Medicare & Chiropractic: The Good, the Bad, and the Ugly

Do you think you understand Medicare? This episode of All Things Chiropractic might have you rethinking that!

In this eye-opening episode, Dr. Mark Davini and Paul Andrews break down:

✅ The good: Clear definitions + chiropractic subluxations (yes, Medicare recognizes them!)
⚠️ The bad: Complex codes, tricky rules, and confusing reimbursements
🚫 The ugly: Industry whispers telling chiros not to treat seniors at all 😳

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-...

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 delve into the intricate world of chiropractic billing and coding of manual therapy techniques. With a hint of detective flair, they explore the evolution and challenges of coding, specifically focusing on the controversial code 97140. Gain insight into the historical changes initiated by the American Medical Association and how these changes impact billing practices for chiropractors and osteopaths alike.

Dr. Davini and Andrews discuss the implications of anatomical site restrictions and the ongoing struggle for chiropractors to receive fair compensation for manual therapy services. They shed light on the differences between chiropractic adjustments, mobilization, and manual therapy techniques, emphasizing the need for clear distinctions among different healthcare professions. This episode offers valuable perspectives on maintaining compliance while advocating for the profession's financial sustainabil...

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...

Are you prepared if there was a disaster in your office, natural or otherwise? In today's episode of All Things Chiropractic, Dr. Mark Davini & Paul Andrews are discussing what chiropractors need to do to be prepared for the unexpected. 

https://allthingschiropractic.podbean.com/e/2-what-is-in-your-go-bag/?token=591c3e0eb1c23c3074fd6b3929c24e55

Chiropractors play a vital role in the healthcare industry, providing non-invasive and drug-free treatments for a wide range of musculoskeletal issues. However, with this important role comes a responsibility to adhere to healthcare regulations and compliance standards. Navigating chiropractic compliance is essential for ensuring the safety of patients and the integrity of the profession. In this comprehensive guide, we will explore key regulations in the chiropractic field and how practitioners can ensure they adhere to these standards.

The Significance of Chiropractic Compliance

Patient Safety and Trust

Chiropractic compliance is not merely a set of rules and regulations; it is a commitment to patient safety and trust. Compliance standards are designed to protect patients from substandard care, unethical practices, and potential harm. When chiropractors adhere to these standards, they build trust with their patients and the broader healthcare community.

Professional Integrity

Co...

Chiropractic care is an integral part of the healthcare industry, providing patients with non-invasive and drug-free treatments for a range of musculoskeletal issues. However, running a successful chiropractic practice involves more than just clinical expertise. Efficient billing is a critical aspect of ensuring the financial health of your practice. In this comprehensive guide, we'll delve into the world of chiropractic billing and discuss strategies for optimizing your practice's billing processes.

Understanding the Importance of Efficient Billing

Efficient billing is the lifeblood of any healthcare practice, including chiropractic care. It's not just about getting paid for your services; it's about maintaining a stable and profitable practice. Let's explore why efficient billing is crucial for chiropractors and some common pitfalls and challenges they face in the billing process.

The Significance of Efficient Billing

Efficient billing is not just a matter of convenience; it's a ...

Introduction

The chiropractic field offers immense potential for making a positive impact on people’s lives, but the journey to start your own practice can be challenging and fraught with hurdles. As with any medical profession, it demands a comprehensive approach to planning, executing, and growing a business. Whether you are just out of chiropractic school or an experienced practitioner aiming for independence, understanding the roadmap to launch your own practice is crucial. This blog post aims to provide you with 10 essential steps to start your own chiropractic practice successfully. From market research to continual growth, we'll walk you through each vital phase.

Research and Market Analysis

Launching a chiropractic practice is not a decision to be taken lightly, and the first crucial step is comprehensive research and market analysis. You need to answer key questions: Who is your target demographic? What locations are saturated, and where is there a gap in the market? Utiliz...