The insurance game is changing — but is it changing for the better? In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini break down what chiropractors really need to know about the future of reimbursement.

From the headaches of fee-for-service to the rise of global payment systems, they explore how shifting models could reshape your practice. Dr. Davini draws on decades of experience to shed light on everything from EHRs and ICD-10 coding to how AI and tech are already influencing reimbursement rates.

The hosts tackle the big questions: How much value do patients really place on chiropractic care? What happens when sky-high deductibles push people toward cash-based practices? And most importantly — how can you stay profitable without sacrificing care?

If you’ve ever wondered where insurance reimbursement is headed (and how to prepare), this episode is packed with insights, strategies, and real talk about the challenges and opportunities ahead.

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...

Think boxes 14 and 15 on the CMS 1500 claim form don’t matter? Think again. In this eye-opening episode, Paul Andrews and Dr. Mark Davini shine a spotlight on two of the most misunderstood sections of chiropractic billing—and why getting them right is more important than you think.

From rejected claims to audit nightmares, they break down the real-world consequences of skipping the details—and show you how to avoid the most common pitfalls. You'll learn:
✅ What these boxes actually mean (without the jargon)
✅ How to align clinical notes with claim data
✅ Why accuracy here can make or break your reimbursements
✅ Simple strategies to train your front desk or billing team

Whether you’re a seasoned doc or just getting started, this episode is packed with practical tips, a few laughs, and clarity you didn’t know you needed.

🎧 Tune in and take the guesswork out of chiropractic billing—because every box counts.

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