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All Things Chiropractic #24: CMS 1500 Claim Form – Boxes 14 & 15 Demystified

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All Things Chiropractic #24: CMS 1500 Claim Form – Boxes 14 & 15 Demystified
23:51
 

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:
āœ… What these boxes actually mean (without the jargon)
āœ… How to align clinical notes with claim data
āœ… Why accuracy here can make or break your reimbursements
āœ… 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.

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

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All Things Chiropractic #18: Medicare

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All Things Chiropractic #18: Medicare
30:21
 

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:

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

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All Things Chiropractic: Bonus Episode Blue Cross Blue Shield Litigation

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All Things Chiropractic: Bonus Episode Blue Cross Blue Shield Litigation
17:46
 

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...

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All Things Chiropractic Episode #9: Insurance, To Be Or Not To Be

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All Things Chiropractic Episode #9: Insurance, To Be Or Not To Be
31:02
 

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...

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