Nancy Molina, DC, QME, MBA, CCSP, Esq.

Dr. Nancy Molina, a previous Dynamic Chiropractic columnist for over two decades, is a dual-licensed California DC-Esq. Blending her chiropractic expertise and legal acumen, she  uniquely advocates for chiropractic professionals navigating complex regulatory landscapes. She regularly lectures on ethics, risk management, and practice compliance, equipping chiropractors with the knowledge to safeguard their licenses and uphold the highest standards of patient care. Her chiropractic office is currently in San Clemente and may be reached at drmolina@molinachiropractic.com.

Previous Articles

Risk Management Considerations in Chiropractic
December 1, 2025 (Vol. 43, Issue 12)
Infection Control in the Age of the Coronavirus
May 1, 2020 (Vol. 38, Issue 05)
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
August 1, 2014 (Vol. 32, Issue 15)
Chiropractic Treatment of a Medical Specialist for Headaches
June 15, 2014 (Vol. 32, Issue 12)
Chiropractic Management of Sports-Related Tendinopathy
May 1, 2014 (Vol. 32, Issue 09)
Informed Consent and Chiropractic: An Opportunity in Patient Education
October 15, 2013 (Vol. 31, Issue 20)
Unusual Case Presentation: Leg Cramps
September 1, 2013 (Vol. 31, Issue 17)
Documenting Disability: How Can a Clinical Record Best Fulfill Its Purpose?
April 15, 2013 (Vol. 31, Issue 08)
Chronic Water Polo Injury in an Adolescent Athlete: Assessment and Management
January 1, 2013 (Vol. 31, Issue 01)
Managing Fibromyalgia / Chronic Pain Syndrome in a 30-Year-Old Woman
November 4, 2012 (Vol. 30, Issue 23)
Sports Nutrition for Athletes
September 23, 2012 (Vol. 30, Issue 20)
Elbow Overuse Injury in an Adolescent Female Tennis Player
July 29, 2012 (Vol. 30, Issue 16)
Sports Chiropractic for a BMX Shoulder Injury
May 6, 2012 (Vol. 30, Issue 10)
Evaluation and Management Options for Clavicle Fracture in the Chiropractic Setting
March 12, 2012 (Vol. 30, Issue 06)
Chiropractic and the Pediatric Extremity
December 2, 2011 (Vol. 29, Issue 25)
Post-Concussion Syndrome Following an MVC Injury
July 29, 2011 (Vol. 29, Issue 16)
Dystonia and Chronic Pain
July 1, 2011 (Vol. 29, Issue 14)
Chiropractic Management of Pain in a Young Scoliosis Patient
May 6, 2011 (Vol. 29, Issue 10)
Osteoporosis, Vertebroplasty and the Aging Spine: Chiropractic Considerations
July 1, 2010 (Vol. 28, Issue 14)
Chiropractic Care of Cervical Stenosis With Hemiangioma
February 26, 2010 (Vol. 28, Issue 05)
Back Pain in a Child
November 4, 2009 (Vol. 27, Issue 23)
Weight Loss, Proper Caloric Intake and Exercise
Chiropractic Management of Lateral Epicondylitis
July 29, 2009 (Vol. 27, Issue 16)
Sacral Pain During Pregnancy With Endometriosis History
May 20, 2009 (Vol. 27, Issue 11)
Herpetic Neuralgia and Motor Vehicle Collision (MVC) Injury
November 18, 2008 (Vol. 26, Issue 24)
Pediatric Injury Prevention and Auto Crashes
October 21, 2008 (Vol. 26, Issue 22)
Chiropractic and the Medical Referral System
July 29, 2008 (Vol. 26, Issue 16)
Chiropractic Effective in Relieving Pains From Geriatric Conditions
May 6, 2008 (Vol. 26, Issue 10)
Spinal Adjustments and Reflex Physiology
October 22, 2007 (Vol. 25, Issue 22)
Recognizing Inflammatory Arthopathy
July 30, 2007 (Vol. 25, Issue 16)
Occupant Collision and Evidence-Based Care
May 21, 2007 (Vol. 25, Issue 11)
Clinical Signs and Other Indicators of Menopause, Part I
February 12, 2007 (Vol. 25, Issue 04)
Case Report: Scoliosis and the Short Leg
December 17, 2006 (Vol. 24, Issue 26)
Standardizing the Process of Chiropractic Care, Part 3
October 12, 2006 (Vol. 24, Issue 21)
Anti-Aging and Osteoporosis
April 24, 2006 (Vol. 24, Issue 09)
Chiropractic and Evidence-Based Spinal Radiology
February 27, 2006 (Vol. 24, Issue 05)
Chiropractic Adjustments - Relative Contraindication in a 14-Year-Old Stickler Syndrome Patient Experiencing Whiplash
November 20, 2005 (Vol. 23, Issue 24)
Case Report: Erector Spinae Abscess - Unusual Etiology of Back Pain
September 14, 2005 (Vol. 23, Issue 19)
Choosing and Interpreting Laboratory Tests
July 2, 2005 (Vol. 23, Issue 14)
Cervical Spondylosis and Chiropractic Adjustments
May 7, 2005 (Vol. 23, Issue 10)
Chiropractic Care (CSMT) and "The Aging Spine"
February 12, 2005 (Vol. 23, Issue 04)
Chiropractic Cervical SMT and Degenerative Processes
December 16, 2004 (Vol. 22, Issue 26)
Standardizing the Process of Chiropractic Care
October 7, 2004 (Vol. 22, Issue 21)
Documentation and Standardized Care Plans
August 16, 2004 (Vol. 22, Issue 17)
After Whiplash: Cervical Spine Surgery and the Chiropractic Patient
March 11, 2004 (Vol. 22, Issue 06)
Lumbar Scoliosis with Pelvic Obliquity
May 17, 1999 (Vol. 17, Issue 11)
Compression Neuropathy and Tensor Fasciae Latae Syndrome
November 15, 2000 (Vol. 18, Issue 24)
Chiropractic Vertebral Subluxation and Enuresis
October 2, 2000 (Vol. 18, Issue 21)
Chiropractic Strategies for Pain Management in Older Persons
August 18, 2000 (Vol. 18, Issue 18)
Pediatric Torticollis with Allergies and Head Injury
July 10, 2000 (Vol. 18, Issue 15)
Case Studies in Review
May 29, 2000 (Vol. 18, Issue 12)
Myofascial Pain Syndrome Presenting as Chronic Pelvic Pain
April 17, 2000 (Vol. 18, Issue 09)
Charcot Marie with Sacroiliac Dysfunction
March 6, 2000 (Vol. 18, Issue 06)
Spondylolisthesis with Spinal Stenosis
January 25, 2000 (Vol. 18, Issue 03)
Differential Diagnosis and Systemic Lupus Erythematosis
November 19, 2001 (Vol. 19, Issue 24)
You and Your Patient Email
September 1, 2001 (Vol. 19, Issue 18)
Herniated Disc vs. Cancer
July 16, 2001 (Vol. 19, Issue 15)
Sacroiliac Sprain Syndrome
June 4, 2001 (Vol. 19, Issue 12)
Lumbago of a Urologic Origin
April 23, 2001 (Vol. 19, Issue 09)
Tensor Fasciae Latae Syndrome and Lateral Entrapment with Instability
March 12, 2001 (Vol. 19, Issue 06)
Neurological Pelvic Pain: Case II in the Series
January 29, 2001 (Vol. 19, Issue 03)
Three Alaskan DCs Share Their Stories
November 30, 2002 (Vol. 20, Issue 25)
Mutual Professional Referral: Post-MVA
November 4, 2002 (Vol. 20, Issue 23)
Medical Necessity of a Whiplash: Post Slip and Fall
October 8, 2002 (Vol. 20, Issue 21)
Chronic Spinal Pain Posttrauma; Whiplash
July 15, 2002 (Vol. 20, Issue 15)
Improving the Quality of Chiropractic Health Care
April 22, 2002 (Vol. 20, Issue 09)
The Assassination of a Hero
March 11, 2002 (Vol. 20, Issue 06)
Postradiation Lumbago in HIV/AIDS
January 28, 2002 (Vol. 20, Issue 03)
Workers' Compensation - Ankle Injury and the PTP/DC Opinion
October 20, 2003 (Vol. 21, Issue 22)
The Need to Know
June 30, 2003 (Vol. 21, Issue 14)
Report of Bell's Palsy in Upper Motor Syndrome
May 5, 2003 (Vol. 21, Issue 10)
Chronic Pain Syndrome: Piriformis Syndrome
March 10, 2003 (Vol. 21, Issue 06)
Focus on Chiropractic Reporting
January 14, 2003 (Vol. 21, Issue 02)
Trending
Billing / Fees / Insurance
Should You Be In-Network or Out-of-Network With Insurance?
Should You Be In-Network or Out-of-Network With Insurance?

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.

Samuel A. Collins
X-ray / Imaging / MRI
Radiologist-Missed Spinal Tumor Found by Chiropractor
Radiologist-Missed Spinal Tumor Found by Chiropractor

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)
Billing / Fees / Insurance
Guidelines vs. Care: Bridging the Gap
Guidelines vs. Care: Bridging the Gap

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.

Christopher Proulx, DC, PhD(ABD), CSCS