Hosts Paul Andrews and Dr. Mark Davini break down why the AT modifier on chiropractic manipulation (CMT) claims matters and how Medicare defines active, chronic and maintenance subluxations. They explain the difference between acute and active treatment, when AT is appropriate, and why pain alone does not justify ongoing AT billing.

The episode covers practical topics: use of outcome assessment tools to document functional improvement every 30 days, proper use of the GA modifier and ABN, pitfalls of generic documentation, and the audit/extrapolation risk when claims are billed incorrectly. Listeners will learn billing best practices to avoid denials and recoupments and why understanding CMS definitions is critical to protecting your practice.

Hosts Paul Andrews and Dr. Mark Davini discuss what to do when patients don’t progress as expected under chiropractic care. This episode explores why some patients fail to reach clinical goals, how practitioner technique and patient expectations factor in, and the classic 80–10–10 perspective on outcomes.

Topics include a practical 2–4 week clinical algorithm for detecting non-response, objective exams and malingering tests, real-world anecdotes, and the difference between vitalistic and mechanistic approaches. The hosts also debate seasoned versus newer clinicians and evidence-based thinking.

Key takeaways cover when to change treatment, when to refer or co-manage with specialists (MRI, neurologists, orthopedics, rheumatology, physiatrists), how to set realistic expectations with patients, and why humility and collaboration improve outcomes.

Join hosts Paul Andrews and Dr. Mark Davini as they explore why staff meetings matter in chiropractic practices — even in a virtual world. This episode covers how regular, structured meetings improve communication, set clear goals, and keep the whole team aligned.

Topics include meeting agendas, rotating leadership, role-playing, reviewing weekly stats, handling challenging patients, cross-training, project updates, inventory and protocol checks, and the benefits of timeboxed meetings. The hosts share real office anecdotes (from Monday-morning rituals to surprising staff-coordinated moments) to illustrate practical tips.

Expect actionable takeaways about building team accountability, bonding your staff, boosting efficiency and patient care, and simple steps to start or revamp staff meetings in your practice. Hosts: Paul Andrews and Dr. Mark Davini.