All Things Chiropractic

Hosts Paul Andrews and Dr. Mark Davini tackle the central question: can you bill for every service rendered in your chiropractic office? This episode unpacks the difference between documenting care and reporting codes on claims, and why clinical necessity and complete notes are always essential.

They dig into common coding pitfalls—modifiers like 25 and 52, NCCI bundling versus AMA CPT guidance, manual therapy/neuromuscular re‑education/massage coding conflicts, timed modality rules, and the risk of insurer claw backs when claims don’t match documentation.

The conversation also covers practical business issues: when to ask patients to self‑pay, using non‑covered service waivers and ABNs, the impact of in‑network contracts, verifying benefits, and compliance with the No Surprises Act. They emphasize reading contracts, educating staff, and clear patient communication.

Listeners will walk away with concrete takeaways to protect clinical integrity and revenue—know what to document, what you can bill, when to collect from patients, and how to avoid common compliance and reimbursement traps.

Hosts Paul Andrews and Dr. Mark Davini explore the fast-moving technology shaping chiropractic care, from clinical devices to workflow software and ethical questions around AI.

Topics covered include AI integrations and regulatory concerns, shockwave and laser therapies, computerized axial decompression, digital posture analysis, wearable tech, digital X‑ray, advances in training and assessment, EHR challenges, and opportunities to add self‑pay services.

Key takeaways: embrace technology cautiously, carve out time to learn and update systems, leverage tech to improve clinical outcomes and revenue, and remember the enduring role of the practitioner’s art—adaptation is essential to survive and grow.

Hosts Paul Andrews and Dr. Mark Davini walk through a concise year‑end and New‑Year preparation plan for chiropractic practices. They discuss scheduling dedicated year‑end time with your team, goal‑setting across personal, professional, spiritual and financial areas, and turning goals into actionable plans.

The episode covers practical business topics including Medicare PAR vs non‑PAR decisions, potential fee‑schedule changes and retroactive adjustments, ICD‑10 timing, meaningful practice statistics (per‑patient visit cost/collection and profit margin), and when to drop or keep insurance networks.

They also recommend a physical office walkthrough—safety checks, equipment maintenance, patient experience improvements—and bookkeeping reminders (W‑9s, year‑end reports). Throughout they emphasize team involvement, patient education on value vs insurance, and deliberate planning to improve quality of life and practice performance in 2026. Happy New Year closing remarks included.

Join hosts Paul Andrews and Dr. Mark Davini for a holiday special of All Things Chiropractic focused on the practice and staff side of the season. In this episode they share real-world stories and practical advice about running a clinic through Christmas, New Year and other year-end holidays.

Topics include setting clear expectations for holiday schedules and call-ins, documenting sickness, managing staff stress, handling gift exchanges (Yankee swap rules and guidelines), planning office parties and bonuses, maintaining professional boundaries with staff who are also patients, and keeping communication consistent so the office runs smoothly.

Key takeaways: define holiday policies early, keep celebrations inclusive and low-stress, respect staff time off, and use group events to build team morale. Hosted by Paul Andrews and Dr. Mark Davini — Merry Christmas and happy holidays from All Things Chiropractic.

Hosts Paul Andrews and Dr. Mark Davini discuss how to navigate the holiday season in a chiropractic practice, covering greetings (Merry Christmas vs. Happy Holidays), decorations, Festivus, Hanukkah, Kwanzaa and ways to make patients feel welcome.

They explore clinical and communication topics such as emotional “inside-out” subluxations, connecting adjustments to nervous-system benefits, handling decreased compliance or tighter budgets, scheduling year-end exams and x-rays, and simple patient-focused gestures (gift considerations, meeting patients where they are).

Expect practical tips, short stories from practice, and ideas to keep your schedule full and your patients supported through the holidays.

Hosts Paul Andrews and Dr. Mark Davini explore why new patient volume varies by region and how to balance capacity with retention. They cover in-house referral strategies, gratitude and thank-you practices, networking with other health professionals, structured patient education programs, and the importance of consistent, congruent messaging throughout your office.

Expect practical tactics — asking for referrals, scripting, family inclusion in reports of findings, community involvement, mindful use of social media and online reviews, telehealth consultations, and avoiding negative marketing — all aimed at bringing in the right patients and keeping them on care.

Join hosts Paul Andrews and Dr. Mark Davini as they explore the Certified Chiropractic Clinical Assistant (CCCA) credential, the FCLB’s national standard, and the Tools of Practice CAP training that prepares assistants to sit for the exam.

Topics include the clinical and administrative scope of certified CAs, career-path advantages, return on investment for practices, malpractice and standard-of-care implications, continuing education requirements, and real-world anecdotes illustrating how trained assistants improve patient experience and clinic efficiency.

Resources and next steps are provided — where to find the CAP course, FCLB details, and how certification can help practices build a competent, professional team.

Join hosts Paul Andrews and Dr. Mark Davini for a Thanksgiving special of All Things Chiropractic focused on gratitude. They discuss personal anecdotes Thanksgiving, the mental-health and professional benefits of gratitude, forgiveness, and reframing challenges as growth opportunities.

Topics covered include expressing thanks to patients and staff, practical ways gratitude improves patient relationships and office culture, and simple reflective exercises to carry into the holiday season. A short, uplifting episode with actionable takeaways for chiropractors and listeners alike.

Join hosts Paul Andrews and Dr. Mark Davini as they unpack the National Board of Chiropractic Examiners' five‑year practice analysis.

Topics covered include practitioner demographics, practice settings (solo vs. group), income and patient‑volume trends, education and licensing differences, technology and AI, diagnostic imaging, techniques, and the surprising omission of chiropractic assistants.

Key takeaways: solo practices are declining, patient volumes and reimbursement pressures impact income, opportunities are shifting toward employed roles, and the need to better educate patients on the value of chiropractic care.

Hosts Paul Andrews and Dr. Mark Davini close out a three-part series on chiropractic by focusing on philosophy — the "why" behind the profession. This episode explores the art, science, and vitalistic versus mechanistic approaches to care, debates the nature of subluxation, and examines how education, technique diversity, and insurance pressures shape practice.

Dr. Mark Davini joins Paul to share personal insights, historical quotes, and practical examples (including upper cervical vs full-spine approaches, supportive therapies, and analysis methods). They discuss the balance between letting the body heal itself and when to intervene, plus how schools and carriers influence philosophical direction.

Expect a lively, reflective conversation that clarifies key distinctions between symptom-based and philosophically based chiropractic, highlights takeaways for practitioners and patients, and encourages choosing and maintaining a guiding principle that balances philosophy, art, and science.