After careful investigation and consideration, the Alabama Board of Chiropractic Examiners denied approval of the Vertebral Subluxation Research Institute's Outreach 2000 program. In a letter mailed by the board to all Alabama licensed chiropractors, the board instructed all DCs currently involved in the program to "...cease and desist this activity immediately."
This is an issue that many state boards are currently wrestling with. While Alabama is the first to outlaw the VSRI program, it is very possible that other state boards will follow suit. Anyone who may be considering this type of marketing program should contact their state board for an official ruling before getting involved.
Editor's note: Many chiropractors have contacted Dynamic Chiropractic to complain about this activity taking place in their area. There have been statements that this tarnishes the image of the chiropractic profession as well as the general overall concern that this constitutes illegal patient solicitation.
If you feel strongly that this type of patient solicitation should not occur in your state for these or other reasons, you may wish to contact your state board and give them your opinion on this issue. Remember, they are there to serve you and your profession in your state, as well as protect the general public. The reputation of chiropractic, pure and without reproach in your state is your responsibility.
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.
A 36-year-old female presented on Nov. 18, 2025, with lumbar pain and left lower extremity radiculopathy. Following a comprehensive history, physical examination, and radiographic evaluation to assess anatomical and biomechanical factors, an immediate lumbar MRI was ordered due to the patient’s radiculopathic symptoms and clinical findings.
Mark Studin, DC, FPSC, FASBE(C), DAAPM;
Timothy Clare, DC, FPSC(C)
What happens when best practices for patient care fall outside what guidelines endorse or insurance will cover? More importantly, how can clinicians ethically and effectively integrate non-reimbursed services that improve function, reduce disability and support long-term outcomes? These are not just clinical questions; they are economic and policy challenges that directly affect practice viability and patient access.
