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The paper reports the methods used by one of the 8 best pain clinics in the US (Business Week). It emphasises the need for proper diagnosis, fraud detection, and correct testing and treatment. It proves how useless the MMPI is for validating pain, and offers a "predictive analytical" tests for detecting fraud versus valid complaints with 85%-95% accuracy. From staff at Johns Hopkins Hospital. Most improtantly, it reports outcome studies, which show that using these techniques results in a return to work rate of workers comp patients of 19.5% compared to less than 1% for claimants out of work for 2 years or more, 62.5% return to work for auto accident patients, a 90% reduction in medication use, and a 45% reduction in doctor visits, resulting in large cost savings.