Aligning to Tackle Medicare Modernization
News / Profession

Aligning to Tackle Medicare Modernization

ACA, ICA and the Chiropractic Hub Align Policy Priorities

Alignment – which has proven challenging throughout chiropractic’s history – is driving execution on an unprecedented level in 2026. The latest example: Medicare modernization. The ACA, ICA and The Chiropractic Hub have signed a Memorandum of Understanding aligning policy priorities – specifically to “unite chiropractors and to advocate for updated Medicare coverage via H.R. 539 (S. 106 in the U.S. Senate), the Chiropractic Medicare Coverage Modernization Act of 2025.”

Dynamic Chiropractic Staff
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Pediatrics
Chiropractic for a Premature Infant With Feeding Dysfunction: Case Study
Chiropractic for a Premature Infant With Feeding Dysfunction

In my office, pediatric chiropractic often includes addressing issues with breastfeeding. I’m usually not a very formal person and prefer to write in a less “left brained” format; however, I’ve recently been organizing a plethora of case histories from the past year in my practice in preparation for a research paper. I thought it would be fun to travel over to my left brain today and share an especially inspiring case with you.

Lynn Gerner, DC, FICPA, IBCLC
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Your Practice / Business
Avoiding Sexual Misconduct Allegations: Proactive Risk-Management Strategies
Avoiding Sexual Misconduct Allegations: Proactive Risk-Management Strategies

Over the past several years, allegations of sexual misconduct among chiropractic practitioners have become more commonplace. As a result, chiropractic clinics have to become much more vigilant in implementing policies to avoid sexual misconduct allegations. Exposure risk can be minimized by implementing various risk-management strategies.

Marlene Icenhower, BSN, JD, CPHRM
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Your Practice / Business
The 7-Point Office Visit
The 7-Point Office Visit

Businesses often advertise checklist inspections to encourage customers to enter for services. For example, an auto repair shop may offer a free “50-point engine inspection.” In some cases, the inspections are offered complimentary or used when a customer has already entered for services. This is an example of prevention and early detection of problems; and, to be honest, of increasing business. Currently, we (my interns and I) use a checklist for daily patient visits. The checklist consists of seven primary points.

K. Jeffrey Miller, DC, MBA
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Featured

Adapt or Fall Behind: Lifelong Learning Will Decide Chiropractic’s Future

The chiropractic profession is at a turning point. Healthcare throughout the world is changing quickly. Patients today expect more than ever before from their healthcare providers. In this changing environment, chiropractic must remain relevant. Lifelong learning is the key.

John Maltby, DC
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Reader Favorites
Headaches & Migraines
Theater Headaches: A Surprising Cause
Theater Headaches: A Surprising Cause

As you know, chiropractic physicians are trained to evaluate and manage patients with cervicogenic headaches. Yet we may become overconfident with our diagnosis and misdiagnose the condition if we are not inquisitive during our initial patient interview. This putative case report should be most interesting to our chiropractic specialists, especially those who have earned a DABCI.

James Lehman, DC, DIANM
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Billing / Fees / Insurance
Diagnosis Denials: "Excludes 1" Codes
claim denied

Question: I am typically paid by insurance with no problems, and always include neck and back pain. However, I have had a slew of denials recently, with the denial indicating that my diagnosis is incorrectly coded per the ICD-10 guidelines. What am I doing wrong?

Samuel A. Collins
Anti Aging / Healthy Aging
Putting Mitochondrial Health at the Center of Clinical Care
Putting Mitochondrial Health at the Center of Clinical Care
Whole-Body PBM: Mitochondrial Renewal & Systemic Health Benefits

As modern lifestyles increasingly distance humans from the natural healing spectrum of light, whole-body photobiomodulation restores an essential element of our evolutionary environment. By embracing this modality, chiropractors can place mitochondrial health – the foundation of systemic vitality – at the center of clinical care ... transforming not just spinal health, but also the overall well-being of their patients.

Phil Harrington, DC, CMLSO, FASLMS
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Billing / Fees / Insurance
UnitedHealthcare Removing Prior Authorization for Chiropractic
UnitedHealthcare Removing Prior Authorization for Chiropractic

UnitedHealth Group, parent company of UnitedHealthcare, has announced sweeping changes to its prior-authorization (PA) requirements that will eliminate the requirement for chiropractic care and numerous other healthcare services by the end of 2026. Doctors of chiropractic, other providers and patients have long lamented prior authorization requirements because they can delay needed treatment, limit access and even cause some patients not to pursue care.

Dynamic Chiropractic Staff
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Chronic / Acute Conditions
An Unrecognized Cause of Toe Pain
An Unrecognized Cause of Toe Pain
Flexor Hallucis Longus Entrapment: Diagnosis, Correction

While excessive pronation is almost always blamed for the development of functional hallux limitus, a frequently overlooked cause of this condition occurs when the flexor hallucis longus tendon gets trapped in the retrotalar pulley located behind the medial malleolus. This condition is particularly common in classical ballet dancers, gymnasts, figure skaters, and soccer players.

Thomas Michaud, DC
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