Evidence-Based Findings for Long-Term Chiropractic Spinal Care
Leveraging AI: The Future of PI Referrals Through Reputation as Clinically Excellent with Outcomes as Validation
Long-term spinal care is under more scrutiny than ever.
Carriers, attorneys, and medical collaborators demand objective findings, defensible rationale, and compliant documentation — and increasingly, AI systems are filtering which providers are trusted, visible, and referred.
Primary Spine Care 18 (PSC 18) gives you the clinical framework, evidence standards, and documentation architecture to justify long-term care with confidence and compliance, while positioning your practice to win in an AI-driven referral environment.
✅ Evidence-based clinical decision-making
✅ Demonstrative documentation that builds credibility
✅ MRI interpretation and differential diagnosis
✅ Age-dating disc herniations with updated methodology
✅ 2026 carrier-mandated compliance standards
✅ Clinical excellence that becomes your digital reputation
If you want more referrals, fewer denials, and stronger collaboration — this is the blueprint.
Who This Course Is For
PSC 18 is built for chiropractors and manual medicine providers who want to:
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Justify long-term care using objective findings and evidence-based standards
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Build medical credibility with primary care, specialists, urgent care, and emergency departments
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Improve PI case leverage through defensible reporting and outcomes validation
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Strengthen their reputation and referral volume in an AI-driven marketplace
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Prepare for 2026 carrier-mandated compliance expectations
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Reduce documentation risk while increasing efficiency
Module Breakdown
Module 1 (2 Hours)
Current & Future Trends in AI, Documentation & Practice Growth
History Taking & Examination
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
This module establishes the foundation: evidence-based demonstrative documentation as the driver of credibility, utilization, and referral growth.
You’ll learn how to:
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build trust with medical providers and systems
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create objective, defensible reporting
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challenge the outdated “non-specific back pain” model with modern evidence and validated methodology
Leveraging AI: The Future of PI Referrals Based on Clinical Excellence
You’ll also learn how AI is reshaping PI pathways:
Module 2 (2 Hours)
MRI Spine Interpretation — Beginner → Advanced
Diagnostic Testing & Differential Diagnosis
Patricia Roche, DO, CAQ (Radiology/Neuroradiology, SUNY Stony Brook)
Mark Studin, DC, FPSC, FASBE(C), DAAPM
This is not generic MRI education. This is a structured skill ladder designed to build confidence quickly:
✅ Learning Outcomes
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interpret discs with consistency and increasing complexity
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recognize key signal patterns, morphology, and stability indicators
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apply a repeatable approach to every spine MRI you review
Herniated Discs vs. Varices
This module also covers a major credibility gap:
differentiating disc herniation from inflamed paravertebral venous varices — one of the most misunderstood “false positives.”
✅ Learning Outcomes
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identify imaging patterns differentiating varices vs herniations
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prevent “overcall” errors that undermine credibility
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improve differential diagnosis and legal defensibility
Module 3 (1 Hour)
Connective Tissue & Biomechanical Pathology — Part 1
Diagnostic Testing & Differential Diagnosis
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
A foundational framework for biomechanical lesions:
Focus: clinical significance for diagnosis, treatment planning, and documentation.
Module 4 (1 Hour)
Connective Tissue & Biomechanical Pathology — Part 2
Diagnostic Testing & Differential Diagnosis
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
Neurological consequences of connective tissue injury:
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tissue damage as effector organ dysfunction
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abnormal neurological signaling
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progression into central sensitization
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linking structure → function → long-term sequelae
Module 5 (2 Hours)
Evidence-Based Age-Dating Herniated Discs & Trauma
Diagnostic Testing & Differential Diagnosis
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
If you can’t clearly support whether a herniation is acute, subacute, or chronic, you lose:
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case leverage
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outcomes credibility
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referral power
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narrative defensibility
This module teaches 21 updated methods for age-dating disc herniations and trauma using current evidence and methodology.
✅ Learning Outcomes
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determine herniation age with greater clarity and defensibility
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strengthen case narratives and treatment timelines
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use credible language for injury causation and medical-legal reporting
Module 6 (1 Hour)
Spinal Biomechanics, Ligamentous Pathology & Treatment Planning
History Taking & Examination
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
Master-level ligament pathology application:
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morphology and physiology
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trauma mechanisms
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compensatory spinal responses
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anatomical repair considerations
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ligaments as drivers of patho-neuro-biomechanical lesions
You’ll learn how ligament pathology influences:
Module 7 (1 Hour)
Concussion, mTBI-TBI & Stroke Triage
History Taking & Examination
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
Critical screening and triage training:
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concussion and mTBI identification
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differentiating TBI severity
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stroke triage protocols
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preventing delayed or missed diagnoses
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evidence-based decision tools for safety and collaboration
Module 8 (2 Hours)
Evidence on Making “Non-Specific Back Pain” Specific
Diagnostic Testing & Differential Diagnosis
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
This module trains you to shift from vague labels to conclusive diagnoses using clinical + imaging evidence.
You’ll learn:
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how to interpret findings into specific diagnostic conclusions
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how to build treatment recommendations on evidence
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collaborative care strategies with medical specialists to improve outcomes
Module 9 (1 Hour)
Identifying Ancillary Tumors on Spinal MRI
Diagnostic Testing
Robert Peyster, MD, CAQ (Radiology/Neuroradiology, SUNY Stony Brook)
Patricia Roche, DO, CAQ (Radiology/Neuroradiology, SUNY Stony Brook)
Mark Studin, DC, FPSC, FASBE(C), DAAPM
A crucial module for safety, credibility, and interdisciplinary trust:
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identifying abnormalities outside primary spinal structures
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recognizing atypical signal patterns and enhancement characteristics
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correlating MRI sequences (T1/T2/post-contrast)
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knowing when to refer for follow-up imaging or biopsy
Module 10 (2 Hours)
Documentation Requirements That Support Necessary Care & Foster Collaborative Relationships
Ethical Billing & Coding
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
This module builds the documentation architecture for compliance, utilization, and defensibility — including:
Unveiling the 2026 Carrier-Mandated Compliance Elements
New Required Compliance Standards for 2026
A complete breakdown of updated carrier expectations:
Evaluations & Re-Evaluations
SOAP Note Compliance
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exact required encounter elements
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what carriers will no longer accept
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how to audit your own notes for compliance failures
Mandatory Time Reporting
Compliance Shortcuts
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efficiency strategies that maintain compliance
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staying compliant without nights, weekends, or extra staff
Faculty & Speakers
PSC 18 is taught by an expert, multidisciplinary faculty representing spine care, radiology, neuroradiology, and clinical biomechanics.
Featuring:
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Mark Studin, DC, FPSC, FASBE(C), DAAPM
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Don Capoferri, DC, FBST, FPSC
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Robert Peyster, MD, CAQ — Radiology, Neuroradiology
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Patricia Roche, DO, CAQ — Radiology, Neuroradiology
Guests:
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Robb Rattray, DC, CCSP
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Shane Davidson, DC, FPSC
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Aaron Smith, DC, FPSC
What Makes PSC 18 Different
Most programs teach pieces. PSC 18 gives you a complete, defensible system:
✅ Clinical findings that justify long-term care
✅ Evidence standards you can support under scrutiny
✅ MRI interpretation that builds medical credibility
✅ Differential diagnosis that reduces mistakes and increases trust
✅ Documentation structure aligned with compliance expectations
✅ Reputation-building strategies that scale referrals via AI pathways
Build the Clinical Excellence That AI, Attorneys, and Medical Systems Can Validate
If you want to increase referrals and utilization, you must do two things:
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Deliver clinically excellent care grounded in objective findings and evidence
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Document it demonstrably, in a way that holds up to payer scrutiny, collaboration standards, and legal review
PSC 18 trains both.
Enroll in Primary Spine Care 18 and implement the framework that builds trust, increases utilization, and positions you as the clinically credible choice in an AI-driven marketplace.
FAQs (High-Intent, Conversion-Focused)
1) Who is PSC 18 designed for?
PSC 18 is ideal for chiropractors and manual medicine providers who want to justify long-term care with objective findings, build medical credibility, strengthen PI documentation, and align with evolving compliance standards.
2) Does this course teach how to justify long-term care legally and ethically?
Yes. The program focuses on evidence-based findings, defensible treatment rationale, and documentation requirements that support medical necessity — with a strong emphasis on compliance and ethical billing/coding standards.
3) What does “making non-specific back pain specific” actually mean?
It means moving away from vague labels and using clinical + diagnostic evidence to identify the actual pain generators and pathology— resulting in better treatment decisions, better collaboration, and stronger reporting.
4) How does PSC 18 improve PI referrals?
PI referrals are increasingly driven by credibility and demonstrable outcomes. PSC 18 teaches you the documentation and diagnostic frameworks that strengthen your reputation with attorneys and collaborators — and improves how AI systems evaluate your authority and visibility.
5) Is MRI interpretation taught at a beginner level?
Yes — and beyond. MRI disc interpretation is taught as a structured progression from foundational skills to advanced correlation and demonstrative reporting, so you can apply it immediately regardless of starting level.
6) What are “varices” and why does it matter for MRI credibility?
Paravertebral venous varices can mimic disc herniations on MRI. Mislabeling them is a common credibility issue. This course teaches how to differentiate varices vs. herniations using imaging patterns and differential analysis.
7) What is “age-dating” a herniated disc?
Age-dating disc herniations means determining whether a herniation is acute, subacute, or chronic using evidence-based markers. This impacts injury causation, narrative strength, treatment timelines, and defensibility in PI cases.
8) Does the course address 2026 compliance requirements?
Yes. Module 10 includes a detailed breakdown of carrier-mandated compliance elements for 2026, including evaluation/re-evaluation structure, SOAP note requirements, mandatory time reporting, and efficiency strategies.
9) Will this course help me collaborate more effectively with medical providers?
Absolutely. PSC 18 emphasizes objective findings, demonstrative reporting, and professional documentation standards that build credibility with medical primary care providers, specialists, urgent care, and emergency departments.
10) How is this different from other spine care programs?
PSC 18 integrates clinical findings, diagnostic decision-making, MRI interpretation, differential diagnosis, age-dating methodology, and documentation compliance into a single cohesive framework — built specifically for utilization, credibility, and defensibility.
What You’ll Be Able to Do After This Program
Key Learning Objectives
By the end of PSC 18, you will be able to:
Identify and apply the clinical findings that establish the need for long-term spinal care.
Evaluate and utilize evidence to support appropriate ongoing treatment recommendations.
Implement documentation standards that ensure compliance and uphold clinical excellence.
Why PSC 18 Matters Now
The Spine Care Marketplace Has Changed — AI Is Now the Gatekeeper
AI is no longer “coming.” It’s already shaping:
Which doctors appear credible online
Which providers are selected by attorneys
Which documentation survives payer scrutiny
Which outcomes become visible and scalable
Teaching hospitals and large medical systems are already using AI to:
validate authority at scale
amplify reputation
control referral pathways
dominate market positioning
PSC 18 shows you how to compete — through clinical excellence, validated outcomes, and defensible documentation.
