Ritch Miller, DC

Dr. Ritch Miller is a member of the Chiropractic Summit Subcommittee on Documentation. Other members are Dr. Carl Cleveland III, Dr. John Maltby, Ms. Susan McClelland, Dr. Peter Martin, Mr. David O'Bryon, and Dr. Frank Nicchi. Dr. Miller served as principal author of this article, with contributions from members of the subcommittee.

Previous Articles

Medicare and the Chiropractic Practice, Part 11
November 4, 2011 (Vol. 29, Issue 23)
Medicare and the Chiropractic Practice, Part 10
September 23, 2011 (Vol. 29, Issue 20)
Medicare and the Chiropractic Practice, Part 9
April 22, 2011 (Vol. 29, Issue 09)
Medicare and the Chiropractic Practice, Part 8
March 26, 2011 (Vol. 29, Issue 07)
Medicare and the Chiropractic Practice, Part 7
February 26, 2011 (Vol. 29, Issue 05)
Medicare and the Chiropractic Practice, Part 6
February 12, 2011 (Vol. 29, Issue 04)
Medicare and the Chiropractic Practice, Part 5
March 26, 2010 (Vol. 28, Issue 07)
Medicare and the Chiropractic Practice, Part 4
January 1, 2010 (Vol. 28, Issue 01)
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