The Digital Auditor: Navigating AI and Data Aggregation in Chiropractic Pt. II
Dr. John DavilaFri 11:00 AM - 11:50 AMFour Winds Ballroom
Dr. John Davila By the end of this course, participants will be able to:
- Identify how insurance carriers use AI and data aggregation for "invisible" automated auditing.
- Differentiate between structured data and narrative text in the context of machine-learning scanners.
- Apply best practices for AI-assisted documentation to ensure compliance and reduce denial risks.
- Recognize "AI red flags" in clinical notes that trigger manual reviews.
Session 1 covers The Rise of the AI Auditor - the shift to automated claims adjudication, data aggregation 101, and pattern recognition & anomaly detection; and Documentation for the Machine - structured vs. unstructured data, the "medical necessity" language of AI, and enforced completeness.
Session 2 covers Using AI as a Practice Defense - AI-powered "note scrubbing," ambient scribes & transcription, and intelligent coding suggestions; and Risk Management, Ethics, and Compliance - AI red flags, legal accountability, and HIPAA & data security.
John Davila, D.C., FICC, received his degree in 1994 from Palmer College of Chiropractic in Davenport, Iowa. Upon graduation he established three successful practices in the Myrtle Beach, S.C., area which he operated for 13 years.
Since 2000, Dr. Davila has been training doctors and staff on the topics of federal and state level insurance compliance. He has consulted for Axis Healthcare, Blue Cross Blue Shield of South Carolina, American Specialty Health Network, Colonial Life, Companion Property and Casualty, Chiropractic Network of the Carolinas, and Palmetto GBA. In 2001, he re-wrote the Medicare policy for chiropractic reimbursement for Palmetto GBA and served on their Physician Carrier Advisory Committee.
Dr. Davila is a lifetime member of the International Chiropractors Association (ICA) and a member of the American Chiropractic Association (ACA). Since 2017 he serves as a member of ChiroPreferred’s chiropractic advisory board. In 2021, Dr. Davila was recognized as a Fellow of the International College of Chiropractors, Inc., for his contributions towards the advancement of the chiropractic profession.
Dr. Davila currently operates his own consulting company, Custom ChiroSolutions, offering chiropractors individualized service and training on the same topics he has become known as a profession expert on.