It’s a new year and many chiropractors are evaluating what will enhance their respective practices, particularly as it relates to their bottom line. One of the most common questions I get is: “Do I need to be credentialed to bill insurance, and what are the best plans to join?” It’s a loaded question – but one every DC ponders. Whether you're already in-network or pondering whether to join, here's what you need to know.
Preying on the Elderly?
While the number of spine surgeries has been on the increase, this is especially true for those 65 years and older. Consider the trend for low back surgery between 1979 and 1992:
Number of Low Back Surgeries per 100,000
| 1979 | 1992 | |
| Adults Under 65 | 113 | 152 |
| Adults 65 +Over | 51 | 188 |
SOURCE: Ciol MA, Deyo RA, Howell E, Kreif S. An assessment of surgery for spinal stenosis: the trends, geographic variations, complications, and reoperations. J Am Geriatr Soc 44:285-290, 1996.