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  • 18 - Medicare
    2025/06/04

    In this insightful episode of "All Things Chiropractic," hosts Dr. Mark Davini and Paul Andrews delve into the intricate relationship between Medicare and chiropractic care. They explore the roles and regulations of Medicare in chiropractic practice, using the allegorical reference to the Eagles' "Hotel California" to emphasize the challenges of navigating Medicare's binding rules and the fact that chiropractors cannot opt-out.

    Listeners are guided through the "good" aspects of Medicare, such as its clear definitions and recognition of chiropractic subluxations, which no other insurance carrier does. The episode also highlights the "bad" by addressing the complexities and limitations Medicare imposes on chiropractic treatments, detailing the intricate nuances of service codes and reimbursement policies.

    The discussion turns to the "ugly," focusing on the controversial advice circulating within the industry, suggesting chiropractors avoid adjusting seniors to bypass Medicare altogether. Dr. Davini and Paul stress the importance of ethical practices, emphasizing that neglecting adjustments undermines the core of chiropractic care.

    Finally, this episode offers practical guidance on how chiropractors can manage Medicare's administrative requirements and sustain ethical practices for their senior patients, despite the restrictions and challenges presented by the current system.

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    30 分
  • 17 - Burnout
    2025/05/28

    In this engaging episode of "All Things Chiropractic," hosts Paul Andrews and Dr. Mark Davini delve deep into the pressing issue of burnout within the chiropractic profession. They begin by sharing surprising statistics about the show's international growth, particularly in the UK and Germany, adding a light-hearted touch with attempts at multilingual greetings.

    The main focus swiftly shifts to the prevalent issue of burnout among chiropractors, with insights from a PubMed article spotlighting the unique stresses that chiropractors face, including professional isolation, identity challenges, and the demanding nature of patient interactions. Dr. Davini highlights the pervasive feeling of being overwhelmed by technological advancements and administrative burdens, drawing connections to how these challenges exacerbate emotional and physical exhaustion.

    Throughout the discussion, Paul and Dr. Davini stress the importance of reconnecting with the fundamental passion for chiropractic care. They encourage listeners to re-engage with their patients, share personal experiences, and seek peer support to rediscover their enthusiasm for the profession. They candidly talk about the need to set realistic goals, practice self-care, and maintain a balance between quantity and quality of care provided.

    This episode isn't just about identifying problems but also offering practical advice on combating burnout. Dr. Davini shares personal anecdotes and suggests tools like the Highlands Battery Ability Test to help chiropractors better align their work with their passions, while Paul provides a historical perspective on the transformative power of chiropractic care. They wrap up the conversation with motivational insights, emphasizing that making incremental changes and stepping out of isolation can revive a chiropractor's career and personal fulfillment. Join them as they tackle how to prevent burnout from overshadowing the rewarding aspects of being a chiropractor.

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    44 分
  • 16 - The Claim Form
    2025/05/21

    In this enlightening episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini dive deep into the intricacies of the CMS 1500 claim form—a pivotal component of chiropractic billing. Despite initial perceptions of the claim form being mundane, Paul and Mark demonstrate just how crucial and fascinating it is, with a particular focus on risk management and educational insights that can benefit every chiropractic office.

    Join them as they unravel the mystery behind why the CMS 1500 and its electronic equivalent processed through clearinghouses. What is that QR code on the form and its link to the National Uniform Claim Committee (NUCC). Learn about the importance of correctly filling out both the front and why the back of this claim form is important to know!

    Understand the profound consequences of misrepresentations on claims, highlighted by potential criminal and civil implications. Gain knowledge on code sets known as taxonomies, which define specialties and how this relates to the claim form. In a bid to ensure every chiropractor understands the potential risks, Paul and Mark shed light on the CMS 1500's role in defining the story of patient care, from the onset of their condition to the services rendered.

    Whether you're a seasoned professional or new to the world of chiropractic billing, this episode promises invaluable insights that could change the way you view and handle your claim forms going forward.

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    45 分
  • 15 - Risk Management
    2025/05/14

    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 responsibilities chiropractors face today compared to the past, as the perception of chiropractic care evolves.

    Whether you're a seasoned chiropractor or new to the field, this episode provides valuable insights into creating a robust risk management strategy, ensuring you’re informed, protected, and ready to handle any challenge that comes your way.

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    41 分
  • BONUS: Blue Cross Blue Shield Settlement: What Chiropractors Need to Know
    2025/05/12

    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 detailed guidance on participating in the settlement process, including deadlines and resources available on bcbsprovidersettlement.com to help you maximize your claim potential.

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    18 分
  • 14 - Chiropractic Mixology: Straight vs Mixer
    2025/05/07

    In this engaging episode of "All Things Chiropractic," hosts Paul Andrews and Dr. Mark Davini delve into a critical discussion about the diverse approaches within the chiropractic profession: the "straight" versus the "mixer" chiropractic methods. Dr. Davini, drawing on his years of experience, and Andrews explore these two compelling perspectives in depth, shedding light on the unique practices and philosophies that define each approach.

    The episode revisits the significance of chiropractic terminology and debates such as subluxation, emphasizing the importance of clarity in communication with patients. Dr. Davini shares insights on how chiropractic practice varies significantly across practitioners, affecting patient experiences and perceptions. The discussion also touches on the educational implications for new graduates unaware of these foundational distinctions in chiropractic care.

    Listeners will gain valuable understanding of how chiropractors choose their clinical paths, the influence of educational backgrounds, and the impact on their practice and patient care. The hosts encourage a reflection on the identity of chiropractic as a profession and the need for a coherent message that accurately represents the profession's goals and methodologies.

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    31 分
  • 13 - The Power of Hormesis
    2025/04/30

    In this intriguing episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini delve into the fascinating world of hormesis, a concept suggesting that low-dose stressors might actually benefit the body. Forget about magical spells or infamous canned meats; hormesis is all about how certain sub-threshold stress factors, typically deemed harmful, could promote healing and longevity.

    Dr. Davini introduces the audience to how hormesis plays a critical role in various domains such as diet, exercise, and even therapeutic radiation. The discussion highlights surprising evidence from survivors of Hiroshima and unintended experiments in Taiwan, suggesting that a bit of stress might just help people live longer. They even touch on popular wellness trends like intermittent fasting and cold plunging, breaking down their connections to this anti-aging process.

    Whilst joking about scenarios like irradiated superheroes and pigging out on blueberry pie, the hosts remind listeners to consider hormesis as a subtly beneficial concept to explore further, especially in the field of chiropractic care. Tune in for an episode packed with insights and laughter, ensuring you're both informed and entertained.

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    22 分
  • 12 - Manual Therapy Techniques
    2025/04/23

    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. Listeners will 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 Paul 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 sustainability.

    Whether you're a chiropractor navigating the billing landscape or simply interested in the complexities of healthcare coding, this episode provides essential knowledge to guide you through the challenges of reporting and reimbursement in the chiropractic field.

    CPT(R) American Medical Association. All rights Reserved.

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    31 分