All Things Chiropractic

In this first of a two-part interview, hosts Paul Andrews and Dr. Mark Davini sit down with Dr. Michael Miller to explore his path from Boston University neurosurgical research to a 38-season career as the New England Patriots’ chiropractor. Dr. Miller shares how early medical mentors steered him toward chiropractic, his hands-on approach to player care, and the link between his TBI research and work with collision sports.

Topics include his start at Palmer College, how he built trust with players and coaches (including Bill Belichick), the role of chiropractic in injury prevention and game-day treatment, anecdotes about Super Bowl rings and locker-room culture, and his efforts to expand chiropractic presence across the NFL.

Hosts Paul Andrews and Dr. Mark Davini break down H.R. 539, the Chiropractic Medicare Coverage Modernization Act filed in 2025, explaining how the bill would expand Medicare reimbursement beyond spinal manipulation to any service within a chiropractor’s state scope of practice. They cover the bill’s broad strokes, potential for increased coverage (including examples like acupuncture in some states), and the historical context of past demonstration projects.

The episode highlights the critical need for improved documentation, the one-time HHS webinar requirement in the bill, and the likelihood of greater audits and scrutiny if the bill passes. The hosts discuss cost and budgeting implications, comparisons to physical therapy reporting burdens, and practical clinic impacts such as EHR compliance tools.

Finally, Paul and Dr. Davini issue a clear call to action: engage patients and staff, use links on allthingschiropractic.com to track the bill and send messages to representatives and prepare your practice for the responsibilities that expanded Medicare coverage would bring.

Hosts Paul Andrews and Dr. Mark Davini explore when chiropractors should refer patients out, how to build collaborative relationships with orthopedists, neurologists, primary care, imaging centers and physical therapists, and when additional testing (MRI, electrodiagnostics) or co‑treatment is appropriate.

Referencing guest perspectives like Dr. Bill Owens and clinical experience, they cover practical guidelines—recognizing inadequate response (notable improvement within about two weeks), signs of space‑occupying lesions, reimbursement realities, and effective communication with other providers.

Key takeaways: referring is part of modern patient‑centered care, it doesn’t mean losing the patient if you maintain communication, and timely referrals protect patients and reduce liability while improving outcomes.

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini dive into the critical compliance responsibilities of chiropractic assistants (CAs). They discuss real-life front-desk stories, HIPAA basics, patient privacy rules, documentation and risk management, cyber security and password management, operating system updates, and the changing regulatory landscape including the No Surprises Act.

Paul and Mark explain practical steps CAs and doctors should take — from handling patient records and attorney requests to enforcing office procedures and protecting portal access — and emphasize ongoing staff training and communication. This episode is aimed at CAs, office managers, and doctors who want clear, actionable guidance on keeping their practice compliant and secure.

Hosts Paul Andrews and Dr. Mark Davini welcome Dr. J.T. Anderson to All Things Chiropractic to discuss his personal chiropractic origin—how childhood back injuries, weightlifting and an early mentor led him into the profession—and his rise to treating pro athletes for teams such as the Denver Broncos, Colorado Avalanche and Denver Outlaws.

The episode covers sports chiropractic in practice: treatment approaches and why some techniques work better in professional sports, managing team expectations, common injuries, and the realities of on-field care. Dr. Anderson also compares manual adjustments and instrument-assisted methods, and explains how clinicians protect longevity in physically demanding roles.

Listeners hear practical advice for new chiropractors: hiring a coach, finding the right clinic and power partners, navigating insurance versus cash practice, and building a sustainable career beyond the office. Dr. Anderson also talks about his books, life in The Villages (pickleball and community), telemedicine plans, and the mindset of aging well and mentoring the next generation.

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.