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 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...

Join hosts Paul Andrews and Dr. Mark Davini in an insightful discussion about the chiropractic subluxation. Discover the challenges faced by chiropractors in reaching a consensus on its definition, despite the varying interpretations across generations and schools.

This episode delves into the historical context of subluxation, exploring how definitions have evolved from the times of Hippocrates to modern-day practices. Dr. Davini shares his experiences and highlights the need for a unified approach within the chiropractic profession to ensure clear communication with patients.

The hosts also examine the American Medical Association's definition of subluxation and its implications for chiropractors today. They stress the importance of clarity and consistency in chiropractic practices, encouraging practitioners to adopt a standardized language and approach in treating patients.

Tune in to understand the complexities of subluxation and its pivotal role in chiropractic practice!

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...

Welcome to a thought-provoking episode of All Things Chiropractic, where hosts Paul Andrews and Dr. Mark Davini delve into the fascinating world of Artificial Intelligence (AI) and its implications in the field of chiropractic care. Subtitled "Pay No Attention to the Machine Behind the Curtain," this episode illuminates how AI is reshaping healthcare landscapes, particularly in chiropractic.

The discussion kicks off with an exploration of the evolution of AI, tracing its roots from basic algorithms to today's advanced augmented and generative intelligence. The hosts highlight the profound impact of AI on industries like insurance and healthcare, pinpointing its pivotal roles in medical decision-making and image interpretation. A case in point is the development of an AI model by UCLA researchers, challenging human accuracy in MRI readings.

As the conversation bridges AI with chiropractic, Andrews and Davini address crucial questions about AI's capability and where chiropractic fits i...

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini delve into the crucial topic of selling your chiropractic practice. They explore the importance of valuing your practice accurately and how to boost its value over time. The discussion sheds light on factors that influence practice valuation, such as patient volume, collections, and overheads. The hosts emphasize the significance of transferability, highlighting the challenges of personality-driven practices.

Listeners will gain insights into practical steps to enhance practice "saleability", from improving office aesthetics to optimizing staff efficiency. Andrews and Davini address common pitfalls, such as non-compliant coding practices, and provide tips on maintaining a financially healthy practice. They also explore the emotional aspects of selling a practice and encourage listeners to adopt a buyer's perspective when preparing their practice for sale.

Tune in for expert advice aimed at ensuring a s...