All Things Chiropractic

31 - Choosing a Malpractice Carrier and Coverage

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini look at malpractice insurance for chiropractors. They discuss the different types of policies available, including claims-made and occurrence-based coverage, and highlight the importance of selecting the right policy to ensure perpetual protection.
Dr. Davini shares insights on why occurrence policies may offer better security, especially for retired or part-time practitioners, and talks about the necessity of tail coverage when switching policy types.
The conversation also addresses the significance of coverage limits, corporate and personal umbrella policies, and the potential pitfalls related to policy exclusions and scope of practice. The hosts provide valuable advice on dealing with malpractice claims, emphasizing the need for supportive legal representation and understanding consent-to-settle clauses.
Alongside their examination of malpractice insurance, Paul and Dr. Davini offer practical tips for chiropractors to assess their current coverage, the cost of insurance relative to coverage benefits, and ways to protect themselves in the legal landscape.

30 - Will Insurance Reimbursement Improve?

In this episode of "All Things Chiropractic," hosts Paul Andrews and Dr. Mark Davini navigate the ever-evolving world of insurance reimbursement for chiropractors. They discuss the challenges posed by the current fee-for-service model and the implications of shifting to global payment systems. The conversation also touches upon the historical impact of the Affordable Care Act on private practices and the increasing use of technology and AI in determining reimbursement rates.
Dr. Davini shares insights from his extensive experience in the field, discussing topics like EHR systems, ICD-10 coding, and the delicate balance practitioners must maintain between patient care and financial viability. They explore the perceived value of chiropractic services and the financial burden faced by patients, given high co-pays and deductibles.
Highlighting the shift towards cash-based practices, the hosts encourage chiropractors to adapt to changes in the insurance landscape while maintaining the quality of care. Tune in to get invaluable insights and practical advice on thriving as a chiropractor in today's challenging healthcare environment.

29 - Should I perform and charge for re-exams?

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 insurance and regulatory bodies.

28 - Is Chiropractic Profitable?

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini dive into the often overlooked business side of chiropractic practice. They question whether chiropractic can be profitable and explore strategies to enhance financial success while maintaining high-quality patient care.
Listeners will gain insights from Andrews and Davini on the importance of understanding financial fundamentals such as budgeting and cost analysis, which are essential for running a successful practice. They also discuss the challenges and opportunities of insurance reimbursements and self-pay services, emphasizing the value of providing meaningful patient care that patients are willing to invest in.
Throughout the episode, the hosts share personal experiences and practical advice on how chiropractors can maximize their profits amidst rising operational costs and a changing healthcare landscape. From budgeting correctly, understanding your per patient visit average cost, to the significance of offering self-pay services, the episode is packed with actionable tips.
Join Andrews and Davini for an informative discussion that combines chiropractic passion with business acumen, perfect for both new graduates and seasoned professionals looking to boost their practice’s profitability.

27 - GLP-1 Drugs: A Chiropractic Perspective

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini talk about the increasingly popular weight loss GLP-1 drugs. While initially developed to help control Type 2 diabetes, the drug's surprising side effects have catapulted it into the limelight as a weight loss solution. However, what does this mean from a chiropractic perspective?
Join Paul and Dr. Davini as they examine how GLP-1 drugs works, the physiological effects, and the potential chiropractic considerations it entails. The conversation moves from the pharmacological origins of GLP-1 to its societal implications and how it is reshaping patient care in chiropractic offices across the nation.
This episode also highlights chiropractic's role amidst these developments, probing into the new challenges chiropractors face, such as dealing with side effects often mistaken for musculoskeletal issues and the financial implications on patient care.
If you're curious about the intersection of modern pharmaceuticals and chiropractic care, and how practitioners can navigate this evolving landscape, this episode is a must-listen.

26 - Documentation

In this engaging episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini dive into the essential topic of documentation in chiropractic practice. They unravel the complex history and current practices that make documentation a crucial part of the profession. Dr. Davini shares firsthand experiences that highlight the dramatic transition from minimal record-keeping to the robust documentation required today.
The episode explores how documentation not only impacts billing and reimbursement but also plays a vital role in risk management and patient care continuity. Both hosts delve into the struggles chiropractors face with third-party carriers and the importance of crafting comprehensive, concise notes.
Listeners gain insights into overcoming documentation challenges, including tips on using scribes, optimizing note-taking, and avoiding common pitfalls like batch noting. The episode wraps up with a thoughtful reflection on the future of documentation and the potential impact of AI, leaving listeners with practical advice and a touch of humor.

25 - Multi-disciplinary Practices: Do Opposites Attract?

Join hosts Paul Andrews and Dr. Mark Davini on a new episode of All Things Chiropractic as they explore the intricate dynamics of multidisciplinary chiropractic practices. Delve into the challenges and benefits of integrating diverse disciplines such as acupuncture, massage, physical therapy, and medicine under one roof. Get insight into the importance of clearly defined roles, leadership, and decision-making in such settings, while learning about the potential pitfalls and regulatory complexities faced by practitioners. Understand the crucial role of communication, training, and compliance to ensure a coherent approach to patient management. Whether you’re considering a multidisciplinary practice or already navigating one, this episode provides valuable perspectives on maintaining a harmonious and effective clinical environment. Don’t miss this discussion on bringing varied health disciplines together to enhance patient care.

24 - CMS 1500 Claim Form: Boxes 14 & 15 Demystified

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini delve deep into the often overlooked yet critical elements of the CMS 1500 claim form, focusing specifically on boxes 14 and 15. The hosts break down common misconceptions and explain why these fields hold significance in chiropractic billing and documentation. With practical insights, they guide practitioners on how to accurately complete these sections, which are key to ensuring correct payment and compliance.
The episode emphasizes the importance of matching claim form details with clinical documentation and not falling into the traps of inaccuracy or miscommunication. It includes discussions on best practices for handling patient information, especially during audits and legal proceedings. Dr. Davini and Paul also provide tips on how to train office staff to handle billing efficiently while maintaining compliance.
The episode is ideal for chiropractors and their billing teams who aim to streamline their processes, enhance accuracy in claims submission, and reduce risks associated with incorrect billing practices. Join the hosts as they unravel the complexities of billing while sharing humorous anecdotes and real-world experiences.