Think boxes 14 and 15 on the CMS 1500 claim form donāt 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 billingāand 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 detailsāand show you how to avoid the most common pitfalls. You'll learn:
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What these boxes actually mean (without the jargon)
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How to align clinical notes with claim data
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Why accuracy here can make or break your reimbursements
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Simple strategies to train your front desk or billing team
Whether youāre a seasoned doc or just getting started, this episode is packed with practical tips, a few laughs, and clarity you didnāt know you needed.
š§ Tune in and take the guesswork out of chiropractic billingābecause every box counts.
Medicare & Chiropractic: The Good, the Bad, and the Ugly
Do you think you understand Medicare?Ā This episode of All Things Chiropractic might have youĀ rethinking that!
In this eye-opening episode, Dr. Mark Davini and Paul Andrews break down:
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The good: Clear definitions + chiropractic subluxations (yes, Medicare recognizes them!)
ā ļø The bad: Complex codes, tricky rules, and confusing reimbursements
š« The ugly: Industry whispers telling chiros not to treat seniors at all š³
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 Paulās extensive experience in medical billing and Dr. Daviniās 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...
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