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.

Hosts Paul Andrews and Dr. Mark Davini examine UnitedHealthcare’s recent announcement to cut prior authorization requirements for 30% of covered services and the expansion of its “gold card” program. They break down what the program actually requires — and why that looks more like rebranding prior auth than reform.

The episode explores key concerns for chiropractors: increased admin burden, AI-driven decisioning, credentialing criteria that push providers to tailor care to insurer rules, and risks from proposed Medicare prior-authorization pilots run by private vendors. The hosts warn about EHR integration, conflict-of-interest incentives, and the real-world impact on patient access and provider autonomy.

Expect practical critique, examples from clinical practice, and a closing call to be skeptical when insurers claim changes are “good” — because what glitters isn’t always gold.

Hosts Paul Andrews and Dr. Mark Davini discuss the risks of repetitive, mindless care in chiropractic practice—what they call the "adjustment assembly line." Topics include present time consciousness (PTC), medicolegal concerns from lost focus and poor documentation, and how patient experience is shaped by clinician intent.

They cover practical takeaways for seasoned and new chiropractors: slow down when needed, tailor adjustments to each patient, educate patients about clinical connections, maintain good records, stay curious, and learn from colleagues and hands-on continuing education.

Key points: preserve individuality in care, prioritize focused attention, avoid the illusion of knowing it all, and always offer each patient your best practice-based intent.

Hosts Paul Andrews and Dr. Mark Davini explore "VIP syndrome" in chiropractic — the tendency to change protocols for high-profile patients. Through anecdotes about celebrities, sports figures, board experiences, and treating fellow chiropractors, they define the problem and explain why deviation from standard care is risky.

The episode covers practical topics including informed consent, documentation, HIPAA, scheduling and special requests, referrals and patient experience, bartering, and malpractice risk. The hosts emphasize maintaining consistent exams, X-rays, records, and communication regardless of a patient's status.

Key takeaways: stick to your protocols, protect patient privacy, treat every patient as a VIP by delivering consistent, complete care, and have the confidence to push back when shortcuts are requested.

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini welcome Dr. Richard Snow to discuss his unconventional journey from massage therapy to chiropractic and acupuncture. Dr. Snow shares personal health struggles that led him to alternative care, his training path, and how he integrates acupuncture, microcurrent, moxibustion (moxa), cupping, and chiropractic adjustments in practice.

Topics covered include the relationship between subluxations and meridian imbalances, Eastern and Western acupuncture approaches, needle alternatives for needle-phobic patients, and practical clinical tips for chiropractors considering acupuncture training. Dr. Snow also reflects on business insights from his pre-chiropractic career and offers advice on proper education and scope-of-practice awareness across states.

Listeners can expect clinical anecdotes, analogies explaining acupuncture concepts, guidance on co-treating with other practitioners, and resources for further training and contact information for Dr. Snow’s clinic, Choice of Health in Overland Park, Kansas.

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini discuss the critical importance of verifying patient insurance benefits to avoid billing disputes and patient conflicts. Topics include practical verification workflows, using clearinghouses and provider portals, the No Surprises Act requirements for advance good faith estimates, handling Medicare and Medicare Advantage complications, and strategies for documenting patient financial responsibility. The hosts share real-world examples, common pitfalls (like outdated patient records and unauthorized patient-initiated claims), and step-by-step recommendations for streamlining verification, communicating costs to patients, and reducing board complaints related to money.