HR 2654 - chiropractor modernization

[deleted131481]

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If I'm reading this right, it would have Medicare cover basically everything a chiropractor does besides medications - evaluation, treatment, testing, injections. It uses opioid crisis as a justification.

Also verbiage would refer to chiropractors as 'physicians'.

Edit: meant to post in public forum, can thread be moved?

 

[buddababa]

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If I'm reading this right, it would have Medicare cover basically everything a chiropractor does besides medications - evaluation, treatment, testing, injections. It uses opioid crisis as a justification.

Also verbiage would refer to chiropractors as 'physicians'.

Edit: meant to post in public forum, can thread be moved?

Basically a lot of chiropractors are doing injections via regenerative medicine and biologics. This will allow them to start doing epidurals and many other such pain procedures. What this will result in: when they don't know what they're doing, thee patient comes to you after not improving, insurance will basically say too bad they've already tried this you will not get authorization to do anymore. This is basically another way for them to make more money

 

[debolechiroprac]

Basically a lot of chiropractors are doing injections via regenerative medicine and biologics. This will allow them to start doing epidurals and many other such pain procedures. What this will result in: when they don't know what they're doing, thee patient comes to you after not improving, insurance will basically say too bad they've already tried this you will not get authorization to do anymore. This is basically another way for them to make more money

Hi, I want to suggest few things that might be helpful for better understanding. Maybe people should know that not all chiropractor is like that. they provide chiropractic treatments for a range of health conditions. The treatments have been very effective rending ideal results.

 

[gaseous_clay]

Basically a lot of chiropractors are doing injections via regenerative medicine and biologics. This will allow them to start doing epidurals and many other such pain procedures. What this will result in: when they don't know what they're doing, thee patient comes to you after not improving, insurance will basically say too bad they've already tried this you will not get authorization to do anymore. This is basically another way for them to make more money

This article doesn’t mention anything about injections. It states the bill will provide Medicare coverage for “manual manipulation of the spine and extremities, evaluation and management services, diagnostic imaging and utilization of other non-drug approaches.”

 

[deleted131481]

This article doesn’t mention anything about injections. It states the bill will provide Medicare coverage for “manual manipulation of the spine and extremities, evaluation and management services, diagnostic imaging and utilization of other non-drug approaches.”

You are correct. I misread the article initially.

Still it would refer to chiropractors as 'physicians' and sounds like reimbursement would use the same fee schedule as physicians.

 

[myrandom2003]

Not sure why we physicians still hold ourselves in such high regard when no one else does?

Let’s just go where the market goes…

TRT and PRP for everyone. Leave the opioids for the independent CRNA/NP/PA

 

[Pain Applicant1]

I'm not the biggest fan of chiropractors but I'm not necessarily against them either. When pts ask me what I think about them I say they should judge them by the same standards that they judge me. If what they're/I'm providing you doesn't help then don't waste your time and money on them/me.

With that said, I don't think chiropractic care will in any way put a dent in opioid abuse as addiction is so multilayered and complex. The first thing the government should do is allow suboxone to become more readily available. They can then figure out things from there.

 

[clubdeac]

My friend just experienced a vertebral artery dissection after a manipulation on Monday. Fortunately she’s not having any sustained deficits. She’s only 35!

 

[callmeanesthesia]

My friend just experienced a vertebral artery dissection after a manipulation on Monday. Fortunately she’s not having any sustained deficits. She’s only 35!

Took care of a couple patients during residency with that, during my NeuroICU rotation. Of course, the chiropractors claim that it was a spontaneous vertebral artery dissection that started and was causing neck pain and that was why they went to the chiropractor. I really don’t buy that, and at least we as a specialty are upfront about the fact that our procedures have complications.

 

[Nodolor]

My friend just experienced a vertebral artery dissection after a manipulation on Monday. Fortunately she’s not having any sustained deficits. She’s only 35!

what were initial symptoms that lead to diagnosis?...Hope she continues to be OK

 

[clubdeac]

what were initial symptoms that lead to diagnosis?...Hope she continues to be OK

N/v, headache and dizziness

 

[Ferrismonk]

My friend just experienced a vertebral artery dissection after a manipulation on Monday. Fortunately she’s not having any sustained deficits. She’s only 35!

Took care of a couple patients during residency with that, during my NeuroICU rotation. Of course, the chiropractors claim that it was a spontaneous vertebral artery dissection that started and was causing neck pain and that was why they went to the chiropractor. I really don’t buy that, and at least we as a specialty are upfront about the fact that our procedures have complications.

I have a family member who had the same thing happen. She still goes to the same chiropractor.

Fwiw, as a DO, we are specifically taught how to do single-segment manipulations and how to use less traumatic methods than HVLA for cervical dysfunctions.

Not sure why we physicians still hold ourselves in such high regard when no one else does?

Let’s just go where the market goes…

TRT and PRP for everyone. Leave the opioids for the independent CRNA/NP/PA

I think Chiropractors/CRNA/NP/PAs are doing more TRT and PRP than physicians...

 

[lobelsteve]

My friend just experienced a vertebral artery dissection after a manipulation on Monday. Fortunately she’s not having any sustained deficits. She’s only 35!

Age 45 and under have increased risk of this chiro complication. Should be a never event.
Tell your patients and friends to avoid HVLA in the neck.

 

[deleted131481]

I'm not against chiropractors or people going - they can choose what they want. Agree above I don't advocate it but if they want to go I just warn against HVLA in neck.

However, I don't think Medicare should reimburse a chiropractor visit the same as a physician's visit. The value of the service is not equivalent.

 

[Pain Applicant1]

My friend just experienced a vertebral artery dissection after a manipulation on Monday. Fortunately she’s not having any sustained deficits. She’s only 35!

I'm sorry to hear this and I hope she's okay. Unfortunately, I've seen the same thing during my residency with a young lady directly after a chiro visit and Cspine manipulation. She suffered a stroke because of this. While I don't discourage chiro visits per se I warn pts against cervical manipulation and show them on my Cspine model of why it can be risky.