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eUpdateVolume 22, No. 3 March 2012
to the Colorado chiropractic profession
Mission StatementThe mission of the
Colorado Chiropractic Association is to protect, promote, and expand the ethical and
professional practice of chiropractic in the state of Colorado.
INSIDE this issue...
Colorado Chiropractic Association The voice of Colorado chiropractic since 1917.
pg. 2
pg. 6
pg. 12
Insurance Committee Report
National Legislative Update
Looking Back on Forward Progress
ICD - 10 Update Postponed
CCA Board and Staff Members / DORA
Upcoming Events / Education
Pennies for Peace of Mind
Member Information
Public Speaking for Chiropractors
Club CCA Vendors
CC-PAC Info
CCA Insurance Committee Report
pg. 13
pg. 14
pg. 18
pg. 20
pg. 24
pg. 32
pg. 36
pg. 38
Nothing in Medicare Ever Stays the Same pg. 28
By: CCA Insurance Committee Chair Greg Crawford, DC
Third Party Administrator LegislationThird party administrators or TPAs are licensed and regulated in most states but not in Colo-rado. Third party administrators are the middle men organizations that function between pro-viders and insurance carriers. Companies like Landmark, Optum Health, Three Rivers, Procura, Rural Health Plans Initiative and Columbine Health act as third party administrators. TPAs often are used to credential providers,process claims, manage treatment, reduce provider fees and sometimes to bypass state insurance laws. The CCA is helping Rep. John Kefalas to draft legislation to help regulate TPAs and protect the public. The CCA is also working with Rep Kefalas to get the Department of Regula-tory Agencies to look into the possibility of third party administrator licensing and oversight by
the Colorado Division of Insurance.
United Healthcare/OptumHealth LawsuitThis lawsuit continues to move forward. The ACA joined an existing class action lawsuit against United Healthcare in April of 2011. The law firm handling the case is Pomerantz, Haudek, Grossman and Gross of New York. The lawsuit was initiated by the Ohio State Chiropractic Association, the Congress of Chiropractic State Associations and others. The suit alleges that United Healthcare has violated Federal ERISA law by not consistently allowing patients the right to appeal when the care authorized is less than the doctor’s treat-
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REGISTER ON-LINE at www.coloradochiropractic.org/registration/events.cfm
Name(s): ________________________________________________________________________CCA Member: Yes No
Address: _______________________________________________________ City, State, Zip: ____________________________
Phone: _____________________________________________ E-mail:_______________________________________________
Practice Builder
Join us for a free lunch and conversation about how to start, continue or revive your practice.
Colorado Chiropractic Association hosts a free
New Doc Lunch SeriesLast Wednesday
of the month11:00 AM - 1:00 PM
8751 E. Hampden Ave, Ste B-7Denver, CO 80231
303-755-9011 or [email protected]
RSVP-online, phone, fax, email
March 28th Mentoring with Glenn Hultgren, D.C.April 25th Best Practices with Trenton Scott, D.C.
May 30th Managing Inflamation with Michael Day from Anabolic Labs 11:00 AM- 1:00 PM
Can’t make it in person? Join us by phone at 800-615-2820 conference password 993806
Chiropractors come out of college with a lot of knowledge about philosophy and technique, as well as clinical acumen. Rarely do graduates also have an innate ability to drive business, market themselves and manage staff. Usually, when a practice is new, there is more time than money, but focusing the time can be difficult. The CCA invites you to join us and for lunch on the last Wednesday of every month to do just that, focus. A place to relate with other D.C.’s, talk about practice building ideas, figure out what works and learn from experts in the field, for free. (No CE available for lunch series)
The CCA is designed to support. We’re here to help you figure out your own practice with guidelines, regulations and suggestions that have helped those who came before you.
ment plan. The lawsuit also alleges that post-payment audits and payment recoupments of paid claims is a violation of ERISA law. The lawsuit states that threatening communications from OptumHealthcare have reduced utiliza-tion. The tier system used by OptumHealthcare is used to control and intimi-date providers. A chiropractor from Colorado is flying out in March to provide a deposition. Anyone who was wrongfully terminated from OptumHealth Care should contact the ACA.
Procura ManagementProcura is a TPA that apparently has a contract with Integrated Health Plan. Any-one that is in network with Integrated has been put on the Procura Management network without their knowledge. Procura is a TPA dictates a reduced fee sched-ule for worker’s compensation and automobile claims. I have had two chiroprac-tors inform me that they got paid $3.60 for a 98940 adjustment on a worker’s compensation claim. They also allowed $3.39 for 97124, which is 15 minutes of massage therapy. You can check and see if you are in-network by googling Procura Management and putting in your zip code in their provider finder.
HumanaThe CCA and the ACA were successful at getting Humana to stop saying that bill-ing for an examination and an adjustment on the same visit was insurance fraud. Humana has removed that statement from their web site.
Nine Digit zip codeInsurance companies are now denying claims if the provider does not have their 9 digit zip code on the claims. A Berthod Colorado chiropractor is getting rejected claims because they only have a five digit zip code in small towns like Berthod.
Auto Injury SolutionsAuto Injury Solutions is doing paper reviews on chiropractic and other provider claims for USAA automobile insurance. They are retroactively denying claims based on reviews of the file and in some cases without having all of the records. The most common reason for denial is a lack of a re-examination to document the need for continued care .These reviews are often called Physician Reviews. It has been alleged that chiropractors in Colorado are not physicians so the term Physician Review is an illegal use of the term Physician. Colorado law appears to require an examination to make a diagnosis and treatment recommendations. The paper reviewers do not perform examinations. Dr. Joe Ramos MD, JD has agreed to evaluate these practices to determine if he will file a lawsuit. He is col-lecting cases of abuse and looking for more documentation from the profession. Contact Dr. Springfield or Dr. Crawford to help with discovery.
Veteran’s Chiropractic CoverageAll Veteran’s hospitals are required by Federal law to provide chiropractic care. The Denver Veteran’s hospital is one of the largest veteran’s facilities in the coun-try and they did not refer for a single chiropractic visit in 2011. Some VA doctors made chiropractic referrals but they were all administratively canceled. Dr. Mike Simone is looking for documentation in which the veteran had requested chiro-practic care and had been denied.
Dr. Greg Crawford, chair of the insurance committee is com-mitted to staying up to date on insurance changes and policies. Dr. Crawford practices out of Fort Collins. Please feel free to contact Dr. Crawford with any questions.
2012 seminars & Webinars
Please note this schedule is tentative. (CE credits guaranteed for CO DC’s; one for every hour of class)
(For CO webinar credit, you must make an appt. for an oral exam)
Seminars:
May 19 & 20 (Sat. & Sun.): Dr. Dan Murphy presents “Nutrition Basics”; Denver Marriott South, Littleton; 250.00 for professionals; Students/Assistants – 125.00; 12 CE’s. The ever-popular Dr. Dan himself returns to wow and impress with new research and nutritional connections to health that will boggle your mind. The only complaint from his seminars is that people don’t want to leave to go to the bathroom because they might miss something he has to say! May 24 (Thursday 6pm – 8:00pm): FREE: Dine & Diversify with Dr. Brandon Lundell ; Denver Marriott South, Littleton; 2 CEs Join us for a preview look at Dr. Lundell’s Pre-Conception Planning and Protocols. Detoxification will be addressed as it is so important in the planning protocol. Free gourmet gluten and dairy-free dinner. June 16 (Sat. 9:00-5:00pm). FREE: Dr. Lynn Toohey and Donald Sowell present “Advanced Nutritional Technology Training”; Garcia’s Restaurant, Denver. (FREE seminar and FREE Lunch); 8 CE’s. Always wanted to optimize the “tech” stuff to market your practice and nutritional sales, but don’t know where to start? This class is for you! We will show you how to display those presentations and promotions. There’s been new technology since we offered this last year. Assumes basic knowledge about powerpoint. Sept. 22 & 23 (Sat: 9:00-5:00 pm; Sun. 8am-12pm). Dr. Brandon Lundell presents “Functional Health Solutions and Laboratory testing”; Denver Marriott South, Littleton; 125.00 for professionals; Students/Assistants – 75.00; 12 CEs;. Dr. Brandon Lundell presents valuable information on timely topics and the importance of incorporating blood/lab test information. Meet the demand for Lab Interpretation (including serum, saliva and stool tests) and Comprehensive Lifestyle, Dietary, Nutritional, and Holistic Treatment Programs. Topics include insulin resistance, thyroid, breast health, touching on detoxification.
October 5-7 (Fri. 9:00-6:00 pm; Sat: 9:00-6:00 pm; Sun. 9:00-1:00 pm), Dr. John Brimhall Presents the SIX STEPS! Embassy Suites Denver SouthEast; $395.00 for professionals (pre-registration $375.00); Students/Assistants- $195.00 (pre-registration 185.00) 20 CE’s: Dr. John Brimhall returns with his awesome presentation of innovations in the wellness revolution. From Beginning to Advanced, this class will jump start your practice! Road maps for easy implementation of all health protocols and difficult case management & protocols, with NW nutrition. Dec. 8 (Sat: 9:00-5:00 pm). Dr. Brandon Lundell presents “Functional Health Solutions and Laboratory testing”; Denver Marriott South, Littleton; 75.00 for professionals; Students/Assistants – 35.00; 8 CEs. Dr. Brandon Lundell presents valuable information on timely topics and the importance of incorporating blood/lab test information. Meet the demand for Lab Interpretation (including serum, saliva and stool tests) and Comprehensive Lifestyle, Dietary, Nutritional, and Holistic Treatment Programs. This program is different than the weekend seminar in Sept.; it is only one day, and topics include Preconception planning and Detoxification.
Webinars: (be sure you’re on the email list for invitations) Feb. 28 (archived on www.nutriwest.com): Dr. Frank Jarrell, Director of the Spinal Reflex Institute, Intl. presents “Spondylogenic Reflex Syndromes, Subluxations and Nutritional Support: Powerful Outcomes through SRA and Nutri-West”. Dr. Frank Jarrell, Director of the Spinal Reflex Institute, Intl. discusses options for unresolved cases of chiropractic, orthopedic and therapeutic care, providing insight into the patho-physiology of the "spondylogenic reflex syndrome" (SRS). Case examples of SRA, adjusting, spinal stabilization and nutritional support demonstrate grossly improved outcomes. With guest Steve Ediss DC, BS, FIACA. March 13 (Tues. 11am – 1pm): Dr. Lynn Toohey and Donald Sowell present “Functional Health Evaluation ”. A new bloodwork program with built-in logarithms , questionnaires and wellness information is presented. Entering labs for detailed reports, questionnaires, discussing evaluation and outcomes and recommended nutritional protocols are all demonstrated.
March 21 (Wednesday 11am – 12pm): Dr. Brandon Lundell & Dr. Lynn Toohey present “Detoxification”. The importance of detoxification is discussed, along with details on the new 21 Day Nutri-West Detoxification Cleansing System. Start a healthy plan for life! April 24 (Tuesday 11am – 12pm): Nutrition with Dr. Murphy. New research and nutritional connections to health from the one and only Dan Murphy, DC! Don’t miss the full weekend May 19 and 20, either.
*Please call the Nutri-West CO sales rep., Dr. Lynn Toohey, for more info: CO: 303-662-9997; (toll free): 866-271-8888 or, email: [email protected]
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Submitted by Bob Nelson, DC, DACBS, FICC - ACA Colorado Delegate and CCA District 2 Alter-nate.
Excerpted from an article by: Keith Overland, DC, CCSP, FICC
Colorado had three DCs visit Washington to participate in the National Chiropractic Legislative Conference. Doctor representa-tives from Colorado included:
Hal Lease, DCBob Nelson, DC, DACBS, FICC Mike Simone, DC, Dipl. 1Ac, CCSP.
Together they met with eight of the nine Colorado legislators.
Colorado’s Presence at Capitol Hill
National Legislative Update
Update from National Chiropractic Legislative Conference February 16-19, 2012
To recap for those who could not join us: On Wednesday, after the 16th meeting of the Chiropractic Summit, ACA’s Board of Governors (BOG) and Council of Delegates (COD) completed their meetings, and Standard Pro-cess hosted the congressional reception, where more than 18 members of Congress and countless congressional staffers met with NCLC attend-ees for conversation and cocktails. Consistent chiropractic champion and former U.S. House of Representatives Majority Leader Dick Gephardt addressed attendees along with members of both houses of Congress and from both sides of the isle.
Another noteworthy guest was, Dr. Rob Rosenbaum a neurosurgeon who just returned home from Afghanistan. Dr. Rosenbaum reminded everyone in attendance that team work and integration are in our patients’ best in-terest and chiropractic physicians are and need to always be an integral part of every military health care team.
Two additional guests worth mentioning were Former House Speaker and current Minority Leader Rep. Nancy Pelosi (D-Calif.)-a chiropractic patient herself-and our profession’s champion of champions Sen. Tom Harkin (D-Iowa).
On Thursday morning, the NCLC general session opened with a speech from Sen. Orin Hatch (R-Utah)-who has DCs in the family. The senator shared his experiences receiving the services provided by doctors of chiropractic and how he believes that chiropractic physicians must be a part of every aspect of a safer, more cost-effective and evidence based health care system.
The session continued with a visit by Rep. Bob Filner (D-Calif.), who has worked tirelessly to increase veterans’ access to doctors of chiropractic. Unfortunately, it was Rep. Filner’s final visit to NCLC, but we wish him well as he retires from Congress to run for mayor of San Diego. Additionally, Rima Cohen, counselor to the Secretary for Health Policy, Department of Health and Human Services, emphasized the need for whole-person care for all Americans and the necessity of filling the primary care workforce gap.Finally, Howard Wasdin, DC, author of Seal Team Six: Memoirs of an Elite
Navy Seal Sniper closed the session. As a former elite serviceman and a doctor of chiropractic, he reminded the audience that each DC’s mis-sion is to:
Educate the public about the value of chiropractic care Work as a team with other health care professions Stop the squabbling within the chiropractic profession and focus on get-ting each and every DC in America to join ACA so that we can impact this country’s health care system together After the general session, hundreds of doctors and chiropractic students stormed Capitol Hill. As a result, we are proud to announce that many congressmen have decided to co-sponsor the Chiropractic Care to All Veterans Act (H.R. 329), which would require the Department of Veterans Affairs (VA) to have a chiropractic physician on staff at all major VA medi-cal facilities by 2014. Our nation’s veterans deserve nothing less. Through previous congressional action, the services provided by doctors of chiropractic are available at 42 VA facilities across the country; however, in the more than 100 major VA medical facilities without a chiropractic physician on staff, the chiropractic care benefit Congress authorized for America’s veterans remains virtually nonexistent. Our profession must continue to work diligently to improve veterans’ access to the essential services provided by DCs.
On Friday, ACA’s House of Delegates (HOD) began its annual meeting. This body has representatives from every state and all of ACA’s specialty councils. During the meeting, panel discussions featuring representatives from a number of chiropractic colleges, major chiropractic organiza-tions and chiropractic researchers from around the country kept many attendees on the edges of their seats. While some opposing viewpoints were presented, I am convinced the profession can move forward in a very meaningful way. However, to do so we must continue to commu-nicate and to share ideas and thoughts so that our efforts will have the best possible outcome.
We also heard from Dr. Ted Carrick, president of ACA’s Council on Neu-rology about the recent developments in his specialty, and Dr. Spencer Baron updated us on the status of chiropractic in the world of profes-sional sports, with an emphasis on the NFL.
As always, the Foundation for Chiropractic Progress came through during the week of NCLC with ads in the Wall Street Journal and USA Today.
On Saturday, the final day of the HOD meeting, we heard from Jeff Hayes, the producer of “Medical, Inc.,” a documentary in progress about “the medical monopoly” in the U.S. Hayed debuted a trailer for the HOD meeting that was thought provoking and timely. I look forward to seeing the final version.
The good news is that the efforts from last week appear to be paying off already. According to the ABC affiliate WLS-TV in Chicago:
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(303) 644-5860Fax (303) 644-5861
Delayed or lost reimbursements.Turnover in office personnel.Cost of reprocessing rejected claims.Medicare Specialists.EHR IncentivesElectronic Billing
Still not sure you need a billing service? Call us. . .
EXCELLENCE IN HEALTHCARE BILLING
club MEMBER
2012 Sports PhysicalsInitial Certification & Re-certificationfor Colorado Middle School and High School AthletesDoctors of chiropractic may perform Pre-Participation Physical Examinations (PPE) for student athletes in Colorado. Although DCs possess the education and clinical judgement to perform such physicals, the Colorado High School Activities Association (CHSAA) regulations require initial certification and additional re-certification every two years. A DC who is certified through the CCA’s course must re-certify within 6 months of his/her expiration date or he/she will be dropped from the program and deleted from the CHSAA list.
InStruCtorS (bios on next page): Robert Nelson, DC, DACBSP, FICC Tim Rinn, DC, DACBSP, CSCS Monty Wilburn, DC, CCSP
this course will cover: Goals & content of PPE. Patient history & physical examination. Guidelines for student sports participation in Colorado. Legal precautions. Appropriate PPE forms. PPE Textbook included with INITIAL cert - a $65 value.
required course materials & rules: Bring: Stethoscope, pen light & sphygmomanometer. A certified Health Care Provider level CPR class, valid for two years, is
included with the seminar fee - CPR runs from 1 to 4 p.m. (If you are already Health Care Provider level CPR certified, you MUST fax/mail a copy of your CPR card to the CCA office prior to registering for the seminar.)
A written and practical test will be given to attendees completing the PPE course. You must pass the test with a minnimum score of 80% to be eligible to perform PPEs.
Initial Cert: 8 a.m. to 4 p.m. includes PPE Textbook - a $65 value!
re-Cert: 10 a.m. to 4 p.m. All classes include CPR training from 1-4 p.m.
*attendee limits No walk-in registrations please!
Dates and Locations
Denver (*25)CCA Conference Center8751 E. Hampden #B-7Yosemite & Hampden
Thursday,April 12
Saturday, June 9
Colorado Springs (*20)
Office of Dr. Galen Graham1935 E. Bijou Street 719-475-8877
Saturday,May 12
Fort Collins (*30)
Location Pending Saturday,May 19
Grand Junction (*30)
Community Hospital Basement12th & Orchard 970-256-6525
Saturday, June 23
2012 Sports Physical Certification
Cancellation policy: Refunds, less a 20% handling fee, if cancellation is made within 5 days prior to the seminar date. No cash refunds can be made after this date, but the amount may be credited to another CCA-sponsored seminar within 12 months. No walk-in registrations please!
Course Options Hours CCA Member Non-MemberiniTiAL CErTiFiCATiOn-PPE textbook - $65 value -CPR training
7 CE $270 $345
rECErT-CPR training 5 CE $225 $300iniTiAL CErT -nO CPr -PPE texbook - $65 value-Send copy of valid CPR Card
4 CE $220 $310
rECErT - nO CPr-Send copy of valid CPR Card 2 CE $175 $250CPr OnLYCPR Manual Included 3 CE $70 $90
Name(s): _________________________________________________________________ Phone: ______________________
E-mail:___________________________________________ check enclosed (please make checks payable to the CCA)
Address: ___________________________________________________________ City Zip Code
Amount Due: $______________ Credit Card #:_______________________________________________________ Exp. Date: __________
Denver Thursday, April 12Saturday, June 9
Colorado Springs Saturday, May 12Fort Collins Saturday, May 19Grand Junction Saturday, June 23
1. Register On-line at www.coloradochiropractic.org2. CALL the CCA at (303) 755-9011 or (800) 829-0339.3. FAX to the CCA, with credit card information to (303) 755-1010.4. MAIL this form with a check or credit card
Please Check the date you would like to attend
up to 7 Colorado CE Hours
eUpdate March 2012
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February 17, 2012 (WLS) -- The US military has been given new marching orders to re-examine its approach to treating pain.
According to National Public Radio, military physicians have been told to examine alternatives, including chiropractic treatment, massage and acupuncture.
This new look at unconventional therapies is aimed at heading off drug dependence on powerful painkillers.
The effort takes on urgency with the 47,000 US troops wounded fighting in Iraq and Afghanistan.
Right now, it is estimated at least 40 percent of veterans entering the VA health system are dealing with pain.
(Copyright ©2012 WLS-TV/DT. All Rights Reserved.)
Chiropractic Billing Specialists
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Billing insurance should not be stressful, and it absolutely can be when it’s done in between the various tasks around the office.
To capitalize the most out of your returns, billing needs to be a sole focus. Outsourcing will allow you and your staff the ability to focus more on providing
your patients with the ultimate care. We want you to help you grow your business without sacrificing quality care and
focus where it should be, and that’s on your patients. We are NOT a generalized medical billing company; our only focus is on the
chiropractic industry and the various and continual coding changes, new procedures, and understanding better ways at becoming more efficient.
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Chiropractic Billing Specialists 720-369-4747– office
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www.ncmic.com14001 University Avenue • Clive • Iowa 50325
We Take Care of Our Own is a registered service mark of NCMIC Group, Inc.©2011 NCMIC NFL 3004
Security...Sought out by D.C.s; provided by NCMIC
For information about how you, too, can have the security of being with NCMIC, call 1-800-769-2000, ext. 3004.
The security of our D.C.s is not something NCMIC takes for granted. After all, NCMIC was formed in 1946 by a group of chiropractors with the express purpose of offering malpractice insurance to Doctors of Chiropractic at a time when no one else would.
Today, more than 65 years later, our policyholders continue to enjoy the security NCMIC provides. Take it from policyholder Dr. John Hanks of Denver:
“I have been a Doctor of Chiropractic in a profession that has evolved over the past 37 years of my practice. I am glad that I have had my malpractice coverage with a company that has evolved as well… It is a sense of security and confidence that I have had because of my coverage with NCMIC. I would not change that for anything.” John Hanks, D.C.
NCMIC policyholder since 1974
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March 2012
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This article is from the March 1942 publication of The Colorado Chiropractor. Looking
Back on
Forward Progress
Health and Human Services (HHS) Secretary Kathleen G. Sebelius announced a postponement for the implementation of ICD-10. The delay comes as the result of feedback from the American Medical Association, the American Hospital Association and the provider community. Each expressed concerns about the chal-lenges and administrative burdens implementation will place on providers. Marilyn Tavenner, acting CMS administrator, states that CMS will be re-examining the pace of ICD-10 implementation. The revised deadline date should be announced soon.
Although the deadline is postponed, it's important to prepare for this transition.
Information from ACA Newsletter
HHS Announces De lay in ICD-10 Implementa t ion
We Want You!
CCA 2012Convention
at
the
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Sport Physicals Certification / CPRCertify to perform Junior High and High School Sports PhysicalsDenver Thursday, April 12
Saturday, June 9
Colorado Springs Saturday, May 12Fort Collins Saturday, May 19Grand Junction Saturday, June 23
Nutrition Basics - Dan Murphy, DCMay 19-20, 2012Sponsored by Nutri-West - more info to come
X-Files - CA TrainingMarch 24-25, 2012Certify your CA to take x-rays in your officeLifetime Health and Wellness Center
Annual Convention 2012 - September 7-9, 2012Hyatt Regency Denver Tech Center
Pediatric SOT and Craniopathy - Dr. Kurt Larsen July 21-22, 2012
Tour D’Laser - Jeff Spencer, DC October 27-28, 2012
Spinal Decompression and Core Rehab Randy Reed, DC, DDSP October 13, 2012
UpcomingEvents2012
New Doc Lunch Series March 28, 2012 - MentoringJoin new Colorado DCs for lunch and learning from 11a.m.-1 p.m.Lunches will continually be held on the 4th Wednesday of the month at the CCA Conference Room
DABCI 2011 to 2012 Internist Diplomate Series - 25 seminars! March 3-4, 2012 - Next SeminarEvaluating Vascular and Venous Disorders InstrumentationTake the entire series or individual weekend 12 CE hour seminars
Nutritional Seminars with Dr. David SeamanMay 12- Nutritional Management of Common Painful ConditionsAug. 11- Focus on Nutritional Supplements for Chiropractic PracticeOct. 6- Nutritional Considerations for Common Health Concerns
Saturdays 9 a.m. to 6 :30 p.m. Take single Saturdays for 8 CEs. Ask for opportunities to register for the remaining three classes in the series.
EHR and Meaningful Use SeminarThursday, March 22, 2012 - 11 a.m.-1 p.m.Chris Fernandez presents information you need to know about Electronic Health Records and more!Registration Fee includes Lunch - Early Bird registration - $25 for first 30 registrations - $35 after 31+ registrations
Accelerated Acupuncture March 23-25April 20-22Earn your acupuncture certification in FOUR long weekends or sign up for individual classes. Seminars are Friday - Sunday.
Dynamic Body Balancing - Carol PhillipsApril 27-29 Level IJune 15-17 Level IISept. 14-16 Level III
Enhance intuitive skills while integrating technical understanding of the cranial and fascial systems.
District 3 Meeting- Charles McDonald, DC Thursday, April 5, 2012 from 6 - 9p.m. - ONE Hour Free CECancer Treatment Centers of America presents - Chiropractic in an Integrative Oncology Setting
May 18-20June 22-24
Nov. 2-4 Level IVDec. 14-16 Level V
CE Hour requirements for 2011-2013 Colorado
relicensing period:15 CE hours between
November 1, 2011 and October 31, 2012
AND 15 CE hours between November 1, 2012 and
October 31, 2013Must have valid health care provider level CPR card AND at least four hours total of documentation/record keeping every two
years.
Receive Special Discounts for Continuing Education Hours as well as many other benefits!See pg. 25 for more details
Want to Become a Member?
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The CCA eUpdate is published monthly. Its purpose is to provide news about activities of the various committees and information concerning current developments of interest to the membership. Articles, reports, letters, opinions, advertisements, statements, and editorial comments do not necessarily represent the position of the CCA. No endorsement of any item should be inferred unless specifically identified as the official policy of the CCA. All material may be ed-ited for clarity or space, and publishing decisions are based on quality of writing, timeliness, and potential interest to the readers. The CCA eUpdate reserves the right to edit or reject all materials. The CCA eUp-date accepts advertisements and inserts from a variety of sources, but makes no independent investigation or verification of any claim or statement contained in the advertisements. Inclusion of advertisements should not be interpreted as an endorsement by the CCA of any product or service offered through the advertise-ment program.
Colorado Chiropractic Association The voice of Colorado chiropractic since 1917.www.coloradochiropractic.org - [email protected] E. Hampden Avenue #B-7 Denver, CO 80231-4929 - 303-755-9011 OR 800-829-0339
Standing Meetings2012
Mesa County Chiropractic Association Meeting First Wednesday each month
March 7th August 1st
April 4th September 5th
May 2nd October 3rd
June 6th November 7th
July 4th (?) December 5th12:30 to 1:30 p.m. at UTEC Culinary Restaurant at 2508 Blichman Ave in Grand Junction. You may order ahead by calling 970-255-2641. Please contact Dr. Wes Sheader for more information at [email protected] or 970-254-2954.
Colorado Chiropractic Association Board of Directors Meetinglocations vary - typically 10 a.m. to 2 p.m. - please check with CCA for details Next meeting: March 15, 2012
Colorado Women’s Chiropractic AssociationSecond Tuesday of every odd numbered month
March 13th September 11th
May 8th November 13th
July 10th7-9 p.m. CCA Conference Center. Each meeting features a guest speaker and an open forum for ideas and discussion. Contact Dr. Rebecca Noren for more info (303) 984-1111 or [email protected]
Colorado State Board of Chiropractic ExaminersUsually 4th Thursday every other monthBoard Retreat this month - no meeting
Colorado State Board of Chiropractic Examiners (CSBCE). Meetings generally start at 9 a.m. Location is 1560 Broadway, Denver. Check the board’s web site for room and agenda: www.dora.state.co.us/chiropractic/boardmeetings.htm
Helping Patients Without Health Insurance Find Quality Health Care
Through an extensive health care network, we help those without insurance get needed treatment and offer payment solutions for doctors.
www.AccessCareColorado.com
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Executive CommitteeChairman of the BoardMichael Springfield, DC, Dipl. Ac.
PresidentNelson Vetanze, DC, CCEP
1st Vice PresidentJoe Dziezgowski, DC, CCSP
2nd Vice PresidentRobert Bridge, DC
Secretary-TreasurerSteve Schuster, DC, LCP
Board of DirectorsDistrict 1 Director/Alternate
Rhonda Jackson, DC/Gary Rademacher, DC
District 2 Director/AlternateJames Farrell, DC/
Robert Nelson, DC, DACBSP, FICC
District 3 Director/AlternateCraig Warhurst, DC/Craig Pearson, DC
District 4 Director/AlternateGreg Crawford, DC, DABCO/
Aaron Koepp, DC, DABCO,CCSP,CCST
District 5 Director/AlternateRobert Palmer, DC/James Whidden, DC
CBCE Meeting DatesTHURSDAYS
March 22, 2012May 24, 2012July 26, 2012September 27, 2012November 15, 2012
The Michael Skolnik Medical Transparency Act of 2010
Senate Bill 10-124 enacts the "Michael Skolnik Medical Transparency Act of 2010" to extend reporting requirements to many health care professionals who apply for or renew a license, certification, or registration, on or after July 1, 2011. The Division of Registrations is in the implementation process at this time. Please refer back to www.dora.state.co.us/chiropractic/statutesrulespolicies.htm for additional information as it becomes available.
It is YOUR responsibility as a Colorado doctor of chiropractic to know, understand and adhere to the Practice Act under which you are licensed. To view the Statutes, Rules, and Board Policies for Colorado doctors of chiropractic, visit:
Colorado State Board of Chiropractic Examiners (CBCE)
Program DirectorDeann [email protected]
Staff AssistantLisa [email protected]
1560 Broadway, Suite 1350 Denver, CO 80202 MAIN (303) 894-7800(303) 894-7764 - Fax
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Board Members and Staff
Colorado Chiropractic Association
The voice of Colorado chiropractic since 1917.8751 East Hampden Avenue #B-7
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Reprinting of materials is granted, except for materials indicated as copyrighted or reserved, but only upon giving credit to the CCA eUpdate in the reproduction. Reproduction of any other material without credit is prohibited, and if you want to quote or reproduce from any item, call or write for information and permission. Copyright(C) 1989 to present Colorado Chiropractic Association
District 6 Director/AlternateWilliam “Bill” Thomas, DC
District 7 Director/AlternateRandy Roman, DC/Michael Treinen, DC
District 8 Director/AlternateDavid Dickerson, DC/
OPEN
District 9 Director/AlternateShandy Grady, DC/
Lea Yoder, DC
Directors at LargeJill Hutter, DC
Chad Kesner, DC, DACBSP, CCCN, CEDPDavid McClain, DC
Kelvin Washington, DC, DACBSP, Dipl., Ac.Patrick Ray, DC (alternate)
Staff
Acting Executive DirectorVineta Campau
Membership Program DirectorBecci McCormack
Media and Events CoordinatorAmanda Segebart
www.coloradochiropractic.org
Board Meeting Dates
Thurs. March 15, 2012Thurs. June 21, 2012Thurs. Aug. 16, 2012Fri. Sept. 7, 2012(Annual Meeting)Friday. Sept. 21, 2012 (Annual Board Meeting)
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Find your CCA District
eUpdate March 2012 eUpdate March 2012
2120
For this month’s article, I asked insurance agent, Bob LaSala, to contribute his insight about the reasons behind the deficiencies in limits of liability insurance he sees on people’s auto and motorcycle policies and the rela-tively small cost difference of higher limits of coverage. As an insurance agent and motorcycle rider, Bob says these gaps are unnecessary and risk financial distress and hardship. The following are Bob’s thoughts.
When a person is determining how much liability insurance to purchase on their auto and/or motorcycle policies and personal umbrella liability policy, the rule that should guide their decision is the acknowledgment that the price of coverage should only be an obstacle in the absence of value. That is to say, sufficiently high limits of liability insurance offer deep value. This applies to liability coverage for bodily injury, property damage and uninsured/underinsured motorist bodily injury coverage, or UMBI. Today, we will focus on UMBI.
The value of having optional UMBI protection on one’s automobile, motor-cycle or personal liability umbrella policy immeasurably exceeds the price one pays for it. In other words, the benefits one receives for paying a frac-tion of a penny for many thousands of dollars of UMBI protection can wipe away the risk of suffering potentially catastrophic financial consequences along with a severe and possibly unrecoverable deterioration in their qual-ity of life. Even though a person may never use this coverage, would they knowingly want to risk such potentially devastating consequences without it? Probably not, if they understood what UMBI insurance is designed to protect.
UMBI insurance is optional coverage one may purchase on their auto, mo-torcycle and personal liability umbrella policies and can be purchased in an amount up to the limits selected for of bodily injury liability. For exam-ple, if a person purchases bodily injury liability limits of $100,000 per per-son/$300,000 per occurrence, they may purchase UMBI in limits up to and including $100,000 per person/$300,000 per occurrence. UMBI benefits pay expenses associated with bodily injuries sustained by a policyholder and passengers in the policyholder’s vehicle in the following circumstances: When the policyholder is involved in an accident with another driver where the other driver is at fault and when the other driver has insufficient bodily injury insurance to pay the policyholder’s claim.
Articles, reports, letters, opinions, advertisements, state-ments, and editorial comments in this publication do not necessarily represent the position of the CCA.
Melissa Winthers is an attorney at Fleishman & Shapiro P.C. She represents people who have been injured in collisions and can be reached at 303-861-1000 or [email protected].
Pennies for Peace of Mind
What are the chances of being involved in an accident with an uninsured or underinsured motorist? Well, they are greater than most think. The Insur-ance Research Council (IRC) estimates in 2009, 1:7 drivers nationwide were uninsured[i]. That is, they carried no liability coverage. This ratio does not account for underinsured drivers which worsens the scenario. Almost all states mandate drivers carry at least minimum limits of liability. Liability insurance pays for the bodily injury and property damage claims of others from accidents caused by the at-fault driver. Among those drivers who are insured, many carry the minimum state mandated limits of liability which can be quickly exhausted if a person or several persons are injured. When the value of a claim exceeds the limit of a person’s liability insurance, that person’s assets, including their future earnings, can be seized or attached in court proceedings by the injured person’s insurance company to pay the claim. For a person with few assets, this can be devastating, but for the claimant, this takes time assuming there are assets available and as-suming the responsible person does not go bankrupt.
Instead, usually the better solution is for the claimant to use their UMBI coverage to pick up after the other party’s coverage has been exhausted. This is why UMBI coverage, although optional, is so important to have. In the UMBI purchasing decision, drivers have three choices. They can:
· Choose to bear the financial burden of carrying sufficient UMBI to pay for injuries caused by other drivers who carry no liability insurance at all (the responsible choice),
· Choose to waive purchasing any UMBI coverage and risk self-funding expenses associated with injuries caused by drivers who carry no insurance (the risky choice), or
· Choose to carry some UMBI but less than the maximum allowed by state statute (usually, the uninformed or misinformed choice).
Choice #1 is recommended, choice #2 is very risky, and choice #3 is penny-wise and pound foolish, and the choice of either the uninformed or misinformed.
As an agent, when I meet policyholders whose policies reflect Choice #3, that is, when I meet a policyholder whose insurance is written with another company and whose UMBI limit is less than their limit of bodily injury liability, my observation is that either one of two situations occurred at the point of sale when they purchased their policy:
· Their agent, broker or call center person who sold the uninformed policyholder their coverage intentionally low-balled UMBI coverage to save the policyholder a few premium dollars to win the sale on price, or
· The policyholder bought coverage online, directly, and made a mis-informed purchasing decision; also based on price, ignorance or both.
Some learn the following wisdom about value at a later age than others, but at some point we all learn there is no free lunch, and in most transac-
Bob LaSala is the owner of the Robert F LaSala Agency in Broomfield. Established in 2001, the insurance agency is an accredited (A+) member of the Denver/Boulder Better Business Bureau. Mr. LaSala is a licensed, appointed, multiple line agent for the American National Family of Compa-nies. He received his M.B.A. from Southern Methodist Uni-versity and his B.A. from McGill University. Prior to joining the insurance industry, he held management positions in vari-ous capacities with a major U.S. airline and with a related online supplier of electronic travel products for more than 20 years.
By: Atrorney Melissa Winthers and Insurance Agent Bob LaSala
eUpdate March 2012
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tions one gets what one pays for. Most definitely, this applies to the UMBI purchasing decision
Returning to the IRC research, they also estimate 15% of drivers in Colo-rado were uninsured in 2009. Also, they have found that statistically, the movement in the rate of uninsured drivers is closely correlated with the movement in the rate of unemployment. That is, as the rate of unemploy-ment moves up or down, the rate of uninsured motorists tends to track in the same direction and in a similar degree. 15% of any number is of sufficient quantity for most drivers to realize they should have UMBI cover-age on their policy. While this conclusion will not be a surprise to most, it does highlight the fact that we have the choice of being accountable to ourselves, our partners and families, or not. Albeit frustrating, we are dealt a hand where the good money says we should hedge the shortcomings of others with sufficient limits of UMBI coverage. As such, insurance com-panies offer UMBI protection for a reasonable cost so policyholders can shift this risk rather than chance potentially catastrophic losses.
Depending on a customer’s insurance risk profile and using two customers in my agency with different profiles, the cost of $25,000/$50,000 UMBI cov-erage (per person/per occurrence) on an automobile policy can range from approximately $0.17 per $100 of coverage purchased to $0.22 per $100 and higher. Doubling UMBI coverage to $50,000/$100,000, the cost ranges from approximately $0.12/$100 of coverage purchased to $0.15/$100 of coverage purchased and higher. Quintupling coverage to $250,000/$500,000, the approximate cost ranges from $0.45/$100 cover-age to $0.56/$100 coverage and higher.
As you can see, the more insurance one purchases, the less it costs. For roughly 2.5 times the price, one can purchase 5 times the protection when the $250,000/$500,000 option is compared to the $25,000/$50,000 option. And in a relative sense, we’re speaking of differences of pennies for magnitudes of coverage in the tens and hundreds of thousands of dol-lars. To an educated consumer, shouldn’t the choice be obvious? Unfor-tunately, it’s not for different reasons.
If we return to the statement made earlier that price is only an obstacle in the absence of value, shouldn’t a consumer desire to pay a small price for a substantial pot of money to remedy expenses from injuries sustained in an accident caused by another? Is it worth paying a little to buy bound-less peace of mind from the potential nightmare of suffering financial distress and a diminished quality of life?
I think most would agree, yes, it is desirable. The takeaway – Buy as much liability and uninsured/underinsured bodily injury insurance as possible be-cause it provides great and a huge financial safety net you cannot afford to be without.
eUpdate March 2012
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A SPECIAL Thank You to the following generousCCA Enhanced Members
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The Colorado Chiropractic Association offers enhanced
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Thank Youto ALL CCA Members
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to the WELCOME!
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The CCA offers enhanced membership
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be used to fund legislative activity at the state
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Bronze Membership Dues: $1,519.57 annually (monthly, quarterly, semi-annual available)
Privileges: Two CCA-sponsored seminars and the annual convention at no charge. An Engraved Plaque for display in the doctor’s office. Recognition on the permanent Contributors Display in the CCA Conference Center. Special Introductions and Reserved Seating at the CCA Awards Ceremony. One FREE 30-day on-line classified ad. Monthly recognition in the CCA eUpdate. PLUS all the benefits of standard membership!
Silver Membership Dues: $3,019.57 annually (monthly, quarterly, semi-annual available) Privileges: Five free CCA-sponsored seminars and the annual convention each year included. An Engraved Plaque for display in the doctor’s office. Recognition on the permanent Contributors Display in the CCA Conference Center. Special Introductions and Reserved Seating at the CCA Awards Ceremony. Monthly recognition in the CCA eUpdate. THREE free 30-day on-line classifieds ads. Gift certificate for coffee/lunch/dinner. PLUS all the benefits of standard membership!
Gold Membership Dues: $5,019.57 annually (monthly, quarterly, semi-annual available) Privileges: Unlimited CCA sponsored seminars, including the annual convention each year. An Engraved Plaque for display in the doctor’s office. Recognition on the permanent Contributors Display in the CCA Conference Center. Special Introductions and Reserved Seating at the CCA Awards Ceremony. Monthly recognition in the CCA eUpdate. Free unlimited, on-line classified ads. THREE gift certificates for coffee/lunch/dinner. PLUS all the benefits of standard membership!
Please contact the CCA at [email protected] or (303) 755-9011 or (800) 829-0339 to learn more about upgrading your membership!
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Please direct INSURANCE questions to
CCA Insurance ChairDr. Greg Crawford
email to: [email protected]
or FAX to 970-493-2105
Medicare Questions - contact Dr. Crawford or
Kathy Mills Chang - [email protected] 303-470-3339
Susan McClelland - [email protected]
ResourcesCCA Medicare Documentation Guide available NOW at
www.coloradochiropractic.org/headlines/files/
MEDICAREdocguide5_09update2.pdf
Trailblazer Contact Infohttp://www.trailblazerhealth.com/Medicare.aspx
Look under Medicare Part B J4
Provider Contact Center: (866) 280-6520
Customer Service - Medicare Part B J4Interactive Voice Response (877) 567-9230
Provider Enrollment: (866) 539-5596
NEW PAPER CLAIM ADDRESS as of 1-1-10Part B Claims
P.O. Box 660031Dallas, TX 75266-0031
PLEASE NOTE: Kathy Mills Chang and Susan McClelland are consultants in this arena and may require a fee for extensive questions.
Insurance Assistance
27
eUpdate March 2012 eUpdate March 2012
2928
Nothing in Medicare Ever Stays the Same
In the last 12 years that I have been involved with Medicare, I have always said that nothing ever stays the same in Medicare. I believe that every doctor and appropriate staff should attend at least one Medicare class per year. 2012 is no exception! In addition to the ABN form changes that went into effect on January 1, 2012, here are just a few more changes on the way.
Medicare Freezes Rates, Lowers Deductibles and Extends the Status Enrollment Period
To better allow physicians to manage the uncertainty of threatened Medicare fee reductions slated for the 2012 Medicare Physician Fee Schedule (MPFS), the Centers for Medicare & Medicaid Services (CMS) extended the 2012 Annual Participation Enrollment Program. Fortunately, a two-month Congressional suppression of the mandated pay cut followed.
Physicians narrowly escaped a 27.4 percent reduction in Medicare rates that was scheduled to begin Jan. 1. The Senate bill extends the 0 percent update for just two months. The House bill would have averted the negative update for two years and provided a 1 percent update in 2012 and 2013.
The Medicare participation enrollment period ended Feb. 14, 2012, instead of Dec. 31, 2011. The effective date for participation status change during the extension remained Jan. 1, 2012, however, and will be in force for the entire year. Congress is expected to resume work on a bill that will further avert the negative update to the MPFS.
Meanwhile, cash-strapped CMS has lowered the Part B deductible for 2012 to $140. No explanation as to why.
Recovery Audit Prepayment Review
CMS recently approved the recovery auditor contractor prepayment review that went into effect on January 1, 2012. The Recovery Audit Contractor (RAC) Prepayment Review Demonstration Program is directed toward making sure Medicare
dollars are actually going toward procedures that are medically appropriate and necessary.
The demonstration program is to be implemented January 2012 in California, Florida, Illinois, Louisiana, Michigan, Missouri, New York, Texas, North Carolina, Ohio, and Pennsylvania, states that have been singled out because they have high CMS fraud rates or high claims volumes. The program will allow Medicare recovery auditors to review medical records and gauge the appropriateness of procedures performed, devices used, and claims for procedures or hospital stays prior to paying those bills.
The purpose of the prepayment program is to prevent improper payments before they are made and to reduce the error rate, according to George Mills, Director of CMS. The current estimated error rate with claims in the Medicare program is 8.6%, which translates into $29 billion spent on erroneous claims.
In 2005, the Centers for Medicare and Medicaid Services (CMS) introduced the “RAC” demonstration project for the purpose of identifying underpayments and over-payments and recouping over-payments under Medicare Part A or B. Contractors selected by the government are charged with auditing providers and paid on a contingent basis for detecting and correcting over-payments and under-payments. That includes collecting over-payments from providers and refunding under-payments to providers.
*Office of Civil Rights to Begin On-Site Audits
This above information comes on the heels of an announcement by the Office of Civil Rights (OCR) that they are beginning a pilot program of on-site inspections of doctor’s offices to ensure that their HIPAA policies and procedures, including their HIPAA manual, are active. I have received many inquiries as to where to buy a manual. Although doctors want to just buy manuals available for purchase, every office has to have an individualized plan that includes an in-house risk assessment for privacy and security vulnerabilities, written policies and procedures, the appointment of officers for HIPAA, training of staff on HIPAA and regular meetings with staff to update them on vulnerabilities and infractions. In my opinion, the use of forms and templates are advantageous, but the HIPAA manual is nearly impossible to complete without staff assistance.
Mario Fucinari DC, CCSP, MCS-P
Dr. Mario Fucinari is a Certified Insurance Consultant, Certified Medical Compliance Specialist and Certified as a MCS-P Instructor. Look for upcoming seminars that will address the new Medicare, Coding and Compliance issues for 2012. For a description and purchase of Dr. Fucinari’s publications, including his compliance toolkit, “HIPAA Compliance for the Chiropractic Office” go to www.AskMario.com Click on the HIPAA manual banner.
By. Dr. Mario Fucinari
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By: Drew Stevens
One of the most terrific methods (yet most feared) of chiropractic mar-keting is public speaking. Chiropractors who use this method obtain the benefit of sharing their passion and knowledge to a captivated group. Unfortunately many do not use public speaking because they believe that chiropractic marketing is more traditional, using traditional advertising and promotion to build brand.
However, traditional marketing is no longer a viable option. Our present world has become very competitive. With 82,000 practicing chiropractors in 117 countries and many in your neighborhood the marketing stakes are higher than ever. For example if individuals desire chiropractic care they are less likely to use ads and the Yellow Pages™. Today’s patient is driven by several things: 1) value 2) differentiation 3) brand recognition and finally 4) patient to patient influences. Therefore, using public speaking will help build brand recognition.
So If this Is Important Why Aren’t Others Using This?
Coincidentally there are three reasons why many chiropractors do not use public speaking as a chiropractic marketing approach. 1. Many do not know where to speak or what topics to speak about.2. Many believe they do not have the time because they have busy practices.3. Many simply fear being in front of a crowd.Although these are viable reasons to avoid public speaking, chiropractors need to avoid the fear or procrastination. Public speaking will grow practice areas while also helping the chiropractor increase community presence. Visibility helps differentiate chiropractors from competitors while helping to grow brand.
So Where Do I Get Started?
It is important to understand that public speaking for chiropractors is noth-ing more than a conversation with a group. One need not worry about exciting motivational presentations where the physician seeks a standing ovation. Think of being invited to a family gathering or perhaps you inviting family to learn more about your practice. Once you ignore the staging and stereotype it is best to begin with topics you are passionate about. Some of these might include:
• AlteringStressandIncreasingMobility• TheValueofBackStretchesDuringExercise• BackCare101DuringSpringCleanUp• HowtoTendtoYourBackWhileYouTendYourLawnTopics are best designed if formulated with value for the patient. Think of things that require patient care yet can be done to mitigate some of the more chronic issues. Additionally, use topics that patients associate with. Re-frain from medical terms and acronyms that only confuse. People become attracted to issues they associate with. Sometimes the use of adjectives, metaphors and analogies also aid in topic development.
As you develop your topic it is best to plan with the following three items in mind:1. Brevity2. Interaction/Blended3. Structure
BrevityPicture for a moment the opening scenes of “Ferris Buellers Day Off” a com-edy movie from the 1980’s in which one high school instructor was speaking so monotonously long that one student fell asleep on his chair tablet. We have all sat through five-hour lectures or presentations with hundreds of Pow-erPoint™ slides. This is not the public speaking you want! Therefore it is best to plan a 20-minute presentation that speaks to patient issues and overall benefits. InteractionAdults today are so busy that they become withdrawn if bored. A 2004 study indicated that 90% of meeting attendees multi-task during meetings. It is best then to use interaction during your presentation. Methodologies to use include questions, having participants look at case studies, trial products or adjustments or even work in groups for a brief time. No matter what you use, blended learning is the best method for adult comprehension. They become part of the process. Ironically, the speaker also does less work since there is more facilitation and less pressure presenting.
StructureToo many presentations are too long or attempt to cover too much. Your presentation must be Simple, Sequential and Specific. Participants hate large amounts of data, and placing it into smaller bites enables better recall. Use a simple technique of three topics and three bullets per topic makes for less volume and better transition.
Listed below is an example of how to build your presentation from beginning to end in small chunks:• Introduction• ItemOne• Transition/CaseStudy• ItemTwo• Transition/QuestionforGroup
Accelerating Patients with Public Speaking
Drew Stevens PhD is one of the worlds leading experts in practice manage-ment business building. Drew works with chiropractors to dramatically ac-celerate patient volume. Dr. Drew is the author of the best seller Split Second Selling and the soon to be released Ultimate Business Bible – 12 Strategies for Ultimate Success. He has extensive experience in assisting both entrepre-neurs and chiropractors to experience higher efficiency and effectiveness. Dr. Drew’s expertise has been featured in The Chicago Tribune, Entrepreneur Magazine, and the New York Times. Drew travels around the globe provid-ing over 50 workshops, and keynotes annually. He is a frequent guest lec-turer at Logan College of Chiropractic. To discover how he can assist your practice call him at 877-391-6821, or Email him today!
eUpdate March 2012
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Got Something Worth Sharing?
The CCA is always looking for new informa-tion to share with the doctors in the state. If you would like to write for the eUpdate please send us an article, we will review it and get back to you. The deadline for an article is the 15th of the month prior to the next publication.
• ItemThree• Transition/GroupProcess• Summary• ActionPlan
An example of this would sound like:
Introduction – Today we will discuss three ways to decrease stress and increase mobility.Agenda item one – The power of mediation.Transition – Group Try a one-minute meditation technique.
Agenda item two – Using stretching to alleviate muscle tension.Transition – Individuals try four simple stretching techniques for back and legs Agenda item three – The benefits of alleviating alcohol and tobaccoTransition – Case Study of Alcohol and StressSummary and audience questions.Action – Provide discount for first preliminary exam and coupon.Group Interaction and Dismissal That is it! Admittedly the first two or three times will be a bit difficult since you are unfamiliar with the concept but as you gain trust you will find it much easier to develop your content. Once you get comfortable you will find all your presentations moving more fluidly while also engaging your audience.
Who Ya Gonna Call?You have your topic and presentation but who will be interested in hearing you? Believe it or not there are numerous groups that desire great content and they are all located within blocks of your community. Use the Inter-net or Internet databases to find the local chapters of the Jaycees, Elks, Rotary, Knights of Columbus, Chamber of Commerce, Police Department, Fire Department or even community schools. In addition, and based on your interests, there might be a desire to visit with particular local business-es such as landscapers or moving companies. Finally do not forget the best database of all - your current and prospective clients. Yes, invite them too while requesting they bring two to three guests. Referrals are the best method of patient-to-patient influences since they are started by those that know you, trust you and believe in your healing powers.
Ready Fire AimThere are many presentations that are given that are either audience cen-tered or speaker centered. You have been to many of these. The cardinal rule is that the presenter is available for the audience. Don’t worry about your ego and how much you make or don’t make; audiences don’t care. Be mindful of presenting information that benefits the group and illustrates output and results. This comes from good preparation, knowing your audi-ence while also ensuring there is a good delivery strategy.
Best Practices
To help alleviate fear and ensure your best performance it is proper to think in terms of best practices. To help create a great learning environment:• Ensurecongruenceofstorieswiththeaudience.Usecasestudiesthat are not only interesting but relate to audience issues. Discussing diges-tive or allergy issues during a mobility clinic will not match. Be mindful of who is attending and what they want to gain.• Ensurevocabulary,informationandpresentation“fits”theaudi-ence. Do not use medical terminology, practices and acronyms unfamil-iar with the group. They need to understand what is being said. The more distant you make them feel the less impactful the presentation.• Ensurehowtheparticipantswillbeimprovedafter.Thisrequiresyourpresentation focus on benefits and results. As the presentation develops provide case studies and testimonials of others that have gained from similar issues. Patients desire to see how others have benefited. • Adultslearnindifferentmodalities.Remembertouseamixtureof interactive mediums to decrease multitasking while ensuring people remain totally engaged. • Createactionstepwiththeconclusion.Presentersmustensureparticipants do something at the conclusion. Obviously there is a desire to gain more patients but something actionable must occur in order for prospective patients to act.
Presentations if conducted correctly, can be a very effective marketing technique. They place chiropractors directly in front of prospective pa-tients. This increases marketing visibility while also instilling brand. To ensure success requires proper planning, development and focus. The prepara-tory time is minimal and the returns grand. If you want to pump more fuel into your marketing efforts public speaking is energy you need!
club membersclub CCA members provide on-going support for the CCA and
the chiropractic profession through advertising, donations, and the excellent products and services they provide to Colorado DCs.
PLEASE consider a club CCA member for your chiropractic product and service needs.
Vendors: Find out how YOU can become a club CCA member at http://www.coloradochiropractic.org/headlines/files/ClubCCA2.pdf
EXCELLENCE IN HEALTHCARE BILLING
Alpha Medibill SolutionsFlora Sweed 303.644.5860
billing services
www.ncmic.com800.769.2000, x 4200
www.anaboliclabs.com
800.344.4592nutritional supplements
www.nutriwest.comLynn Toohey, Phd - 866.271.8888
nutritional supplements and education
www.cbrcolorado.comCandice Seigel 720.431.0049
insurance billing
www.chirohealthusa.com888.719.9990
cash discount program
eUpdate March 2012
38
CC PAC Club Members 2010-2012
Paul Austin, DC Jason Barnes, DC Timothy Brady, DC Jack Cody, DC Greg Crawford, DC Joe Dziezgowski, DC Eric Dzwonkowski, DC Jim Farrell, DC Doug Forsstrom, DC Kelly Grady
Shandy Grady, DCBrad Gulla, DCRhonda Jackson, DCDouglas Jones, DCAaron Koepp, DCMandy Kreager, DCTodd Kreager, DCJeffery Maen, DCTim Murphy, DCRebecca Noren, DCPaola Porrone, DCPatrick Ray, DC
THANK YOU
PAC contributors!
Colorado Chiropractic AssociationThe voice of Colorado chiropractic since 1917.
8751 East Hampden Avenue #B-7Denver, CO 80231-4929
(303) 755-9011 or (800) 829-0339 Fax (303) 755-1010
e-mail [email protected]
Cheryl Rodebaugh, DCRandy Roman, DCWilliam Salsman, DCTrenton Scott, DCCraig Smith, DCScott Smith, DCWilliam Strempel, DCNelson Vetanze, DCGail and John Warner, DCCandice Huffman, DCJames Whidden, DC
CC-PAC Club
Charge my credit card $_____ (up to $525) as a one time donation to the current CC-PAC fund
Charge my credit card $____ now, and, $____on _________ (month) 1st and $____on __________ (month) 1st
Charge my credit card $100 now, and $100 on January 1st and $100 on June 1st
Charge my credit card $50 now, and $50 on January 1st and $50 on June 1st
Contributor’s Name(please print):________________________________________________Profession/employer:________________________
Address:_________________________________________________________________________________________________________________
City/State/Zip: ____________________________________________________Phone:_________________________________________________
Fax:_________________________________________________________ E-mail:_____________________________________________________
Credit Card#:_______________________________________________________________ Exp Date:_______________Visa, Mastercard, Amex, Discover
Signature: ______________________________________________________________________________Date: ________________I authorize the CC-PAC Club to initiate debit entries to my debit/credit card as specified above. This agreement will remain in affect unless I notify the CC-PAC Club in writing to cancel it.c/o Colorado Chiropractic Association- 8751 E. Hampden Ave #B-7, Denver, CO 80231-4929 CC-PAC Chair: Micah Liechty, D.C .
Why join the club? Donating to the CC-PAC, Colorado Chiropractic Political Action Committee, is the best way to protect your patients rights and patient access to chiropractic treatment in Colorado. Your contribution will be used to support positive pro-chiropratic contacts with state legislators. Each Colorado legislative session fosters issues that impact doctors of chiropractic and their patients. The Colorado Chiropractic Association, CCA, keeps updated on these issues and together with our lobbyists push for a pro-chiropractic agenda. There is always a need for a well-funded PAC. Please contribute today. Thank you! (Staff, spouse, family, friends and patients can contribute too.)
The Campaign Finance Reform Act establishes rules on contributions to PACs (Political Action Committees) in Colorado. The maximum contribution an individual can make to a PAC is $525 per election cycle (every two years). For example, an election cycle is from December 2010 to December 2012. Corporate/business checks are allowed as well as checks from individual accounts. A husband and wife may make a single $800 contribution if the contribution is done from a joint checking account. Each family member may contribute with their own personal account, but only one contribution can be made from a joint account. In addition, contributions can be made directly to candidate campaigns by individuals up to $400 each two-year election cycle ($200 for the primary election and $200 for the general election). Please include your current address, profession/employer with your contributions to make it easier for the candidates to properly report.
CC-PAC Club
CC-PAC Club Contribution Pledge Form (please check one):
Join the Colorado Chiropractic
P.A.C. Club
eUpdate March 2012
41
eUpdate
40
March 2012
300 Hour Chiropractic Family Practice Diplomate Program
Name:__________________________________________________________ Address:______________________ City/ State:_________________ Zip:________ Phone:_______________________ State: _______ License #: ___________
E-Mail:_______________________
$300 per session — 10 days prior to seminar $325 — less than 10 days.. or at the door
Chiropractic Students — $150 per session SACA members — $125 per session
For more Information: Call 970-344-1262 or email [email protected]
Credit Card # ___________________________________ Expiration ______________Type of Card ___________ Fax to 970-532-9838 or Mail Checks to: Gateway Natural Medicine 1211 Lake Avenue, Berthoud, CO 80513
Sign Up Now! CHECK HERE FOR THIS SESSION ONLY
MEET TODAY’S CHALLENGES
TREAT THE WHOLE PERSON
GET INTO FAMILY PRACTICE
12-HOURS OF CE CREDIT Per Session BECOME A
DIPLOMATE INTERNIST
ENROLL IN THE
CHIROPRACTIC FAMILY PRACTICE Following ACA Guidelines for Wellness Education
Sponsored by: ACA Council on Diagnosis & Internal Disorders & National University of Health Sciences
LICENSE RENEWAL APPLIED FOR IN CO, NM, UT, WY, NE, OR ….. National University of Health Sciences
Denver, CO
DABCI Seminars
Module I Session 1, Aug. 7-8, 2010 Kleber Session 2, Sept. 11-12, 2010 Kleber Module II Session 3, Oct. 9-10, 2010 Bowers Session 4, Nov. 6-7, 2010 Howard Module III Campus Session at NUHS Physical Exam Workshop Howard Session 6, Dec. 4-5, 2010 Kleber Session 7, Jan. 8-9, 2011 Kleber Session 8 Feb. 5-6, 2011 Kleber Module IV Session 9, Mar. 5-6, 2011 Kleber Session 10, Apr. 2-3, 2011 Anderson Module V Session 11, May 14-15, 2011 RichardsonSession 12, June 4-5, 2011 Kleber Session 13, Aug. 6-7, 2011 Howard Module VI Session 14, Sept. 10-11, 2011 Spirometry & Pulmonary Disease Kleber Session 15, Oct. 1-2, 2011 Anderson Session 16, Nov. 5-6, 2011 Kleber Module VII Session 17, Dec. 3-4, 2011 Howard Session 18, Jan. 7-8, 2012 Kleber Module VIII Session 19, Feb. 4-5, 2012 Kleber Session 20, Mar. 3-4, 2012 Bowers Session 21, Apr. 14-15, 2012 Peripheral Disease Workshop Santelli Module IX Session 22, May 5-6, 2012 TaylorSession 23, June 2-3, 2012 Kleber Module X Session 24, Aug. 4-5, 2012 Kleber Session 25, Sept. 8-9, 2012 StrehlModule XI Session 26, Oct. 6-7, 2012 Kleber
Introduction to Chiropractic Internal Disorders History Taking
General Examination and Associated Pathology Disease and Examination of the Pelvis
Multi-Channel Blood Chemistry, CBC, Thyroid Additional Blood Test/Tumor Markers Blood Interpretation Workshop
Cardiovascular Disease: Prevention/Diagnosis/Management EKG & Phonocardiography
Pharmacognosy/Herbal Therapy Chronic Degenerative Disease Pediatrics
GeriatricsUrinary Disorders & Hair Biopsy
Immunology & Allergy, Part 1 Allergy, Part 2-Management of the Hypertensive Patient
Common Diseases Affecting the Arterial System Evaluating Vascular & Venous Disorders by Instrumentation
Facts of Neoplastic Process & Examining the Cancer Patient Malignant Disease & AIDS; their Management and Treatment
Upper GI Disease Lower GI Disease
Reports, Clinical Documentation and Drug Reactions
Denver, Colorado 2010-2012
Seminar Location: Hyatt Summerfield Suites Denver Airport 18741 East 71st Avenue Denver, CO 80249 303-628-7777
Daniel L Richardson, MSc, DN, PhD
Dr. Richardson has a PhD in Neuropharmocology from Loyola Univer-sity. Currently he is professor and chair of the Department of Nutrition and Biochemical Therapeutics and the Department of Undergraduate studies at the National University of Health Sciences. He is also Pro-fessor of Nutrition and Dean of Students at the Chicago National Col-lege of Naprapathy.
Dr. Richardson is a prominent expert in nutrition and botanical medi-cine having given several seminars around the world to all areas of the health care professions. He was awarded an honorary Doctor of Napra-pathy for his work for the Naprapathic profession.
Frank E Strehl, DC, DABCI
Dr. Strehl taught OB/GYN at the University of Natural Health Sciences for 11 years and is a board certified chiropractic internist who has been in private prac-tice for over 28 years. Prior to matriculating at the National University, Dr. Strehl was a graduate student in anatomic pathology at the George Washington University School of Medicine where he performed over 300 autopsies.
Since 1997, he has been a part-time faculty member teaching OB/GYN at the National University of Health Sciences as well as a post-doctoral instructor in the Diplomate Internist Program. From 2001 – 2003 he served as President of the Council on Diagnosis and Internal Disorders and since 2003, he has been the ACA delegate for Northern Illinois serving on the Long Range Plan Committee, CAM Committee, Wellness Committee and the Bylaws Committee.
Richard Santelli, DC, DABCI
Dr. Santelli is a board certified chiropractic internist and has been in practice for over 28 years. He is also board certified in oxidative medicine, providing intrave-nous nutritional health care to his patients.
Dr. Santelli has served as President, Vice President, Treasurer, and Legislative Chairman of the Chiropractic Association of Oklahoma. Currently he is an Al-ternate Delegate (Oklahoma) for the American Chiropractic Association.
Mike Taylor, DC, DABCI
Dr. Taylor is a board certified chiropractic internist and has been in private practice for over 31 years. He lectures around the country and specializes in alternative treatments for cancer and was developer of “The Oklahoma Wellness Campaign.”
Dr. Taylor was Past President of the American Board of Chiropractic Internists.
Ben Bowers, DC, DABCI
Dr. Bowers is a board certified chiropractic internist and has been in practice for over 23 years. His expertise ranges from acupuncture to kinesiology and cold photon laser procedures and treatment.
Dr. Bowers has served as high school team and tournament physician as well as an instructor of various programs including Medical/Health/Wellness/Nutrition Seminars and Brimhall Wellness Seminars.
Cindy Howard, DC, DABCI
Dr. Howard is a graduate of the National University of Health Sciences. She has a B.S. in human biology and kinesiology and a Doctorate in chiropractic medicine and is also a board certified chiropractic internist.
Dr. Howard is a Fellow of the International Academy of Medical Acu-puncture, has received advanced training in phytochemical and botani-cal medicine, and is Past President of the American Chiropractic Asso-ciation’s Council on Diagnosis and Internal Disorders.
William Kleber, DC, DABCI
Dr. Kleber is a board certified chiropractic internist and has taught for the diplo-mate program for eight years. Currently he is course coordinator for the Denver program with more than 29 years’ experience as a chiropractor and more than 11 years as an internist.
Dr. Kleber has a keen interest in endocrinology and is considered an expert in the diagnosis and treatment of thyroid disorders. He has built a successful practice in Berthoud, Colorado providing alternative options to those who have exhausted the traditional field of medicine with no success.
Dr. Delilah Anderson D.C., DABCN, DABCI, APCM
Dr. Anderson is a board certified chiropractic internist and a board certified clinical nutritionist and has been in practice for over 22 years. Her areas of particular interest are those that lifestyle and nutrition play a particularly large role as in diabetes and hormonal imbalances.
Dr. Anderson was the Past President of the American Board of Chiro-practic Internists and has been involved in and overseen the education process for chiropractic internists.
The Chiropractic Internal Disorders program is designed specifically to promote chiropractors as true, alternative, primary care providers. The diverse educational knowledge and experienced clinical back-ground of the course instructors will equip you to provide outstanding care in an ever changing and dynamic healthcare setting. It will set you apart as a true specialist, not only from other chiropractors, but also from the medical profession. You will learn to treat and manage chronic illnesses that have formerly been the exclusive domain of the allopathic community.
We’ve assembled a well-rounded, eclectic, and experienced team of diplomates who will be teaching from their true areas of expertise. Chiropractic Internists all have similar educations but tend to gravitate to a specific area of interest and area offocus. Our outstanding group of physicians will offer a different perspective on Chiropractic Internal Disorders and inspire you to become the doctor you’ve always wanted to become!
COURSE INSTRUCTORS
*Every attempt is made to offer these seminars as publicized; however, we reserve the right to adjust seminar locations, dates, times, etc. due to circumstances beyond our control. Program continuation is contingent upon adequate attendance. No audio or video tape recorders are allowed, and no portion of the seminar may be reproduced in any manner without expressed written consent. Pre-registration is required. DABCI Seminars shall not be held responsible for any expenses incurred by registrant if a program must be altered and/or cancelled. Seminar fee is non-refundable. If the Doctor is unable to attend after pre-registering and payment has been received, the seminar fee will be transferred to another Seminar (attended within 12 months of the original seminar). Any seminar fee not transferred and used within 12 months will be forfeited.
Seminar Hours: Saturday9:00 am to 6:00 pm Sunday 8:00 am to Noon
Send Registrations to: DABCI Seminars 1211 Lake Avenue Berthoud, CO 80513 Phone: (970) 532-2755 Fax: (970) 532-9838
Registration Information:
$300 per session If received 10 days prior to seminar $325 per session Less than 10 days out, or at the door
Chiropractic Students $150 per session
SACA Members $125 per session
Checks Payable To: Gateway Natural Medicine
Course Continuing Education
