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The Pragma Intel TRAIN TO WIN Colossus Training & Certification program provides today’s most concise, focused and on-track clinical procedures ever developed for treating physicians and their staff.

Pragma’s training and certification materials have been derived from providing thousands of PI clinical cases with medical record analysis, injury validation tools, redirected treatment plans, and improved documentation and communication of injury to insurers, resulting in improved medical valuation and better reimbursements for care. This is the most comprehensive personal injury physician and clinical staff training, and legal team training program you will ever encounter.

Colossus Level 1 training focuses on the 13 fundamental errors that are being made in nearly every doctor’s treatment notes covering the important topics of mechanisms of injury, concussion recognition, pre-exam interviews, pre-existing conditions, gaps in care, ADL’s and quality of life survey’s, prognosis development, valid treatment plans, re-exams/surveillance exams, MMI, impairments, future medical costs, summary reports and amending medical records. Understanding what insurance medical management software is looking for in treatment records regarding these points will help doctors create irrefutable evidence of medical necessity and provide a broader scope of treatments that injured persons need to more fully recover from their losses.


After successfully optimizing his own personal injury practice, Dr Grant gained valuable experience in providing medical record analyses, injury severity validations and medical claims consulting. Following his own success strategy, Dr Grant has trained hundreds of medical professionals to deliver better care for their patients and provide pertinent medical value to improve reimbursements.

Dr. Grant founded Pragma Intel to provide his leading certification program COLOSSUS LEVEL 1 TRAINING course to optimize physician-to-insurer/attorney-to-insurer communication for improved medical care validation.

As a Chiropractor, Personal Injury Practice Coach, Speaker, Author, Inventor and Educator, Dr. Grant’s mission is to help professionals gain greater confidence, skill, and strength to successfully compete in today’s acute traumatic injury recovery market.


Session Videos to Guide You to Personal Injury Success

During 10 session videos Dr. Grant will guide you through the steps of what it takes to construct a strong personal injury case.

Implement Positive Personal Injury Practices Immediately

Each session gives you practical methods that can be applied to your practice, using proven tools give you solid direction in achieving optimal results.

Become Certified in Pragma’s Colossus Training Methods

We have certificate programs that ensure your key team members are prepared to understand how to effectively communicate the medical care an injured person should receive and how to communicate successfully with all care givers, legal representation and insurers about the injured persons recovery process and the final outcome of their care.

Tom, the first course was worth the cost of the whole course. Such valuable information. Will set me apart from the rest for sure. And make me more valuable to attorneys. Every doc needs this material.
Dr. Barry Hitchcock
Family Chiropractic of Athens
Credentials of training, titles, and experience are indicators of expertise. What really counts above and beyond is demonstrated work product expertise. Dr. Grant has repeatedly demonstrated to me his abilities to bring out the hidden and overlooked points in motor vehicle and other accident cases; he is uniquely and especially qualified from my experience working with him to focus authorities on legitimate and valid medical necessities and highlight the consequences of permanent impairments. In busy practices of involved parties, others seldom have the time and background to realize these benefits.
James Woessner
MD, PhD, Physiatrist
I have known Tom for years and he has done a fantastic job at educating and influencing the physician and attorney communities.
Jim Mathis
Sequoia Vision, Inc.
Mathis Consulting, Inc.
NCS, Inc.
I have found Dr Tom Grant’s training methods to be efficient, quick and easy to follow. His medical validation reporting formats are detailed, well organized and easy to use. He has been able to answer any of my questions regarding personal injury medical reporting language, term utilization, coding content, impairment reporting, and insurance reporting language and structure.
Stephen Smith, MD
When I started working for a personal injury attorney, I knew nothing about managing a motor vehicle accident case. Through networking with colleagues, I came to find Dr. Tom Grant. Through his thorough tutelage and training, I have become masterful at helping our clients’ doctors thoroughly records all of their injuries, recommended future treatment and costs and help effectively describe the intensity of our client’s injuries and how their accidents impacted their lives. This has resulted in larger settlements for our clients, fewer fee reductions for our clients’ doctors, and greater income for our firm. Dr. Grant has helped us to create a win-win situation for everyone. We owe much of the success of our practice to his training.
Trei Clark, Paralegal
Legal Program Manager
Atlanta, GA
I have learned so much from Dr. Grant and his approach to personal injury care. From documentation and billing to getting insurance to cover what they should, Dr. Grant has it worked out with amazing clarity.I thought I knew most of the ins and outs, but Dr. Grant was able to show me where I have been falling short and missing opportunities to find and treat hidden injuries, providing the best care for my patients. There is so much to learn and I have only just begun.
Ken Boothe
DC - Utah
Jamie WrightEsq California
Dr. Grant and his Team are revolutionary for the PI community. I have literally never had someone speak the insurance industry language as well as Dr. Grant. He knows how to assist you in developing a claim for maximum settlement value. Not only is his attention to detail superb, but he goes above and beyond to equip you with the tools you need to be successful in every negotiation. I only wish I had known about Dr. Grant sooner!
Jamie Wright
Esq California


Mechanisms of Injury

Module 1:

Without a mechanism of injury the diagnosis and treatments are devalued…

Mechanisms of injury explain how a person was injured. “rear ended” is not a mechanism of injury, that’s a mechanism of damage. Without a mechanism of injury the diagnoses offered will be assigned a lower medical severity in the medical management software. Being a better injury communicator will help the insurers assign proper medical value to your patient’s injuries and help you get better reimbursement for your services.

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Amending Medical Records

Module 2:

Correcting of medical documentation errors is crucial, but how should it done?

Amending Medical Records can be accomplished in a legal, ethical and easier to use manner than you realize. The adage “if it isn’t written down, it didn’t happen”, can also be stated as “if it’s written down, it did happen”.

How can you correct mistakes without compounding the problem? What if the change is done incorrectly? Are there legal implications or liabilities? There are clear guidelines on this process and that is covered in the Amending Medical Records training module.

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Module 3:

Concussions are observed to occur in 85% of all car crash records, yet are rarely diagnosed…

Concussions occur in approximately 85% of all car crash claims, yet they are actually diagnosed in less than 5% of medical documentation, making them the 2nd most missed injury diagnosis in car crashes. Concussions have a significant effect on the outcome of all injuries and injury recovery care. If not treated promptly and correctly the damage can alter brain function for a lifetime. Awareness of commonly overlooked symptoms as taught in this training module will improve your recognition and diagnoses of this critical injury.

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Pre-Exam Interview

Module 4:

Rushing To Therapy is a common error and causes overlooked injury symptoms…

No matter which way you slice it, Rushing To Therapy is a bad idea and it has a devastating effect on medical care. The rush results in missing subtle injury symptoms that convey injury severity, minimized and missing diagnoses, misapplied therapy, missed/mis-coded injury symptoms and poor treatment plans. Clinician miscommunication leads insurers to believe that the sustained injuries are minimal, since minimal effort was used in documenting and diagnosing the injuries. This style of treatment leads to insurers to flag these types of doctors as unskilled and likely to accept discounted reimbursements or denied care.

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Pre-Existing Conditions and GAPs in Care

Module 5:

Pre-existing conditions do not diminish the necessity and value of care…

Pre-existing conditions are grossly misunderstood and, contrary to belief, these conditions do not diminish the necessity and value of your care. Pre-existing conditions are not the fault of victims. They didn’t ask to be injured in a car crash and they need care.

Despite stories you may have heard about insurers denying coverage for services provided to patients with pre-existing conditions, that denial was more likely due to the treating doctor not knowing how to correctly discover, validate, document and communicate those pre-existing conditions for proper validation and better reimbursement.

GAPs in Care

What is a GAP in care? It’s when your patient has had a break in care the exceeds an allowable period of time. GAP’s can dramatically suppress medical value, regardless of injury severity and the care provided. GAP’s in treatment result in severely discounted medical value reimbursements!

There are also certain variable times allowed for GAP’s in care. Knowing what’s allowable, knowing which steps can be taken to overcome disallowable GAP’s and what can be done to minimize their damaging effects on medical value are taught n this module.

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Disabilities, Impairments & Quality of Life Surveys

Module 6:

Do you know exactly how, why and what they do to help … or hurt?

Surveys are misunderstood on how best to use them in personal injury care. If you don’t how they help, why are you doing them? Did you know that they may not really have the impact you think they do.

It’s reported that 97% of injury claims never make it to trial, so what is the right, clinically appropriate survey tool to use? Catchall surveys are more of a scouting tool to use for identifying overall status. Specific surveys should be used to document selected injuries separately from other injuries. There are 3 global surveys you should be using on every injury case.


Impairment ratings are one of the most important services you can offer for your patient after they have reached Maximum Medical Improvement. If there are any permanent injuries when you release the patient from active therapy, an impairment rating must be provided. As little as a 3% impairment can have an impact on the medical value of an injury in medical management software. Impairments are easily missed in 97%+ of all car crash injuries.

Most doctors do not know what edition of the AMA guides To The Evaluation of Permanent Impairment are being used in their state. Guides usage varies by state and sometimes within states as well.

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Preparing Insurer-Valid Treatment Plans

Module 7:

What is a Plan of Care and how does it differ from a Treatment Plan?

Doctors usually confuse Treatment Plans with Plans Of Care. Most doctors are actually using a Plan Of Care, thinking it’s a Treatment Plan. While similar, there are distinct differences between the 2 – both in definition and in purpose.

Historically Treatment Plan’s have been followed more as a “required component of care” rather than a deliberate patient-monitored recovery tool. Transforming a Plan of Care into a Super- Plan of Care does not make it a Treatment Plan. Using a Plan of Care to convey injury severity to an insurer is a poor choice resulting in diminished medical value.

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Re-Exams & Surveillance Exams

Module 8:

Re-exams and Surveillance exams protect the medical value of injuries…

Re-exams must be performed at a specific frequency, and that frequency is not determined by a traditional healthcare definition or rumor! Timing of the re-exam is as important as performing the re-exam in the first place. The timing needs to be precise and requires key language to be applied to validate continuing symptomology so that the management software is directed to provide the proper medical valuation.

Surveillance exams are used when long periods of time pass before the claim is settled and they protect the medical value, often uncovering latent injuries which can enhance or destroy medical value.

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Maximum Medical Improvement and Prognosis

Module 9:

There are 6 specific prognosis that you need to know and use in medical care reporting…

Prognoses estimate the severity of injuries and convey duration of recovery, helping adjusters estimate the medical reserve amount. Prognoses should follow medical certainty. The less certain the doctor is about a diagnosis, the more testing and monitoring of progress is required. Training clears this up. What prognoses should you use? There are quite a few. There are 6 specific prognoses that you need to know, used at various stages in medical care reporting and these are provided in the training.

Also, prognoses should change as diagnostic certainty and the successful response to therapy is documented. However, when you don’t choose the correct prognosis or forget to change it appropriately over the course of care, you are telling the adjuster that you are not paying attention to your treatment plan. This can lead the management software to diminish the injury severity and decrease the medical value of your care.

Maximum Medical Improvement

Practically every doctor uses the term Maximum Medical Improvement (MMI) incorrectly and insurers look for that misuse in the doctors treatment notes. Incorrect use results in severely diminished medical value. At the completion of active therapy, if there are ANY persistent symptoms, those injuries must be addressed in a very precise way that will not close the medical valuation management software prematurely. This is the most correctable of all medical errors, but it requires an understanding of the right medical terminology and its absolutely critical usage.

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Future Medicals and Summary Reports

Module 10:

Future medical care costs are essential for continuing patient care after settlement…

Disinformation on this topic has caused the majority of doctors to refuse to include this critical piece of information. Providing a future medical cost will not get you into legal trouble!

Disclosing future medical cost estimations are essential for attorney: insurer negotiations. A patient’s financial reimbursement for medical expenses cannot be justly settled without a knowledge of what future impact the patient’s injuries will have on society. Doctors need to select the right language, provide pertinent support studies and be prepared to confidently calculate ongoing and future medical expenses.

Summary Reports

Summaries/narrative summaries must answer questions harbored by insurers: Who are you? Why did the person need you? Why did you treat this person to begin with and why should I authorize the medical value of your services?

Summary reports validate your expertise, diagnoses, therapy, prognoses, impairments and future medicals. They highlight the injury efforts of a team of doctors, radiologists and therapists who have worked on the case. It wraps up the patients injury experience and why their care was medically necessary, all in a concise and powerful statement.

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Annual Re-Certification Exam

Current Subscribing Members. To maintain your status as a Certified Expert you will need to take annual re-certification exam. The annual cost of that exam is included in each renewal of an annual membership subscription, allows the student to sit the exam and secure minimum certification requirement of an 80% pass rate.

Non-Subscribing Applicants. Upon payment of the $195 renewal certification fee, the applicant renewing their certification will have 2 opportunities to pass the renewal exam with a secure minimum certification requirement of an 80% pass rate. Failure to pass the exam a 2nd time will require remedial training in the certification training program to be able to re-take the certification exam.


Check out some lesson videos from our courses

Colussus Level 1 Overview

Common Error: Documenting Vehicle Damage


Pragma Intel’s self-paced Colossus Level 1 Training & Certification Course is delivered in 10 Modules.

Each course module contains:

  • Video Presentation
  • Online Presentation Notes
  • Downloadable Handouts
  • Downloadable Office Forms
  • Quiz

In addition you are given

  • 1 year of unlimited access to your selected course
  • 30-day money back guarantee
  • Q&A Support
  • Discounts on additional products and services

The Q&A Support is where Dr Grant will answer questions related to the Colossus course materials as well as general questions you have about the business of PI. Once you are a subscriber you will have access to archived content and can submit additional questions.


Access to the program & Free updates for 1 year & 10 Advanced Training webinars, Zendesk Support, FAQ’s and more!

The Pragma Guarantee

3 promises to give you peace of mind with your decision:

Refund: If you don’t like the product for any reason, we’ll refund 100% of your investment within 30 days of purchase (or release of the course).

Value Promise: You will receive instant value and tools that you can start implementing immediately.

Results: When you apply the techniques you’ll learn from this program, you will experience greater patient results, smoother interactions with insurance companies, and greater economic benefit through proper case documentation.

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