18 - Medicare

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.