Who is responsible for determining if treatment is considered excessive?

The determination of whether treatment is considered excessive is primarily the responsibility of the community of licensed chiropractors. This collective understanding is shaped by standards of practice, evidence-based guidelines, and the ethical framework established within the chiropractic profession.

Chiropractors are expected to adhere to established norms that govern appropriate care, including what constitutes excessive treatment. This involves a consensus within the profession about what is considered reasonable and necessary for patient care. Evaluating the appropriateness of treatment involves considering factors such as the severity of the patient’s condition, treatment outcomes, and the typical practices within the chiropractic community.

While an individual chiropractor has an important role in making treatment decisions for their patients, they operate within the broader context of professional standards. The patient's insurance provider may have policies and limits regarding coverage of certain treatments, but this does not dictate what is clinically excessive. The state licensing board oversees compliance with laws and regulations but does not set treatment standards directly, as these are more effectively defined by the professional community. Hence, the correct answer rests with the collective expertise and understanding of licensed chiropractors.