Chiropractical

Latest Episodes:

S5E1: Is Your Patient Spying on You + More Tales from the Claims Crypt Oct 24, 2024

Show notes

In this Halloween episode of Chiropractical, host Jon Kec explores chilling real cases from the chiropractic world with guests Shanna Patrick and Jamie Eibes from the NCMIC Claims Department.

They delve into malpractice accusations, kindness turned lawsuits, and the importance of maintaining professional boundaries.

Hear cautionary tales like Dr. Albright's good deed gone wrong and Dr. Richardson's unnerving patient encounter.

What are the critical lessons to be learned from these cases? What are signs of red-flag patients?

Chiropractical is the podcast that helps you be better at what you do with new ideas and new tools.

00:00 Introduction

00:18 Spooky Legal Tales: Acts of Kindness Gone Wrong

00:47 What's Halloween for Shanna & Jamie?

01:21 Dr. Albright's Dilemma

04:32 Lessons Learned: Document, Document, Document

06:18 A Different Kind of Risk: Board Accusations

06:46 Dr. Richardson's Gut Feeling

08:02 Patient's Unusual Requests

08:38 Red Flags in Patient Behavior

09:34 Doctor's Precautions and Open Door Policy

10:14 Escalation of Patient's Actions

11:09 The Patient Was Recording?!

11:42 Legal and Ethical Consequences

12:32 Patient Recording: Risks and Policies

12:57 Doctor's Perspective on Recordings

15:23 Key Takeaways for Doctors

17:19 Final Thoughts

For more information, visit NCMIC.com or contact us at AskNCMIC@NCMIC.com. Don't forget to subscribe and follow!

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S4E2: Covering Your Bases: Is Malpractice Insurance Enough? Feb 22, 2024

Show notes

In this episode of Chiropractical, host Mike Whitmer hands over the reins to Dr. Jon Kec from NCMIC, offering a deep dive into the nuanced insurance needs of practicing chiropractors.

Key Points:

General vs. Malpractice Insurance: The episode kicks off with a scenario illustrating a common mishap in a chiropractic office, leading to a discussion on why general liability insurance is critical and distinct from malpractice insurance.

Specialized Insurance Policies: Andy Pratt emphasizes the importance of having specialized insurance policies for different types of risks, including general liability and cyber liability insurance. The discussion underscores why "one-size-fits-all" insurance policies may not offer adequate protection.

Cybersecurity Threats: The increasing relevance of cyber liability insurance is addressed, highlighting the vulnerability of chiropractic offices to cyber attacks and data breaches, stressing the importance of protecting patient information.

Employment Practices Liability Insurance (EPLI): The conversation shifts to the significance of EPLI for protecting against claims of wrongful termination and other employment-related issues.

Disability Insurance: The necessity of disability insurance for chiropractors, given the physical nature of their work, is also discussed, stressing the importance of ensuring income continuation in case of injury.

Ask NCMIC:

Mike Whitmer also discusses the importance of attending live events like Parker Seminars in Las Vegas, highlighting the benefits beyond continuing education, such as networking, leadership opportunities, and vendor exploration.

Special Guest:

Andy Pratt: With over 20 years at NCMIC, Pratt brings invaluable insight into the intricacies of insurance policies and risk management for chiropractic practices.

Hosts:

Mike Whitmer: Regular host of Chiropractical.

Dr. Jon Kec: Guest host for the episode, offering a unique perspective as both a chiropractor and an insurance expert.

Resources:

For more detailed information on insurance needs for chiropractors and how to protect your practice, visit NCMIC's website.

To ask questions or suggest topics for future episodes, email askncmic@ncmic.com.

See omnystudio.com/listener for privacy information.

S4E1: Retirement Reality Check Jan 25, 2024

Show notes

In this episode of "Chiropractical," host Mike Whitmer is joined by Crystal Misenheimer from Progressive Practice Sales to discuss the critical aspects of retirement planning and practice valuation for chiropractors. Key points include understanding the common misconceptions about practice value, the importance of early planning, and the reality of practice sales in the chiropractic industry.

Key Topics Covered:

The Retirement Planning Misconception: Delving into why many chiropractors' expectations about retirement don't align with reality and how early planning is crucial.
Practice Valuation Complexities: Crystal shares her expertise on the challenges and misconceptions in valuing a chiropractic practice.
Real-life Examples: Insights into real cases where chiropractic practices faced valuation and sale challenges.
Missteps in Practice Management: How lack of focus on future value and late planning can affect the sale outcome.
Marketplace Realities and Profit Impact: Understanding the role of lenders in setting practice values and why profit is a critical factor.
Family Dynamics in Practice Transition: The complexities involved when family members are part of the practice transition.
Future Trends in Chiropractic Practice: Crystal discusses technological changes and the rise of corporate ownership in the industry.
Strategies for Value Growth: Advice for chiropractors to increase the value of their practices over time

Ask NCMIC:

Dr. Jon Kec addresses a question about reducing malpractice insurance limits as a cost-saving measure during retirement, emphasizing the importance of risk mitigation.

For more insights and advice, tune in to Chiropractical. Have questions? Email us at AskNCMIC@NCMIC.com.

See omnystudio.com/listener for privacy information.

S3E13: Another listen to View from the Top Dec 24, 2023

Show notes

In August, we had the opportunity to attend The National, presented by the Florida Chiropractic Association. This is one of the largest gatherings of chiropractors and many leaders were there. We chatted with several of them to get their insights on the state of the chiropractic profession.

We got their thoughts on the strategic direction of the profession, challenges our doctors and students face, opportunities for women in healthcare, and becoming the doctor of choice in our communities. We also heard from several folks about opportunities to strengthen the profession, now and into the future.

We wanted to share some of the key messages about the profession from these luminaries with our listeners. Hearing these leaders give their candid thoughts is inspiring, challenging, and invigorating. We hope you agree.

(00:02) Introduction by Mike Whitmer

(02:00) Doctor of Choice

(08:39) Communication & Patient Education

(13:00) Collaboration & Integration

(17:28) Practice Management

(19:21) Future Generations

(26:28) Research

(27:26) Strategic Plan & the Future

People who contributed to this episode:

Marc Abla, CAE, Illinois Chiropractic Society
Richard Brown, World Federation of Chiropractic
Dr. Brandi Childress, Perfect Touch Chiropractic
Dr. Sherefa Clark, The Albinism Alliance Group
Dr. Alessandra Colón, Crack Addicts on TLC
Dr. Donna Craft, Women Chiropractors Board of Trustees
Dr. Jen Gantzer, Assistant Professor, Chiropractic Medicine NUHS – Florida
Kent Greenawalt, CEO, Foot Levelers
Dr. Jay Greenstein, Kaizo Health
Dr. Elise Hewitt, President ACA Council on Chiropractic Pediatrics
Dr. Brenda Holland, ChiroCongress
Dr. Glenn Jaffe, Jaffe Chiropractic
Lizz Klein, ChiroCongress
Dr. John Maltby, World Federation of Chiropractic
Dr. Sherry McAllister, Foundation for Chiropractic Progress
Dr. Cristina Padilla, Thrive Family Chiropractic
Dr. Guy Riekeman, past president of Life University
Dr. Rachel Wendt, Executive Director Kentucky Association of Chiropractors

You can find a transcript of the episode here:

You can find more information about the participants here:

See omnystudio.com/listener for privacy information.

S3E12: 2023 in Review: From Active Shooters to Case Studies Dec 14, 2023

Show notes

Listen Now and Amplify Your Practice

Join us on a journey through 2023 as we revisit the most impactful and insightful moments of Chiropractical. Host Mike Whitmer and special guest Dr. Jon Kec take you on a retrospective adventure, highlighting key discussions that shaped the chiropractic world this past year.

This episode is packed with invaluable insights. We tackle critical issues like active shooter preparedness, opioids, mental health, and the future of telemedicine in chiropractic care.

Dive into discussions about claims management, effective practice operations, and hear from top experts who are redefining chiropractic care. Plus, don't miss out on our look at the evolving landscape of chiropractic medicine and how it impacts both practitioners and patients.

Tune in now for an enlightening recap and prepare to be inspired. Let's gear up for another remarkable year of Chiropractical!

Episode notes:

Introduction

[00:00:00] Mike introduces the special year-end wrap-up episode, celebrating the highlights of "Chiropractical" in 2023.

[00:00:18] Introduction of Dr. Jon Kec, a new voice on the show and expert in professional liability insurance for chiropractors. Dr. Kec shares his transition from chiropractic practice to the business side, focusing on helping doctors improve their practice. Dr. Kec and Mike discuss the role of NCMIC in supporting chiropractors beyond just malpractice insurance, including business and financial assistance.

Year in Review: Key Highlights

[00:04:18] Jon reflects on the year's episodes, touching on clinical information, practice management, and important topics like active shooter preparedness.

[00:06:48] Discussion on opioids and mental health in chiropractic care with expert guests.

Claims and Practice Management

[00:09:29] Insights into handling claims in chiropractic practices and the anatomy of a claim.

[00:12:24] Expert advice on staffing, communication, and practice management.

Financial and Legal Aspects

[00:16:07] Julie Nesbitt, CPA, shares tips on structuring office policies and procedures for financial protection.

Future of Chiropractic

[00:17:45] Exploration of pediatric chiropractic care and the growing role of telemedicine.

[00:21:22] Dr. Richard Brown discusses collaboration and integration in the chiropractic profession at the FCA National.

Closing Thoughts

[00:23:14] Recap of the episode and encouragement to explore full episodes here.

[00:23:24] Final remarks by Mike and Dr. Kec.

For more details and to listen to the full conversations, check out the individual episodes linked in our show notes. Stay tuned for more insightful episodes in the coming year!

Visit NCMIC Resources Page | Follow us on social media: Facebook, Instagram, LinkedIn

Wishing you and yours a safe and happy holiday season. See you next time!

Note: This show note is a concise summary of the podcast episode. For a complete experience, please listen to the full episode.

See omnystudio.com/listener for privacy information.

S3E11: Small Patients, Big Records. Documenting Care for Kids. Nov 21, 2023

Show notes

Welcome to Chiropractical, the show that delves into the intricacies of chiropractic risk management and practice care. Today, we're talking about pediatric patients, discussing the unique challenges and responsibilities that come with treating children. We explore the importance of maintaining good records, navigating informed consent, and dealing with custody issues in pediatric chiropractic care.

In this episode, Mike Whitmer is joined by Dr. Jenny Brocker, an experienced chiropractor and mother, who brings her expertise to the table. Dr. Brocker sheds light on the legal and safety aspects of pediatric chiropractic care, emphasizing the need for meticulous documentation. Pediatric patients often require communication with guardians or parents, making record-keeping a critical part of the process.

The conversation touches on the nuances of informed consent, especially when dealing with infants or young children who cannot provide consent themselves. Dr. Brocker explains the importance of keeping both parents and guardians informed and ensuring they are comfortable with the treatment approach.

For doctors looking to venture into the realm of pediatric care, Dr. Brocker provides insights into conducting participation physicals for student athletes. The discussion covers the associated risks, documentation requirements, and the variation in state laws regarding pediatric patient rights.

The episode also explores record retention rules and the age at which pediatric patients can request their records. Dr. Brocker clarifies how custody issues between parents are handled, offering guidance on legal protection in these situations.

Join us in this insightful episode as we navigate the complex terrain of pediatric chiropractic care with Dr. Jenny Brocker. Whether you're an experienced practitioner or considering treating pediatric patients for the first time, this episode has something for everyone.

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S3E10: Tales from the (Chiropractic) Claim Crypt Oct 26, 2023

Show notes

Join us in the exciting world of chiropractic risk management as we explore two spine-tingling cases with surprising outcomes that are bound to captivate your attention. In "Tales from the Claims Crypt," we delve into real-life stories where chiropractors faced malpractice claims and the unexpected twists that followed.

Shanna Patrick, a seasoned insurance expert, takes us on a journey through two captivating cases involving chiropractic malpractice claims. The first case involves a 25-year-old patient with a history of lumbar and thoracic issues, and a surprising turn of events that left both the chiropractor and the patient in shock. The second case revolves around a 60-year-old patient with lower back pain and the mysterious discovery of a sticky note that could change everything.

Shanna's insights shed light on the critical role of record-keeping and informed consent in the chiropractic profession. She offers valuable advice to chiropractors on how to protect their practices and navigate the complex world of malpractice claims.

Discover the highs and lows, the challenges and triumphs, and the essential lessons learned from these intriguing cases. Join us for an engaging and informative conversation that will leave you with a newfound appreciation for the intricacies of chiropractic care and the importance of meticulous record-keeping.

If you're a chiropractor, a CA, or simply intrigued by the world of malpractice claims, "Tales from the Claims Vault" is a must-listen podcast that offers a unique glimpse into the chiropractic universe.

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S3E9: View From the Top: Conversations at the FCA National Sep 26, 2023

Show notes

Recently, we had the opportunity to attend The National, presented by the Florida Chiropractic Association. This is one of the largest gatherings of chiropractors and many leaders were there. We chatted with several of them to get their insights on the state of the chiropractic profession.

(00:02) Introduction by Mike Whitmer
(01:30) Doctor of Choice
(08:09) Communication & Patient Education
(12:30) Collaboration & Integration
(16:58) Practice Management
(18:51) Future Generations
(25:59) Research
(26:56) Strategic Plan & the Future

People who contributed to this episode:

Marc Abla, CAE, Illinois Chiropractic Society
Richard Brown, World Federation of Chiropractic
Dr. Brandi Childress, Perfect Touch Chiropractic
Dr. Sherefa Clark, The Albinism Alliance Group
Dr. Alessandra Colón, Crack Addicts on TLC
Dr. Donna Craft, President Women Chiropractors Board of Trustees
Dr. Jen Gantzer, Assistant Professor, Chiropractic Medicine NUHS – Florida
Kent Greenawalt, CEO, Foot Levelers
Dr. Jay Greenstein, Kaizo Health
Dr. Elise Hewitt, President ACA Council on Chiropractic Pediatrics
Dr. Brenda Holland, ChiroCongress
Dr. Glenn Jaffe, Jaffe Chiropractic
Lizz Klein, ChiroCongress
Dr. John Maltby, World Federation of Chiropractic
Dr. Sherry McAllister, Foundation for Chiropractic Progress
Dr. Cristina Padilla, Thrive Family Chiropractic
Dr. Guy Riekeman, past president of Life University
Dr. Rachel Wendt, Executive Director Kentucky Association of Chiropractors

You can find a transcript of the episode here.

You can find more information about the participants here.

See omnystudio.com/listener for privacy information.

S3E8: Preventing Financial Fallout Aug 15, 2023

Show notes

You work hard for your money, and you don’t want to lose it by becoming a victim of financial mismanagement or worse, embezzlement. Join us in this informative episode as we delve into the critical realm of internal controls within chiropractic practices. Financial stability and process efficiency are essential for any practice's success, and our guest, Julie Nesbitt, Sr. Managing Consultant at FORVIS, shares invaluable insights to strengthen your practice against potential dangers.

Julie and Mike discuss:

Real-life narratives of chiropractors navigating treacherous financial waters due to lax internal controls.
The benefits internal controls bring to small healthcare practices.
An eye-opening analysis of the risks small healthcare practices face without consistent internal controls.
Practical examples of internal controls in the daily operations of your practice.
Guidance on assessing your practice's current internal control framework and pinpointing areas that will benefit from improvement.
Sustainable methods for monitoring and upkeep of your practice's internal controls.

And that's not all! In our "Ask NCMIC" segment, Shanna Patrick dissects the potential hazards lurking behind participation in social media trends to help you protect your practice's reputation and ensure a secure online presence.

Tune in to this episode to strengthen your practice's financial health and stay ahead in the ever-evolving landscape of healthcare. Your practice's prosperity starts with effective internal controls!

See omnystudio.com/listener for privacy information.

S3E7: How to go from student to success Jul 13, 2023

Show notes

This episode is all about the future of chiropractic. Five of our Starting Into Practice Student Ambassadors submitted questions and we invited practicing DCs to give their best advice. Whether you're still in school, recently graduated or have been practicing for years, we think there's something for everyone to learn.

We also talk about the Bucks for Boards program.

Meet the experts!

Dr. Leah Dash
Dr. Leah Dash is a Chiropractic Physician who specializes in women's and children's health. She has additional training in pregnancy and postpartum care, including the Webster Technique, and she is a certified Pelvic Floor Physical Therapy provider. She also has experience treating children of all ages, including infants.
Dr. Dash has a Bachelor of Science in Biology, a Bachelor of Arts in Anthropology, and a Doctorate in Chiropractic from the University of Western States. She also previously worked as an EMT for four years.

Dr. Edgar Everett
Like many of you, Dr. Edgar Everett III is driven to bring to his practice members a caring, inspiring and solution-based style of health care. Since being in practice he has seen the Chiropractic landscape shift dramatically. People need us more and more. What has changed so much? Is it that the old healthcare model is broken?
Dr. Everett attended Illinois State University before Logan College of Chiropractic. Over the past decade of serving his practice members, volunteering at community clinics, mentoring Chiropractic students, and public speaking, his views on the solutions have been molded. Edgar has come to understand that having an impact on your community comes from compassion, hard work, and intelligent decision making. Chiropractic is a way of life. He is a member of the ABCA, IFCO, and the ICA.
Though sometimes his views can be a bit disruptive, Dr. Everett’s goal is to challenge the status quo and stretch your consciousness. He believes that being challenged filters out those who want more and those who are complacent.
Edgar currently resides in St Louis, MO. He is a partner at Proficient Chiropractic in the metro area and founding partner of Evoke Chiropractic Coaching.

Dr. Stephanie Johnson
Dr. Stephanie Johnson is a California native living in Washington, D.C. She completed her undergraduate work at UC Berkeley with a B.S. in Nutritional Sciences and a B.A. in Dance Performance. Dr. Johnson graduated from Palmer West and completed her clinical internship at Walter Reed under the guidance of Dr. William Morgan. Dr. Johnson has been in practice over 10 years and has worked as an associate, an independent contractor, and small business owner. In addition to owning her own practice SJ Chiropractic, she is now also working for the VA Medical Center in Washington, D.C. Dr. Johnson additionally serves as a board member for the Washington, D.C. Board of Chiropractic.

Dr. Braxton Pulley
Dr. Pulley hails from Michigan and moved to the great state of Iowa to attend ISU. He graduated with a degree in Zoology and proceeded to Davenport to pursue his education and career at Palmer College of Chiropractic. After graduating with honors in research, Dr. Pulley and his family relocated to Des Moines to set down roots and open a practice in the East Village. His office opened in 2004 and has been very successful.
While in Des Moines, Dr. Pulley opened two additional chiropractic offices in small towns as well as hiring 4 chiropractors to help his practices grow. He has also pursued other business interests. He served on the board for a start up recycled building materials manufacturing venture called ReWall. Dr. Pulley taught at William Penn University for 6 years teaching in the associates, bachelors, and masters program.

Dr Ray Tuck
N. Ray Tuck Jr., D.C. is a Virginia native and has resided in Southwest Virginia for his entire life. He is a Pulaski High School Graduate and also a 1994 graduate of Radford University, where he earned his Bachelor of Science in Physical Science.
Dr. Tuck is a member of the Virginia Board of Medicine, which the Governor of Virginia appointed him to. This is an exciting role because he firmly believes in the need to collaborate with other medical professionals to advance the state of healthcare and chiropractic care. Dr. Tuck is the immediate past president of The American Chiropractic Association, which has been a tremendous honor. Dr. Tuck, along with other doctors at Tuck Chiropractic Clinic, works with multiple sports teams including Radford University, Ferrum College and the Christiansburg High School Blue Demon Wrestling Team.

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