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 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 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...

In this thought-provoking episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini pull back the curtain on one of the profession’s most defining (and debated) distinctions: "straight" vs. "mixer" chiropractors. With decades of experience and insight, Dr. Davini breaks down what really separates these two approaches—not just in philosophy, but in how they impact patients, communication, and even the future of the profession.

From the meaning of “subluxation” to how chiropractors define their care, the conversation dives into the terminology wars, the educational gaps for new grads, and what happens when practitioners aren’t even speaking the same language.

Whether you're a seasoned DC or a student just entering the field, this episode challenges you to think deeply about your clinical identity and the importance of a unified message in chiropractic.

In this intriguing episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini delve into the fascinating world of hormesis, a concept suggesting that low-dose stressors might actually benefit the body. Forget about magical spells or infamous canned meats; hormesis is all about how certain sub-threshold stress factors, typically deemed harmful, could promote healing and longevity.

Dr. Davini introduces the audience to how hormesis plays a critical role in various domains such as diet, exercise, and even therapeutic radiation. The discussion highlights surprising evidence from survivors of Hiroshima and unintended experiments in Taiwan, suggesting that a bit of stress might just help people live longer. They even touch on popular wellness trends like intermittent fasting and cold plunging, breaking down their connections to this anti-aging process.

Whilst joking about scenarios like irradiated superheroes and pigging out on blueberry pie, the hosts remind listeners to c...

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...

Welcome to another episode of All Things Chiropractic, where hosts Paul Andrews and Dr. Mark Davini dive into the the use of X-rays in chiropractic practice. This episode explores the evolving industry standards, questioning when X-rays are necessary and their role in modern clinics.

Dr. Davini shares personal anecdotes from his time as a student supervisor at Palmer, shedding light on the historical reliance on X-rays and their significance in clinical practice. He discusses the advances in digital X-ray technology, debunking myths around safety concerns and the financial implications of incorporating X-rays into chiropractic offices.

The conversation touches on the role of artificial intelligence in interpreting X-ray films and the potential for technology to transform diagnostic practices. The hosts delve into the concept of "hormesis," exploring low-level radiation exposure's potential benefits.

Paul and Dr. Davini further discuss how X-rays contribute to patient education, risk...

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...