: ( ) -  Client Company : Free Test User Logout Claim / Account Number: 5555 Authorization Number : 100002902  Test Language : English Test To Take : Pain Validity Test (tm) Test Scheduled to be taken between : 04/20/2010 -04/21/2010 Test Completed : 04/20/2010 Test Status : Completed Test Score : 15.000000 To print results, please use only the "Printable Version" print button at the bottom of this page. Please DO NOT use any other print method. Test Messages : Scoring Category: Objective Pain Patient Interpretation: Based on the above score, the claimant is categorized as an Objective Pain Patient. The PVT was originally validated on 796 chronic pain patients, with the results published in seven peer-reviewed articles in medical and other journals. As documented in the most recent of
  • 2. these articles, 95% of the time claimants categorized as Objective Pain Patients by the PVT will have moderate or severe pathology corresponding to their complaint of chronic pain on at lease one objective diagnostic test or laboratory study such as an MRI, EMG, nerve velocity conduction study, facet blocks, peripheral nerve blocks, root blocks, neuromter (CPT), myelogram, CT, 3D-CT, provocative discogram, X-ray or bone scan, and other tests. Recommendation: It is recommended that the Diagnostic Paradigm (DP) and Treatment Algorithm (TA) be administered to this patient. This is because 40%-67% of chronic pain patients are misdiagnosed. The DP&TA provides diagnoses, for the source of the pain experienced by patients who have real medical problems but are not getting well. The DP&TA has a 95% correlation with diagnoses of Johns Hopkins Hospital staff members. It also outlines the most appropriate courses of diagnostic studies and treatments for such patients. These treatment algorithms begin with the least expensive and least invasive diagnostic test and treatments and then progress through a series of increasingly complex diagnostic tests and treatments. By following the recommended course of tests and treatments, treating physicians can expect results comparable to those obtained at one of the country's leading pain clinics. These results are intended to provide information that will assist an insurer or other payer in evaluating a claim. They should not be used as the sole basis for accepting or denying a claim. The test results do not constitute medical advice or a diagnosis, and the test is not intended to be a substitute for a medical examination. Test users should exercise their own professional judgment when evaluating the usefulness of the test results. To print results, please use only the "Printable Version" print button at the bottom of this page. Please DO NOT use any other print method. Save Changes Printable Version Cancel View or Print the Authorization Letter