LBBJ Healthcare Management โ a proprietary personal injury and workers' compensation rehabilitation income infrastructure, engineered exclusively for hospital systems. Built three times, from scratch.
Every single day. Every single year.
This is not a billing problem. It is not a coding problem. It is a structural infrastructure gap โ and it repeats with every personal injury and workers' compensation patient your emergency department discharges.
Your ER treats the acute injury, stabilizes the patient, and discharges them. The moment they leave, more often than not their attorney directs them to outpatient providers who actively pursue that case volume from the plaintiff bar โ physical therapy, pain management, neurology, orthopedics, interventional care. All of it, and all the premium PI and workers' comp reimbursement attached to it, leaves with the patient. Your hospital did the most expensive work and collected the smallest share.
Those outside providers did not win on clinical quality. They won because they built the infrastructure to receive, document, and bill these cases. Hospital systems never did. That is the gap. It is fixable.
The patients your ER discharges are only half the loss. A large share of injured people never reach your doors at all — they call an attorney first, and the firm sends them to a chiropractor or independent physical therapy provider near home — chosen largely by geography — entirely outside hospital-owned facilities. That volume, and the premium personal-injury and workers’ compensation reimbursement attached to it, never even enters your system. Recovering it isn’t about working harder at discharge — it’s about the established attorney communication and the physician gatekeeper that keep those patients within the outpatient facilities you already own.
This is the gap LBBJ Health Management exists to close โ by recovering the revenue that leaves your system every day and putting it back to work where it belongs.
Florida is the fastest-growing state in the country, adding more than 467,000 residents in a single year and reaching 23.4 million in 2024.ยน More residents mean more drivers. More drivers mean more crashes. The injury pipeline does not shrink โ it compounds.
Every one of those injured patients is a potential personal injury or workers' compensation patient already inside the Florida healthcare system. They arrive in emergency departments every day. The question is never whether the volume exists. The question is who captures the downstream rehabilitation income it generates.
After the ER visit, injured PI and workers' comp patients walk out to private outpatient providers. The internal care-coordination infrastructure keeps those patients โ and their downstream revenue โ inside your system.
PIP pays 80% of the allowed amount; the 20% patient-responsibility balance is recoverable at settlement through a Letter of Protection โ and may often be reduced depending on policy limits.
These cases carry no assigned fee schedule. Both proceed under a Letter of Protection: where insurance exhausts, the balance is paid at near full billed charges at settlement.
Per appearance, by specialty. Conducted via Zoom โ the physician never travels. Florida PI attorneys pay within 30 days, not at settlement. Every active case is unbilled deposition revenue available today.
The attorney pays upfront, before the case settles, for documentation that withstands deposition and supports settlement value โ impairment ratings, functional restrictions, future-care projections.
For severe-trauma cases that proceed to trial. Paid in full 14 days before the court date โ no refunds โ and retained regardless of how the case settles.
CPT-by-CPT negotiation with handling attorneys. Any shortfall between allowed fees and what was paid is negotiated to be paid out of settlement by the attorney.
Durable medical equipment dispensed to PI and workers' comp patients โ billed at premium personal-injury and workers' compensation rates rather than standard insurance reimbursement.
† Deposition fees vary by physician specialty and are set by the retaining attorney. †† Final medical-report fees likewise vary by specialty โ PM&R narratives at the lower end, orthopedic- and neurosurgical-report fees higher to reflect surgical complexity and impairment-rating detail. All figures shown reflect prevailing Florida personal-injury rates and are set by the retaining attorney.
Uncompensated care is a mission conversation. This is not that conversation.
Captured PI & workers’ compensation revenue flows directly to operating surplus — the number your board measures, the number that funds every strategic initiative on your desk. Nonprofit or for-profit, the mechanics are identical: premium-rate revenue your system already generates, currently collected by providers outside your walls.
This is a financial performance conversation.
No-fault PIP reimburses at 200% of Medicare Part B โ a statutory rate. The insurer pays 80%.
The 20% patient-responsibility balance is recoverable at settlement through a Letter of Protection โ and may often be reduced depending on policy limits.
The statute sets the rate at 200% of the greater of the current-year or the 2007 Medicare Part B schedule — a floor many insurers ignore when they pay against the current schedule alone.
The Letter of Protection is a standard, court-recognized instrument in Florida personal injury practice.
Reimburses at 175% of Medicare for physicians and 210% for surgery (effective January 1, 2025).
On an accepted claim, balance billing the patient is prohibited โ the patient never signs a Letter of Protection and is never personally responsible.
Only on an initially denied claim may health insurance be billed in the interim โ then refunded once the workers' comp claim is accepted and paid.
Deposition practice: physician testimony is billable in both PI and workers' comp cases, and deposition fees range by specialty โ PM&R at one rate, orthopedic, plastic, and neurosurgical specialists at higher rates. Florida PI attorneys pay within 30 days.†
Medical-legal documentation: objective findings, causation, impairment ratings, and functional limitations are required in both systems to support the claim โ documentation an EMR discharge summary is not built to produce.
† Deposition and report fees vary by physician specialty and are set by the retaining attorney; figures reflect prevailing Florida personal-injury rates.
Florida’s PIP statute sets professional reimbursement at 200% of the greater of the current-year or 2007 Medicare Part B fee schedule. Insurers routinely pay against the current schedule — even when the 2007 floor pays more. The difference is systematic underpayment sitting inside claims your system already submitted and marked closed.
This is not a new program. This is recovery of money already earned under existing law.
This program is limited to personal injury, workers' compensation, and premises-liability matters and excludes all federal healthcare programs (Medicare and Medicaid). It is structured to operate within the Anti-Kickback Statute and Florida's Patient Brokering Act.
Compensation is structured as fixed, fair-market-value fees โ never as a share of collections or settlement proceeds, and never tied to the volume or value of patients treated. Attorney relationships are professional relationships earned through physician credibility and the quality of medical-legal documentation โ never fee-splitting or any other prohibited remuneration.
Every element of the build is designed to withstand the scrutiny a hospital compliance department will โ and should โ apply. It is engineered to be defensible from day one.
$17M+ in gross billings in its final year under my direct supervision, at a 45% net margin
Workers' comp revenue secured through utilization reviews won on documentation — under the board-certified neurosurgeon, never on audit
70+ PI and workers' comp law firm relationships
Recruited 2 neurosurgeons + 1 orthopedic surgeon
Scaled to 10 treatment tables + second location
Gross billings reached $35M in its final year under my direct supervision, at a 46% net margin
No injections, no imaging, no EMG testing
120+ PI law firm relationships ยท single 5,000 sq ft office, one provider
Third build of the model on a distinct clinical platform โ proving it is portable across specialties
Built on established communication with the plaintiff bar โ firms worked with the practice because its physicians produced comprehensive, defensible final reports, earned on documentation quality alone
Launched and ramping when he exited during the COVID shutdown โ not a program failure
June 2026
RE: Craig Rosen — Professional Recommendation
To Whom It May Concern:
I write this letter without hesitation and with complete confidence in the man it concerns.
I have known Craig Rosen for more than fifteen years, both professionally and personally. I worked directly for Craig at Weinerman Pain & Wellness, where together we built a program serving the injured-worker community across the Philadelphia region. I did not observe his work from a distance — I was in the room. I saw how the program was built, how it was run, and how it treated the people it served.
For decades, my voice has been on Philadelphia airwaves as co-host of The Labor Show, speaking for and to the working men and women of this region. My name and reputation in the labor community are everything to me, and I have never lent them lightly. When I associated my name with Craig's program on a weekly basis, it was because I had seen firsthand that the program delivered exactly what it promised: genuine care for injured workers and their families.
What speaks most to Craig's value is the foundation upon which it was built: trust and relationships. Attorneys participated because of Craig — his reputation, his integrity, and the credibility he had earned over decades. A marketing format can be copied. A reputation built through years of delivering on your word cannot.
Craig is direct, honest, and one of the hardest-working professionals I have ever known. The respect and trust he holds within the injured-worker and workers' compensation communities are genuine and hard-earned. People in those worlds do not give their confidence easily, and Craig earned it one relationship at a time.
Any hospital system or healthcare organization fortunate enough to work with Craig Rosen will gain not just his experience and his proven track record, but his relationships, his integrity, and his relentless work ethic. I recommend Craig without hesitation or reservation.
Craig's published analysis of hospital PI/WC rehabilitation income leakage is available on LinkedIn: read the full article โ
Your uncompensated-care burden only grows. By capturing your share of Florida's personal injury and workers' compensation rehabilitation income โ premium-reimbursement care that currently routes to outside providers โ you convert revenue you are already generating into funding for the mission-driven care you provide to patients who cannot pay.
Your imaging, PT, pain management, and specialty departments carry fixed overhead whether or not they run at capacity. Capturing PI and workers' comp volume drives utilization on infrastructure you already own โ converting depreciable overhead into appreciable revenue that flows to margin and returns.
Tested with the plaintiff bar. Pennsylvania attorneys — who practice under PIP laws similar to Florida’s — confirmed that a hospital specialist’s truly independent assessment of a patient’s condition and disability is more valuable both to the patient and to an attorney pursuing a fair settlement.
Not the testing. Outside providers document the same objective findings — that has never been the differentiator.
The edge is independence. A chiropractor or clinic that solicits its patients from law firms can be cast by defense counsel as financially aligned with the plaintiff, and its findings discounted on that basis.
Your physician is clean. A hospital physician takes no part in that solicitation, so his opinion reads as independent — and independence is what holds up when case value is negotiated.
They never reach your ER. A soft-tissue injury sends the patient to an attorney and a chiropractor first, not the emergency department.
Where the value compounds. Soft-tissue injuries frequently progress into disc herniations and other objective, high-value findings, which an independent PM&R physician evaluates, tests, and documents on his own findings — rendering his opinion for the benefit of the patient.
It carries more weight at settlement. The plaintiff bar confirms an independent opinion weighs more heavily with defense counsel and the insurance adjuster — so the attorney is free to seek the best possible care, and a client who never came through the ER benefits as fully as one who did.
“I have known [Craig] to be professional and reliable, with consistently excellent communication toward the attorneys he worked with. The cases involving his patients were well managed, and that level of organization and attorney communication made a real difference in how those matters were handled. I have confidence in his ability to build and manage medical practices.”
— Lance Rosen, Esq., Rosen Moss Snyder LLP, Pennsylvania (no relation)
Plaintiff attorney — 20-year professional relationship; his clients were patients at VAX-D and Weinerman
This projection is not hypothetical. Your billing department can run one report today — your open Personal Injury & Workers’ Compensation A/R. Every attorney-represented case sitting in that report is revenue your system already earned. That number is the floor of what this program addresses — before a single new patient is retained.
Run the report. Bring it to the meeting. We start there.
For a nonprofit system, that revenue funds the uncompensated care your margins can no longer absorb. For a for-profit system, it converts overhead you already carry into margin. Same program, same eight streams โ one outcome, shaped to your mandate.
The program is LBBJ Healthcare Management โ and I deliver it as your consultant, engaged at a fixed, fair-market-value hourly rate, never a share of what it collects. I have built this model three times, from scratch, with a fraction of the infrastructure your system already owns. The revenue is real, it is growing, and right now it is leaving โ captured by outside providers who built what your hospital has not.
I take one engagement per market. The first system to commit secures both the engagement and first claim on my calendar โ and becomes known as the one equipped to document and manage these cases credibly.
The facts are not in dispute. The only open question is which system acts on them first.
“Craig is direct, honest, and one of the hardest-working professionals I have ever known. The respect and trust he holds within the injured-worker and workers’ compensation communities are genuine and hard-earned. People in those worlds do not give their confidence easily, and Craig earned it one relationship at a time. I recommend Craig without hesitation or reservation.”
— Joe Dougherty, Co-Host, The Labor Show · Talk Radio 1210 WPHT / WWDB 860, Philadelphia
Joe was hired by Craig at Weinerman Pain & Wellness. Together they built this program — and Joe put his own name on it, narrating it weekly on Philadelphia airwaves. Read his full signed letter on the Track Record page.
Personal injury and workers' compensation rehabilitation income pays up to double your Medicare rate and beyond — far above your commercial health-insurance contracts. Right now, that revenue leaks out of your system at every discharge. I will show your team exactly what is leaving, how to capture it, and what it is worth inside your walls.
Every week you wait, the leakage continues — and your competitor is one meeting away from capturing it first.
GIVE ME TWENTY MINUTES — I'LL SHOW YOU THE NUMBERCall or email directly — every inquiry reaches me personally.
I appreciate your interest.