When Your Collections Report and Your Deposits Don't Agree
Your Practice / Business

When Your Collections Report and Your Deposits Don’t Agree

The Two-Figure Check Any Practice Can Run

Most practices trust their collections report. Very few ever check it against the bank. When you do, the two numbers rarely match; and the size and shape of the gap tells you something specific about where your money is going. This is a two-figure check any practice can run in an afternoon. It requires no new software and no consultant. What it requires is a willingness to believe the bank over the report.

Sandra Stokke, MS
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Healthcare / Public Health  |  DIGITAL EXCLUSIVE
Stroke Timing and Vertebral Artery Dissection: What the Window Suggests
Stroke Timing and Vertebral Artery Dissection: What the Window Suggests
Chronology: An Important Factor Dispelling a Causal Relationship With Cervical Manipulation

For an unsuspecting consumer, medical doctor or attorney, the sequence may appear obvious: “I had my neck adjusted and then had a stroke.” A physician encountering the case after the fact may see the same temporal relationship. And in a legal proceeding, the fact that treatment preceded the stroke can become a particularly powerful narrative. But a chronological reconstruction can tell a very different story.

John T. Salvucci, Esq.
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Billing / Fees / Insurance
A Challenge to the AMA’s CPT Monopoly
A Challenge to the AMA's CPT Monopoly

A federal lawsuit challenging the American Medical Association’s (AMA) control of the Current Procedural Terminology (CPT) code set could have a practical consequence for doctors of chiropractic and other healthcare providers: potentially less costly and more open access to the coding infrastructure used by their practices, billing companies and software vendors. The complaint asks the court to declare that PRA can reproduce and publish the CPT code set without infringing the AMA’s copyright.

Dynamic Chiropractic Staff
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Your Practice / Business
From Search to Selection: Why AI Visibility Matters for DCs
From Search to Selection: Why AI Visibility Matters for DCs
And How to Become the Provider AI Recommends Most

Patients are no longer just searching; they are asking. Consumers increasingly use AI-powered platforms such as ChatGPT, Google Gemini and Perplexity to ask complete questions in conversational language. Instead of typing “chiropractor Miami,” patients may ask, “What is the best nonsurgical treatment for sciatica?” or “Who helps pregnant women with low back pain near me? This shift represents one of the biggest changes in healthcare marketing since the rise of Google itself.

Mark Sanna, DC, ACRB Level II, FICC
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Featured

Staying Current With Lumbar Disc Management: Clinical Pearls

Lumbar disc herniations are a frequent cause of low back and leg pain, and nonsurgical approaches are preferred as the frontline measure for both reducing pain and disability and restoring function. However, the question remains: Which conservative intervention is the best choice for a given patient? Let’s look at the data.

Donald DeFabio, DC, DACBSP, DABCO
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Headaches & Migraines
Improving Your Headache Care: New Guideline
Improving Your Headache Care: New Guideline
Chiropractic Guideline Clarifies Care for Cervicogenic and Tension-Type Headache

The clinical picture around headache is often murkier than the textbook version. Is this cervicogenic? Tension-type? Both? And what does the evidence actually support for treatment? A new clinical practice guideline offers something the field has genuinely been missing: current, comprehensive, evidence-based guidance for the chiropractic and integrative management of CGH and TTH.

Nick Karapasas, DC, MS
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Education & Seminars
CCE to Withdraw From Federal Recognition, Pursue Opportunity for Enhanced Innovation
CCE to Withdraw From Federal Recognition, Pursue Opportunity for Enhanced Innovation

Like education itself, accreditation continues to evolve. Proposed requirements from the U.S. Department of Education (USDE), which recognizes accrediting agencies, are accelerating that change and creating uncertainty. After careful consideration, CCE concluded that these requirements would impose substantial burdens while providing limited to no additional benefit to chiropractic programs, students or the public; and has voted to begin the necessary steps for withdrawing from the USDE recognition process.

Craig S. Little, EdD
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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Your Practice / Business
Patient Safety: Facing the Facts
Patient Safety: Facing the Facts

Clinical errors are a significant challenge, and nearly every person will experience a diagnostic error in their lifetime. As health care providers, we take an oath to “first do no harm” to our patients. And since it is never our intention to do harm to our patients, it is time the health care industry in general faced the facts of how our actions or inactions are putting our patients in harm’s way.

Scott Munsterman, DC, FICC, CPCO
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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