July/August 2012
Minnesota
Chiropractic Association
MCA
Journal 2012-2013 MCA President, Dr. Christian Kollar
New Leadership 2012-2013 Feature Article: Why Infinedi? Interview with Brad Cost
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MCA Journal July/August 2012
Table of Contents HOT TOPICS • New Leadership 2012-2013 • Member Services/Involvement
NEXT JOURNAL • Chiropractic Awareness Month • Education • Key Doctor Program
MCA Journal Published six times a year, the MCA Journal is the official publication of the Minnesota Chiropractic Association. Articles focus exclusively on the Chiropractic profession in Minnesota. Questions or comments should be directed to
[email protected]. Articles MCA Journal regularly publishes a variety of by-lined columns authored by individuals whom we consider to be knowledgeable in their respective fields and who have a valuable message to share with Minnesota Chiropractic community. Opinions in these columns, however, are those of the authors and do not necessarily represent the opinions of the Board of Directors, members, or staff of the Minnesota Chiropractic Association.
A Message from the President. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 A Message from the Executive Director/CEO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Research Shows Chiropractic Care is Cost Effective. . . . . . . . . . . . . . . . . . . . . . . . . . 5 MCA Promotes Men’s Health Month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Members on the Move. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Save the Date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 MCA MetroWest “Parade of Clinics”. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 The Legislative Dance Begins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Billing X-rays and Consultations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Anti-Shadowing and Affirmative Consent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 The Skinny on EHR Incentives and Software Systems. . . . . . . . . . . . . . . . . . . . . . .13 Why Infinedi? Interview with Brad Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-16 July Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 August Calendar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Creating a Successful Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Wulff on Law. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-22 New Copy Charges for Medical Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Building a Holistic Wellness Clinic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Classifieds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Associate Business Members Listing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Advertising Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Minnesota Chiropractic Association Board of Directors 2012-2013 President Dr. Christian Kollar First Vice-President Dr. Scott Mooring Second Vice-President Dr. Doug Broman Treasurer Dr. Lisa Hellerud Secretary & Parliamentarian Dr. Richard C. Hueffmeier Immediate Past-President Dr. Jennifer Naas Northeast District Director Dr. Gerald Priley
Northwest District Director Dr. Vincent W. Pankonin Central District Director Dr. Barbara Dolezal Metro East District Director Dr. John Hynan Metro East District Director Dr. Kathy Casey Metro West District Director Dr. Nick Mellum Southeast District Director Dr. Andrew Klein Southwest District Director Dr. Laura Hulsebus
Executive Director/CEO Debra Hurston Mission Statement The Mission of the Minnesota Chiropractic Association is to support and unify the Art, Philosophy, and Science of the Chiropractic profession.
Copyright 2012 Minnesota Chiropractic Association. All rights reserved.
MCA Journal July/August 2012
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aFrom message the President
Dr. Christian Kollar
Moving the Profession Forward
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hy did you become a chiropractor? For most While I was in Washington, D.C. earlier this year I of us it was a calling to help relieve human met with representatives and industry leaders and I suffering and provide an income for our families. am convinced we are at a cross roads as a profession. For me it wasn’t much of a decision, I always knew We can embrace the changes that are sweeping I wanted to be a chiropractor. I consider myself across the industry and become fully integrated a third generation chiropractor, my father’s Uncle healthcare professionals that adopt technology and Dr. Paul Pribula, was the first. My Father, Dr. healthcare reform or we can be relegated to second Andrew Kollar, will be celebrating his 40th year in class “doctors” that practice out of back rooms practice this fall in New Brighton where we now and second bedrooms. We have an unprecedented practice together. Day to day I believe most of us opportunity in the next 12-24 months to transform want the same thing, to our profession. help others and earn a The MCA has professional living, but refocused its attention at “ Estimates of chiropractic utilization range we can’t seem to get out improving the economic anywhere from 2-4%, while we have been of our own way and environment for around since 1895 we have not managed figure out how to make Minnesota chiropractors this profession better. and educating the public to increase our market share to Have you noticed a on the benefits of quality anything close to respectable. “ change in the climate chiropractic care. Over of our profession over the next 12-24 months the past few years? Are many of us will be incomes trending up? What is the attrition rate for hard at work to improve the climate of practice in chiropractors leaving the profession? There is a Minnesota. We ask you to help support the MCA’s climate of confusion. public education program and nationally, to fund the The public really doesn’t grasp our place in Foundation for Chiropractic Progress. the healthcare arena. Estimates of chiropractic We need to educate ourselves in healthcare reform utilization range anywhere from 2-4%, while we and best practices. We need to be early adopters in have been around since 1895 we have not managed healthcare information technology. We need to have to increase our market share to anything close to collaborative efforts with all stake holders in the respectable. I believe that the public is so confused healthcare arena. Chiropractic has a rich and colorful about what we do they don’t know when to use us. history, let’s ensure its future viability with hard work We have so many varying opinions about today. • chiropractic all we have managed to do is confuse the public. I’ve heard it described as circling the wagons and shooting in. There is a wave of change that is going to swallow us up if we don’t get our act For the rest of the article visit together. www.mnchiro.com and look on the For Members tab. 3
MCA Journal July/August 2012
a message From the Executive Director/CEO Debra Hurston
Short & Sweet ... We Need Data
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hortly after I came on staff, the MCA partnered with Infinedi to help put data to work for the profession. The partnership has the ability to be a powerful tool. It allows the individual provider to see their specific performance statistics in comparison to others in a non-identifying manner (protecting us all from Anti-Trust matters). In addition, the MCA would have access to the exact same data that insurance companies are interpreting and using against you. Imagine the impact that data could have at the Capitol and the strength it would give any organization speaking on your behalf. Every single year the insurance companies put data on the table that is much less than favorable to chiropractic. During the recent MCA Strategy Session, two priorities surfaced to the top. The first is improving the payment environment in Minnesota and the second is continuing to educate the public about the benefits of chiropractic care. With regard to MCA’s public education initiative, we are continuing to build on the initiative started several years ago. The MCA Communications Committee began distributing monthly press releases on a variety of wellness topics designed to positively position chiropractic. Shortly afterwards, the Professional Education Committee began producing health and wellness programs designed for the public. In fact, some of the programs have been “standing room” only events. Improving the payment environment in Minnesota starts with data. Some of the ideal states for chiropractors to practice in the nation use Infinedi data as their base. Why can’t Minnesota be on that list? First, we need doctors to participate in the program. If you have not signed up, then you are not helping us to help you or your profession.
Here is what some MCA members have to say about the process of enrollment with Infinedi: “We just finished the enrollment for Infinedi and it was easy and painless. You can fill out the forms online and the staff at Infinedi was very helpful and prompt in dealing with our questions and concerns.”Dr. Kathy Casey and Dr. Lisa Hellerud of Valley Chiropractic Clinic “The data that is harvested from the claims Minnesota DC’s submit contains priceless information that we can use to help improve the payment structure in Minnesota. The Infinedi “dashboard” gives me a synopsis of how efficient my office is at claims submission with a quick glance.”-Dr. Nicholas Mellum of Complete Chiropractic and Wellness “It’s[Infinedi] surprising how inexpensive this service is. What a great member benefit!” -Dr. Kevin Wilhelmi of LifeForce Chiropractic The MCA leadership is so committed to making this program a success that we recently worked with Infinedi to further discount the cost to you. This is a limited time discount because we are clearly trying to motivate as many doctors as we can to sign up as soon as possible. The sooner we get this step taken care of, the sooner we can take on the real elephant in the room. For more information about Infinedi or to find out how you can take advantage of this great program, contact the MCA central office at (952) 882-9411 or feel free to call Infinedi directly at (800) 688-8087. •
MCA Journal July/August 2012
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Public Education
Research Shows Chiropractic Care as a Cost-Effective, Value-Based Benefit Option
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ARMICHAEL, Calif. — May 22, 2012— The Foundation for Chiropractic Progress (F4CP), a not-for-profit organization dedicated to raising awareness about the value of chiropractic care, reports that the inclusion of evidencebased healthcare approaches, like chiropractic care, is the undergirding support within emerging value-based health plans and may represent a significant advancement in cost and clinical effectiveness. Research documented in, “A Hospital-Based Standardized Spine Care Pathway: Report of a Multidisciplinary, Evidence-Based Process,” confirms this perspective. According to the study, those 402 low back pain patients treated exclusively by doctors of chiropractic at the low back pain program implemented at Jordan Hospital in Plymouth, Mass., achieved successful clinical outcomes in an average of 5.2 visits at the low cost of $302 per case, while maintaining satisfaction rates above 95 percent. In addition, self-reported pain and disability scores were reduced by about 70 percent over the course of just a few weeks. “Research continues to accumulate in support of value-based approaches to inclusion of chiropractic services in employer
health benefits design,” shares Bruce Sherman, MD, FCCP, FACOEM, former medical director, Whirlpool Corporation and contributing author of Outcomes-Based Contracting- The Value-Based Approach for Optimal Health with Chiropractic Services, a report by the Center for Health Value Innovation sponsored by the F4CP. “As employers expand their approach to implementing value- based plans, these additional findings increasingly demonstrate the potential value that inclusion of chiropractic services may provide.” • About Foundation for Chiropractic Progress: To learn more about “The Doctors,” or to check local listings, visit: www.thedoctorstv.com/main/local_listings. To learn more about becoming a chiropractor, please visit: www.yes2chiropractic.com. To learn more about the Foundation, please visit us on the web at www.f4cp.com or call 866-901-F4CP (3427).
For the rest of the article visit www.mnchiro.com and look on the For Members tab.
MCA Promotes Men’s Health Month
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LOOMINGTON, MN - In recognition of “Men’s Health Month”, the Minnesota Chiropractic Association (MCA) is joining the Men’s Health Network (MHN), a nonprofit educational organization that promotes the health of men and their families, in encouraging men to incorporate a wellness and preventive approach to their healthcare regime. According to MHN, a higher percentage of men have no healthcare coverage and men make half as many healthcare visits for prevention as women. Dr. Christian Kollar, President of the MCA says in addition to taking an active role in their health, “Men need to focus on three key areas, managing stress, increasing daily activity and of course diet.” He also explains, “how a person handles stress can impact their overall health a wellness and that adding a 30 minute walk each day with a target of making 10,000 steps each day is a good and generally safe way to get active.” He also adds, “Eating more whole foods and drinking more water will help give the body more of what it needs remain strong.” Simple changes in your lifestyle and diet can have a positive
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MCA Journal July/August 2012
impact on your health and can also aid in preventing a variety of health problems in the future. Good nutrition combined with regular chiropractic adjustments can help return the body to its natural state of health and wellness. Chiropractors are uniquely trained to help patients with nutritional counseling and healthy living in addition to correcting spinal subluxations and dysfunction, which can be the root of disease and long-term health problems. If you have questions about wellness care, nutrition or other health care concerns, contact the MCA or visit our website www. mnchiro.com to find a Doctor of Chiropractic near you. •
(763) 746-8686 Toll Free 1 (866) 966-3445 Email:
[email protected]
Milt Edgren, President CLU, ChFC, MSFS
Our team of experts are proud to service chiropractors throughout the state of Minnesota.
Woodhill Financial, Inc. is pleased to be your endorsed MCA agency We offer key products and services designed specifically for the chiropractic community.
Amy Edgren, CLU Kelly Chillstrom, CIC Blake Cadwallader, LUTCF
Does your insurance coverage need an adjustment? Contact one of our experts for a free review of your:
• Health Insurance
• Life Insurance
• Disability Insurance
• Long Term Care Insurance
• Retirement Planning Needs
MCA Journal July/August 2012
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Member Services
Members on the Move
S av e the D a t e ! Chiropractic Day at the Capitol!
Thursday, Feb. 28, 2013
Welcome New Member Doctors Dr. Jason Dixon Dr. Nicolaas Dubbelde Dr. Andrew Erlandson Dr. David Klapmeier
Dr. Stephen Parkhurst Dr. Michael Powell Dr. Jennifer Schulz
*If you are interested in becoming a key doctor for your district, contact Nikki at the MCA directly 952-698-2351.
MCA MetroWest “Parade of Clinics”
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he MCA MetroWest has revived its monthly meetings with a fresh new outlook called the “Parade of Clinics”. Each month, a volunteer doctor within the MetroWest district will host the meeting as well as give a chance for everyone attending to see how different clinics are set up. Mark your calendar now for the upcoming MetroWest “Parade of Clinics”! • Wednesday, July 25th at 6:30 p.m.: Held at 50th and France Chiropractic by Dr. Carrie Clark • Thursday, August 16th at 6:30 p.m.: Held at Broman Chiropractic & Wellness Center by Dr. Doug Broman This is a great way for students and DCs to connect in a free and informal setting! Please contact the MCA with any questions at 952.882.9411.
A few DC’s from the MetroWest District gather together to network at Knewtson Health Group in Excelsior in May. 7
MCA Journal July/August 2012
The Legislative Dance Begins
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ow that redistricting is over and the candidates have been announced, the real legislative dance begins. Candidates will be positioning themselves on a wide variety of issues and organizations like the MCA will attempt to establish relationships with candidates that will yield positive results for the issues that impact the profession. It’s all part of the process. The most effective lobbying is done in the district and it is referred to as “grassroots”. The earlier we (meaning every chiropractor) get started with our grassroots efforts, the better the profession’s results will be when the session starts. As many of you know, in addition to needing your financial support, legislative candidates also need to know that you are on their team. In essence, they are courting their constituents for the election and this is also part of the political process. For our part in the political dance, here is what we need you to do: First, verify your new legislative district based on your home address and let the MCA know. This will be extremely helpful when it’s time for Day at the Capitol. Next, find out who the candidate(s) are from your district and schedule an opportunity to meet them for coffee, tea, lunch (whatever works) and let the other doctors in your district know. Also, please let the MCA know by just sending a note to this email:
[email protected]. We can help promote it to other doctors in the district and if you would like, we will send
you some background information on our issues to have at your fingertips. Once the meeting with the candidate/legislator is scheduled, here are a few things to consider that may help spark discussion: • What made them run for office? (If they are an incumbent, what made them run for again?) What is their profession/ professional background (this answer could say a lot about how they may vote on chiropractic issues)? • In their opinion, what are the critical issues facing this state and do they have any ideas on how those issues can be approached? • Have they had any exposure to chiropractic care and issues facing the chiropractic profession? Lastly, while we are certainly encouraging every doctor to financially support the candidate of their choice, please do consider contributing to MCPAC and the War Chest. Your MCPAC donations allow the profession to make sizable contributions that speaks volumes to candidates/legislators. The War Chest helps us to cover the cost of maintaining an expert lobby presence. You’ll see more about these two funds in coming weeks. In the meantime, let’s show the candidates that not only are we interested in what goes on at the legislature, but we intend to take an active part as well. If you have any questions, please do not hesitate to contact me directly at 952.698.2350.
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Call the MCA central office to sign-up today!
MCA Journal July/August 2012
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MCA Journal July/August 2012
CA Corner
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Billing X-rays and Consultations
-rays should always be coded and billed based on the location being x-rayed and the number of (medically necessary) views taken. For instance, the CPT code for 3 views of the lumbar spine would be 72072. There are also two components of coding x-rays, the technical component (actually taking the x-rays), and the professional component (reading the x-rays and writing a report of your findings). If the doctor only takes the x-rays he would append modifier “TC” to the x-ray code. If the doctor only reads the films and writes a report, he would append modifier “26” to the x-ray code. If the doctor performed both the technical and professional components of the service he would not append any modifiers to the x-ray code. Some doctors incorrectly use CPT code 76140, “Consultation on X-ray examination made elsewhere, written report,” for reviewing the x-rays with the patient during a Report of Findings. This is inappropriate coding since a treating doctor can’t “consult” on his own patient. As a rule of thumb, a “consultation” code can only be used if the “3R’s” are met: your opinion was Requested from another doctor, you Rendered your opinion, and you wrote a Report of your opinion for the referring doctor. Correct coding of your x-rays will depend on the services you are actually rendering. Below are several scenarios using CPT
code 72072 for lumbar x-rays, a Doctor of Chiropractic, and a Radiologist. D.C. takes (and reads) the x-ray in his office, a Radiologist is not involved. Coding: D.C. bills 72072 with no modifier to designate he performed both components D.C. takes x-rays in his office and sends to Radiologist for review. Radiologist bills patient’s insurance directly. Coding: D.C. bills 72072-TC (for the technical component) Radiologist bills 72072-26 (for professional component) or 76140 (consultation) depending on the service he performed. D.C. sends patient to an imaging center for x-rays. The imaging center bills the patient’s insurance directly. The patient brings the x-rays back to the D.C. for review. A Radiologist does not review the films. Coding: Imaging Center bills 72072-TC because they only performed the technical component.• About the Author: Cathi Hammond is the founder of Medical Business Consulting, a billing and practice management consulting company specializing in Chiropractic and physical medicine billing and collections. For more information about Medical Business Consulting, visit www.medicalbusinessconsulting.net.
For the rest of the article visit www.mnchiro.com and look on the For Members tab.
MCA Journal July/August 2012
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Anti-Shadowing and Affirmative Consent
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rior to the 2004 legislative session D.C.s were having serious problems with HMOs and insurance companies for whom the doctor had agreed to become a network provider. The companies had adopted a practice of “assigning” doctors who had joined the network to products and programs that were not part of the original contract. This resulted in doctors having to participate in programs that they otherwise avoided and receive reimbursement in amount less than originally agreed. The companies ran roughshod over the doctors who objected. They dropped them from the network, implemented waiver clauses and engaged in phantom contracting where basic contract terms, such as reimbursement and participation limits, where subject to future alteration (within the term of the contract), at the sole discretion of the company. Numerous members of the MCA expressed their displeasure to the association and the association decided to take action. The legislative committee was asked to devise a legislative solution and take appropriate action. Simultaneously, the association brought the matter to the attention of the Minnesota Provider Coalition. The proposed legislation was written by the MCA and reviewed and agreed to by the provider coalition. Together we sponsored the legislation which was authored by the late Senator Sams and Representative Smith along with 23 other house members. Predictably, the HMOs and insurance companies put up fierce resistance. The contracting practices of the companies became known
Legislative
as “shadow contracting”. The legislation that was introduced, (which became Minnesota Statutes 62Q.74), prohibited some of these practices and modified others. As the fight continued, it became apparent that the coalition had a legitimate chance of passing the legislation in its original form. At that point negotiations commenced. Ultimately, a brokered resolution was attained. This new law directly addressed the shadow contracting issue. How does it work? If you are providing services in Minnesota, as part of a network, you are involved in a contract with a “health plan company”. A health plan company is one of five types of a “health carrier” as identified in Minnesota Statutes 62A.011. These are: • A chapter 60A insurance company • A chapter 62C non-profit health service plan • A chapter 62D HMO • A chapter 64B fraternal benefit society, and • A chapter 62H joint self-insurance employee health plan 62Q.74 covers health care services, services provided under nofault auto and services provided under workers compensation. Categories of participation and reimbursement for services are the two issues addressed by the law. If you have a contract with a health plan company that is subject to 62Q.74, your service obligations cannot be assigned to a category of coverage not contained in the original contract without your affirmative consent. Likewise, reimbursement for your services cannot be reduced by any arrangement, (third party management, assignment, etc.), to which the company may resort, without your affirmative consent. Furthermore, your rights under 62Q.74 are non-waivable and you cannot be dropped from a network solely because you declined to give consent. In order to obtain your consent the company must send you a written document providing the statutorily required information explaining the proposed change and the effect that will likely take place. If you accept the change it becomes effective according to its terms. If you decline or do not respond within 60 days, the proposed change is declined and does not become effective. The company is free to change the benefits of covered individuals such as co-pays and deductibles. 62Q.74 has created a cause of action in your favor if the company violates the law. If you are damaged you may sue and recover twice the value of your damages. Simply stated, damages are the amount of reimbursement that you should have received minus the amount that you actually received. This amount would be multiplied by two. The statute makes obtaining legal representation easier because it provides successful plaintiffs the award of costs, disbursements and reasonable attorney’s fees. Lastly, you can significantly help yourself and your attorney by keeping meticulous records of all contracts, transactions and communications.• About the Author: Cort Holten is a Lobbyist for the MCA and Vice President and Senior Partner with Chestnut Cambronne. MCA Journal July/August 2012
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Technology
The Skinny on EHR Incentives and Software Systems
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he ARRA EHR Incentive program offers a great opportunity for eligible providers who demonstrate meaningful use of a certified system to retrieve their allotment of up to $44,000 in incentive distributions. Deciding the best path to take towards that incentive is a question on the minds of many providers in this recent era, and your choice of software systems is one of the most important decisions you can make for your practice. It will ultimately affect much more than the dollar amount on your stimulus check. This decision comes with many factors, claims, and requirements to consider. And competing vendors are happy to speak for you when you begin assessing your needs and sorting out the fear from the facts. But whereas your software choice should be measured on how well the software itself will support the needs of your practice, the EHR incentive is not as subjective. It comes with due dates and eligibility requirements that can be measured specifically, and can be compared against the feedback you receive from every vendor you research. Some of the most important and misconstrued questions to know and to ask relating to this important advancement in healthcare include: By participating in the incentive program, am I guaranteed to receive the full $44,000 reimbursement? $44,000 is the maximum incentive payout over 5 years if your
first qualifying year is 2011 or 2012. But your actual payment amount is based on 75% of your Medicare reimbursements for each payment year, up to the allowed amount for that year. The allowed maximum yearly reimbursement schedule is as follows: Year 1 (2011 OR 2012): up to $18,000 Year 2: up to $12,000 Year 3: up to $8,000 Year 4: up to $4,000 Year 5: up to $2,000 When choosing when to attest, consider how your Medicare reimbursements in 2012 might compare to those of 2011. This can help you anticipate whether waiting to attest until 2012 will gain you a larger reimbursement in your dollar-weighted kickoff year. • About the Author: Shannon McKee is the technical writer and resident expert on the EHR Stimulus Incentive program for ChiroTouch. She has a B.S. in Physiology and has written for a variety of fields, including: veterinary medicine, biological research, data visualization, software automation, and e-commerce.
For the rest of the article visit www.mnchiro.com and look on the For Members tab.
Improve your bottom line. Managing the Professional Practice Online Applied Business Certificate Financial Management • Leadership • Marketing www.cce.umn.edu/propractice • 612-624-4000
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The University of Minnesota is an equal opportunity educator and employer. © 2011 Regents of the University of Minnesota. All rights reserved.
Journal July/August 2012 13 MCA DCP0367_09_ABus_EAd_1.indd 1
10/12/11 11:16 AM
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I like that I’m getting money back from an insurance company—I think that’s very unusual. Among other things, I have used my past dividend checks to make donations to a homeless shelter and my chiropractic university.” H.B. Mangar, D.C., F.A.C.O. | San Francisco, California
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I stay with NCMIC because, unlike some other malpractice insurance companies, they support the chiropractic profession. My premium dividend check, in effect, lowers my premium.” Mary Rutkowki, D.C., D.A.B.C.O. | Center Valley, Pennsylvania
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Call 1-800-769-2000, ext. 3120. MCA Journal July/August 2012
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Why Infinedi? Interview with Brad Cost
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nfinedi is an independently owned and operated medical claims clearinghouse lead by Brad Cost. Infinedi advocates for doctors and healthcare providers and has partnered with the MCA to help strengthen the chiropractic profession and place chiropractors in an important position for the future of the health care delivery system. Mr. Brad Cost, the owner and president of Infinedi, explains why this partnership is so important to chiropractors and their place in the future of healthcare. 1) What are the benefits of using a clearinghouse to submit medical claims? It is a complex process to code, file and bill claims. There is so much to know, so many technical nuances and continuous changes; it is very difficult for an individual office to keep track. In addition, 5010 is a huge issue causing many payers’ systems to crash. Some of the payers have had to revert back to 4010 while they figure out the problems with their 5010 systems. This all makes it very tough for a solo practitioner to bill electronically on their own. 2) What makes Infinedi different from other clearinghouses? Most big clearinghouses get a portion of their income from insurance companies and many of them are in fact owned by insurance companies. They use the data they collect from claims to profile doctors and create restrictions on what is paid. At Infinedi we advocate for providers. A number of years ago, I was an expert witness in a class action lawsuit against insurance companies. During this experience I learned a lot about the way insurance companies use data to avoid paying doctors. I decided I was in a position to help the providers use their data to help themselves and not the insurance companies. Additionally, Infinedi is customer service based. When you call you get a live person, not an automated system or voicemail. We focus on being accessible to our clients and helping them get the best service for a great price. 3) How will the MCA use the resulting analytics? MCA will be able to look at all the rolled up data from across the state to better understand the billing and coding patterns the profession has. This will help MCA assess and respond appropriately when a payer
15 MCA Journal July/August 2012
makes a change in their payment policy. MCA will better understand the impact that change will have on the profession and help the MCA make informed decisions (based on our own data base) about what steps we can make. MCA will also have access to Infinedi’s data base of the DC’s in all the other states so we can better understand how we are alike and different from those DCs. Additionally, the MCA will have access to other professions data so it can compare code usage, billing patterns, and reimbursement methodologies and help position chiropractic more competitively. 4) How do other clearinghouses use their information? Not many other clearinghouses are using analytical data the way that we are at this time. There are some that are trying to get started, but Infinedi is leading the industry in the area of analytical data.
Brad Cost, Owner and President of Infinedi
5) What benefits does Our staff will walk the client Infinedi bring to doctors through their first file of of chiropractic? claims and work with them “ Yes, Infinedi is very cost effective. 60% of our clients to make sure they understand Just by saving a couple of claims a month are chiropractors. everything and that their from timely filing rejections, a doctor This gives us a better claims are coming through understanding of the smoothly. can pay for Infinedi.” needs of chiropractors. Other clearinghouses may 8) If someone reading not understand what a this article were to only chiropractic office needs remember one thing, what is as well as we do. We have specific claim scrubbers built the most important thing they take away? in our system for chiropractic claims. We want to help The relationship between the MCA and Infinedi is a chiropractors get their claims cleanly to the payers and partnership; we are not just another corporate vendor. get them paid. We are giving the MCA information that they are not getting anywhere else. We are working to give the MCA 6) Is Infinedi cost-effective for a DC’s practice? what they can use to lead their members into the future Yes, Infinedi is very cost effective. Just by saving a of healthcare reform. couple of claims a month from timely filing rejections, a doctor can pay for Infinedi. Right now, we have a limited For more information please visit www.infinedi.net and time discount offered to all Minnesota Chiropractors click on the enrollment tab. • that will cover all of their electronic claims submissions. In addition, for that flat rate, the doctor gets customer service support and technical support from an experienced staff. Our employees have experience in billing and the healthcare industry. All of our customer service representatives have worked in billing in a doctor’s office. So, when you call you get help from someone who really knows what their talking about and has the experience to back that up. 7) What can a DC expect when calling Infinedi for help? Our Client Implementation department talks to the doctor about Infinedi, takes them through demos and walks them through the process of online enrollment. We get them set up with the payers and handle all the payer contracts in house.
MCA Journal July/August 2012
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Upcoming July 2012 Sunday
Monday 1
Tuesday 2
Wednesday 3
Thursday 4
Friday
Saturday
5
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Independence Day
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MCA Communications Committee Meeting
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Red Ribbon 22 Ride
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Team Ortho Go Commando
18 Red Ribbon 19 Red Ribbon 20 MCA Professional Ride Ride Education MCA Membership Committee Committee First of Ramadan Meeting Meeting Metro 25 26 27 West District Meeting
Red Ribbon 21 Ride
Susan G. 28 Komen 3-Day for the Cure Treatment Training Session
Susan G. Komen 3-Day for the Cure Treatment Training Session Don’t miss this opportunity for a treatment training session and event overview for the Susan G. Komen 3-Day. This training session will be held on Saturday, July 28 from 9 a.m. -1 p.m. Learn everything you would like to know about the event from the types of injuries encountered on the event to the types of treatments you will be able to provide to injured participants. 4 FREE regular CE’s are available*. This session will be held at the MCA central office (8120 Penn Ave. S. Bloomington, MN 55431.)
Most common complaints: • Knee Related (28.1%) • Spine Related (17.4%) • Foot Related (16.3%) • Ankle Related (10.8%) • Hip Related (8.15%)
*1 in 8 women will develop breast cancer *1.3 million people are diagnosed annually
*Must participate in the 3-day in order to receive the CE’s. Dr. Amber Trice at
[email protected] or Dr. Scott Mooring at
[email protected]
17 MCA Journal July/August 2012
Seminars August 2012 Sunday
Monday
Tuesday
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Susan G. 26 Komen 3-Day for the Cure Minneapolis DualthlonTeam Ortho
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Susan G. 24 Komen 3-Day for the Cure
Susan G. 25 Komen 3-Day for the Cure
MCA MCA Professional MCA Membership Communications Education Committee Committee Committee Meeting Meeting Meeting
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MCA Board Meeting
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DOT Drug Testing and Alcohol Screening Training & Certification Date: Saturday-Sunday, Sept. 15-16, 2012 Place: 2501 W. 84th St. Bloomington, MN Co-Sponsored with the MCA Speakers: Dr. Joseph Sweere & Dr. Eric Brandt For more information & to register call 952-885-5446
Save The Date! Thursday, Sept. 27th, 2012
MCA Journal July/August 2012
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Increase your revenue with less no shows! Call 1-866-256-6276 and mention this ad for a free 30-day trial or visit www.ischedulepro.net for more information. Sign up and start scheduling like a pro today. Offer valid through 8-31-2012 19 MCA Journal July/August 2012
Business Management
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Creating a Successful Practice
reedom. Financial. Philanthropy. Ask any chiropractor about their individual reason for beginning a practice and they will eventually emphasize the following words. There are many chiropractors that do very well and others that continually struggle. Many struggle for a myriad of reasons (capital, location, passion etc.) but one of the main reasons is that business development and marketing are not a major focus. In fact, many colleges fail to instruct in this important area. Colleges immerse students (and rightfully so) in the sciences so that diagnosis and care are paramount. Yet business development is needed because without it practices flounder. The reason for focusing on business development is: Business Development provides structure – The set of processes and procedures required to develop patients helps provide an operating framework for the practice. Patients – There is only one reason to be in practice – the acquisition and retention of customers. Financial Future – The ability to consistently, relentlessly and aggressively develop business increases the future financial strength of the practice. Just to be clear there are numerous reasons to be in practice. However without a solid framework for business the practice fails. As many know, the average chiropractor subsists in small office with a light patient load of one hundred visits per month. According to the Bureau of Labor and Statistics (2009) Median annual wages of salaried chiropractors were $66,490 in May 2008. The middle 50 percent earned between $45,540 and $96,700 a year. What then helps define the successful practice? Practices cannot be defined in terms of profit; they must be defined by acquired and retained patients. Actions create patients. Ultimately the patient determines the practice, what it produces and whether it will prosper. What is required is an organizational framework. MASS© is a strategic framework meant to keep chiropractors focused, motivated and accountable to be successful. MASS© integrates four vital areas of practice operations (Marketing, Accounting, Sales and [Patient] Service) to create communication channels and messages that deliver clear, consistent and compelling messages that influence and create more patients. Sales and Marketing areas must create messages that evoke patient output and deliverables. Patient Service must create the organizational culture to influence patient-to-patient communication. Finally, practices must continually reinvest and reallocate organizational funds to find and keep patients. Here is a brief description of how to create a successful practice with these attributes. Marketing Marketing is defined as an exchange of information for the benefit of providing value to the practices stakeholders. Simply put, patients do not buy services; rather, they invest in relationships. When marketing is apparent, relationships strong and trust built, revenue is easier to obtain. Every practice is a relationship business. Therefore it is
incumbent upon chiropractors to create community. The larger the community the easier it is to build patient volume. Exemplars include large marketing companies such as Google, Apple, Facebook etc. Each of these organizations built a huge client base without advertising - the communities of each promoted the organizations brand. Ask any chiropractor today and they are perverse to tell you they are doctors. Yet when you look at their offices and patient load you wonder how well. Today, to earn a decent living, chiropractors had better be able to attract patients to themselves and their talents and in sizable numbers. More importantly to attract these numbers doctors need to acknowledge that they are a brand and more importantly in the marketing business. Effective marketing builds brands, which then provide patients. Brands offer instant recognition and identification. They are also promised consistent, reliable standards of quality, size, or even psychological attraction. Several national and regional surveys typically illustrate that patients choose a brand by name alone! • About the Author: Drew Stevens Ph.D. works with chiropractors that continually struggle with patient volume and want to gain dramatic results. To help accelerate your practice call Dr. Drew at 877-391-6821 or visit his website at www.stevensconsultinggroup.com/chiropractors.
For the rest of the article visit www.mnchiro.com and look on the For Members tab.
MCA Journal July/August 2012
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Wulff on Law
WULFF on law LEGISLATURE TOUGHENS RUNNERS STATUTES.
T
he 2012 state legislature again took on the issue of “runners” and amended two statutes dealing with solicitation of persons involved in motor vehicle accidents. These amendments become effective January 1, 2013, and apply to all health care providers, including doctors of chiropractic. History of the “Runners” Issue. No-fault insurers have long objected to health care providers (and attorneys) contacting persons recently involved in motor vehicle accidents for the purpose of inducing them to receive treatment for their injuries and to pursue claims for benefits and damages. The insurers have aggressively lobbied the legislature to address this issue. In 2002, Minnesota enacted Minn. Stat. § 609.612 providing: “Whoever employs, uses, or acts as a runner, capper, or steerer is guilty of a felony…. Charges for any services rendered by a health care provider, who violated this section in regard to the person for whom such services were rendered, are noncompensable and unenforceable as a matter of law.” While this seemed like an effective way to address the problem, this statute limited the definition of “runner, capper or steerer” to “a person who for pecuniary gain procures patients or clients at the direction of, or in cooperation with, a health care provider when the person knows or has reason to know that the provider’s purpose is to fraudulently perform or obtain services or benefits under or relating to a contract of motor vehicle insurance.” Therefore, insurers were required to prove that a provider intended to fraudulently perform services or obtain benefits, and that the runner knew or should have known that was the provider’s “purpose” at the time they “procured” the patient for the provider. For this reason, this statute proved to be effectively unenforceable, and the abuses continued. In 2008, the legislature took another stab at the runners issue and enacted Minn. Stat. § 65B.54, subd. 6 prohibiting health care providers from initiating “direct contact in person, over the telephone, or by other electronic means, 21 MCA Journal July/August 2012
with any person who has suffered an injury arising out of the maintenance or use of an automobile, for the purpose of influencing that person to receive treatment or to purchase any good or item from the licensee or anyone associated with the licensee.” This statute prohibited direct contact but allowed the mailing of advertising literature directly to specific prospective patients (so long as certain requirements were met) and excluded from its provisions advertising in public media that did not involve direct contact with specific prospective patients. These statutes did not go far enough to eliminate abuses in the eyes of no-fault insurers. Certain entities continued to solicit motor vehicle accident victims in ways no-fault insurers found abusive. The 2012 Amendments. In addition to pursuing civil and criminal prosecution, the no-fault industry again lobbied the legislature to toughen the prohibitions against solicitation of motor vehicle accident victims. The 2012 legislature adopted amendments to the two statutes listed above that will take effect January 1, 2013. Most importantly, Minn. Stat. § 609.612, subd. 1(c) was amended to eliminate the need to prove fraudulent intent. This statute now makes it a felony to “employ, use or act as …a person who for a pecuniary gain directly procures or solicits prospective patients through telephonic, electronic, or written communication, or in-person contact, at the direction of, or in cooperation with, a health care provider when the person knows or has reason to know that the provider’s purpose is to perform or obtain services or benefits under or relating to a contract of motor vehicle insurance.” Essentially, any solicitation of patients entitled to no-fault benefits at the direction of, or in cooperation with, a health care provider is presumptively a felony. The only exception is: “The term runner, capper, or steerer does not include a person who solicits or procures clients either through public media, or consistent with the requirements of section 65B.54, subdivision 6.”
In other words, effective January 1, 2013, any solicitation or ad that does not comply with the requirements of Minn. Stat. § 65B.54, subdivision 6 may result in felony charges against both the “runner” and the provider who employs or uses him, and will render the charges for any services performed by the provider noncompensable and unenforceable as a matter of law. Obviously, it is important to understand what is required by Minn. Stat. § 65B.54, subdivision 6. Subdivision 6(a) was unchanged and still prohibits all direct contact. Subdivision 6(b) was unchanged, but due to amendments to subdivision 6(c), it would appear any mailings directly to potential no-fault patients must comply with both the provisions of 6(b) and the provisions of 6(d). Subdivision 6(c) was amended to provide that the requirements of subdivision 6(d) apply to all ads “in public media such as telephone directories, professional directories, ads in newspapers and other periodicals, radio or television ads, Web sites, billboards, mailed or electronically transmitted communications, or similar media.” Subdivision 6(d) is new and provides: “… any solicitation or advertisement for medical treatment, or for referral for medical treatment, of an injury eligible for [PIP no-fault benefits] must: (1) be undertaken only by or at the direction of a health care provider; (2) prominently display or reference the legal name of the health care provider; (3) display or reference the license type of the health care provider, or in the case of a health care provider that is a business entity, the license type of all of the owners of the health care provider but need not include the names of the owners; (4) not contain any false, deceptive, or misleading information, or misrepresent the services to be provided; (5) not include any reference to the dollar amounts of the potential benefits under this chapter; and (6) not imply endorsement by any law enforcement personnel or agency.”
What Will This Mean for the Chiropractic Profession? It remains to be seen whether or not these amendments will be vigorously enforced. Statutes are only as effective as the agencies and courts that enforce them. The elimination of having to prove fraudulent intent is a significant change. That change alone will make it much easier to prove a violation of Minn. Stat. § 609.612. The coordination of Section 609.612 with Section 65B.54, subdivision 6 will enable no-fault insurers to argue they are not required to pay for any treatment rendered by any provider who secures a patient through advertising that violates the provisions of subdivision 6. Previous caselaw held that even if a provider secured a patient through unlawful advertising, the no-fault insurer still had to pay for the treatment rendered because 65B.54 does not expressly state that a violation renders the treatment noncompensable. Now, a violation of 65B.54, subdivision 6 arguably constitutes a violation of 609.612 triggering not only the possibility of felony prosecution, but also the provision stating that charges for any services rendered are noncompensable and unenforceable as a matter of law. We may see an increase in investigations into how patients found their doctors. We may see automatic benefit denials against any chiropractor associated with advertising or referral entities no-fault insurers consider to be abusers. We may see alleged violation of these statutes becoming an issue in more and more no-fault arbitrations.• Disclaimer: Please remember that this article cannot be considered legal advice. Every situation is different and must be evaluated in light of the unique factual circumstances involved. If you have any questions concerning workers’ compensation law, no-fault law, or professional boundaries, please call David C. Wulff at 651-636-1900 or 800-949-8533.
The focus of these amendments seems to be on forcing the providers who are benefitting from the ads to identify themselves and their license type to bring some transparency to which providers are sponsoring the ads, and to make it clear that the providers will be held responsible for the misdeeds of advertising and referral entities with whom they contract. The amendments also specifically prohibit ads that say “You are entitled to $20,000 in medical coverage from your no-fault insurer,” or any statement concerning what no-fault benefits may be available; and “This program is endorsed by the State Patrol.”
MCA Journal July/August 2012
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New Copy Charges for Medical Records
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he Minnesota Department of Health (MDH) recently has changed copy charges pertaining to medical records. The changes were made on an updated fact sheet “Maximum Charges for Patient Records” available for your viewing. In addition to showing the latest charges, the fact sheet also provides general information on the state and federal laws and regulations that impact these changes and charges. Providers can also charge less than the amounts listed.
To view all the information needed please go online to www.mnchiro.com, click on the “Resources” tab located under “For Members”. Here you will be able to find all the information on the MDH new copy charges. Any questions, comments or concerns please do not hesitate to contact the MCA Central office for more questions at 952.882.9411.•
Building A Holistic Wellness Clinic
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ynergy Family Physicians, located in White Bear Lake, are of utmost importance to their health. It has been the Minnesota, is a holistic and integrative family medicine experience of the physicians that patients who receive clinic with an emphasis on prevention and wellness. This chiropractic care have less pain, better functional status, and clinic combines conventional and alternative medicine to improved coping mechanisms for their chronic conditions. help patients achieve The clinic strives to optimum health help bridge the gap and wellness. The between conventional services offered western medicine and include complete alternative therapies, physical exams, well at times offering child exams, same treatment options day visits for acute to patients who in illness, chronic disease the past have not management, office experienced integrative procedures, prenatal care. Patients can be and obstetric care, seen individually by women’s health, mental any of the providers health and therapy, in the clinic, or may medical nutrition be seen by several or therapy, chiropractic all of the providers care and acupuncture. using a team approach The providers working tailored to their in the clinic include specific needs. The Medical Doctors, working relationship Synergy Family Physicians in White Bear Lake, MN Chiropractors, between the different Licensed Psychologist, providers in this clinic and Registered Dietician. is referral based, with meetings to discuss patient care, and Jennifer Carpenter, MD and Danielle Perry, MD opened frequent curb-side consults. Unlike many alternative clinics, Synergy Family Physicians in October 2010 in an effort to Synergy Family Physicians accepts health insurance for most be able to treat patients in a more holistic way than what is services. available in a conventional medical clinic. In evaluating and About the Author: Danielle Perry, MD treating patients as a whole, issues related to their nutritional Synergy Family Physicians in White Bear Lake, MN status, psychological well-being and musculoskeletal structure
23 MCA Journal July/August 2012
MCA Journal July/August 2012
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classified ads The original state-wide vacation and practice relief provider is available in Minnesota for short or long term basis and emergencies. Logan graduate, providing over 31 years of excellent, reliable and specialized services and techniques on behalf of many satisfied doctors. Insured. ChiroCare®, and HSM credentialed. Reference available. Contact Dr. Rick Hueffmeier at 651.256.2256 or toll-free 888.755.6056. PLYMOUTH Practice For Sale: Established 10 yrs. Div./ PT. Excellent lease location. Only $50,000. Seller financing considered. Contact Loren Martin, Practice Opportunities, 952953-9444.
[email protected]. Stressed Out?: NCWW graduate retired from 16 years of full-time practice in the Twin Cities, now available for practice relief, since 2001. References. Insured. Take a break, avoid burnout. Schedule soon for best availability. Contact Dr. Dennis French at (home) 952-470-0743 or (cell) 612-817-6406. Experienced Practice Relief: NWCC graduate with 30 years private practice and relief service experience available for practice relief services in Minnesota. Credentialed with most management companies. References available. Insured. Contact Dr. John Knox at 952-451-2032. Uptown Chiropractor Office Available for Immediate Occupancy: Chiropractic office- available for lease. Approximately 950 square feet available for immediate occupancy at the corner of West Lake Street and Holmes in the heart of Uptown Minneapolis. For more information and to schedule a showing please contact Jeffrey Herman at 612-924-6486 or email him at
[email protected]. Associate Doctor Wanted: Busy chiropractic office in Big Lake, Becker, Monticello seeking long term associate doctor to join successful fast pace practices. Seeking highly motivated associate with high ideals that is willing to work hard to achieve clinical mastery and financial success. Salary position with bonuses, paid vacation, health insurance, and CE credits. These clinics are multidisciplinary with D.C., P.T., and M.T. We are looking for long term commitments to hopefully turn into ownership position in future. New grads are welcome to apply. Starting salary based on experience and abilities. Email resume and 5 year goals to
[email protected]. Practice for Sale: Immediate sale of a 23 year established nutritionally-focused Chiropractic business in Moose Lake, MN. Three equipped treatment rooms, hospital-quality x-ray. Excellent location. All reasonable offers considered. Contact Brador Teri Montagne 218.330.7999. Email:
[email protected]. Equipment for sale: ZENITH II 220 Hylo table, manual cervical and pelvic drops, great shape/low mileage, slate blue, asking $4100; ALSO: misc. x-ray accessories - from cassettes to lead apron - and EVERYTHING dark room for manual processing - from sensi-densi units to safe light; lead rolls also available to lead line your walls. X-ray items will sell dirt cheap separately or fire sale cheap for packages. Duluth area - leave message at 218-879-9240. January/February 2012 2011 25 MCA Journal July/August
Spicy Quinoa & Black Bean Salad
2 cups white quinoa, rinsed 4 cups vegetable stock or broth ½ teaspoon cayenne pepper 2 teaspoons extra-virgin olive oil 2 small yellow onions, chopped 2 medium tomatoes, chopped 2 teaspoons ground cumin 3 cloves garlic, minced 2 cups canned or frozen corn, drained or thawed 2 cans black beans, drained and rinsed 2 medium bell peppers, chopped ¾ cup chopped fresh cilantro 1 tablespoon plus 2 teaspoons lemon juice Kosher salt and black pepper 1. In a medium saucepan, combine the quinoa, vegetable stock or broth, cayenne pepper, and a pinch each of salt and black pepper. Bring to a boil over high heat, then reduce the heat to low, cover, and cook until the liquid has absorbed and the quinoa is tender, 10 to 12 minutes. Turn off the heat and let the quinoa sit for 5 minutes. Fluff with a fork and allow to cool. 2. Meanwhile, heat the olive oil in a large nonstick skillet over medium heat. Add the onions, tomatoes, cumin, and garlic, and sauté until lightly browned, 7 to 9 minutes. 3. Transfer the cooked quinoa to a large serving bowl. Stir in the corn, black beans, bell peppers, cilantro, and lemon juice. Add the tomato mixture and stir well to combine. Season to taste with salt and pepper. Serve at room temperature or chilled.
MCA Associate Business Member Directory PHONE
Advertising Index CDI . . . . . . . . . . . . Inside Front Cover
COMPANY
CONTACT
Acurad Technical Services, L.L.C.
Steve Danielson
[1] 612-781-2218
Woodhill Financial . . . . . . . . . Page 6
Advanced Filing Concepts
Bob Scharber
[1] 651-481-8827
Mighty Oak . . . . . . . . . . . . . . . Page 8
Anabolic Distributors Midwest
Charles Crandall
[1] 952-474-0257
Beacon Accounts Management
Ms. Nancy Boehmer [1] 952-233-2011
Loren Martin Practice Opportunities . . . . . . Page 10
Billing Buddies
Bonnie Flom
[1] 763-546-2455
Cancer Treatment Centers
Center for Diagnostic Imaging
Jarred Onarheim
[1] 952-543-6507
of America . . . . . . . . . . . . . . Page 11
ChiroJuice.com
Dr. Matt Caron
[1] 763-746-4087
Noran Neurological Clinic . . . Page 12
ChiroTouch
Erin Aguilera
[1] 619-488-9798
Univeristy of Minnesota . . . . Page 13
Consulting Radiologists Ltd.
Tim Kratzke
[1] 952-285-3720
NCMIC . . . . . . . . . . . . . . . . . Page 14
Core Products International, Inc.
Doug Mattison
[1] 715-294-2050
Healthy Indoor Air . . . . . . . Page 16
Creative Comfort, Inc.
Judy McDonald
[1] 651-200-3051
ISchedulePro . . . . . . . . . . . . . Page 19
DMG Financial Group
James Magnuson
[1] 952-446-3326
Nutri-West . . . . . . . . . . . . . . Page 24
Future Health Software
Steven Kraus
[1] 712-792-3344
Acurad Technical Services . . . Page 25
Healthsource Chiropractic
Michael Dixon
[1] 612-306-6955
Healthy Alternatives, Inc
Arlene Bushard
[1] 320-834-2188
Advertisements
HighPoint Environmental
Tim Guimond
[1] 763-757-4920
Hockert Sales
Chris Hockert
[1] 763-434-2350
IC System
Terri Lewis
[1] 651-481-6553
Infinedi, LLC
Dawn Martinez
[1] 800-688-8087
Lake Superior X-Ray, Inc.
Terry Hart
[1] 218-525-3393
Law Office of David Wulff
David Wulff
[1] 651-636-1900
Medical Business Consulting, Inc.
Cathi Hammond
[1] 763-862-5855
Medvantic Solutions
Brian Lee
[1] 952-374-9817
Meyer Business Consulting/Eclipse Software Bonnie Meyer
[1] 612-210-6630
Mighty Oak Technology
Judith Barnes
[1] 952-374-5550
Minnesota Craniofacial Center Midway
Dr. Roy Hakala
[1] 651-642-1013
Multi Radiance Medical
Rachel Salomon
[1] 440-542-0761
Mutual of Omaha
Kyle Luebeck
[1] 763-639-1324
NCMIC Group, Inc.
Mike Whitmer
[1] 515-313-4500
Noran Neurological Clinic
Kelly O’Neill
[1] 612-879-1675
Nutrition Dynamics
Greg Peterson
[1] 763-479-3444
Nutri-West
JJ Munro
[1] 715-381-9990
Off-Site Office Solutions, LLC
Kathy Altman
[1] 763-670-1224
OrthoCor Medical
Junius Ho
[1] 612-568-5846
Physicians Group, LLC, MN
Gary Kompothecras [1] 941-552-1189
Physicians Resource Network
Kord Williams
[1] 763-545-2842
Practice Brokers
Jerry Peterson
[1] 952-938-0092
Practice Opportunities Inc.
Loren Martin
[1] 952-953-9444
Score Naturals
Shannon Score
[1] 651-246-9663
Standard Process Nutrition of Minnesota
Tracy Foley
[1] 651-226-5864
Superior Outsourcing Solutions, LLC
Diane DeVries
[1] 866-200-1217
Therapy Equipment Services
Jon and Char Esch
[1] 800-311-1834
Woodhill Financial
Milt Edgren
[1] 763-746-8686
The contents of advertisements that appear in the MCA Journal are solely the responsibility of the advertisers. Appearance of an advertisement in the MCA Journal does not constitute and endorsement by the association or the MCA Journal of the goods or services offered. Publication of any advertisement may be subject to review by the MCA Journal Communications Committee. For more information on advertising in the MCA Journal, call 952-882-9411. MCA is a proud sponsor of the Foundation of Chiropractic Progress
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Minnesota
Chiropractic Association
8120 Penn Ave. S. #270 Bloomington, MN 55431 952.882.9411 1.800.864.3769 Fax: 952.882.9397 www.mnchiro.com
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Mark Your Calendar!
Sunday, September 16, 2012 MCA Family Picnic
Bring the whole family for fun, food & games! For more information or to sign up today — call the MCA Central Office at 952-882-9411
