Fall 2012 ISCA Report

FALL 2012

What if 60 percent, 70 percent, or 80 percent of the members of our profession joined their state and national associations, stood up together in unison and said to the world, “We are together now, the chiropractic family, and we’re not going to take it anymore! We will no longer be denied the opportunity to offer our valuable services to patients!”

What if we had four times the members and resources to do this work? What if each of us did everything we could to support the team? Together, we can reach our goal-----access to the best of chiropractic care for all patient populations. Together, we can reach the goal of parity

reimbursement for the full range of DCs’ professional services. Together, we can help bring about a transformation in health care. As a profession, we have long been engaged in doing the seemingly impossible. We should not be deterred from a cause we know to be right. This is about the best care for our patients.

We are gaining ground against all odds------with under 20 percent of our DCs actually “in the game”. We could do much more. For example, even our colleges are training their students within the confines of VA facilities to be able to treat our active military and veterans and family. More legislators are receiving chiropractic care and gaining that all-important understanding of chiropractic and the paradigm shift that can result from that experience.

Now, we have the first federal law in history that specifically addresses non-discrimination at a time when the public is showing increasing interest in what DCs have to offer------conservative, patient-centered, high-touch, whole-person care with a focus on health promotion and wellness. Many simply do not yet know what we have to offer. We must come together in greater numbers than ever to make our voice heard. We have some of the answers for current challenges in health care, and the public must have the opportunity to receive our expert care.

Will we allow the momentum to slow and miss this golden opportunity to make a quantum leap forward for our patients and our profession within the state of Indiana? Or will we seize the day? Please answer the call to action. Join the ISCA! Get involved! Look for ways you can help. If you are involved, see how you can do more, and encourage others to become involved, too. Help us reach our potential as a profession------as a chiropractic family------to transform health care in the great state of Indiana.

With regards,Dr. Robert Tennant, DC, FICC

PRESIDENT'S MESSAGE:

YOUR ISCA IS HARD AT WORK FOR YOU!

Do you know all of the work that the ISCA is doing for you? The ISCA has been hard at work promoting Chiropractic Health Month. The ISCA PR Committee is proud to say that Indiana is the first state whose Governor recognized the event by signing a proclamation. The proclamation was only one component of the statewide media campaign that distributed press releases, PSAs and utilized our own ISCA members as spokespersons within each of Indiana’s seven media markets throughout October.

In addition, the ISCA is working together with the International Chiropractic Association of Indiana (ICAI) to hold the first-ever Joint Spring Conference, April 12-14, 2013 at the Crowne Plaza Indianapolis Airport Hotel. Look forward to more announce-ments about this exciting “Family Reunion” themed event.

New ISCA leaders are emerging with the election of the Board of Directors at our Annual Meeting during the Fall Conference. Membership, legislative, insurance, public relations and speaker / conference committees will begin to establish goals for 2013. Interested in being a part of this exciting momentum or have a suggestion about how to make your ISCA membership more valuable? Please contact Association Manager, Cathy Orosz 317-673-4245 ext. 156 or [email protected].

FALL 2012ISCA REPORT2

PresidentRobert Tennant, D.C., FICCShirley, [email protected]

First Vice-PresidentJames Cox II, D.C., LACFort Wayne, [email protected]

Second Vice-PresidentPeter Furno, D.C.Zionsville, [email protected]

SecretaryMichael Phelps, D.C.Martinsville, [email protected]

TreasurerLewis Myers, D.C.Valparaiso, [email protected]

Immediate Past PresidentAnthony Wolf, D.C., FICCIndianapolis, [email protected]

Past President RepresentativeRobert Clements, D.C.Kokomo, IN [email protected]

DIRECTORS AT LARGE

Thomas Carrico, D.C.Lawrenceburg, [email protected]

Douglas Breger, D.C.New Albany, [email protected]

Frank Laux B.S., D.C. Indianapolis, IN [email protected]

DISTRICT DIRECTORS

District OneRonald Daulton, Sr., D.C.Hammond, [email protected]

District TwoGerard Hofferth, D.C.South Bend, [email protected]

District ThreeJason Russell, D.C.Fort Wayne, [email protected]

District FourE. Curtis Harris, D.C.Franklin, [email protected]

District FiveDerek Dyer, D.C.Huntington, [email protected]

District SixDavid Davis, D.C.Winchester, [email protected]

District SevenDiane Vuotto, D.C.Indianapolis, [email protected]

District EightShaun Tymchak, D.C.Newburgh, [email protected]

District NineToby Harmon, D.C.Jasper, [email protected]

ALTERNATE DIRECTOR AT LARGE

Christopher Paprocki, D.C., FICCGreenwood, [email protected]

ALTERNATE DISTRICT DIRECTORS

District OneJoseph Paun, D.C. Highland, IN [email protected]

District TwoWilliam Garl, D.C.Bremen, [email protected]

District ThreeGeorge Joachim, D.C.Fort Wayne, [email protected]

District FourScott Auton, D.C.Franklin, IN317.346.0799 [email protected]

District FiveDavid Frischman, D.C.Wabash, IN [email protected]

District SixDonna S. Cray, D.C.Muncie, IN [email protected]

District SevenKristen Hartwell, D.C.Indianapolis, IN317.784.9311 [email protected]

District EightMichael Toney, D.C.Terre Haute, [email protected]

District NineKeith Bartley, D.C.Jasper, [email protected]

INDIANA STATE CHIROPRACTIC ASSOCIATION BOARD OF DIRECTORS

ALTERNATES: The ISCA by-laws allow for the Directors at Large and the District Directors to have Alternate Directors. The Alternate At Large Directors may reside anywhere in the state. The Alternate District Directors must reside within their district. There are 9 districts and their boundaries are the same as per the national census. This is done to keep the Districts in line on a proportional basis. When the Directors are not present, the Alternate Directors have the full voting powers as the Directors and may take their place at any meetings. This system was initiated to involve more people in the association’s decision-making process and to serve as a training ground for future board members. The Alternate Directors at Large are nominated by the Directors at Large and then must be approved by the Board of Directors. The District Director Alternates are recommended by the District Directors and approved by the board.

INDIANA STATE CHIROPRACTIC ASSOCIATION SOCIAL MEDIA LINKS

www.facebook.com/indianastatechiros

www.twitter.com/ INchiros

http://www.linkedin.com/groups?about=&gid=2122125

INSIDE THIS ISSUEPRESIDENT'S MESSAGE.....................................................................................1THE ISCA IS HARD AT WORK FOR YOU!......................................................1ISCA BOARD OF DIRECTORS & SOCIAL MEDIA LINKS...................................2EXECUTIVE DIRECTOR'S MESSAGE..............................................................3-4NEW TWIST TO NOOPE* ADVERTISING........................................................5-6PROVIDER REVALIDATION ................................................................................6COLLABORATION AGREEMENTS........................................................................7SHOW YOUR SUPPORT OF THE ISCA'S LEGISLATIVE EFFORTS......................7MEDICARE UPDATE.............................................................................................8

MAKE THE ISCA VOICE HEARD.........................................................................8MEMBERSHIP APPLICATION FORM................................................................9ISCA IS FIRST ASSOCIATION TO RECEIVE PROCLAMATION FOR CHIROPRACTIC HEALTH WEEK..................................................................................................10FOR ACTIVE CHILDREN, CHIROPRACTIC CARE GROWS..........................11-12MAJOR COURT VICTORY FOR CHIROPRACTIC...............................................13NATIONAL CHIROPRACTIC HEALTH MONTH...................................................13RISK PURCHASING GROUPS..........................................................................14ISCA CLASSIFIEDS............................................................................................15

FALL 2012 ISCA REPORT 3

EXECUTIVE DIRECTOR'S MESSAGE: PATRICIA MCGUFFEY, ESQ.

WHAT DOES OBAMA CARE MEAN FOR CHIROPRACTIC?

I am devoting this months’ Executive Director’s Report to providing you, our ISCA members, an analysis of where we are in Indiana with the implementation of the Patient Protection and Afford-able Care Act (ACA). Many of you have grave concerns and I hope some of this information can assist to assuage those fears.

What actually is Obama Care?

The commonly called Obama Care (or the federal health care law), is a United States federal stat-ute signed into law by President Barack Obama on March 23, 2010. The ACA is aimed primarily

at decreasing the number of uninsured Americans. It provides a number of mechanisms—including mandates, subsidies, and tax credits—to employers and individuals in order to increase the coverage rate. Additional reforms are aimed at im-proving healthcare outcomes and streamlining the delivery of health care. This is a quick synopsis of the intent of ACA-of course we always know the “devil is in the details” so lets discuss what this means to Chiropractic in Indiana.

Ever since Congress passed the ACA, your ISCA has been working diligently to make sure the chiropractic benefit is fully included in any and all plans for Indiana’s implementation of it.

The ISCA is working closely with the Healthcare Implementation (HI) Work Group – comprised of 48 Indiana-based healthcare stakeholder consumer and provider groups. We are meeting with key policy and decision makers in Governor Daniel’s Administration, as well as policy decision makers in Congressman Pence and Former Speaker John Gregg's Gubernato-rial campaigns.

In addition, the ISCA is following all interim legislative commitees and meeting with key Indiana legislators. All of these efforts are targeted at representing the Chiropractic community’s best interest to make sure all health care reform activities fully integrate and do not discriminate against chiropractic.

What should DC’s know about the implementation of ACA?

Indiana has a big deadline approaching soon! As part of the implementation of the ACA, the State must decide on a Health Insurance Exchange (HIX) by November 16, 2012.

A Health Insurance Exchange (HIX) is a set of state-regulated and standardized health care plans from which individuals and small businesses may purchase health insurance. All exchanges must be fully certified and operational by January 1, 2014 under federal law. Some of HIX’s functions include determining eligibility for assistance programs; providing a place to shop for and purchase health insurance (Qualified Health Plans); certifying Qualified Health Plans (QHPs); determining which plans can be offered on the Exchange- according to federal criteria; collecting and publishing quality data on health plans; and providing Education, outreach, oversight and Navigators to help consumers “navigate” and choose the appropriate insur-ance plan.

The State can choose a number of HIX options. They can have a State HIX, Federal HIX, or a combination (Hybrid HIX, favored by most). The bottom line is the HIX will provide a place for consumers to purchase insurance. Carriers will have to be ap-proved for HIX by the Indian Department of Insurance (IDOI). HIX will be implemented following this timeline: November 16, 2012, Governor elect signifies intent (Governor Daniels has indicated he believes this decision should be made by the new Governor) January 2013, Federal decision whether State or Federal Government will operate the Exchange February – March 2013 (estimated), Carriers submit plans to Department of Insurance for approval October 2013, Go-live for Exchange: Required open enrollment period for HIX begins

Even more significant for chiropractic is to determine what Indiana’s essential benefits benchmark (EHB) package will include.

Indiana, as all states, was required to choose the EHB by Oct 1. However, the deadline for Indiana to submit its essential health benefits (EHB) package has come and gone. In an October 1, 2012 letter to HHS Secretary Sebelius, Indiana Insur-ance Commissioner Robertson stated “there is no legal or practical basis for us to make a sound decision in the best interests of Hoosiers."

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PAT MCGUFFEY'S MESSAGE CONTINUED...

The Commissioner basically stated that Indiana saw the deadline as a “soft” date and states; “thus, to establish EHD pack-age, we are left with no other choice but to delay this decision until the new Governor is elected, our questions are answered and firm legal guidance is issued.” It appears Indiana will wait until the federal rules are promulgated and the new Governor is elected to establish their EHD package.

At this point, the ball seems to be in Health and Human Service (HHS) court – so we’ll just have to stay tuned to find out how HHS intends to respond. However, IDOI and FSSA have indicated they have researched and analyzed the insurance market and determined what plans are eligible to provide the EHBs.

The benchmark plan selected must include benefits in these 10 categories as specified by the ACA:

•ACA excludes annual or lifetime dollar limits on these ben-efits ▫Includes service limits •If benefit category is not included in the selected benchmark plan then the State must substitute from another benchmark option

Here are the Indiana plans that would be eligible to provide EHBs and a comparison on the benefits that would impact chiropractic. Indiana will be allowed to choose its EHB benchmark plan based on the options below:

1. Small group market: The largest plan by enrollment within each of the three largest products in Indiana’s small group market: Anthem PPO, Anthem Lumenos and United POS.

2. State Employee Health Plan: Plan with the largest enrollment: Anthem PPO.3. HMO: largest plan in the largest commercially insured HMO offering in the state: Advantage HMO.4. Federal employee health plans: three plans with the largest enrollment Blue Cross Blue Shield Standard, Blue Cross

Blue Shield Basic, and Government Employees Health Association GEHA.5. Default plan will be the largest plan in the small group market: Anthem PPO.

In the Administration’s and the ISCA’s analysis of the plans, all have a chiropractic benefit except the Advantage HMO option that excludes chiropractic services but does not specifically exclude chiropractic providers (sounds like the HIP Plan). We are doing further research on this and plan to meet with Advantage representatives to discuss expanding the chiro-practic benefit they offer.

Here is the timeline for the EHB Implementation:

• September 30, 2012: State must submit a preliminary EHB benchmark selection to HHS (INDIANA HAS NOT)

• Oct/Nov 2012: HHS will publish the rule listing the proposed benchmark & benefits for each state (HHS has not yet done this) 30 day comment period

• 2013: Carriers will submit plans to State & Exchange for certification; HHS will publish a final rule identifying the bench-mark & benefits for states

• 2014: Indiana will submit EHB benchmark to HHS for 2016

• January 1, 2014: Coverage begins for plans with EHB Benchmark benefits provided in small & individual market

• January 1, 2016: New EHB benchmark would be available in plans

The details above should allow you to converse knowledgably about Indiana’s status with the ACA. In addition, I hope you will feel secure in knowing what the ISCA is doing to make sure Indiana DCs are properly positioned to be an integral part of all health reform.

The ISCA is committed to keeping you informed! Of course, I am available to answer your specific questions about Obama Care or any other issue, and can be reached at [email protected] or 800-572-8002, so feel free to contact me.

1. Ambulatory patient services 2. Emergency services 3. Hospitalization 4. Maternity and newborn care 5. Mental health and substance abuse disorder services,

including behavioral health treatment

6. Prescription drugs 7. Rehabilitative and habilitative services and devices 8. Laboratory services 9. Preventive and wellness services and chronic

disease management 10. Pediatric services, with oral and dental


Whenever I go into Lowe's I'm amazed at the array of fantas-tic technological products available for the weekend handy-man to assist in accomplishing whatever goal or chore is fac-ing him at home. I almost always make the comment about how "there's always someone thinking"!

And so it goes in chiropractic. There seems to be always someone "thinking"..... about how to circumvent the law!

Recently, a colleague drew my attention to a Yellow Page advertisement proclaiming the usual health benefits of chi-ropractic care, but, as an incentive to prospective patients, prominently displayed the following statement above the clinic address:

“We guarantee to diminish your pain in 12 visits OR get your out-of-pocket costs back”

So? What's wrong with that? Nothing on the surface. If the patient is dissatisfied, you offer his/her out of pocket expens-es back! Watch out! Upon closer scrutiny this is the classic NOOPE scam..... in disguise, and is illegal!

Examination of this offer reveals that:

1) The statement implies that if the patient’s pain is not diminished in 12 visits, the service-charge for the 12 treat-ments rendered up to that point would be accepted by the doctor at the insurer’s contractual “usual and customary” fee. This results in a retro-active waiver of the patient’s co-pay and/or deductible obligations, resulting in no-out-of-pocket (NOOPE) to the patient which is in violation of the Indiana NOOPE statute. ( IC 25-1-9-6.5) 2) Additionally, the advertising of reimbursement to the patient of monies already paid (co-payments, co-insurance), interferes with the contractual relationship between the insurance company and the patient, which is a violation of Commercial Law, (“Law of Agency”). This means that the doctor is acting unlawfully on behalf of the principal – the insurance company – without an appropriate license (insur-ance agent), and therefore is participating in the business of Insurance illegally.

3) Furthermore, inferring a “Guarantee”, of any kind, is pro-hibited by the FTC regulations and most state laws controlling advertising in the health care field. If a “reasonable” con-sumer is persuaded by the words “guarantee to diminish your pain”, to become a patient with that expectation, then this may be construed as “deceptive” advertising, and is inter-preted to be unlawful.

For the information of the practitioner in the field, the follow-ing is the general legal position regarding issues in both this, and related areas:

• It is illegal to routinely excuse patients from insurance co-payments and deductibles. (A co-payment is a fixed dollar amount paid whenever an insured person receives specified health-care services. A deductible is the amount that must be paid before the insurance company starts paying.)

• It is legal to waive a fee for people with a genuine financial hardship, but it is not legal to provide completely free care or discounts to all patients or to collect only from those who have insurance. Studies have shown that if patients are required to pay for even a small portion of their care, they will be better consumers and select items or services because they are medically needed rather than because they are free. Routine waivers thus raise overall health costs. They are con-sidered fraudulent because averaging them with the doctor's full fees would make the "usual" fees lower than the amounts actually billed for. • The U.S. Court of Appeals holds that by waiving the deduct-ible and co-payment, a chiropractor relieves both the insur-ance company and the patient of any obligation to pay for the chiropractor's services. The court reasoned that because the insurance plan required co-payments to help hold down the cost of care, the chiropractor could not waive them without violating his contract with the company. And because the chiropractor contracts with the patient to accept whatever the insurance company pays on the patient's behalf, the patient had no obligation either. Although laws vary from state to state, IF Medicare patients are implicated, there could be severe legal repercussions for the provider. Whoever submits a false claim to the Medicare program (for example, a claim misrepresents an actual charge) may be subject to criminal, civil or administra-tive liability for making false statements and/or submitting false claims to the Government. 18 U.S.C. 287 and 1001; 31 U.S.C. 3729; 42 CFR 1320a-7a). Penalties can include imprisonment, criminal fines, civil damages and forfeitures, civil monetary penalties and exclusion from Medicare and the State health care programs. In addition, anyone who routinely waives co-payments or deductibles can be criminally prosecuted under 42 U.S.C. 1320a-7b(b), and excluded from participating in Medicare and the State health care programs under the anti-kickback statute. 42 U.S.C. 1320a-7(b)(7).

A NEW TWIST TO NOOPE* ADVERTISING... by Peter G. Furno, D.C., Chair, Insurance Committee, ISCA 2nd Vice President

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Finally, anyone who furnishes items or services to patients substantially in excess of the needs of such patients can be ex-cluded from Medicare and the State health care programs. 42 U.S.C. 1320a- 7(b)(6)(B).

Many kindhearted doctors oblige, thinking to themselves that the patient needs care and shouldn't be turned away

just because of lack of funds. For other doctors, discounted pricing is the bait in a marketing gimmick: no out-of-pocket ex-pense, aka NOOPE.

As has been pointed out, the practice of waiving co-payments and deductibles can lead to a significant number of lawsuits, fraud charges and even prison. Under Medicare and Medicaid laws, doctors who write off charges can be charged with fil-ing false claims or violating anti-kickback laws. The recent Kennedy-Kassenbaum bill (Health Care Portability Act) is federal legislation governing write offs that can lead to a $10,000 fine and/or five years in jail. Private insurance also can file civil or criminal fraud charges against doctors who waive co-payments. At the very least, such discounts can result in an FBI investi-gation of the practitioner’s billing records.

While an occasional case with an extreme financial hardship may be overlooked, this practice by federal law requires such waivers of co-payments and deductibles be made on an individual basis, and must be documented in the patient's records. Regulators are skeptical on the routine use of such cases.

Playing ignorant of the new law is no defense. Under the U.S. Justice Department's fraud provisions, prosecutors no longer have to show criminal intent on the part of the physician, only that a "reasonable doctor" would have known a certain practice is fraudulent.

The federal anti-kickback law prohibits the knowing and willful solicitation or receipt of any remuneration in return for refer-ring an individual or for recommending or arranging for services paid for by Medicare or any health care program. Remunera-tion includes the waiver of coinsurance or deductibles or any other transfer of items or services for less than market value, as when the doctor submits a written document to the patient's third-party payor for the entire amount of the bill, yet knows that the co-payment was waived. While the doctor may consider this a professional courtesy, the law calls it insurance fraud.

Professional courtesy discounts may provide the patient with a prohibited benefit in exchange for seeing a particular physi-cian. This practice of routine waivers not only overstates the fee charged, but also encourages overuse of services, as the patient has no financial consequence for securing the service. The use of waivers is illegal.

Because of the complexity of the law, it is extremely wise to consult legal counsel prior to placing an advertisement of any sort in the public domain.

This is for information purposes and not legal advice. For all legal questions, consult your attorney.

PROVIDER REVALIDATIONby: Michael Phelps, DC, Medicaid Advisory Committee Rep., ISCA Secretary, ISCA Board of Directors

Under the Affordable Care Act (ACA), the Indiana Health Coverage Programs (IHCP) is required to revalidate all provider enroll-ments. The ACA screening criteria apply during revalidation.

Note: Revalidation requirements do not apply to practitioners enrolling only as OPR Providers.

Providers will receive notification letters with instructions for revalidating 90 and 60 days before their revalidation deadline. Providers should not take any steps to revalidate until they receive their notification letters. Providers that fail to submit revali-dation paperwork in a timely manner will be deactivated from participation in the IHCP as of the deadline date.

Revalidation of enrollment will occur on a regular schedule. Under the ACA, states are required to revalidate providers at inter-vals not to exceed every five years. A more frequent three-year revalidation requirement applies to durable medical equipment (DME) and home medical equipment (HME) providers, including pharmacy providers with DME or HME specialty enrollments. Providers will be notified every three or five years when it is time to revalidate their IHCP enrollments.

For more information, see Chapter 2 of the IHCP Provider Manual at www.indianamedicaid.com/ihcp/manuals/chapeter04.pdf.

Note: Revalidation of enrollment is not the same as recertification of enrollment credentials. Go to www.indianamedicaid.com and click on Recertify Provider Enrollment Licenses and Other Certifications for details about the recertification process.

NEW TWIST STORY CONTINUED...


With more chiropractors seeking to build multi-disciplinary practices, it is vital that all the necessary agreements are in place. In addition to the proper corporate formation documents, employment agreements and credentialing matters, the employment of an advance practice nurse requires a collaboration agreement with a supervising physician.

Pursuant to I.C. 25-23-1-19.4(b), advance practice nurses – including nurse practi-tioners, nurse midwives and clinical nurse specialists - are permitted to operate in collaboration with a licensed practitioner so long as there is a written agreement between the advanced practice nurse and the licensed practitioner governing the manner in which an advanced practice nurse and a licensed practitioner cooper-ate, coordinate and consult with each other in the provision of health care to their patients. The agreement between the advance practice nurse and the licensed practitioner is commonly referred to as a Collaboration Agreement.

Collaboration Agreements clarify the authority of the advance practice nurse and the licensed practitioner. In general, a Collaboration Agreement should specify the following:

1. The names, addresses and credentials of the parties to the Collaboration Agreement;

2. The length of the Collaboration Agreement;3. The manner in which the parties will consult and collaborate with each other;

and,4. Any limitations the licensed practitioner places on the advanced practice

nurse’s authority.

Be aware, however, that if the advance nurse practitioner is licensed to prescribe medication, additional items must be included in the Collaboration Agreement.

Should you have any questions about Collaboration Agreements, it is best to con-sult with a legal professional.

COLLABORATION AGREEMENTSby Mark K. Sullivan & Associates, P.C.

The time is now! Election season is in full swing - with a crucial legislative session to follow. This makes the legislative work of the Indiana State Chiropractic Association (ISCA) more important than ever. Please join our efforts by contributing to the ISCA legislative assessment and BACKPAC today! In addition, contact your legislators to share our legislative priorities.

The ISCA needs your support to continue to fight for your professional interests. Your contributions strengthen our efforts and build support for the issues important to chiropractors. It is imperative that we retain and elect legislators who have been loyal advocates for Doctors of Chiropractic and educate them on our legislative priorities.

SHOW YOUR SUPPORT OF THE ISCA'S LEGISLATIVE EFFORTS!

WELCOME NEW ISCA MEMBERS!

Stephen Frank, D.C.Anderson, Ind.

Joel Harman, D.C.Ft. Wayne, Ind.

Rob OlsenStudent

Lafayette, Ind.

James CarrollStudent

Glen Ellyn, Ill.

William Misenheimer, D.C.Monticello, Ind.

James Ruckel, D.C.Ft. Wayne, Ind.

Elizabeth Azhar, D.C.Westfield, Ind.

Carla Grote, D.C.Decatur, Ill.

Mary Jane Doyle, D.C.Highland, Ind.

Kyle SteinmanStudent

Largo, Fla.


The ISCA is the voice of the Indiana Chiropractic Community. Your effort at making that voice heard is integral to grow this community.

The ISCA currently serves only a fraction of the Indiana Chiropractic Community and is asking for your help to reach out to non-members across the state to get the word out about the benefits of Association membership. As a special incentive, we are offering current ISCA members $50 off of their 2013 first quarter dues with the recruitment of a new member. (Please use the membership application on page 9 of this publication.)

Everything the ISCA does is designed to protect its members’ practices and help them be more profitable and relevant in today’s changing environment.

The ISCA keeps its members informed on the healthcare issues that affect their practice and educated about the skills needed to keep current. Membership means involvement and the opportunity to become a Chiropractic Leader and strengthen the State’s efforts.

The Association acts as a referral network for patients and provides support to practitioners as a go-to resource for questions on a gamut of topics. Learn from nationally-recognized speakers and be mentored by seasoned colleagues.

Take advantage of this – your profession’s statewide network.

Help us get the word out on the important work of the ISCA – recruit a non-member and receive $50 off of your first quarter 2013 dues. Do you know a fellow colleague who would benefit from an ISCA membership and be a benefit to the Association? Please contact Cathy Orosz, Association Manager at 317-673-4245 or [email protected].

MAKE THE ISCA VOICE HEARD – RECRUIT A NEW MEMBER AND RECEIVE $50 OFF YOUR 2013 FIRST QUARTER DUES!by: Cathy Orosz, Membership Director and ISCA Association Manager

With the award of J8 to Wisconsin Physician Services (WPS), providers located in the state of Indiana who currently receive their Medicare payments electronically, must submit a new CMS-588 Electronic Funds Transfer (EFT) Authorization Agree-ment to the new MAC, WPS.

WPS has mailed notices to providers on this requirement. Yet, there are still some providers who have not submitted the new Agreement.

To make sure you have submitted the EFT form, go to: http://www.wpsmedicare.com/j8macpartb/forms/If you have further questions, you may also call 1-866-734-1522

Electronic Health Record (EHR) ExemptionsOur latest information says that will be NO EXEMPTIONS, for any provider not using EHR by 2015. What this means is that if you do not use EHR for your health records in your office, you will incur the one percent fee reduction in 2015, and more in years to come.

Please also not, ICD-10 has been delayed until at least October 2014.

ISCA Fall Conference – Medicare Presentation

David Vaughn, Provider Outreach and Education, WPS Medicare will be presenting, “Chiropractic Care as it Relates to Medi-care” on Friday, November 2 at the ISCA Fall Conference that takes place November 2-4 at the Renaissance North.

The session is designed to help both new and experienced Medicare providers and billers and will help you understand Chiropractic claim submissions medical policy (CHIRO-001), medical documentation, medical necessity and more. The risk management session will also cover coding and billing guidelines, patient eligibility and beneficiary signature on file, non-covered services vs. services deemed not medically necessary.

To register for this conference, log on to www.indianastatechiros.org or contact Association Manager Cathy Orosz at 1-800-572-8002. As always, your ISCA team is here to help!

MEDICARE UPDATE: SUBMIT NEW ELECTRONIC FUNDS TRANSFER FORMby: James Cox II, DC, Medicare Advisor and ISCA First Vice President


CONTACT INFORMATION

NAME_____________________________________________________________________

CLINIC NAME ______________________________________________________________

MAILING ADDRESS__________________________________________________________

CITY, STATE, ZIP_____________________________________________________________

CLINIC PHONE _____________________________FAX_____________________________

CELL/HOME PHONE_________________________________________________________

EMAIL_____________________________________________________________________

PROFESSIONAL BACKGROUND

COLLEGE/GRADUATION DATE_________________________________________________

INDIANA LICENSE #__________________________________________________________

RECOMMENDED BY _________________________________________________________

PAYMENT OPTIONS (YOU MAY ALSO PAY BY ACH DEDUCTION FROM YOUR CHECKING ACCOUNT -- CON-TACT THE ISCA OFFICE FOR INFORMATION)

AMEX VISA MASTERCARD CHECK (MAKE PAYABLE TO ISCA)

CARDHOLDER:_______________________________________________________________

CARD #:____________________________________________________________________

EXP.__________________________ 3 DIGIT SECURITY #:___________________________

SIGNATURE:_________________________________________________________________

MAIL: ISCA 200 S. Meridian St, Suite 350 Indianapolis, IN 46225

FAX: 317.673.4210

MEMBERSHIP APPLICATION

1ST YEAR IN PRACTICE $100 Annually

2ND YEAR IN PRACTICE $280 Annually/$70 quarterly

3RD YEAR IN PRACTICE$360 Annually/$90 Quarterly

4TH YEAR IN PRACTICE$500 Annually/$125 Quarterly

5TH YEAR IN PRACTICE$600 annually/$150 Quarterly

SILVER$750 Annually/187.50 Quarterly

GOLD$1000 Annually/$250 Quarterly

PLATINUM$1500 Annually/$375 Quarterly

ALLIED MEMBER$300 Annually

RETIRED D.C. $100 Annually

OUT OF STATE$100 Annually

STUDENT$10 Annually

MEMBERSHIP LEVELS

QUESTIONS? Call 800.572.8002 Toll-Free or email [email protected]

INDIANA STATE CHIROPRACTIC ASSOCIATION


INDIANAPOLIS-- The Indiana State Chiropractic Association (ISCA) wants Hoosiers to achieve their optimum wellness and fitness level and urges you to “Find Your Game” this October. The awareness campaign was celebrated throughout the month with special emphasis October 14-20 that Governor Mitch Daniels proclaimed as Chiropractic Health Week.

The ISCA is proud to be the first state whose Governor recognized the event by signing a proclamation. This cam-paign coincides with the nationwide observance of National Chiropractic Health Month held each October and sponsored by the American Chiropractic Association (ACA).

By recognizing Chiropractic Health Month, DCs can offer help to Hoosiers in order to reach their best results in health and fitness. Dr. Robert Tennant, president of ISCA, encourages the community to celebrate and educate themselves on chiropractic care.

“Chiropractic care is a natural, whole-person, patient-cen-tered approach to health and wellness,” said Dr. Tennant.

Citizens of Indiana have an opportunity to learn more about chiropractic manipulative therapy and how to improve joint function and decrease pain and stress.

“We can provide exercise and lifestyle recommendations as well as approaches to managing injuries, aches and pains,” said Dr. Tennant.

The ISCA campaign joins the efforts of ACA’s with the theme-”Find Your Game.” As Hoosiers take to the field this fall, the ISCA encourages chiropractic care to achieve maximum fitness as well as prevent injuries. This event helps raise public awareness of the benefits of chiropractic care and its natural, whole-person, patient-centered approach to health and wellness.

“We want Hoosiers can feel their best every day, whether it’s athletes to office workers, young or old; everyone can take steps toward optimal health,” Dr. Tennant said.

For more information on how Indiana chiropractors can help you “Find Your Game” visit http://www.indianastatechiros.org/nchm.html.

PROCLAMATION

ASSOCIATION

ISCA FIRST STATE

HEALTH WEEK

GOVERNOR'S

FOR CHIROPRACTIC

TO RECEIVE


FOR ACTIVE CHILDREN, CHIROPRACTIC CARE GROWSDoctors say treatments can help colic and ear infections by C.M. Schmidlkofer, Staff writer, Shelbyville News

The ISCA Public Relations Committee initiated a statewide media campaign promoting October as Chiropractic Health Month. The campaign included sending press releases, PSAs and other press materials to seven major Indiana media markets. ISCA members served as spokespersons in these markets. The following article published in the Shelbyville News was the result of this effort.

Each October, the American Chiropractic Association spon-sors National Chiropractic Health Month, and this year in Indiana, Gov. Mitch Daniels has proclaimed this week as "Chiropractic Health Week," the first state to have a governor recognize the event by signing a proclamation.

Shelbyville chiropractors and the Indiana State Chiropractic Association want to remind people that adults aren't the only ones who can benefit from chiropractic care -- children as young as newborns can find relief through the gentle manipu-lations of a skilled doctor.

"Pediatric care is a very important part of our practices be-cause children are so active," said Dr. Robert Tennant, ISCA chairman and practicing chiropractor in Shirley.

"They play hard, they work hard, they do everything hard," he said. "And there can be spinal situations that we certainly need to watch."

The most common threat to a child's spine is scoliosis, an abnormal curvature of the spine, which can be successfully remedied if treated before the age of 18 by the manipula-tions of a chiropractor.

The insidious condition causes no pain, meaning that, unless detected early by a medical exam, it may go untreated until it is too late.

A child may be brought to the chiropractor as a result of sports injuries, accidents or falls -- which, with today's tech-nology and treatments, often can be remedied.

"A small child can get injured just as easily if not easier than an adult," Tennant said. "And the important part is to rectify that problem from the cause -- usually the joint and muscle irritation and the aggravation to that child."

Another concern is the heavy books and book bags children carry, which causes diversion in their posture and may lead to spinal ailments.

"It's a grave concern," he said.

Chiropractic care may alleviate common childhood maladies such as chronic ear infections, hyperactivity, bed-wetting,

asthma and colic, to name a few.

That's because when pressure is alleviated from a nerve along the spinal cord during a doctor's spinal adjustment, it may relieve the condition the nerve leads to.

For example, a manipulation of the spine at the point where nerves leading from the spine to the intestines may relieve digestive disorders.

While there may be debate about the success of chiropractic manipulation for anything other than back problems, two Shelbyville chiropractors say their treatments for back pain often results in relief in corresponding body parts as well.

Dr. Robert Ewing, who works with his son, Dr. Tim Ewing, said his own miraculous childhood recovery from an 8-year-old injury convinced him to pursue chiropractic medicine.

"I promised myself when I was in chiropractor college that if I graduated, I'd provide the best chiropractic care for children in this area," he said.

When he was 16 years old, a chiropractor corrected the old injury that had threatened the use of his limbs and for which conventional medical treatment offered little hope of recov-ery.

True to his word, Ewing said about 20 percent of his practice is dedicated to treating children with a variety of programs for different ages and discounted fees. He even offers chiro-practic care for pregnant women who often ask him to care for their newborn's chiropractic needs.

"I can't help all conditions, but I have not seen a child who has not been helped with chiropractic care," he said.

Parents ask about treatment for chronic ear infections, hy-peractivity and colic.

"We see the gamut from fractures to scoliosis," he said. "Bed-wetting is a big issue."

Spinal manipulation may help relieve pressure on nerves from the spine that go to the bladder, and has been effective for his young clients who have this problem.

While improvment may be seen in as little as a few weeks, complete relief takes some time. Ewing encourages patients with rewards for progress to keep them motivated.

"Kids are pretty happy with adjustments," he said, saying

CONTINUED ON PAGE 12


they usually are not fearful of the visit or the experience.

Small children are invited to lie on their parent's stomach on the treatment table for the adjustment until they feel com

fortable enough to be on the table by themselves.

Likewise, Dr. Daniel Duran finds children are accepting and, in fact, eager for spinal adjustments in his office.

He helps them acclimate to the office and procedure by having them sit on their par-ent's lap if they are very young for the manipulation.

By the next visit, they are feeling comfortable enough in most cases to lie on the adjustment table on their own. Infants are treated at no charge for the first year.

With an estimated 15 percent of his patients age 18 or younger, he also sees his share of childhood health problems and injuries.

"I always tell people I am here to correct spinal misalignment," Duran said. "Anything that clears up from there is an added bonus."

However, he correlates medical complaints to specific areas of the spine that he says is usually beneficial to the patient.

For asthmatic children, gentle adjustment on the upper back not only alleviates tension but may help with their breathing as well; for a colicky baby, a lower back adjustment may be helpful and ear infections respond well to neck manipulations.

Children respond quickly to chiropractic adjustments, he said.

"For an adult, we probably need three adjustments for what one does for a child, and that's because of the growth plates (in the vertebrae)," he said. "It's easier to adjust the kids because you can feel their spines so much easier. Kids are so pliable and they adjust so easily, it's just amazing how well they respond to treatments."

Treatment extends beyond the spinal manipulation depending on the problem. Duran will work on shoulders, heel spurs and knees -- the latter of which may include ultrasound therapy, which he said helps draw out the inflammation. He'll also apply Kinesio tape to sports injuries as used by Olympic athletes which elevates the skin from the muscle to help disperse inflam-mation.

Stretching and traction are also utilized, and Duran asks his young patients to stretch at home to keep limber.

Otherwise, Duran said parents don't think of taking their child to a chiropractor unless they've heard a recommendation from another parent. And then, it may be a last-ditch effort.

Often, adults believe children are resilient and will bounce back from injuries. But that can be far from the truth, he said.

"They're doing more and more studies now proving that a lot of problems we have as adults stem from injuries or traumas we had as a kid left undetected or untreated," he said.

Two young Shelbyville patients said they have been seeing Duran since they were babies.

Cheyenne Smith, 10, said the adjustments feel good, especially on her neck.

Her 13-year-old brother, Dylan Smith, plays a variety of school sports said he comes for regular adjustments that helps him recover from injuries faster.

"It helps with my muscle strength, too," he said. "When I tell my friends about coming here they ask why, and I tell them it helps me and it feels good."

With back, shoulder and neck pain are among the most common reasons Americans cite for missing work, Tennant said chi-ropractic care is the safest approach available for relief.

"For those back pain conditions, chiropractic treatment has been shown to be greater than the conventional management by medication and primary care physicians. We get to the cause of the problem when there's an actual injury."

ACTIVE CHILDREN STORY CONTINUED...


On October 12th, 2012, the federal court issued a summary judgment against Blue Cross/Blue Shield in regards to the rights that patients and providers have under the Federal Law ERISA. The decision confirms that insurance carriers must abide by strict ERISA regulations when considering denial of claims and/or post payment requests for refund. Patients and providers MUST be afforded all of their ERISA rights when such actions are initiated by insurance carriers.

The lawsuit was filed by the Pomerantz Law Firm and initiated on behalf of the New York Chiropractic Council, The Congress of Chiropractic State Associations, et al along with individual plaintiffs. "This is the most significant and greatest accomplish-ment we have achieved legally in the history of the chiropractic profession", stated Dr. John J. LaMonica, Vice President and Insurance Committee Chair of the New York Chiropractic Council and Vice President of the Congress of Chiropractic State Associations.

Although class certification was disallowed based on assignment of benefits and authorized representative issues, the as-sociations and individuals remain as plaintiffs. Most importantly the merits of the suit were upheld in their entirety. This will assure all future claims and post payment reviews will be regulated by the Federal law ERISA.

For further information, please contact 316-613-3386 or [email protected] at the Congress of Chiropractic State Associations or the ISCA office at 317-673-4245 or 800-572-8002.

MAJOR COURT VICTORY FOR CHIROPRACTIC AGAINST BLUE CROSS/BLUE SHIELD IN FEDERAL ERISA LAWSUIT

CARMICHAEL, Calif. -- October 15, 2012 –The Foundation for Chiropractic Progress (F4CP) a not-for-profit organization dedi-cated to raising awareness about chiropractic care, was pleased to celebrate National Chiropractic Health Month (NCHM), a nationwide awareness campaign held each October sponsored by the American Chiropractic Association (ACA) and the ISCA. This year, the F4CP helped to drive public education by promoting its campaign deliverables – press releases, ads, public service announcements, and print advertorials -- that feature prominent spokespersons expressing the value of chiropractic care.

“The goal of NCHM is to help the public understand chiropractic care and how it can positively impact their health,” shared Keith Overland, DC, president, ACA. “With the support of F4CP spokespersons, such as Pro Football Hall of Famer Jerry Rice and US Army Brigadier General Becky Halstead (ret.), our profession has the opportunity to educate and encourage the public to begin taking steps in the right direction – toward better health.”

Each year NCHM embraces a new theme. This year, ‘Discover Chiropractic: Find Your Game,’ informed the public about how Doctors of Chiropractic (DCs) help people feel and function their best every day, regardless of age, occupation or fitness level. The following small steps are recommended to help jumpstart healthier habits: alleviate aches and pain that sideline exercise and strive for 20-30 minutes of daily activity, stay well rested and substitute junk food with more fruits, vegetables and whole grains.

Today, over 78 million adults in the U.S. struggle with obesity and its affiliated complications – chiropractic care can poten-tially offset this epidemic by helping people become more active and make better nutrition choices. Former ACA chairman of the board and current F4CP board member, Mike Flynn, DC, said: “NCHM provides the public with resources to learn and engage in healthier choices. It is essential that everyone takes a pro-active position in restoring our nation’s health.”

Echoing the encouragement of Dr. Flynn, to be more diligent in achieving good health, was F4CP spokesperson, Jerry Rice, who shared, “The game of life requires the edge that chiropractic care provides.”

To learn more about chiropractic care or for extra health tips, contact the ISCA at www.indianastatechiros.org.

About Foundation for Chiropractic Progress A not-for-profit organization, the Foundation for Chiropractic Progress aims to inform and educate the general public about the many ben-efits associated with chiropractic care. To learn more about the Foundation, please visit us on the web at www.yes2chiropractic.com or call 866-901-F4CP (3427).

NATIONAL CHIROPRACTIC HEALTH MONTH BROUGHT MUCH NEEDED ATTENTION TO BETTER HEALTH HABITS


Chiropractors continue to face high insurance rates for professional malpractice coverage. When they enter the insurance market seeking competitive rates on an individual basis, they discover that they lack sufficient leverage to negotiate lower rates on a practitioner by practitioner basis. One solution is to develop a way to combine the purchasing power of a large number of chiropractors to obtain the best malpractice coverage at the lowest possible rates. However, for many years, states prohibited individuals from joining groups to purchase liability insurance coverage or from creating fictitious groups as a way to combine their purchasing power.

In response to this issue, Congress enacted the Federal Liability Risk Retention Act of 1986 (15 U.S.C. 3901-3906, the “Federal LRRA”). The objective of the Federal LRRA is to permit groups of insureds with similar liability exposures to achieve economies of scale from buying insurance in bulk through either of two types of insurance entities: a Risk Retention Group (RRG) or a Risk Purchasing Group (RPG). An RRG functions as a licensed, captive insurance company, but unlike an RRG, an RPG is not an insurance company and its members do not underwrite their own coverage.

RPGs are a simple, relatively inexpensive way to leverage joint purchasing for professional liability insurance because they can be formed and administered without the complex administrative oversight or capital requirements of forming an insur-ance company, as with RRGs. An RPG can be established fairly quickly (as compared with an RRG) and once established, can negotiate with admitted insurance carriers in Indiana to leverage the power of group purchasing to obtain more afford-able, better malpractice liability coverage. The insurer will either issue a master policy for the RPG with separate per claim and annual aggregate limits for each member, or will issue a separate policy for each member. Members of the RPG do not share any risk – they are simply leveraging their collective buying power.

An RPG can be a corporation, a partnership, or merely a group of individuals or businesses, including chiropractors, that share a similar exposure to loss and that get together to buy their insurance. Since the purchasing power of an RPG increas-es with the size of the group, the effectiveness in obtaining lower premiums is greater as the size of the RPG grows. Indiana Code § 27-7-10 et seq. mirrors the Federal LRRA and defines the requirements of establishing an Indiana RPG.

The process of forming an RPG is straightforward. However, each situation is different and one should consult with experi-enced legal counsel and financial advisors. The process includes identifying potential group members, composed of other chiropractors who share in similar liability risks. Next, the group will approach the professional liability underwriting com-munity in Indiana to determine the insurance carrier and licensed agent for the group. The group should also determine whether to form as an entity, and if so, follow the steps for formation under Indiana law. RPG applicants in Indiana must satisfy the requirements of Indiana Code § 27-7-10-26 and complete a short application form published by the Indiana Department of Insurance. After the Indiana Department of Insurance approves the RPG application, it will issue registration to the RPG, permitting the RPG to begin negotiating group rates.

For more information about RPGs, or information about establishing an RPG, please contact Mark Morrell, David Jose, or Glenn Troyer of Krieg DeVault, LLP in Indianapolis.

Material contained herein is not to be considered legal advice to any particular person. Each person's circumstances are unique and must be evaluated individually. Competent legal counsel should be sought before taking any action in reliance upon the information contained in this article. The contents of this article may not be reproduced or distributed without the express written consent of Krieg DeVault LLP.

RISK PURCHASING GROUPS ARE A WAY TO NEGOTIATE LOWER MALPRACTICE INSURANCE PREMIUMSby Mark T. Morrell

SAVE THE DATE! JOINT ISCA / ICAI 2013 SPRING CONFERENCEAPRIL 12-14, 2013

CROWNE PLAZE INDIANAPOLIS AIRPORT2501 S. HIGH SCHOOL RD.INDIANAPOLIS, IN 46241

ISCA is teaming up with the International Chiropractic Association of Indiana to invite you to Come Together for a Family Reunion during a joint Spring Conference! Stay tuned for more information on our web site at www.indianastatechiros.org!


DC'S WANTED

Doctor Needed - IMMEDIATE need for DC to step in to Carmel practice to tend to all the patient care/physical aspects (consults, exams, x-rays, report of findings, discussion of treatment plans,

patient education, render adjustments etc.) This DC must be able to perform primarily Diversified adjust extremities, use drop tables,

flexion/distraction, activator, be gentle, caring and treat children as well as adults. Practice includes computerized spinal scans, adjusting, x-ray physiotherapy, rehab, ADL's, Home Treatment/

exercises, foot levelers orthotics' scan referrals to other healthcare providers/facilities and have recently purchased EMR software to implement. For more info email [email protected]

Posted 10/29

Seeking a Full-Time Chiropractic Associate for IN Chiropractic Office: Fantastic opportunity to grow in an existing clinic that provides a wide range of services for their patients. Owner/

DC stays booked and has outstanding reputation in area. Great opportunity to join an established, busy chiropractic practice in

Linton, IN. We are seeking a self-motivated, passionate, detailed-oriented associate chiropractor to work in our office. New associate needs to be a skillful manual adjuster (Diversified), possess a great

bedside manner and be hard-working, dedicated, outgoing and energetic. The chosen candidate will be responsible for patient treatment, excellent documentation, patient exams, coordinate

rehabilitation, and some limited marketing and go home within a 40-hour work week. Base salary plus bonuses. Retirement plan

and health insurance available. To apply for this position, 1. leave a voicemail at 812-381-8364 stating why you would be a good fit

with my team, 2. email your resume to [email protected] Only serious inquiries please.

Posted 8/14/12

Associate Wanted: Sifford Clinic of Chiropractic in Goshen, IN is seeking a dynamic, motivated, and clinically-sound chiropractor, preferably with techniques in Diversified, Cox Flexion/Distraction, and Activator, who would like to build his/her own practice within

a well-established practice (23 years) . Our clinic works with a vast array of patients including industry, rehab, and family practice. We focus on muscle balancing, stabilization, and thorough spinal and extremity manipulation, while incorporating physical therapy and

nutritional consulting. Our goal is to help an associate to become a better clinician and diagnostician and to transition into buying our

practice. If you are looking for this type of opportunity, call Dr. Kent Sifford at 574-534-6824 during business hours or 574-339-0685

anytime for more information. Posted 6/12/12

Associate Wanted: Columbus, IN (50 minutes south of Indianapolis) Growing office seeking motivated, dependable, organized, and goal-oriented DC for a full-time position beginning in December. Candidate must be skilled in manual adjusting, muscle release techniques, and willing to utilize Cox and Thompson techniques. New graduates welcome to apply! Base salary starts at $40K. Contact Dr. Mandy Wyant, Family Chiropractic and Wellness,

phone: 812-373-3376 Posted 7/23/12

ASSOCIATES WANTED

Associate Opportunity - Long established multidisciplinary Bloomington clinic seeking recent graduate or practicing chiropractic physician with additional skills in functional/

naturopathic medicine and acupuncture. (Continued)

Vibrant Big 10 college town & top-rated retirement community. Salary/commission negotiable. Beautiful facility on very busy

intersection. Send resume to [email protected] 8/15/12

Associate Wanted - Odon, Indiana. Associate needed full or part time. Will consider a sale or buyout also if interested. Full spine diversified practice. Call, text or email Dr. Brian Grindstaff, 812-

798-1937 or [email protected] 6/27/2012

Associate Wanted: Columbus, IN (50 minutes south of Indianapolis) Growing office seeking motivated, dependable, organized, and goal-oriented DC for a full-time position beginning in December. Candidate must be skilled in manual adjusting, muscle release techniques, and willing to utilize Cox and Thompson techniques. New graduates welcome to apply! Base salary starts at $40K. Contact Dr. Mandy Wyant, Family Chiropractic and Wellness,

phone: 812-373-3376 Posted 7/23/12

Associate Wanted - I am seeking an enthusiastic DC that is willing to work as an associate with nominal base plus commission.

This DC may also wish to purchase the practice. The practice is in a small western Indiana town just north of Terre Haute. I use full spine techniques, i.e. diversified, etc. I also use Cox flexion

distraction, physical therapies and rehab services. Management software is in place as well as EMR. For more information about

this opportunity, email Dr. Binder at [email protected]. Posted 9/17/12

VACATION DOCTORS

Take time to enjoy life knowing that your patients are taken care of and MOST IMPORTANTLY, will be here when you get back. 25+years experience. Diversified, Cox, instrument, Acupuncture, rehab. Will match treatment to yours. Available single or multiple days. Jim

Edwards D.C., LAc. 812-276-3433 or email [email protected]

Posted 8/6/2012

PRACTIC/EQUIPMENT FOR SALE

Established Subluxation-Based Chiropractic Wellness Center for Sale. Doctor is retiring and will provide up to 30 days training to the new DC if necessary. What this practice needs is a Full-time DC to take this practice to the next level. Phenomenal location with room to grow. For more information, contact [email protected]

or 1-800-636-7046. Posted 10/09/12

For Sale - I have 2 older electic Zenith Hi-Lo's that have been refurbished by Haffners about 5 years ago. One has been used and works fine. The other Hi-Lo has been under plastic and stored and has not been used since refurbished. $1500 for the one that has been used and $2000 for the stored one. Both Hi-Lo's have pelvic

drop pieces. Contact Dr. Binder at [email protected]. Posted 9/17/12.

For Sale - Quantum Medical Xray Unit-Quest HF Series - System pur-chased 2010 *APR panel makes this system a breeze for anyone to operate! *Unit has had minimal use and has been well main-

tained. Cadwell (2006), Sierra II Wedge & Vostro Dell 1015. Doctor relocating. Willing to negotiate. Please contact Mike @ (317)513-

1180. Posted 9/4/12

INDIANA STATE CHIROPRACTIC ASSOCIATION CLASSIFIEDS


© 2010 Rising Tide, Kft.

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Fall 2012 ISCA Report

Documents

Transcript of Fall 2012 ISCA Report