In this episode of All Things Chiropractic, hosts Dr. Mark Davini and Paul Andrews dig into the critical topic of re-examinations in chiropractic care. Together, they explore whether chiropractors should charge for re-exams and emphasize the importance of managing patient expectations through thorough evaluations.

Dr. Davini discusses the necessity of re-exams, not just for identifying treatable issues, but also to rule out conditions beyond chiropractic care. The hosts shed light on the complexities of diagnoses, the importance of accurate ICD coding, and the significance of documenting improvements to validate treatment effectiveness.

They also explore the challenges and strategies related to treatment plans, stressing the importance of documenting medical necessity and complying with various regulatory definitions. This episode serves as a crucial guide for chiropractors aiming to enhance patient management and uphold their professional standards while navigating the demands of in...

Episode #28: Is Chiropractic Profitable?

Can you really make good money as a chiropractor without sacrificing patient care? In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini tackle that exact question—pulling back the curtain on the business side of running a practice.

They’ll break down the financial fundamentals every chiropractor needs to know—like budgeting, cost analysis, and understanding your per-patient visit average—so you can run a practice that’s both thriving and patient-focused. You’ll also hear their take on insurance reimbursements vs. self-pay services, and why some patients are more than willing to invest in great care.

With personal stories, real-world examples, and straightforward strategies, Andrews and Davini show you how to navigate rising operational costs, boost profitability, and still deliver exceptional results. Whether you’re fresh out of school or a seasoned pro, this episode is packed with insights you can start using to...

Typecasting: Bridging Generational Gaps in Chiropractic

In this lively episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini tackle a hot topic in today’s workplace: generational differences. What happens when baby boomers, Gen X, millennials, and Gen Z all share the same practice space? You get a fascinating mix of mindsets, work styles, and—sometimes—misunderstandings.

Paul and Dr. Davini break down how each generation shapes the chiropractic profession, from communication habits to work ethic and expectations. Drawing from insights by the Bureau of Labor Statistics, they explore how the evolving workforce is reshaping the modern chiropractic office—and what that means for leadership, team dynamics, and patient care.

Whether you're a clinic owner trying to manage a diverse team or a practitioner figuring out how to connect across generational lines, this episode offers practical strategies to build unity, boost morale, and create a culture where everyone thriv...

In this energizing episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini tackle a topic that hits close to home for many in the profession: burnout.

They kick things off with some surprising stats about the show's growing international audience—hello to our listeners in the UK and Germany!—and even try their hand at a few multilingual greetings to keep things light before diving into the heavy stuff.

The heart of the episode centers around the often-overlooked reality of burnout in chiropractic care. Drawing on a compelling PubMed article, Paul and Dr. Davini explore the unique stressors chiropractors face: professional isolation, identity struggles, and the constant emotional demands of patient care. Dr. Davini speaks candidly about feeling overwhelmed by ever-evolving tech and the mountain of administrative work, connecting these pressures to the emotional and physical fatigue many chiropractors experience.

But this episode isn’t just about naming the problem—...

In this enlightening episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini take a deep dive into one of the most essential—yet often overlooked—components of chiropractic billing: the CMS 1500 claim form.

While it might seem mundane at first glance, Paul and Mark reveal just how pivotal this form is to your practice's financial health and legal protection. With a focus on risk management, compliance, and billing education, they unpack the significance of each section of the form and explain how even minor errors can have major consequences.

Tune in as they answer critical questions:

• Why is the CMS 1500 still used in the age of electronic submissions?

• What’s the story behind that mysterious QR code?

• How does the form connect to the National Uniform Claim Committee (NUCC)?

• Why is the back of the form important, even in an electronic world?

• What are taxonomy codes, and how do they define your specialty on a claim?

You'll also hear real-...

In this enlightening episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini dive into the critical subject of risk management, cleverly titled "Risk is Not Just a Game." The discussion aims to demystify risk management for chiropractors, emphasizing its vital role in protecting your practice from unforeseen challenges.

The hosts explore various types of complaints that chiropractors might encounter, such as civil, regulatory, and criminal complaints, and discuss how each could impact your practice. Dr. Davini shares his approach to making risk management seamless in routine practice operations. They emphasize the importance of proper insurance coverage, from malpractice insurance to considering umbrella policies, to safeguard against financial pitfalls.

Listeners are guided through the nuances of handling complaints professionally and the significance of informed consent, illustrated by intriguing real-world cases. The conversation also touches on the responsibili...

Welcome to a special episode of All Things Chiropractic. Hosts Paul Andrews and Dr. Mark Davini dive deep into the intricacies of the Blue Cross Blue Shield antitrust litigation and the potential class action settlement that has sparked widespread interest.

This episode explores the financial breakdown of the $2.8 billion settlement, emphasizing how the distribution impacts attorneys, hospitals, and professional providers, including chiropractors and physical therapists. The hosts clarify the tiered payout system and caution listeners not to expect significant sums.

Listeners will learn about the allegations of antitrust violations by Blue Cross Blue Shield, including price fixing and territorial agreements, without any admissions of wrongdoing from the insurer. The episode offers practical advice for chiropractors and other providers on how to file claims, the importance of accurately estimating allowables, and the role of the harm coefficient in determining payouts.

Tune in for de...

In this episode of "All Things Chiropractic," hosts Paul Andrews and Dr. Mark Davini embark on a comprehensive discussion about the crucial decision of whether to engage with insurance companies as part of a chiropractic practice. With insights from Paul’s extensive experience in medical billing and Dr. Davini’s practical knowledge, they explore the evolution of insurance policies, especially in chiropractic from the 80s and 90s to today.

The episode delves into the realities of being in-network versus out-of-network, highlighting the potential benefits and pitfalls of each choice. The conversation covers complex topics like provider contracts, reimbursement models, and patient expectations concerning insurance coverage. Additionally, the hosts address the implications of new regulations like the No Surprises Act and how they impact billing practices.

Listeners will gain a deeper understanding of the strategic choices chiropractors face regarding insurance and how these decisions can...

In this enlightening episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini delve into the dynamics of chiropractic associateships from both the employer and employee perspectives.

They explore whether hiring an associate is a luxury or necessity and the different types of associateships, from those who aim to expand the practice to those who simply seek a stable job without business responsibilities.

The discussion highlights the importance of clear communication, managing expectations, and understanding both parties' motivations and goals. With anecdotes and seasoned insights, Dr. Davini emphasizes the value of clinical mentorship and the strategic hiring decisions necessary to create a successful chiropractic business.

Listen in for practical advice and perspectives on building thriving chiropractic practices with the right associates. Whether preparing a practice for sale or exploring ownership opportunities through associateships, this episode provides valua...

Welcome to another episode of All Things Chiropractic, where hosts Paul Andrews and Dr. Mark Davini delve into the vital role of chiropractic assistants, particularly those at the front desk. In this eye-opening discussion, Paul, who began his career as a chiropractic assistant, shares insights into why the front desk CA is the true powerhouse in any chiropractic practice.

The episode explores the various responsibilities and characteristics needed for a successful chiropractic assistant, emphasizing the pivotal first and last impressions they leave on patients. Paul and Dr. Davini also touch on their personal experiences, hiring challenges, and the importance of choosing the right personality for the front desk role.

Listeners will learn about the significance of creating a fun healing atmosphere, the power of ambassadorship, and the modern challenges faced by chiropractic practices in hiring skilled assistants. Tune in to discover how to foster a team environment, ensuring your pra...