MAC Journal • November/December 2014 I

Transcription

MAC Journal • November/December 2014
I
New Renaissance
II
contents
Nutrition
NOVEMBER/DECEMBER 2014
Journal
Get Smart About Adding Supplements.........................................14
New Report: Michigan Has 11th Highest Adult Obesity Rate.......16
Michigan’s Chiropractic Scope on Nutrition..................................20
Common Popular Supplements...................................................38
Articles
Dr. Patrick Gentempo Highlights Fall Opening Session...........4
Spring 2015 Convention.................................................................5
MAC Fall Convention Awards!........................................................6
New Award! Linda Rassel, DC, Extraordinary Impact Award.........7
What Constitutes Physical Measures and Tests?.........................10
ACA Insurance Marketplace Open Enrollment Begins Nov. 15....12
Michigan Marketplace Plan Selection .........................................13
University of Minnesota Center for Spirituality & Healing.............18
Chiropractic Summit.....................................................................22
Medicare Audits in 2014 OIG “Work Plan”...............................24
News from the F4CP....................................................................26
“Recommend One” Debuts!.........................................................26
REMINDER: ICD-10 Compliance Date is October 1, 2015..........27
MAC Webinars Available!..........................................................29
Remember to Deduct Your Dues!.................................................29
MDCH Director James Haveman: An Appreciation......................30
Is Your Practice Incorporated? A PLLC? .....................................31
Veterans: Drug-Free Approaches to Pain in US Military .............32
More on the Chiropractic Project..................................................33
The Michigan Health Recovery Program.....................................34
Tips for Preventing Data Breaches...............................................36
Sherman Awarded Military Friendly® Schools Designation.........37
CFCU Welcomes New Board Member.........................................40
Communication Strategies...........................................................42
CFCU: Announcing… A New Partnership!...................................43
Join us on FaceBook and Twitter!
MICHIGAN ASSOCIATION OF CHIROPRACTORS
REMINDER!
MAC 2014 EXPRESS
Convention
November 22-23, 2014
Soaring Eagle, Mt. Pleasant
15 CEs Available,
including all Michigan requirements!
See page 40 for details!
Regular Features
Letter from the President................................................................3
Member Benefits............................................................................5
New Members..............................................................................39
Obituaries: Dr. Linda Rassel, Dr. George Goodman, Dr. Frank R. Sovinsky .......41
Your Money Matters.....................................................................42
Educational Programs..................................................................45
Members on the Move! Dr. John Ostergren, Dr. Miguel Ruelan ...............46
Membership Application...............................................................48
District Information.......................................................................49
Classified Ads...............................................................................50
Advertisers
Cancer Treatment Centers of America...........................................2
Central Medical Imaging...............................................................53
China Gel.....................................................................................27
Chiropractic Federal Credit Union......................................7, 19, 21
ChiroSecure...................................................................................9
Genius Solutions..........................................................................33
Leslie M. Kohn, Esq.....................................................................23
Michigan X-ray.............................................................................13
MyMACWellness/MDCH..............................................................43
NCMIC..........................................................................................54
New Renaissance...........................................................................I
Premier MRI.................................................................................25
Spine Align, Inc............................................................................. 11
1
Cancer Treatment Centers of
America
2
Letter from the President
MAC Executive Board
President
Dennis Whitford, DC
Vice President
Damian Palmer, DC
Director of Internal Affairs
Eric Hartman, DC
Director of Financial Affairs
Lisa Olszewski, DC
Chairman
Daniel Spencer, DC
Editorial/Association Staff
Executive Director
Kristine Dowell
Assistant Director
Susan Palin
Insurance/Government Relations
Carl Alden
Public Relations
Tim Gaughan
Administration
Angela Psaros
Membership/Programs
Lisa Love-Smith
Administrative Assistant
Wes Hoffrichter
Membership Assistant
Seth Anderson
Office Manager
Chrissy Psaros
Legislative Consultant
Bill Wortz, Public Affairs Associates
Attorney
Gregory M. Nowakowski
Honigman, Miller, Schwartz and Cohn, LLC
MAC Vision
“A healthy, knowledgeable citizenry
with fair and open access to
chiropractic.”
MAC Mission
“To improve public health through
education, promotion, and protection
of chiropractic.”
Purpose of the MAC
The purpose of the Michigan Association of
Chiropractors is:
• To promote the Chiropractic profession as a
distinct branch of the healing arts based on
the body’s inherent recuperative abilities and
the role that vertebral subluxation plays in
that process, and
• To advocate for Michigan Doctors of
Chiropractic, chiropractic patients, and the
chiropractic profession to the government,
the public, the business community, and the
community of third party payers.
Comments or letters to the editor may be sent to:
Michigan Association of Chiropractors
416 W. Ionia • Lansing, MI 48933
(517) 367-2225
[email protected] • www.chiromi.com
MAC Vision Statement:
“A healthy, knowledgeable citizenry with fair and
open access to chiropractic.”
MAC Mission Statement:
“To improve public health through education, promotion, and protection of chiropractic.”
Dear Colleagues:
The Vision and Mission statements above are very
present in every decision MAC leadership makes. We
work on behalf of our members every day to promote
and enhance the chiropractic profession in our state.
On December 31, my presidency will come to an end. Dennis W. Whitford, DC
President
It has been my great honor and pleasure to be able to
serve you these past two years. Together, we have done
some critical work, work that will benefit Michigan chiropractors and our patients for
years to come. Below are just a few of these accomplishments.
Blue Cross Lawsuits: Major News!
Earlier this year, the MAC scored two major legal victories when the Michigan Supreme
Court declined to hear BCBSM and BCN’s appeal of the Michigan Court of Appeals
decision allowing our lawsuits to move forward as class action lawsuits. For the past
several months, MAC leadership has been in serious settlement negotiations with Blue
Cross and Blue Care Network.
These negotiations have led to a possible settlement! The final language is being drafted
now, but the bottom line is this:
Within the next few months, we believe you will be able to bill for ALL SERVICES in
your scope when they are covered by Blue Cross and Blue Care Network. Chiropractors
will no longer be discriminated against in coverage of their scope, if other providers are
being reimbursed!
I am extremely proud of the work we have done on this very important issue. Stay tuned
to the MAC Journal and Week in Review for more information as it becomes available.
MichiCare
I am also very proud of the establishment of our Independent Physician Association
(IPA), MichiCare, which will be accepting providers in the very near future. With MichiCare, we hope to better serve our members and their patients, and advocate for the future
of chiropractic by informing buyers and consumers about the efficacy and cost-effectiveness of our care. There has never been a better time to push for inclusion and fair
reimbursement in all health plans, and we are working daily to provide useful services
and positive benefits to doctors throughout the state.
Since MichiCare was announced in 2013, much work has been accomplished. After
months of due diligence, we have contracted Medical Advantage Group (MAG), an
administrative consulting firm with more than a decade of experience developing large
patient-centered provider networks in Michigan. We are now dedicated to securing contracts that will allow patients increased access to our quality, cost-effective services.
MichiCare is designed to put chiropractic – and our members – at the forefront of health
care delivery in our state. Stay tuned for information on network affiliation and how to
get involved!
Continued on page 44
3
Convention Wrap-Up
Dr. Patrick Gentempo Highlights
Fall Convention Opening Session
Kalamazoo Radisson the Site of Another Fantastic MAC Event!
Last month, Michigan chiropractors
gathered at the MAC Fall 2014 Convention & Exhibition at the Radisson Hotel
in Kalamazoo. Hundreds of doctors, CAs,
and other supporters were fired up by our
keynote speaker at the Opening Session,
Dr. Patrick Gentempo! His presentation,
“The State of Things: A Tale of Two Professions,” provided his expert perspective
on the current state of chiropractic and
what the future holds for the profession.
Other notable speakers included:
• Dr. Francis Murphy on Polyvagal
Theory
• Dr. David Seaman on neurology and
golf
• Dr. Troy Dukowitz on freedom from
insurance
• Dr. Gary Jacob on the McKenzie
Method
• Dr. Ron Oberstein on corporate wellness programs
• Dr. Craig Gill on blood chemistries
• Dr. Michael Kudlas
on gait analysis
• Dr. Dean DePice,
Dr. Lisa Olszewski,
Dr. Mary Flannery,
and Dr. Denise Rassel on philosophy
• Dr. Joel Carmichael
on PEMF
Dr. Patrick Gentempo wowed ‘em at the Opening Session!
4
Along with these
exceptional educational opportunities,
doctors also engaged
in much chiropractic
camaraderie, with
such events as the VIP
Party, Friday Night
Welcome Reception,
Saturday Night Reception, alumni breakfasts
for Life, Palmer, Life
West, and Sherman,
and more.
Rather than our
usual raffle, the MAC
held our first-ever Silent Auction throughout the weekend, with
such prizes as:
• Whole Body 5.1
Massage Chair,
provided by Human
Touch
MAC President, Dr. Dennis Whitford at
the Opening Session.
MAC Chairman, Dr. Dan Spencer at the
Opening Session.
Continued on page 5
MEMBER BENEFITS
Convention - Continued from page 4
www.chiromi.com/membership/benefits
ASEA™, (269) 353-4000
www.AdvancingLives.TeamASEA.com
MAC members purchase cases of ASEA at wholesale
price, and more!
Benefits4Chiropractors (a Phase 4 Company)
(248) 559-6980, www.phasefourltd.com
MAC members receive discounts on long-term
disability, long term care, pre-paid legal services,
and more
Biz-to Biz Network, Inc., (586) 942-5756
www.biztobiznetworkinc.com
50% reduction in chapter member fee for MAC
members
Body Part Chart, (888) 712-4278
www.bodypartchart.com
10% off all BPC products
Dr. Patrick Gentempo at the Opening Session.
• Chirobedic Sleep System, provided by
Spine Align
• Stationary Massage Table, provided by
Great Lakes Imaging
• Four days in Cancun, Mexico, provided
by the MAC
• Two sets of Red Wings tickets, including an overnight stay and breakfast
at the Adoba Hotel, provided by our
lobbyists at Public Affairs Associates
(PAA)
• Spartan Football Suite tickets, including free food and beverages, also
provided by PAA
• Reflexology Foot Massager, provided
by Relax Health & Tone
Thanks to all our generous vendors who
provided prizes for the Silent Auction!
Stay tuned for news about the prizes available next spring!
Spring 2015 Convention
Plans are already under way for the MAC Spring 2015 Convention, to be held
at the Adoba Hotel and Conference Center in Dearborn (formerly the Dearborn
Hyatt), APRIL 24-26, 2015. Watch future editions of the Journal and the website
for details!
Reserve Your Room for
the MAC Spring 2015 Convention Today!
Due to the growth of the MAC, hotel rooms in our room blocks are being
increased. However, rooms at our conventions will continue to be limited.
Because of this, for the MAC Spring
2015 Convention, we urge you to
make your room reservations as soon
as possible to ensure your ability to
stay at the Adoba Hotel and Conference Center (formerly the Dearborn
Hyatt). To make your room reservations, call (313) 592-3622, and let them know you are with the MAC, or go to
http://adobadearborn.com/ and use the special group code “281.”
ChiroCode Institute, (800) 944-9877
www.chirocode.com
MAC Members receive a discount on the purchase
of the ChiroCode Deskbook.
Chiro-Connect, (763) 422-3526
www.chiro-connect.com
MAC Members receive a substantial discount.
ChiroHealthUSA, (888) 719-9990
www.chirohealthusa.com
Discount medical plan to MAC members and their
patients
DAE Capital Advisors, (616) 258-5063
www.daeadvisors.com
MAC members receive a free 12 month trial of
iConnect, DAE’s online Wealth Management System
DocApps, (248) 560-9001
www.docapps.mobi
iPhone and Android apps for chiropractor to
patient communication. $500 set-up fee waived
for MAC members
FiNet, (800) 487-5577
www.finetsolutions.com
Credit card processing. MAC members receive
discounted fees, waived set-up
Genius Solutions, Inc., (586) 751-9080
www.geniussolutions.com
MAC members receive a 5% discount on the
purchase of practice management software
Great Lakes Benefits, (734) 241-2811
www.greatlakesbenefitsofmichigan.com
MAC members receive a 10% discount on autoowners personal lines & group commercial lines
InPro Insurance Group, (248) 526-3260
www.inproagent.com
MAC members are eligible for assistance with
joining health plans
Law office of Leslie Kohn, (248) 559-1957
kohn-law.glfpages.com
MAC Club members receive a free legal consultation
Nordic Naturals, (831) 724-6200
www.nordicnaturals.com
10% ongoing discount on direct purchases
Spine Align, Inc., (616) 392-4565
www.chirobed.com
MAC Club members receive a 10% discount on
bedding products
Veracity Payment Solutions, (888) 599-2209
www.midtrans.com
MAC members receive discounted premium and
basic rates
5
Convention Awards
MAC Fall Convention Awards!
Outgoing MAC President Dr. Dennis Whitford Named
MAC 2014 Chiropractor of the Year
At each MAC Fall Convention, we reward
the hard work and dedication of our
leadership and members with a number of
awards, including the Visionary Award,
Rising Star Award, Exemplary Service
Award, the Kirk A. Lee and, of course,
Chiropractor of the Year. This year, we
also added a new award: the Linda Rassel
Extraordinary Impact Award (see sidebar).
Chiropractor of the Year:
MAC President
Dr. Dennis Whitford
Outgoing MAC President Dr. Dennis
Whitford of Mt. Pleasant was named the
MAC 2014 Chiropractor of the Year “in
appreciation for valuable leadership, service, and dedication above and beyond the
call of duty to the chiropractic profession.”
zation. He is charged with seeing that all
orders and resolutions of the MAC Board
of Directors are put into effect. The President also presides over Executive Committee and general membership meetings.
His term began January 1, 2013, and runs
through December 31, 2014. His tenure
has been marked by the establishment of
MichiCare, our IPA.
Prior to his election as President, Dr.
Whitford served two years on the Executive Committee as Vice President/Director
of External Affairs. A graduate of Logan,
Dr. Whitford, an Indiana native, began
practicing in Michigan in 1993.
Congratulations, Dr. Whitford, from
the Board of Directors and the staff at the
MAC!
Kirk A, Lee, DC, Community
Champion Award:
Dr. Amanda Apfelblat
In 2012, we lost a dear friend and Michigan chiropractic legend, Dr. Kirk A. Lee
Dr. Dan Spencer Presents the Chiropractor of the Year Award to Dr. Dennis
Whitford.
Dr. Whitford serves as the organization’s Chief Executive Officer and is
responsible for the general and active
management of the business of the organi6
Dr. Amanda Apfelblat, recipient of the
Kirk A. Lee, DC, Community Champion
Award.
of Albion. Dr. Lee was as active in his
community in Albion as he was in the
community of chiropractors not only in
Michigan but nationally. His dedication to
his community and profession was truly
inspiring, so we established a new yearly
award, the Kirk A. Lee, DC, Community
Champion Award, to be given to a chiropractor “in recognition and appreciation
of their unselfish commitment to serving
others and their community.”
This year’s Kirk A. Lee, DC, Community Champion Award went to Dr. Amanda
Apfelblat of Garden City. A Life grad and
President’s Club member, Dr. Apfelblat is
extremely involved in her local community. Her numerous civic and community
involvement and awards includes: Westland Chamber of Commerce, 2007 Westland Business Person of the Year, Garden
City Business and Professional Women's
Group, Westland Salvation Army, and
Schoolcraft College’s Massage Therapy
Program. She has spoken at Westland
Middle Schools and High Schools about
the field of chiropractic and also sponsors
a college scholarship for William D. Ford
High School students.
Dr. Apfelblat serves on the MAC Board
of Directors representing District 3. She
has been a member of the Membership
Committee since the MAC’s founding
in 2007. She has served the Association
in a number of capacities over the years,
including as President of District 3.
Dr. Apfelblat is also a founding member of the Michigan Chiropractic Pediatric
Association, an organization founded
to engage and serve Michigan families
through the promotion of chiropractic care
and public education, as well as by establishing meaningful communication with
other healthcare professionals and organizations. She currently serves as a Board
of Directors member of the MCPA. She is
also a member of the Chiropractic Federal
Credit Union Supervisory Committee, and
Continued on page 8
New Award!
Linda Rassel, DC,
Extraordinary
Impact Award
In early September, we lost a longtime MAC member and chiropractic pioneer, Dr. Linda Rassel. She had a tremendous impact
on the profession in our state, and in her honor we have established a new award, the Linda Rassel, DC, Extraordinary Impact
Award.
This award will be given
yearly to a chiropractor
“In appreciation for being
a veracious chiropractic
advocate, mentor, and
leader.” No one exemplifies
this award more than Dr.
Rassel herself, who became
the award’s first recipient at
our Fall 2014 Convention
in Kalamazoo.
Dr. Rassel passed away
September 5, 2014, surrounded by her loving family, including five daughters, four of whom went on to become chiropractors themselves.
A magna cum laude graduate of Palmer, Dr. Rassel was deeply
involved with her state associations, serving on the Board of Directors of the Michigan Chiropractic Council and on a number of
key committees. She was the recipient of numerous awards and
deeply appreciated for her many years of valuable service.
She also served as a member of the Michigan Board of
Chiropractic, the International Chiropractors Association, and
on the Board of Trustees for Life University. A Diplomate of
the National Board of Chiropractic Examiners, she practiced in
Michigan for nearly 40 years.
Her feisty, never-give-up style and passionate dedication to
chiropractic will be sorely missed.
CFCU
(L-R) Dr. Heather Rassel, Dr. Elizabeth Rassel, Dr. Linda Rassel, Dr. Denise Rassel, and Dr. Ruth Rassel
7
Awards - Continued from page 6
the International Chiropractic Pediatric
Association. She has an advanced Board
Certification in Pediatric Chiropractic.
Visionary Award:
Kathy Schaefer
Kathy Schaefer, a partner with MAC
public relations consultants Communications & Research, received the Visionary
Award, “in appreciation for exceptional
service and dedication to the future of
the chiropractic profession.” She is the
Program Administrator for WorkSafe,
the MAC’s spinal health and ergonomics
training program that introduces hundreds
of Michigan workers to the healing power
of chiropractic care every year. Kathy’s
incredible proposals have led to WorkSafe
handles grant evaluation, accounting, and
reporting.
Exemplary Service Award:
Dr. Dan Spencer
Outgoing Chairman of the Board Dr. Daniel D. Spencer of Hudson was given the
MAC “Exemplary Service Award” for his
long tenure on the MAC Executive Committee and Board of Directors. Our 2012
“Chiropractor of the Year,” Dr. Spencer’s
tenure as Chair began in January 2013 and
ends December 31.
Prior to his tenure as Chair, he served
Dr. Lisa Olszewski presents the Rising
Star Award to Dr. Nick Hartop.
schedule and locations.
President’s Award:
Angela Psaros
Dr. Dennis Whitford presents the Exemplary Service Award to Dr. Dan Spencer.
Dr. Eric Hartman presents the Visionary
Award to Kathy Schaefer.
obtaining State of Michigan Consultation
Education and Training (CET) Grants for
more than a decade. A collaboration between the MAC and MIOSHA, WorkSafe
is offered to businesses with 100 employees or less in the fields of manufacturing,
nursing home and residential care, wholesalers of nondurable goods, landscaping,
and warehousing and storage.
Kathy’s duties with Communications &
Research also include the MAC Screenings Program, designed to put MAC doctors in the spotlight and spread the word
about chiropractic. The program provides
MAC members with exposure at high
profile health events in their communities,
and helps create many public relations
opportunities.
Kathy manages the work flow of most
C&R projects, as C&R handles a number
of associations besides the MAC. She coordinates and serves as editor for numerous state and national industry publications. Her duties include graphic design,
art direction and photography. In addition
to grant writing, she also manages and
8
as President from 2011-2012. Before serving as President, he was Vice President/
Director of External Affairs. He has served
the MAC on the Board of Directors since
its inception, and as a member of the Government Relations Committee.
Dr. Spencer was a member of the
Transition Executive Committee, the body
charged with acting as a liaison between
the MCS and MCA as the two organizations negotiated the historic merger. He
joined as a student member from Palmer
in 1994.
This year, Dr. Whitford decided to honor
MAC Administrative Director Angela
Psaros, who works with the Audit &
Budget Committee to execute all daily
MAC business, manage accounting/billing
procedures, and prepare all budgets and
tax reports. She also oversees all office
operations and administrative initiatives.
Angela was also the recipient of the MAC
Distinguished Service Award in 2011. She
has been with the association since 1998.
Angela holds an undergraduate degree
from Michigan State University, and an
MBA from Baker College.
Rising Star Award:
Dr. Nick Hartop
Each year, the MAC presents its Rising
Star award “in appreciation of members
who are stepping above and beyond for
the chiropractic profession by taking on
leadership roles.” This year, the MAC
honored Board of Directors member Dr.
Nick Hartop of Chesterfield. A graduate
of Palmer, Dr. Hartop represents District 2
on the MAC Board of Directors. He also
currently serves as Vice Chair of the MAC
Education and Programs Committee. In
his position, he is instrumental in helping to plan our conventions and seminars,
including the vetting and choosing of
speakers and topics, as well as our overall
Dr. Dennis Whitford presents the President’s Award to Angela Psaros.
Membership
ChiroSecure
9
Continuing Education
What Constitutes
Physical Measures and Tests?
As part of Michigan’s updated scope of
practice, signed into law in 2010, Michigan doctors of chiropractic were required
to obtain continuing education pertaining
to the newly allowed services outlined in
the new scope. Among these requirements
are:
• Two (2) hours in “Physical Measures”
• Two (2) hours in the “Performance and
Ordering of Tests”
The MAC office often gets questions from
doctors wondering exactly what constitutes these categories. At their May 2010
meeting, the Michigan Board of Chiropractic, in consultation with the Michigan
Department of Community Health, voted
to approve the following physical measures and tests relative to the new chiropractic scope of practice.
Physical Measures
Physical measures used for correcting
or reducing subluxations, misalignments
and joint dysfunctions, including, but not
limited to:
• Massage: Manipulation of superficial
layers of muscle and connective tissue
to alleviate pain and discomfort
• Mobilization: Method of manipulation,
movement or stretching to increase
range of motions in muscles and joints
that does not involve a high-velocity
thrust
• Heat: Use of hot/moist packs or
diathermy in an area of treatment to
promote healing and restoration of
function
Approved Continuing
Education in Michigan
The MAC office often gets questions regarding what exactly constitutes
“approved” continuing education in the state of Michigan for the purposes
of license renewal or relicensure. Under the Michigan Board of Chiropractic’s Administrative Rules, the following all constitute approved continuing
education:
• The successful completion of a course or courses offered for academic credit in a chiropractic school approved by the board
• Successful completion of a continuing education program offered
by a chiropractic school approved by the board
• A continuing education program that has been granted approval by another state’s board of chiropractic
• The board also considers requests for approval of continuing
education programs by sponsors who submit applications on
a form provided by the department. Programs must relate to
the general subject area of the practice of chiropractic, and
shall not receive credit for those portions of the program covering subject areas that include practice building, marketing, or
financial advancement, with the exception of content that includes
the laws, rules, regulations, or policies regarding insurance billing
or documentation.
If you are unsure if a continuing education program falls into one of these
categories, contact the Michigan Board of Chiropractic at (517) 335-0918.
You can also contact the organization putting on the seminar to inquire if
they have been approved for continuing education credits in Michigan.
10
Physical Measures - Continued from
page 10
• Cold: Ice pack application in an area
of treatment to promote healing and
restoration of function
• Light: Use of laser, infrared, ultraviolet,
heat lamps, etc., to promote healing and
restoration of function
• Water: Use whirlpools or hydromassage
for the use of treatment or rehabilitation
in an area of treatment to promote healing and restoration of function
• Electricity: Use of high volt, low volt
or interferential current to aid in the
correction of muscular/skeletal problems to promote healing and restoration
of function
• Sound: Use of ultrasound to aid in the
correction of muscular/skeletal problems to promote healing and restoration
of function
• Traction: Set of mechanisms to relieve
pressure on the spine and skeletal
system
• Decompression: Intermittent motorized
or hydraulic distraction used as treatment for disc problems, low back pain
or neck pain
• Taping: Use of medical tape to stabilize
injury or immobilize
• Rehabilitative Exercises: Recommended stretches or movements intended to
relieve stress on the spine or skeletal
system
Tests
The performance, ordering or use of tests
for the diagnosis of human conditions
and disorders of the human musculoskeletal and nervous systems as they relate
to subluxations, misalignments and joint
dysfunctions. These tests shall be for the
purpose of detecting those conditions
and disorders or offering advice to seek
treatment from other health professionals
in order to restore and maintain health,
including, but not limited to:
• Neurologic: Evaluation of motor or
sensory skills
• Orthopedic: Used to identify specific
nature of musculoskeletal injury or
condition
• Muscle Testing: Assessment of the
body’s electrical system balance by
pushing or pulling on various muscles
and evaluating the corresponding weak-
nesses
• Gait: Assessment of balance, coordination and posture while walking
• Blood: Use of blood tests to measure
the outcome of nutritional counseling
or to determine the need to continue
treatment or refer to another health care
provider if a patient has not responded
to treatment
• Urine: Use to measure the outcome of
nutritional counseling or to determine
the need to continue treatment or refer
to another health care provider if a
patient has not responded to treatment
• Hair: Use to measure the outcome of
nutritional counseling
• Saliva: Use to measure the outcome of
nutritional counseling
• Ordering and use of non-invasive
imaging tests, consistent with modern
technology and related to spinal subluxations: May use an MRI of the spine
to determine a patient’s biomechanical
problems in the spine or to offer advice
to seek treatment from other healthcare professionals in order to restore
or maintain health if the condition is
outside the scope of chiropractic
Spine Align, Inc.
11
Insurance Issues
ACA Insurance Marketplace Open
Enrollment Period Begins November 15!
What You and Your Patients Need to Know!
2015 marks the beginning of the second
year of insurance coverage under the
Patient Protection and Affordable Care Act
(commonly referred to as “Obamacare”).
For those of your patients currently enrolled in a 2014 “Marketplace” (also commonly known as the “Exchange”) plan,
2014, and continues through February 15,
2015.
If someone has not enrolled in coverage
by then, they generally cannot buy Marketplace health coverage for 2015 until the
open enrollment period for 2016.
Anyone without health coverage in
2015 may be subject to a fee. The fee for
2015 is higher than 2014 – 2% of income
or $325 per adult, $162.50 per child,
whichever is greater.
Anyone wishing to purchase health
coverage through the Marketplace outside
of the open enrollment period must qualify
for a special enrollment period due to a
qualifying life event, including (but not
limited to):
• Loss of essential health coverage
• Change in family size (get married or
divorced, have a child by birth or adoption, death in the family, etc.)
• Change in citizenship status
• Move to a new coverage area
The special enrollment period generally
lasts 60 days after the qualifying event.
their coverage ends December 31, 2014.
To continue health coverage next year, enrollees can renew their current health plan
or choose a new health plan through the
Marketplace during the 2015 Open Enrollment period. The Open Enrollment Period
for 2015 coverage begins November 15,
Michigan Information
For 2015, 16 insurers will offer coverage on the Michigan Health Insurance
Marketplace, up from 12 in 2014. The
Marketplace will continue to be administered by the federal government, while
the Michigan Department of Insurance
Did You Know?
• The nonpartisan Congressional Budget Office has estimated that
13 million people should be in the market in 2015, up from approximately 7.5 million in 2014.
• In Michigan, more than 272,500 Michiganders selected plans on
the health insurance marketplace during its first open enrollment
period from October 1, 2013, through March 31, 2014.
12
Important
ACA Dates to
Remember!
• November 15, 2014 – Open
Enrollment begins.
• December 15, 2014 – Applications for coverage beginning January 1, 2015, are
due. Also, any changes to
current plans must be completed by December 15 to
avoid a lapse in coverage.
• December 31, 2015 – Coverage ends for 2014 plans.
• February 15, 2015 – Open
Enrollment Period ends.
To buy Marketplace insurance
outside Open Enrollment, patients must qualify for a special
enrollment period due to a
qualifying life event, such as
marriage, birth or adoption of
a child, or loss of other health
coverage.
and Financial Services (DIFS) retains the
responsibility of reviewing all plans to
ensure compliance with state and federal
laws.
Information about the Marketplace is
available at www.healthcare.gov. Michigan residents with health insurance questions can also visit www.michigan.gov/
difs or call DIFS toll free at 877-999-6442.
ACA Insurance - Continued from page 12
Michigan Marketplace Plan
Selection Demographic
Breakdown
More Michigan Information:
Healthy Michigan
The expansion of Medicaid is a very large
part of the objective of the ACA – to
reduce the number of uninsured people in
the US. In Michigan, more than 400,000
people have already signed up for coverage under the Healthy Michigan plan,
with an additional 100,000 expected to be
covered by 2021. The Healthy Michigan
plan allows individuals with incomes of
up to 133 percent of the federal poverty
level to sign up for Medicaid. That works
out to about $15,800 a year for individuals
or $32,500 for a family of four.
Those eligible for Medicaid, Healthy
Michigan, or the Children’s Health
Insurance Program (CHIP) can enroll at
any time. There is no limited enrollment
period for these programs.
(As of March 31, 2014)
• 54 percent female, 46 percent male
• 87 percent eligible for financial assistance
• 13 percent bronze, 75 percent silver, 9 percent gold, 2 percent platinum and 2 percent catastrophic
• 6 percent under age 18, 11 percent ages 18 to 25, 18 percent ages 26 to 34, 16 percent 35 to 44, 22 percent ages 45
to 54, and 27 percent ages 55 to 64
Source: U.S. Department of Health and Human Services
Small Businesses
There is no specified enrollment period for
small business owners – those wishing to
offer coverage to their employees can begin at any time during the year. This is true
whether the employer purchases the coverage through an insurance agent or broker,
the insurance company itself, or the ACA’s
Small Business Health Options Program
(SHOP) Marketplace. Learn more about
the SHOP Marketplace at www.healthcare.
gov/what-is-the-shop-marketplace/.
Source: www.healthcare.gov
Michigan X-ray
13
Nutrition
Get Smart About Adding Supplements
In Practice, Success with Nutrition Chiefly Depends
on How Much You Know and How Much You Show
By Judy Weightman
A growing number of chiropractors are
adding nutrition to their practices, dispensing both nutritional advice and dietary
supplements. Is this a direction you should
explore? We gathered a panel of experts to
answer the question.
“Those who have a passion for and a
knowledge of nutrition should pursue it”
as an element in their practice, says James
P. Powell, DC, consultant with Standard
Process. “If you do it just to add income,
you won’t succeed at the level you want.”
Many, however, find that nutrition
is a natural fit in chiropractic practices.
The place to start is with the practitioner.
Nutrition Trends
for 2014
Chasse sees three main product
trends ahead in 2014.
• The increase in the use of
probiotics for women’s health
that we saw in 2013 will continue. Chasse anticipates that
research will uncover more
specific ways probiotics can be
useful to your patients, enabling you to customize your
recommendations.
• As more baby boomers hit
retirement age, interest in antiaging supplements, like reservatrol and other antioxidants,
will continue to grow.
• Consumer concern about
genetically modified organisms
is definitely extending from
food to supplements. “We’re
starting to see some products
labeled as being made with
non-GMO products, and I expect we’ll be seeing more and
more of them,” Chasse says.
14
Key Customers
Monk sees changes in who is visiting health practitioners and why. “The
biggest change is the new focus on sports rehabilitation and performance
medicine,” he says. Three groups in particular are part of this trend: stayat-home moms, who are increasingly involved in marathons and Ironman
competitions; athletes in their 40s and older, who are more prone to injury
and who don’t heal as quickly as they once did; and participants in the
increasing number and variety of challenging endurance sports like mud
runs.
What all three of these groups have in common, Monk says, is that they
don’t see themselves as sick – and, in fact, they’re not. “But if you have an
athlete coming in with a pulled hamstring, seeking treatment for that, and
they see you have supplements that will help them perform better, they’re
going to be interested in them,” he says.
Monk recommends exploring these opportunities: “Doctors need to
position themselves, not just to deal with injuries, but to help with performance,” he says. “A lot of chiropractors are working with triathlete clubs
and running groups – it’s one fo the biggest trends in chiropractic, and it’s
working well for us.”
“People don’t mention [nutrition-related]
problems because they don’t realize their
chiropractor can help,” Powell says. “So
you have to make sure you’re asking about
them” through either a check-in questionnaire or conversation during the exam.
“If you don’t ask the questions, they
won’t offer the information, so you can’t
provide the help available,” Powell says.
“Often, their primary complaint is another
issue, but you can say to the patient, ‘there
are nutritional approaches — would you
like to explore them?’”
Then, if they are interested, you can
proceed with a full discussion and your
recommendations.
Knowledge is Power
Successful practitioners need a solid
foundation of knowledge about how
supplements work and how to recommend
them effectively. “One key attribute of
nutritional superstars is their knowledge
base,” says Lise Alschuler, ND, FABNO,
naturopathic oncologist with Naturopathic
Specialists LLC. “That knowledge translates to clinical success – and as people
feel better, that translates into confidence
in you, making patients more likely to
follow [the regime you recommend].”
Developing and maintaining that knowledge is an ongoing process: “Successful
practitioners are those who pursue continuing education, whether it’s in person or
through webinars; they’re active learners,”
Alschuler says.
“Doctors who are successful can talk
about [supplements] the way they’d talk
about pharmaceuticals,” says Jaclyn
Chasse, ND, medical director for Emerson Ecologics. “They need to be able to
explain how a particular product will help
[a patient’s condition], how the patient
should take it, and how to refill their supply.”
Finding reliable sources of information
can be its own challenge. “For most medical practitioners, that’s where their passions are, treating patients,” says Cheryl
Media
Misinformation
Myers thinks a big trend in
2014 will be information – and
misinformation. “I think a lot of
practitioners have a love/hate
relationship with the media,” she
says, because they’re often a
source of misleading or conflicting information. “One day, Dr. Oz
says ‘eat an apple a day’ on his
show, and the next day someone else comes along and says
‘wait a second, there’s cyanide in
apple seeds.’” This leaves people
bewildered about the appropriate
nutritional path, she says.
Alschuler sees a general
media trend to be negative about
supplements. “This feels like an
attack – but it’s an opportunity for
practitioners,” she says. “Doctors
have the answers to the questions [the media raises]. They
know which supplements do
work, and for whom. Instead of
the big generalized conclusions
[that get published], it may be
that a supplement is appropriate for a specific subset” of the
patient population.
sources [of information].” In addition, she
says: “See what’s available through your
professional network. There are some really good databases that can keep you up
to date.”
Practitioners who attend conventions
and conferences should make it a point
to talk to manufacturers exhibiting there.
“Get information from them that you can
take [with you] and validate by going back
to original research” to confirm the claims,
Alschuler advises.
The Pros of Going Pro
There are numerous advantages to offering professional brand supplements. “The
most expensive product you’ll ever buy
is the one that does absolutely nothing for
you,” Myers says, and our other experts all
agree with her.
“With increased media coverage,
patients come in asking their doctor about
the benefits of particular dietary supplements,” Chasse says. “So doctors need to
make sure the products have what they say
they have” in terms of the active ingredients. “We [at Emerson Ecologics] do some
of that work for them, so they can focus
on treating their patients,” she adds.
“With professional brands, you know
the products are really high quality,”
Alschuler says. “They go way above and
beyond the current good manufacturing
practices (cGMPs) requirements.” This is
important, she says, because “the practi-
Supplements - Continued from page 14
Myers, RN, head of education and scientific affairs for EuroPharma Inc. “They
don’t have time to sit on the Internet to do
buckets of research.”
Myers encourages practitioners to work
with supplement companies that have
strong educational departments and can
provide clinical data based on published
research on the specific ingredient in question. In addition to providing data upfront,
the company should be able to answer
follow-up questions, she says. “Check
out who’s on the staff, who’s on the board
– are they MDs? NDs? There should be
a broad spectrum of individuals; even if
they’re unable to answer your question
[immediately], someone in their orbit will
be.”
“Some of the professional brands are
excellent resources,” Alschuler says.
“They’re limited by the FDA in what they
can say, but they can direct you to good
tioner has lots of things in their head, with
determining the right dose, and so forth.
If you’re using professional quality, you
don’t have to worry about whether it has
contaminants,” as you do if you just suggest that your patient go to the drugstore
or supermarket for something off the shelf.
Contaminants are a significant issue
in over-the-counter (OTC) brands. “It’s
a major issue in the industry, especially
around products for weight loss and sexual
function – these tend to be highly contaminated,” Chasse says. The contamination
often involves undisclosed pharmaceuticals with the problems stemming from the
raw ingredients. “The manufacturer may
be acting in good faith when buying ingredients, whether from the U.S. or China,”
she says, “but the seller might have forged
[the documentation] and the manufacturer
might not know.” Some OTC brands “may
be contaminated with drugs, or they may
be less potent — or more potent — than
the label indicates,” which means the
patient will not get the benefits expected,
Chasse adds.
Distribution Details
When you’re starting out with supplements, you may not want to start an
in-office dispensary immediately. There
are a couple of other options to consider,
Alschuler says. The first is a virtual dispensary. Many companies have created
Getting Started
Adding nutritional counseling to your practice shouldn’t distract you from
your primary therapeutic mission, says Powell. “If you decide to get into
nutrition, pick a day or a half day each week – Tuesday afternoon, for
instance – to devote to your nutritional patients,” leaving the rest of your
week for your other patients.
If your patients respond well, you may want to devote more time to nutritional counseling – or you may want to hire someone to do that while you
continue to do chiropractic. “It’s difficult to succeed in both at the same
time,” Powell says. “Nutrition takes time – but dollar for dollar, it can be
the more lucrative part of the practice.” Consider adding a whole new
department, perhaps hiring a naturopath. That’s what Powell has done: “In
our office, we have four chiropractors and a naturopath [doing nutritional
counseling], who has three staff people working with him. That department
does as well as the chiropractic.”
This is effective because of the holistic slant of Powell’s practice. “People
come to the clinic for a whole variety of problems, not just pain,” he says.
“I strongly believe that chiropractic, plus nutrition, plus lifestyle changes
are the best way to do healthcare. We are primary care providers of natural healthcare.”
15
Wellness News
New Report: Michigan Has 11th
Highest Adult Obesity Rate in Nation
Rates Increased in Only Six States Since Last Year
As you know, in an effort to curb the
high rate of adult and especially childhood obesity in Michigan, the MAC has
partnered with the Michigan Department of Community Health to create the
MAC Screening Program, which ties in
with Governor Snyder’s “4x4 Program,”
and www.MyMacWellness.com, a website that provides individuals, parents
and children with free and low-cost
wellness activities near their home, as
well as general wellness advice. Local
activities are available for nearly every
region of the state. The following article
shows that obesity is a major health crisis for both the state of Michigan and the
United States as a whole. Initiatives like
the MAC’s partnership with DCH can
help alleviate this critical problem.
A new study released by the Trust for
America’s Health and the Robert Wood
Johnson Foundation finds that Michigan
is the 11th fattest state in the nation. The
report, The State of Obesity: Better Policies for a Healthier America, found that
the state’s obesity rate is 31.5 percent.
National findings reveal that significant geographic, income, racial and
ethnic disparities persist, with obesity
rates highest in the South and among
Blacks, Latinos and lower-income,
less-educated Americans. The report
also found that more than one in ten
children become obese as early as ages
2 to 5.
Other key findings from The State of
Obesity include:
After decades of rising obesity rates
among adults, the rate of increase is
beginning to slow, but rates remain
far too high and disparities persist.
• In 2005, the obesity rate increased in every state but one;
this past year, only six states
experienced an increase. In
last year's report, only one state,
Arkansas, experienced an increase in
its adult obesity rate.
• Obesity rates remain higher among
Michigan-Specific Information
•
•
•
Michigan’s adult obesity rate has more than doubled since 1990
Michigan is one of 20 states with an obesity rate above 30
percent
10.4 percent of Michigan adults have diabetes
Nationally
•
•
•
16
Obesity rates increased in six states in the past year – Alaska,
Delaware, Idaho, New Jersey, Tennessee, and Wyoming
Rates did not decrease in any state
Rates of obesity are above 35 percent for the first time ever in
two states (Mississippi and West Virginia), are at or exceed 30
percent in 20 states, and are not below 21 percent in any state.
Obesity - Continued from page 16
•
•
•
•
•
Key Health Facts - Michigan
Black and Latino communities than
among Whites.
Adult obesity rates for Blacks in
Michigan were 39.3 percent. Overall,
rates are at or above 40 percent in 11
states, 35 percent in 29 states and 30
percent in 41 states.
Rates of adult obesity among Latinos
in Michigan were 35.4 percent. Overall, rates exceeded 35 percent in five
states and 30 percent in 23 states.
Among Whites, adult obesity rates
were 30.1 percent in Michigan.
Overall, rates topped 30 percent in 10
states.
Baby Boomers (45-to 64-year-olds)
have the highest obesity rates of any
age group - and 36.1 percent of Baby
Boomers in Michigan are obese. Nationally, rates topped 35 percent in 17
states and 30 percent in 40 states.
More than 6 percent of adults are
severely obese (defined as BMI of
40 or more); the number of severely
obese adults has quadrupled in the
past 30 years.
The national childhood obesity rate
has leveled off, and rates have declined in some places and among some
groups, but disparities persist and
severe obesity may be on the rise.
• As of 2011-2012:
◦◦ Nearly one out of three children
and teens ages 2 to 19 is overweight or obese, and national
obesity rates among this age group
have remained stable for 10 years.
◦◦ More than 1 in 10 children become
obese between the ages of 2 to 5;
and 5 percent of 6- to 11-year-olds
are severely obese.
◦◦ Racial and ethnic disparities
emerge in childhood (ages 2-19):
The obesity rates are 22.4 percent
among Hispanics, 20.2 percent
among Blacks and 14.1 percent
among Whites.
• Between 2008 and 2011, 18 states,
including Michigan, and one U.S.
territory experienced a decline in obesity rates among preschoolers from
low-income families.
Michigan
Rank
Total Population (2013 Census Estimate)
9,895,622
N/A
% Poverty (2011-2012, two-year average)
14.3%
25
Uninsured, % All Ages (2012)
10.9
41
Uninsured, % 18 and Under (2012)
3.5
50
Michigan
Rank
Obesity Rates, % Adults (2012)
31.1
10
Hypertension Rates, % Adults (2011)
34.2
12
Diabetes Rates, % Adults (2012)
10.5
17
Adult Physical Inactivity (2012)
23.31
22
Obesity Rates, % High School Students (2011)
12.1
N/A
Obesity Rates, % Children Age 10-17 (2007)
14.8
24
Michigan
Rank
15.8
5
57,560
8
23.3
10
Michigan
Rank
Asthma Rates, % High School Students (2011)
24.6
N/A
Infant Mortality per 1,000 Live Births (2010)
7.1
14
Low Birth Weight Babies (2012)
8.4
18
Tobacco, % of High School Students Current Tobacco Use (2011)
14.0
36
Michigan
Rank
225
N/A
-3,100
N/A
F as in Fat 2013 Key Facts
Adult Health Indicators
Asthma Rates, % Adults (2010)
Cancer, Estimated New Cases (2013)
Tobacco, % of Adult Current Smokers (2012)
Child & Adolescent Health Facts
Other Public Health Indicators
Health Professional Shortage Areas, Primary Care
(as of 12/31/13)
Nursing Shortage Estimates (2010)
Source: Trust for America’s Health, http://healthyamericans.org/states/?stateid=MI
Definitions of Obesity and Overweight
Obesity is defined as an excessively high amount of body fat or
adipose tissue in relation to lean body mass. Overweight refers to
increased body weight in relation to height, which is then compared
to a standard of acceptable weight.
Body mass index (BMI) is a common measure expressing the relationship (or ratio) of weight to height. Adults with a BMI of 25 to 29.9
are considered overweight, while those with a BMI of 30 or more are
considered obese. Children with a BMI at or above the 95th percentile for their age are considered obese, and children with a BMI at or
above the 85th percentile but below the 95th percentile are considered overweight.
17
Wellness News
University of Minnesota Center for
Spirituality & Healing Creates Integrative
Health and Well-being Research Program
Chiropractic Plays an Integral Part in Program,
Funding Partially Provided by NCMIC
The University of Minnesota’s Center
for Spirituality & Healing, through its
commitment to innovative research,
recently launched their unique Integrative
Health & Wellbeing Research Program.
This program features a team of research
faculty from diverse backgrounds, including chiropractic, epidemiology, and
integrative health, who are embedded in a
land grant, research-intensive institution.
Capitalizing on a team science approach
and the excellent research resources at the
University of Minnesota, the new program will use various modes of inquiry
to explore the science of wellbeing from
holistic, interdisciplinary, and collaborative perspectives.
The program is partially funded by the
NCMIC Foundation. Lou Sportelli, DC,
President of NCMIC Mutual Holding
Company, said: “NCMIC provided a grant
to partially fund the Center’s Integrative
Health and Wellbeing Research Program
because it was a fantastic opportunity to
collaborate with a University whose innovative thinking is already eliminating the
‘barriers’ to health and wellbeing through
interdisciplinary cooperation in clinical
18
The Research Team (from left): Pamela Jo Johnson, PhD, MPH, Gert Bronfort, DC,
PhD, and Roni Evans, DC, MS, PhD.
and research programs. This is truly a 21st
Century innovative application to health
and wellbeing, and so consistent with the
chiropractic approach that the decision
was really an easy one to make.”
Faculty members include Gert Bronfort, DC, PhD; Roni Evans, DC, MS,
PhD; and Pamela Jo Johnson, MPH,
PhD. Together, they bring a complementary wealth of experience in the study of
integrative approaches to a range of some
of society’s most pressing health problems
for culturally and age-diverse populations.
“While the Center has been committed to supporting research in health and
wellbeing throughout the University of
Minnesota, we have not had a dedicated
research core based within the Center,”
says Center founder and director, Dr.
Mary Jo Kreitzer, PhD, RN, FAAN.
“The team will investigate the biological,
psychological, social, environmental, and
other dimensions of mind-body and integrative therapies. With this experienced
and complementary team of researchers,
fellows, and staff, the Center will be well
positioned to secure original research
funding, as well as fellowship and training
grants vital for developing new researchers who share an integrative vision of
wellbeing and health.”
More information and updates about
the program is available at z.umn.edu/
scienceofwellbeing
Source: University of Minnesota Center for
Spirituality & Healing
Supplements - Continued from page 15
templates that the practitioner can set up to handle distribution
and fulfillment, including auto-refill functions. You can also
control how much of the overall inventory the patient has access
to through various sign-in options.
Another possibility is developing a relationship with an independent pharmacist. “Many have great inventories,” Alschuler
says. The advantage here is that by working with a professional,
even for over-the-counter products, you “make sure the patient
is getting the right brands and can talk to someone knowledgeable about them at the time of purchase,” she adds.
Most practitioners, though, sooner or later start their own
dispensary. There are two advantages to dispensing supplements
through your own practice: You can ensure that your patients are
getting the best possible products, and you can add a lucrative
revenue stream to your practice. It also enables better follow-up,
since you can track whether or not a patient has refilled a prescription in a timely manner. Better compliance, of course, leads
to better treatment results, further benefiting the patient.
When starting a dispensary, though – start small.
“Having a huge dispensary doesn’t necessarily mean you’re
doing a good job,” says Timothy J. Monk, Jr., senior vice president of sales for Douglas Laboratories. “If you’re only selling
six products, but you know how those six products work, you’ll
have a high success rate with them, and a high rate of returning
patients.”
An all-too-common mistake is for practitioners to start too
big, with too much, Chasse says. “Pick a few products with
multiple functions” such as fish oil and probiotics. “[Unsuccessful doctors] go for something specific for every condition they
might see. This is an expensive approach — if they don’t sell
the products, they have to throw them out” when the expiration
date passes.
Chiropractic Federal Credit Union
Making the Commitment
Some practitioners feel hesitant, even guilty about selling supplements through their practice. They shouldn’t. “Most practitioners’ primary motivation is to help people,” Powell says, “but
you also have to figure out how to make a business with it.”
Altschuler agrees: “The key to success is being comfortable with the business part. There are lots of layers to being a
small-business owner. If you’re not comfortable with that side,
bring in an office manager to help you build an efficient, lean,
effective practice.”
And once you’ve decided to sell supplements, you will
benefit from a full commitment from the entire staff, Monk
says. “Training is critical. A well-organized and educated staff
can provide information during the check- in process, in the
waiting room, or at check out. Ideally, the nurse practitioner or
the person at the front desk can explain the product and answer
questions at the end of the appointment – the doctor is usually
with another patient by then.”
Judy Weightman is a writer and editor based in Philadelphia.
In addition to health, she writes on higher education, gardening, and sustainability for both print and the Web. She can be
contacted at [email protected] or followed on Twitter
at JudyWEdu.
“Article reprinted with permission from Vol. 60, Issue 3 (February 21,
2014), of Chiropractic Economics, your first source for news. For a
free subscription, go to www.chiroeco.com/.”
19
Nutrition
What Does Michigan’s Chiropractic
Scope Say About Nutrition?
Chiropractic Scope Includes “Nutritional Advice,”
According to Michigan Law
The recent update of Michigan’s chiropractic scope of practice ensures that
doctors of chiropractic in Michigan can
continue to dispense nutritional advice.
Under Michigan’s Public Health Code,
specifically MCL 333.16401(e), the “Practice of chiropractic” means “that discipline
within the healing arts that deals with the
human nervous system and the musculoskeletal system and their interrelationship
with other body systems.” Under the new
law, the practice of chiropractic includes
the following:
(i) The diagnosis of human conditions
and disorders of the human musculoskeletal and nervous systems as
they relate to subluxations, misalignments, and joint dysfunctions. These
diagnoses shall be for the purpose of
detecting and correcting those conditions and disorders or offering advice
to seek treatment from other health
professionals in order to restore and
maintain health.
20
(ii) The evaluation of conditions or
symptoms related to subluxations,
misalignments, and joint dysfunction
through any of the following:
(A) Physical examination.
(B) The taking and reviewing of
patient health information.
(C) The performance, ordering, or
use of tests.
(D) The performance, ordering, or
use of x-ray.
(E) The performance, ordering, or
use of tests that were allowed
under section 16423 as of December 1, 2009.
(iii) The chiropractic adjustment of
subluxations, misalignments, and
joint dysfunction and the treatment
of related bones and tissues for the
establishment of neural integrity and
structural stability.
(iv) The use of physical measures,
analytical instruments, nutritional
advice, rehabilitative exercise, and
adjustment apparatus regulated by
rules promulgated under section
16423. [Emphasis Added]
Furthermore, even under the old restrictive scope of practice, the Michigan
Supreme Court upheld the right of a doctor
of chiropractic to dispense nutritional
advice. In Attorney General v. Beno, the
Court held that the Michigan legislature’s
inclusion of the statutory provision on
nutritional advice in the old scope allowed
chiropractors to dispense vitamins or
food supplements when employed as part
of a program to correct a subluxation or
misalignment of the spine. The Court held
that, “We do not concur with the Court of
Appeals majority on the question of the
dispensing of the vitamin Nuclix; rather,
we find that practice to be within the
‘nutritional advice’ aspect of chiropractic,
when, as here, a non-drug and non-medicine substance is dispensed to help alleviate spinal subluxations or misalignments.”
Sources:
Michigan Chiropractic Scope of Practice, MCL
333.16401
Attorney General v Beno, 422 Mich 293, 344;
373 NW2d 544 (1985)
CFCU Ohio Ad
21
Chiropractic Summit
Summit Documentation Article XVII:
IF YOU GET A
A REQUEST
FOR RECORDS
By Chiropractic Summit Documentation
Committee
First convened in September 2007, the
Chiropractic Summit represents leadership from some 40 organizations within
the profession. The Summit meets regularly to collaborate, seek solutions, and
support collective action to address challenges with the common goal of advancing chiropractic.
A major focus of the Summit has been
to improve practitioner participation, documentation, and compliance within the
Medicare system. The article that follows
is the fourteenth in a series developed by
RESPOND!
the Chiropractic Summit Documentation
Committee.
In the last two articles, we discussed
two of the main reasons for denial when
chiropractic records are reviewed by
Medicare contractors1, 2. As noted,
inadequate treatment
plans and missing
signatures are two
of the top reasons
for denial… when
records are received,
however, a larger problem is when the
records are not received at all.
Check Out the Summit’s Series
of Documentation Articles!
MAC Insurance Committee Recommends You
Familiarize Yourself with All 17 of These Important Articles
The Chiropractic Summit Documentation Committee has created a
series of articles that are essential reading for any chiropractic office
that wants to keep up with the latest trends regarding Medicare,
proper documentation, and other topics.
Articles include such topics as:
• The Medicare Claim
• Medicare Documentation Requirements
• Medicare Audits
• Medicare Appeals Process
• PQRS
• Medicare Enrollment and PECOS
• Chiropractors’ #1 Medicare Documentation Error
• Signing Notes
• Medicare Record Requests
For all 17 of these important articles, go to: www.chirosummit.org/
page/-Documentation-Articles.html.
22
In past reviews, non-response has
frequently been the #1 reason for denial.
Some examples from previous reviews
are: Colorado – 57% non-response; New
Mexico – 43% non-response; Oklahoma
– 40% non-response; and Texas – 67%
non-response.
Previous CERT reviews have shown
non-response rates of 73.4% and 80.6%.
Last year, National Government Services
noted non-response as a “key issue” for
denial and, most recently, Railroad Medicare says that non-response accounted
for 50% of their claim denials in the first
quarter of this year.
This is a huge issue. With our denial
rates continually exceeding 70%, the
number of chiropractic audits continues to
rise. It is imperative that we learn what is
required and comply with those requirements. Even more important is that we
learn, when we get a request, WE MUST
RESPOND. Even if you feel your notes
are less than stellar, you need to submit
them. Why? Because NOT responding:
• Draws attention to you. If you
submit your documentation, you have
a chance it will be approved; if you
don’t send it in, you are guaranteed a
denial. If your documentation is found
to be inadequate, most likely you
would be given “provider education”
on proper documentation; however, by
not sending in your documentation at
Records - Continued from page 22
all, it gives the impression you don’t
have any. Providers who show a pattern of failing to comply with requests
for documentation may be subject to
corrective actions. Rather than just
“education,” this could lead to payment suspension, monetary penalties,
additional medical review, and/or an
audit3.
• Sends the wrong signal. We are the
only profession with this level of
nonresponse, and it makes it appear
as if doctors of chiropractic are not
willing to abide by the rules. Medicare
contractors are authorized to request
medical documentation and providers are obligated to comply (both with
having the required documentation
and submitting it when asked), if they
expect to receive payment4. Due to
the high rate of non-response, and the
subsequent high error rate, you are potentially subjecting not only yourself,
but the entire profession, to increased
scrutiny. In addition, it makes it difficult to advance the profession into
increased Medicare coverage and/or
full physician parity.
• Skews our denial rate. By submitting
all requested records, we could lower
our denial rate by as much as 40 percentage points. This, of course, is not
likely (at least at first), but we could
realistically lower the rate by approximately 15 percentage points.
• Does not give us a clear picture of
where weaknesses actually exist.
Perhaps most importantly, by having
a good understanding of the reasons
for denial, we can learn where to focus
our educational efforts and also where
there may be differences between the
contractors and the profession in the
interpretation of regulations.
Bottom line?
When you receive a request for records,
remember that it is in your best interest,
and in the best interest of the profession,
to RESPOND. As Nike says… “Just do
it!”
The current members of the Summit
Subcommittee on Documentation are Dr.
Frank Nicchi, Ms. Susan McClelland,
Dr. Steven Kraus, Dr. Salvatore LaRusso,
Dr. Peter Martin, Mr. Robert Moberg,
and Mr. David O'Bryon. Ms. McClelland served as the principal author of this
article.
Citations
(1) Dynamic Chiropractic; January 15, 2014;
Vol. 32; Issue 02; “Our No.1 Medicare Documentation Error”
(2) Dynamic Chiropractic; July 1, 2014; Vol.
32; Issue 13; “A Common Medicare Documentation Error:Are You Signing Your Notes?”
(3) The Medicare Program Integrity Manual,
Chapter 3, Section 7. This section also defines
a “pattern” as two or more additional documentation requests that have gone unanswered.
(4) The Social Security Act, Section 1833(e),
states “No payment shall be made to any
provider of services or other person under
this part unless there has been furnished such
information as may be necessary in order to
determine the amounts due such provider or
other person under this part for the period with
respect to which the amounts are being paid or
for any prior period.” Section 1815(a) states
“…no such payments shall be made to any
provider unless it has furnished such information as the Secretary may request in order
to determine the amounts due such provider
under this part for the period with respect to
which the amounts are being paid or any prior
period.”
Leslie M. Kohn, Esq.
23
Insurance Issues
Chiropractors: Medicare Audits
in 2014 OIG “Work Plan”
Plan Specifically Mentions Three Areas Where DCs Can Expect Audits
Since its establishment in 1976, the
U.S. Department of Health and Human
Service’s (HHS) Office of the Inspector
General (OIG) has worked to fight waste,
fraud, and abuse in Medicare, Medicaid,
and more than 300 other HHS programs.
They accomplish this task by conducting investigations and audits. Each year,
the OIG releases its “Work Plan” for the
upcoming fiscal year. The Plan sets forth
various projects to be addressed during
the fiscal year and provides brief descriptions of activities that OIG plans to
initiate or continue with respect to HHS
programs and operations.
The 2014 Plan specifically mentions
three areas that doctors of chiropractic
and their staffs should be aware of:
• Portfolio Report on Medicare Part B
Payments
• Part B Payments for Non-covered
Services
• Questionable Billing and Maintenance
Therapy
While these areas are specifically mentioned for chiropractors, this does not
mean they are the only areas DCs and
their staffs must concern themselves
with. Other areas – including requesting
documentation from those who have attested to meaningful use of an electronic
health records (EHR) system – may be
audited as well.
Portfolio Report
on Medicare Part B Payments
OIG will “compile the results of prior
OIG audits, evaluations, and investigations of chiropractic services paid by
Medicare to identify trends in payment,
compliance, and fraud vulnerabilities
and offer recommendations to improve
detected vulnerabilities.”
The Plan notes that prior OIG work
“identified inappropriate payments for
24
chiropractic services that were medically
unnecessary, not documented in accordance with Medicare requirements, or
were fraudulent.” Keep in mind:
• Medicare does not pay for items or
services that are “not reasonable and
necessary for the diagnosis and treatment of illness or injury or to improve the functioning of a malformed
body member.” (Social Security Act,
§1862(a)(1)(A))
• Part B pays only for a chiropractor’s
manual manipulation of the spine to
correct a subluxation if there is a neuromusculoskeletal condition for which
such manipulation is appropriate treatment. (42 CFR § 410.21(b).)
• CMS’s Medicare Benefit Policy
Manual, Pub. No. 100-02, ch. 15,
§30.5, states that chiropractic maintenance therapy is not considered to be
medically reasonable or necessary and
is therefore not payable.
• Further, §240.1.2 of the Manual
establishes Medicare requirements for
documenting chiropractic services.
The planned portfolio document will
“offer new recommendations to improve
Medicare chiropractic vulnerabilities
detected in prior OIG work.”
Part B Payments for
Non-Covered Services
OIG will “review Medicare Part B
payments for chiropractic services to
determine whether such payments were
claimed in accordance with Medicare
requirements.”
The Plan notes that prior OIG work
“identified inappropriate payments for
chiropractic services furnished during
calendar year (CY) 2006. Subsequent
OIG work (CY 2013) also identified
unallowable Medicare payments for chiropractic services.” Keep in mind:
• Part B pays only for a chiropractor’s
manual manipulation of the spine
to correct a subluxation if there is a
neuromusculoskeletal condition for
which such manipulation is appropriate treatment (see above).
• Chiropractic maintenance therapy is
not considered to be medically reasonable or necessary and is therefore not
payable (CMS's Medicare Benefit
Policy Manual, Pub. No. 100-02, ch.
15, § 30.5B.)
• Medicare will not pay for items or
services that are “not reasonable and
necessary.” (Social Security Act, §
1862(a)(1)(A))
Questionable Billing
and Maintenance Therapy
OIG will “determine the extent of questionable billing for chiropractic services”
and “identify trends suggestive of maintenance therapy billing.”
The Plan notes that previous OIG
work has “demonstrated a history of vulnerabilities relative to inappropriate payments for chiropractic services, including
recent work that identified a chiropractor
with a 93-percent claim error rate and inappropriate Medicare payments of about
$700,000.” It further notes: “Although
chiropractors may submit claims for any
number of services, Medicare reimburses
claims only for manual manipulations
or treatment of subluxations of the spine
that provides ‘a reasonable expectation
of recovery or improvement of function.’
Moreover, Medicare does not reimburse
for chiropractic maintenance therapy.”
Prepare!
The best way to prepare is to make
sure your records are in order. The ChiroContinued on page 25
Medicare - Continued from page 24
practic Summit Documentation Committee notes that the purpose of the medical
review process is to make sure claims are
paid correctly. DCs need to take certain
measures to help meet this goal:
• Review and read all Contractor
provider publications and be aware of
Local Coverage Determination (LCD)
coverage requirements and billing
instructions.
• Make sure office staff and billing
vendors are familiar with claim filing
rules.
• Check records against billed claims.
• Perform mock record audits to ensure
documentation reflects the requirements outlined in the LCD.
• Educate Medicare patients regarding
any specific coverage limitations or
medical necessity requirements for
those services provided.
• The provider should keep in mind the
following points:
◦◦ Documentation must be provided,
when requested, for every service
selected for MR
◦◦ Documentation should demonstrate
that the patient’s condition warranted the type and amount of services
provided
◦◦ Documentation must be legible,
even if it is dictated or transcribed
(be sure to include originals)
◦◦ Daily notes must be signed, and
◦◦ Each service must be coded correctly.
The Chiropractic Summit Documentation Committee’s articles, “Medicare
Audits – What the Chiropractor Needs
to Know,” (Parts I and II), are available
online at www.chiropracticsummit.com
under “Documentation Articles.”
Medicare Incentive
Payments for Adopting
Electronic Health Records
(EHR)
The work plan notes that OIG will
“review Medicare incentive payments
to eligible health care professionals and
hospitals for adopting electronic health
records (EHR) and the Centers for
Medicare & Medicaid Services (CMS)
safeguards to prevent erroneous incentive payments. OIG will review Medicare incentive payment data from 2011
to identify payments to providers that
should not have received incentive payments (e.g., those not meeting selected
meaningful use criteria).
Medicare incentive payments are
authorized over a five-year period to physicians that demonstrate meaningful use
of certified EHR technology. Incentive
payments began in 2011 and are scheduled to run through 2016, with payment
reductions to health care professionals
who fail to become meaningful users of
EHRs beginning in 2015. According to
Congressional Budget Office (CBO) estimates, CMS’s net spending for incentives
will total about $20 billion.
Any provider attesting to receive an
EHR incentive payment for either the
Medicare or Medicaid EHR Incentive
Program potentially can be subject to an
audit.
For CMS information on how to make
sure your office is prepared: https://questions.cms.gov/faq.php?faqId=7711.
Premier MRI
25
News from the F4CP
“Recommend One” Debuts!
Campaign Promotes Chiropractic as a Career, Engages DCs,
Students, Colleges, Media, State Associations and Vendors
The Foundation for Chiropractic Progress (F4CP) – the not-for-profit organization dedicated to raising awareness about the value of chiropractic care – recently launched the exciting new “Recommend One” campaign at the Florida
Chiropractic Association National Convention & Expo. The campaign has
gained the support of all national chiropractic associations – Association of
Chiropractic Colleges (ACC), International Chiropractors Association (ICA),
American Chiropractic Association (ACA), and Congress of Chiropractic State
Associations (COCSA).
“It is gratifying to witness all of the national chiropractic organizations
getting behind the Recommend One campaign,” Gerard Clum, DC, and Mike
Flynn, DC, said in a joint statement. “We are excited about the potential that
this campaign brings to our chiropractic colleges and, subsequently, to the entire
profession.”
Recommend One is a targeted, cooperative campaign that encourages doctors
of chiropractic to recommend a career in chiropractic to patients, family and
friends. The campaign was prompted by several industry surveys that confirmed
the interest of doctors in recommending chiropractic as a career, as well as the
great influence of doctor recommendations.
For more information, go to http://www.f4cp.com/resources/recommend-one.
Progress Report:
F4CP Shares Successes
of Athletic TIPS™ Program
F4CP is proud to share the tremendous progress of its latest program, Athletic
TIPS™ (Toward Injury Prevention in Sports). Positive advancements have occurred in many areas, including: training seminars and community workshops,
partnership development, and online presence.
“We have carefully strategized the program’s path to success and, with each day, we
continue to move forward on that journey,”
says Kent S. Greenawalt, chairman, F4CP. “It
is essential that Athletic TIPS™ enters the
marketplace in a position to succeed. With
proper execution, this program has the potential to provide the chiropractic profession with the unique opportunity to better serve society.”
Athletic TIPS™ is a national, not-for-profit organization that drives expanded
awareness and education around the role of multi-disciplinary care in the recognition, management, and prevention of sports-related injuries. This year, the
program has achieved the following:
• Published its Athletic TIPS Playbook™
• Trained more than 200 doctors of chiropractic to conduct educational community workshops
• Conducted community workshops on sports-related concerns to nearly 1,000
coaches nationwide
• Developed an interactive online platform capable of complex functionality
• Partnered with the Women’s Premier Soccer League (WPSL), as well as
26
Insurance Issues
REMINDER: ICD-10 Compliance
Date is October 1, 2015
Watch the Journal and Week in Review for Info
on MAC-Sponsored ICD-10 Seminars in 2015!
On July 31, 2014, the US Department of Health and Human
Services (HHS) issued a rule finalizing October 1, 2015, as the
new compliance date for health care providers, health plans, and
health care clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. This deadline
allows providers time to ramp up their operations to ensure their
systems and business processes are ready to go on October 1.
The MAC held six ICD-10 seminars throughout the state in
2014 in anticipation of the deadline. We will be holding additional seminars – as well as refresher courses for those doctors
and CAs who took the course in 2014 – in 2015. Stay tuned to
the MAC Journal and Week in Review for more information as it
becomes available.
Why the Change?
ICD-10 codes on a claim are used to classify diagnoses and
procedures on claims submitted to Medicare and private insurance payers. By enabling more detailed patient history coding,
ICD-10 can help to better coordinate a patient’s care across
providers and over time, ICD-10 will also:
• Improve quality measurement and reporting
• Facilitate the detection and prevention of fraud, waste, and
abuse, and
• Lead to greater accuracy of reimbursement for medical services
The code set’s granularity will improve data capture and analytics of public health surveillance and reporting, national quality
reporting, research and data analysis, and provide detailed data to
enhance health care delivery. Health care providers and specialty
groups in the United States provided extensive input into the
development of ICD-10, which includes more detailed codes for
Recommend - Continued from page 26
the conditions they treat and reflects advances in medicine and
medical technology.
Using ICD-10, doctors can capture much more information and better understand important details about the patient’s
health than with ICD-9-CM. Moreover, the level of detail that is
provided for by ICD-10 means researchers and public health officials can better track health outcomes. ICD-10 reflects improved
diagnosis of chronic illness and identifies underlying causes,
complications, and conditions that contribute to a condition’s
complexity.
Additionally, the previous revision, ICD-9-CM, contains outdated, obsolete terms that are inconsistent with current medical
practice, new technology, and preventive services.
For additional information about ICD-10 from the Centers for
Medicare and Medicaid Servces (CMS), go to www.cms.gov/
ICD10.
Source: US Department of Health and Human Services
China Gel
several national and state chiropractic associations
“We are eager to launch Athletic TIPS™ to the public, as it addresses the critical need to educate youth athletes, their parents/guardians,
and their coaches about sports-related injuries,” says Greenawalt.
“At this moment in time, the team is working diligently to reinforce
core operations and carry out final preparation activities to ensure
a seamless and successful roll out. In the interim, I encourage the
entire profession to get involved, get ready and get excited!”
For more information about Athletic TIPS™ and how to get
involved, visit: www.f4cp.com/athletic-tips or www.tips4sports.org.
27
Insurance Issues
Medicare Open Enrollment
Period Began October 15!
Tell Your Patients to Fully Research
Any New Plan Prior to Enrolling!
Each year, Medicare plans change what
they cost and what they will cover. Medicare’s Open Enrollment Period (OEP) – the
time when Medicare beneficiaries who want
to make changes to their prescription drug
plans or Medicare Advantage coverage
can do so – runs from October 15 through
December 7. This will be the only chance
most Medicare beneficiaries have to make
a change to their health and prescription
drug coverage for 2015. During the OEP,
Medicare beneficiaries may:
• Switch from Original Medicare (Medicare Parts A and B) to a Medicare
Advantage (Medicare Part C) plan
• Switch from a Medicare Advantage plan
back to Original Medicare
• Switch from one Medicare Advantage
plan to another. This might involve
switching from a plan without Medicare
Part D prescription drug coverage to one
that has it, or vice versa
• Make changes to their Medicare Part D
prescription drug plan, like joining a Part
D plan, switching from one Part D plan
to another, or dropping a Part D plan
altogether
Enrollment changes take effect on January
1. Once the Open Enrollment Period closes,
most beneficiaries cannot make any changes
to their Medicare plan until the following
year.
Medicare beneficiaries do not have to
change enrollment each year. If they like
their current coverage, and their plan is offered for 2015, they can keep their coverage
as it is. However, because this time comes
but once a year, it’s a good idea to encourage your Medicare patients to evaluate
their coverage during the OEP every year
so that they will know if they have the best
coverage options available or if they need
to make some changes.
Medicare Part C (Medicare
Advantage)
Many seniors will face decisions regarding Medicare’s prescription drug benefit.
Medicare beneficiaries can access this
A Closer Look at Medicare Advantage
• Enrollment in Medicare Advantage plans continues to grow: 30
percent of Medicare beneficiaries are now in the private plans,
which typically are managed care plans.
• For 2015, the number of Medicare Advantage plans available to
Medicare beneficiaries is 2,450, a 3 percent drop from 2014.
• Most Medicare Advantage coverage plans are HMOs. For 2015,
the number of HMOs will increase by 1.5 percent, to 1,747,
while the number of preferred provider organizations will drop by
nearly 9 percent, to 541, according to Avalere.
• About two-thirds of Medicare Advantage beneficiaries are currently in HMOs, while 31 percent are in PPOs.
Source: Kaiser Health News
28
benefit in one of two ways – by subscribing
to a Part D plan (a stand-alone drug plan)
or by joining a Part C (managed care) plan.
Because of the number and complexity of
Part D plans to choose from, many seniors
may move to Part C to avoid the confusion.
With the new enrollment period already
underway, it is now time for the entire
Medicare population to revisit their care and
make changes, and many may decide to join
Part C.
If a beneficiary elects Part D, their chiropractic coverage should remain unaffected,
as Part D is simply an add-on to their typical
Part B (outpatient fee-for-service) service.
However, if a beneficiary joins Part C, they
will join a PPO or HMO that significantly
restructures the delivery of services they receive under Part B, such as greatly increasing their copays.
This could cause many problems for
chiropractic patients.
First, chiropractors could be classified
as specialists, significantly increasing the
co-pay per visit.
Second, many HMOs do not have DCs in
their networks; rather, they offer so-called
“chiropractic services” through MDs or
DOs.
Third, many insurers offering Part C
plans are administering their chiropractic
services through a network, such as ACN.
Problems with networks such as these are
well documented.
The key is to ensure that your patients
are informed of the ramifications of
switching to Medicare Part C.
The MAC has developed a fact sheet for
you to give to your patients with Medicare. MAC members can find this on the
Members Resource Pages, Under Important
Forms. You may also contact Tim at the
MAC office at (800) 949-1401 or tim@
chiromi.com for a copy to print, copy, and
give to your Medicare patients.
MAC Webinars Available!
MAC WebEd:
Distance-Learning Courses for CE Credit!
The MAC has developed an incredible
online resource to make our educational
programs available to you 24/7, in the
privacy of your own home or office! Our
online courses cover a variety of topics,
Our Course Library
State of Michigan Required Credit Webinars
• Extremities and Rehab: Maximizing the Human System (50
Minutes, 1 CE)* – Dr. Gary Blackburn
• The Gait Cycle (250 minutes, 5 CEs)* – Dr. Kirk Lee
• Safe, Natural Alternatives for Managing Pain (50 Minutes, 1
CE)* – Dr. George Gedevanishvili
• Ethics and Boundaries (100 minutes, 2 CEs)** - Attorney Joe
Barberi (available each November only)
* Satisfies State of Michigan Pain and Symptom Management requirement.
** Satisfies State of Michigan Ethics requirement and Sexual Boundaries requirement.
including the State of Michigan-required
pain and symptom management, practice
management, nutrition, and other topics
critical to your practice. All of our webinars have been approved by the Michigan
Board of Chiropractic for continuing
education credit. For full course descriptions and registration information, go to:
http://macuniversity.myicourse.com/.
MAC Members receive discounted
rates on all MAC Web-Ed webinars. To
obtain your discount code, contact the
MAC office at (517) 367-2225 or [email protected].
Practice Management Webinars
• Workers Compensation (50 Minutes, 1 CE) – Mr. Carl Alden
• Medicare (50 Minutes, 1 CE) – Dr. Christopher Dolecki
• Documentation and ICD-10 (100 minutes, 2 CEs) – Mr. Carl
Alden
Nutrition Webinars with Dr. George Gedevanishvili
• Detoxification and Cleansing with Nutritional Supplements
(50 Minutes, 1 CE)
• Natural Supplement Choices for Stress (50 Minutes, 1 CE)
• Benefitting From a Supplemental Weight Loss Program (50
Minutes, 1 CE)
Remember to Deduct Your Dues!
MAC Members: Remember to deduct
your dues! MAC membership dues
have historically been very highly
deductible. You should be able to claim
98 percent for any dues paid by December 31, 2014 – even if your payment is
for 2014 dues!
If you are already a member, this is a
great time to upgrade your membership
to one of our VIP Clubs (President’s,
Ambassador’s, and Century) and take
advantage of the additional benefits of our
highest level of membership.
Note to Non-Members: Now is an
excellent time to join the MAC and take
advantage of the excellent tax deduction
our esteemed association has to offer.
Not only can you be a part of the nation’s
premier chiropractic association and reap
the benefits of membership throughout the
year, but your dues offer an excellent
tax break.
The tax deductibility of MAC dues
is determined by the IRS and Congress
and is based on the amount of money
we spend on direct lobbying. Contact
the MAC office at (517) 367-2225 for
details on upgrading your membership
or becoming a member!
29
Government Relations
MDCH Director James Haveman:
An Appreciation
In August, Governor Snyder announced
that he had accepted the resignation of
Michigan Department of Community
Health (MDCH) Director Jim Haveman,
effective September 12. Director Haveman
resigned to focus on his health after suffering a mild stroke on Memorial Day.
“Director Haveman’s leadership has
been instrumental as we’ve navigated an
ambitious health and wellness agenda that
Jim Haveman, Dr. Dennis Whitford, and Dr. Christophe Dean at the September MAC
Board Meeting.
has led to inclusive, bipartisan support to
implement a number of key health initiatives that are making a real difference in
Michiganders’ lives,” Governor Snyder
said. “Jim’s commitment to the health and
wellness of our residents has been evident
in all that we’ve accomplished and I am
grateful for his work. I understand and
respect his decision to focus on his health
and wish him and his family all the best.”
Despite his resignation, Director Haveman attended the September MAC Board
of Directors meeting, highlighting how
important DCH considers our partnership
through the MAC Screenings Program,
which is designed to get MAC members
30
into their local communities talking about
chiropractic wellness while also promoting Governor Snyder’s “4x4 Program.”
During his most recent tenure at DCH,
Haveman led the State in the “4x4 Plan”
and other important health initiatives,
including the implementation of Healthy
Michigan, the State’s expansion of Medicaid under Obamacare.
In a press release, the State of Michigan
noted that through these and other efforts,
Michigan has moved
from the fifth to the
tenth most obese
state in the nation,
the movement toward better integrated mental health
and substance abuse
treatment into the
health care delivery
system has continued, and more than
375,000 residents
are already enrolled
in the Healthy
Michigan Plan after only five months.
Director Haveman joined the Snyder
Administration in 2012, becoming the
Governor’s second DCH Director. He
was no stranger to the issues surrounding health care and state government, as
he previously served as Director under
Governor John Engler from 1996-2003.
He also served as Governor Engler’s DiContinued on page 31
MDCH - Continued from page 30
rector of the Department of Mental Health
from 1991 to 1996.
Meet the New Director
of DCH: Nick Lyon
Looking to ensure a seamless transition
from Director Haveman to his replacement, Governor Snyder appointed Havemen’s Chief Deputy Director, Nick Lyon,
who has been with DCH in a variety of
Financial
Is Your Practice
Incorporated? A PLLC?
Be Sure to File Your Annual Report/
Statement with the State of Michigan
Michigan law requires corporate
entities to file an annual report and
limited liability companies to file an
annual statement each year. Current and prior year annual reports or
annual statements for the following
types of entities in good standing
may be filed online:
• Michigan corporations (including
professional service corporations)
• Michigan and foreign limited
liability companies (including professional service limited liability
companies)
Easy Filing With FILEOnline
positions since 2003. He became Deputy
Director in 2011.
“It is the faith that I have in Nick Lyon
as my successor that I feel comfortable
stepping away in September,” Haveman
said of his replacement. “Nick and I have
worked extremely well together over the
past two years and I know he will be an
outstanding and dedicated Director of
the Michigan Department of Community
Health.”
Prior to joining DCH, Lyon served
as the Director of the Office of Budget
Development and General Government
within the State Budget Office. He previously served as the Finance Officer for
the Department of Attorney General. Born
and raised in the Lansing area, he earned a
Bachelor of Arts degree in Economics and
Political Science from Yale University in
1990.
Congratulations, Director Lyons, on
your new appointment, and we look forward to continuing our fruitful partnership
with DCH!
Source: State of Michigan, www.michigan.gov
Annual statements and reports
may be filed online with the state
of Michigan through their easy-tonavigate FILEOnline feature, found
at www.michigan.gov/fileonline. You
must have a valid Visa or MasterCard to file a report online, and the
corporation or limited liability company must be in “good standing.”
When submitting annual reports
and statements, only include what
is required on the report or statement. Inclusion of non-required
confidential information will delay
the filing of the annual report or
statement.
When is the first report or
statement due?
• Profit corporations (including
PCs): May 15 after the year of
incorporation
• Nonprofit corporations: October 1
after the year of incorporation
• Limited Liability Companies
(including PLLCs): February 15
after the year of formation or
qualification, unless organized
or qualified after September 30,
in which case the LLC need not
file a statement on the February
15 immediately succeeding its
formation or qualification.
Fees and Late fees
The following late fees apply if the
state of Michigan does not receive
the necessary annual report or
statement by the required date.
• Professional Limited Liability
Companies. The fee for submitting an annual statement is $75.
If submitted after February 15, a
late fee of $50 will be assessed.
• Corporations (profit). The fee for
submitting an annual report for a
for-profit corporation is $25. Late
Fees are as follows:
◦◦ May 16 – May 31 = $10
◦◦ June 1 – June 30 = $20
◦◦ July 1 – July 31 = $30
◦◦ August 1 – August 31 = $40
◦◦ September 1 and after = $50
(maximum)
Online filing for the next report or
statement owed is available beginning approximately 90 days prior to
the due date. Once submitted online, the filed report should appear
on the web within one hour. Use the
state of Michigan Business Entity
Search, found online at: http://www.
dleg.state.mi.us/bcs_corp/sr_corp.
asp, to view and/or print any filed
documents or reports. Certified copies of documents may be obtained
by calling the Business Services
section at 517-241-6470, MondayFriday, 8am-5pm.
Source: Michigan Department of Licensing
& Regulatory Affairs (LARA)
31
National News – Veterans Issues
NIH and VA Focusing on Drug-Free
Approaches to Pain in US Military
Chiropractic Treatment Model Among 13 Research Projects
Funded to Explore Non-Drug Approaches to Managing Pain
and Related Health Conditions
In late September, the National Institutes
of Health (NIH) and Department of Veterans Affairs (VA) announced the funding of
13 research projects totaling approximately
$21.7 million over five years to explore
non-drug approaches to managing pain and
related health conditions, such as posttraumatic stress disorder (PTSD), drug
abuse, and sleep issues. The effort seeks
to enhance options for the management of
pain and associated problems in U.S. military personnel, veterans, and their families.
Among the funded projects is an effort
at Palmer to develop an innovative and
collaborative treatment model between
chiropractors, primary care providers, and
mental health providers for veterans with
spine pain and related mental health conditions. This project is funded by the NIH’s
National Center for Complementary and
Alternative Medicine (NCCAM).
“Pain is the most common reason
Americans turn to complementary and
integrative health practices,” said Jose-
phine P. Briggs, MD, Director, NCCAM.
“The need for nondrug treatment options
is a significant and urgent public health
imperative. We believe this research will
provide much-needed information that will
help our military and their family members, and ultimately anyone suffering from
chronic pain and related conditions.”
The men and women of our Armed
Forces make incredible sacrifices in service
to our country, and conservative (no drugs
or surgery) approaches to pain management like chiropractic care are especially
important and beneficial for our veterans,
considering the following statistics:
• Recent VA data [Analysis of VA
Health Care Utilization Among Operation Enduring Freedom (OEF) and
Operation Iraqi Freedom (OIF) Veterans] cite “diseases of Musculoskeletal
System/Connective System,” such as
back pain, as the number one ailment
of Iraq/Afghanistan veterans accessing
DVA treatment.
• A 2013 Center for Investigative
Reporting special report outlined
data from the VA which found that
prescriptions for four highly addictive
painkillers have surged by 270 percent
since the war in Afghanistan began.
• VA research from 2011 revealed that
the fatal overdose rate among veteran
patients is nearly double the national
average.
• A June 2014 report in JAMA Internal
Medicine showed an alarmingly high
rate of chronic pain – 44 percent –
among members of the U.S. military
after combat deployment, compared
to 26 percent in the general public.
Additionally, 15 percent of U.S.
military post-deployment use opioids,
32
More on the Chiropractic Project
Palmer Center for Chiropractic Research and Partners Receive
3-Year Grant to Study Veterans with Musculoskeletal Pain
Palmer has been awarded a $718,241
grant by the National Institutes of Health’s
National Center for Complementary and
Alternative Medicine. The grant will fund
a three-year research planning project to
address questions about how chiropractic
care might be best integrated into existing
Veterans Health Administration (VHA)
clinical practice guidelines for veterans
with a combination of musculoskeletal
pain and mental health conditions.
“Chiropractic has been demonstrated
to be both effective and safe in the treatment of musculoskeletal disorders,” said
Principal Investigator Christine Goertz,
DC, PhD, Palmer College of Chiropractic’s vice chancellor for research and
health policy. “This led the DoD/VA Pain
Management Task Force to recommend
chiropractic as a Tier 1 treatment within its
comprehensive pain-management pro-
gram. However, the appropriate role for
chiropractic in veteran populations, especially those with musculoskeletal pain and
mental health disorders, requires further
investigation.”
U.S. military veterans report high levels
of musculoskeletal pain, including back
pain, neck pain, and headache, and have
high rates of many mental-health conditions. The study team will:
• Develop an integrative-care model that
includes doctors of chiropractic in multidisciplinary teams treating patients
with both musculoskeletal pain and
mental-health conditions in the VHA.
• Tailor existing chiropractic guidelines
and best practices to link with current
VHA pain-management initiatives.
• Conduct a pilot clinical trial of this
integrated-care model in caring for veterans with both musculoskeletal pain
and mental health
conditions.
Source: Palmer
College of
Chiropractic
Genius Solutions
33
Legal Issues
The Michigan Health Recovery Program
Preventing Impaired Practice…
Confidential & Effective Treatment
By Dean Bender, DC
Former Chiropractic Representative,
Health Professional Recovery Committee
Health care professionals are not immune
to substance use and/or mental health
disorders by virtue of their training or
experience. These conditions can lead to
impaired practice and the loss of health or
life for the health care professional. Stress,
long hours, and genetic predisposition can
cause these problems to develop.
Substance use and mental health disorders are treatable conditions. Appropriate
treatment, followed by structured aftercare
and monitoring, allows most health care
professionals to return to a normal life and
utilize their education and experience once
again.
What is the Health
Professional Recovery
Program (HPRP)?
The Michigan HPRP was established
by legislation in 1993. The program is
designed to encourage health professionals
to seek treatment for substance use and/
or mental health disorders before their impairment harms a patient or damages their
careers through disciplinary action.
The program is operated by a private
sector contractor to maintain participant
confidentiality and operates under the authority of the Health Professional Recovery Committee (HPRC). The chiropractic
representative to the Committee is longtime MAC member Dr. Gordon Roberts of
Hamilton.
The Michigan Department of Licensing
and Regulatory Affairs, Bureau of Health
Care Services provides administrative
services to the HPRC, as well as funding
for the contract.
How the Program Works
The HPRP is a caring, supportive program
that promotes recovery through evaluation for the presence of a substance use
34
disorder and/or mental health problem,
design a recovery program that is specific
for the individual, and actively monitors
the individual's progress.
The typical steps involved for participation in the HPRP are:
REFERRAL
Referrals to the program may come in the
form of a self-referral from the individual
licensee or from colleagues, partners,
patients, family members or the State. Any
of the health licensing boards, including
the Michigan Board of Chiropractic, may
also refer licensees to the HPRP for similar monitoring as part of a board order.
INTAKE/EVALUATION
After the initial intake, the licensee is referred to a qualified evaluator. The purpose
of the evaluation is to determine eligibility
for the program, the nature of the problem
and to help the HPRP contractor to design
a recovery plan.
TREATMENT
If the evaluation indicates a substance use
and/or mental health disorder that represent a possible impairment, the HPRP
makes referrals for treatment services to
an approved provider.
MONITORING
The HPRP will work with the licensee to
develop a written monitoring agreement
that defines the requirements of participation and will typically last one to three
years. The monitoring agreement may
include elements such as:
• Treatment
• Limitations on practice
• Random drug screens
• Group/individual therapy
• Medical oversight
• Monthly/quarterly reports
During the monitoring period, the
HPRP will communicate with the licensee
and their provider team in order to support the licensee's continued work in their
professional setting.
COMPLETION
An HPRP participant will be released from
the HPRP upon successful completion of
the recovery monitoring agreement. All
records are destroyed five years after the
date of successful completion of the program. However, once a health professional
is accepted into the program, he or she
may be released for failure to comply with
the agreement. Noncompliant participants
are reported to the Bureau of Health Care
Services as required by law, which could
result in subsequent disciplinary actions.
Confidentiality
Participation in the HPRP is confidential.
If a licensee is referred to the program,
has a qualifying diagnosis, and complies
with the HPRP requirements, his or her
name will not be disclosed to state regulatory authorities or the public. Provided
there is no readmission, records of HPRP
participants are destroyed five years after
successful completion. The names of
those reporting suspected violations are
also kept confidential unless testimony is
needed at a later disciplinary hearing.
Cost of Participation
The total cost of participation may vary
depending on an individual's diagnosis,
severity of condition, insurance coverage,
length of time in the HPRP, and compliance with HPRP requirements. An HPRP
participant is responsible for the costs of
evaluation, treatment, drug testing, and
other services.
REMEMBER
Under Section 333.16223 of the Public
Health Code, licensed/ registered health
professionals are required to make good
faith reports of suspected violations of
the Code to the Department of Licensing
and Regulatory Affairs, Bureau of Health
Care Services. However, for purposes of
substance abuse or mental illness, a report
HPRP - Continued from page 34
to the HPRP meets the legal reporting
requirement.
If you suspect impairment, please call
the HPRP at 1-800-453-3784
For more information on the Michigan
Health Professional Recovery Program
and how it works, go to www.hprp.org.
Source: Michigan Health Professional Recovery Program
Dr. Dean Bender served on the Health Professional Recovery Committee from 2006-2010.
A 1981 graduate of Palmer, Dr. Bender is a
longtime member of the Association, joining
the Michigan State Chiropractic Association in
1982. He has served as a member of the MAC
Board of Directors and as a district officer, and
he currently serves on the MAC Education &
Programs Committee. He also chairs the Membership Recruitment & Benefits Committee’s
Member Benefits Subcommittee. He owns the
Lawton Ridge Winery and has been in private
practice in Kalamazoo for more than 30 years.
Prior to becoming a chiropractor, he earned
an MA in Counseling-Psychology from Western
Michigan.
Meet the Chiropractic
Representative to the HRPR:
Dr. Gordon Roberts
Longtime MAC member Dr. Gordon Roberts of Hamilton serves as the Michigan
Board of Chiropractic’s representative to
the Health Professional Recovery Committee, the body charged with overseeing
the program. A 1980 graduate of Palmer,
Dr. Roberts has served on the Committee
since 2011. His term expires December
31, 2015.
A staff member of Allegan General
Hospital, Dr. Roberts works in the Integrative Health Services department with an
acupuncturist and massage therapist. Dr.
Roberts has served on the ICA sports and
fitness council, was awarded the excellence in international relations award for
his participation in the ’88 Olympics in
Seoul, and has been in private practice for
more than 30 years. He is a member of the
American Academy of Spine Physicians
and the American Academy of Hospital
Chiropractors.
The Health Professional Recovery
Committee is made up of representatives
from the State of Michigan boards that
oversee the professions served by the program, including the Board of Chiropractic,
Board of Medicine, Board of Dentistry,
Board of Acupuncture, Board of Osteopathic Medicine and Surgery, and more.
Potential Signs of Impairment
These are common signs of impairment due to substance use or mental health
disorders. A health care professional who exhibits several of these common signs
may be impaired:
Emotional/Behavioral Changes
• More withdrawn socially or professionally
• More irritable, anxious, jealous, angry, depressed or moody
• More defensive - becoming angry when someone mentions their use of
drugs, drinking or emotional stability
• Denying or expressing guilt or shame about personal use
• Other mental health concerns that directly impact work performance
Change in Work Habits
• Missing work or frequently tardy
• Failing to keep scheduled appointments
• Late submissions of reports or assignments
• Asking others to cover hours or errors
• Unacceptable error rates
Physical Changes
• A deterioration in personal hygiene
• Changes in eating patterns or body weight
• Changes in sleeping patterns
Substance Use/Addiction
• Observed intoxicated behavior within the workplace
• Reports of positive drug screen
• Behavior that indicates impairment or addiction
• Documented convictions or legal issues related to alcohol and/or other
drugs
Source: Michigan Health Professional Recovery Program
35
Financial Issues
Tips for Preventing Data Breaches
By Anne Heraghty
With data breach stories so prevalent in
the news, security is on the minds of most
merchants and customers. Reviewing security policies and potential issues with
employees is more important than
ever. Reinforcing clear security
practices with staff will go a
long way.
The National Cyber
Security Alliance recommends that merchants
take these specific steps
to maintain cyber security in their businesses.
1. Have a strong security policy in place.
First, always screen potential hires for their trustworthiness and ability to understand
and stick to the rules. Those rules
should be built around the compliance
requirements of the Payment Card
Industry Data Security Standard (PCI
DSS).
2. Integrate your policy with a
complete and documented cyber
security plan.
Cyber security means protecting your
data and your systems from attack
as well as maintaining card transaction vigilance. Your plan should be
based on an assessment of your risks
and vulnerabilities, with defined
processes for monitoring threats and
protecting customers in the event of
a data breach. The FCC has a great
tool called the Small Biz Cyber
Planner to help generate a plan to
suit your business: www.fcc.gov/
cyberplanner.
3. Train employees.
Make it a priority to train
employees in securely handling
in-person and card-not-present
transactions. Employees
should also understand key
basic security procedures,
36
such as how to create strong passwords,
not clicking on links and attachments
in emails, and what to do if they’re
suspicious about any transactions.
Make them aware of the activities that
should arouse suspicion for a fraudulent transaction, like multiple transactions on a single card, several cards
using the same address, rush delivery
requests, very large quantities ordered
and international orders.
4. Follow through and maintain constant vigilance.
Criminals are constantly adapting their
strategies — and they’re persistent
in their efforts. So we have to adapt
and persist, too. It’s vital that you
stay abreast of cybercrime activity
and continuously monitor employee
adherence to your policies. Krebs is an
excellent source to receive cyber security updates, including breaches: www.
krebsonsecurity.com.
5. Finally, carry out spot checks on
employees to ensure they’re following security procedures and, if you do
suffer a card fraud incident, find out
how it happened and communicate the
lessons learned.
For monthly news related to security and
other industry issues, sign up for Veracity’s free eNewsletter: www.veracity.
updatesfrom.co/subscribe. And, of course,
use Veracity as a resource: 866-944-0055.
Veracity Payment Solutions is a credit card
processing company located in Lansing. For
details on which mobile payment solutions
best fit your business and how to make your
systems EMV-compatible, call Veracity at (888)
944-0055.
News from the Chiropractic Colleges
Sherman College Awarded 2015
Military Friendly® Schools Designation
Victory Media has named Sherman
College of Chiropractic to the coveted
Military Friendly® Schools list, a designation given to the top 15 percent of colleges, universities, and trade schools in the
country that are doing the most to embrace
military students, and to dedicate resources to ensure their success in the classroom
and after graduation. Victory Media is
the leader in successfully connecting the
military and civilian world.
A U.S. Navy veteran, Sherman College
President Dr. Edwin Cordero said the Military Friendly® Schools designation has
special meaning to him. “Sherman College
has a tremendous opportunity to serve
and honor our military service members
who give so much to our country,” Dr.
Cordero said. “We are eager to reach more
military members and share with them
a health care career that embraces their
commitment to serving others. I think it is
especially fitting, since Sherman College
of Chiropractic holds service to others as a
major component of its mission.”
Inclusion on the list of Military
Friendly Schools® shows a commitment
to providing a supportive environment for
military students, according to Victory
Media. The need for education is growing,
and Victory Media’s mission is to provide
the military community with transparent,
world-class resources to assist in their
search for schools.
The Military Friendly Schools® media
and website (www.militaryfriendlyschools.com) feature the list, interactive
tools, and search functionality to help
military students find the best school
to suit their needs and preferences. The
institutions on this year’s list exhibit
leading practices in the recruitment and
retention of students with military experience. These schools have outstanding
programs and policies for student support
on campus, academic accreditation, credit
policies, flexibility and other services to
those who served.
Now in its sixth year, the Military
Friendly® Schools designation and
list by Victory Media is the premier,
trusted resource for post-military success. Military Friendly® provides service
members transparent, data-driven ratings
about post-military education and career
opportunities. The methodology used for
making the Military Friendly® Schools
list has changed the student veteran
landscape to one much more transparent,
and has played a significant role over the
past six years in capturing and advancing
best practices to support military students
across the country.
The survey captures more than 50
leading practices in supporting military
students and is available free of charge to
the more than 8,000 schools approved for
Post-9/11 GI Bill funding. The Military
Friendly® Schools designation process includes extensive research and a data-driven survey of schools nationwide approved
for Post-9/11 GI Bill funding. The school
survey, methodology, criteria and weightings are developed with the assistance of
an independent Academic Advisory Board
comprised of educators from schools
across the country.
Source: Sherman College of Chiropractic
Mark Your
Calendar!
MAC Spring 2015 Convention
April 24-26, 2015
Adoba Eco, Dearborn, MI
www.chiromi.com/macS15
37
Nutrition
Common Popular Supplements
Vitamin
Chief Function
Good Sources
Plays an important role in vision, bone growth, reproduction, cell
Vitamin A
(Provitamin, division, and cell differentiation (in which a cell becomes part of
the brain, muscle, lungs, etc.); helps regulate the immune sysCarotene)
tem, which helps prevent or fight off infections by making white
blood cells that destroy harmful bacteria and viruses
Whole eggs, milk, liver, carrots, spinach, kale, cantaloupes, sweet potatoes; most fat-free milk and
dried nonfat milk solids sold in the US are fortified
with vitamin A to replace the amount lost when the
fat is removed
Vitamin B1
(Thiamin)
Aids in carbohydrate metabolism; essential for normal digestion and appetite; vital for nervous system, cardiovascular, and
muscle function
Whole-grain cereals, peas, beans, oranges, peanuts, many other fruits, vegetables and nuts, as
well as heart, liver, and kidney
Vitamin B2
(Riboflavin)
Helps the body release energy from protein, fat, and carbohydrates during metabolism; required for red blood cell formation
and respiration, antibody production, and for regulating human
growth and reproduction; essential for healthy skin, nails, hair
growth and general good health, including regulating thyroid
activity
Milk, cheese, leafy green vegetables, legumes,
liver, yeast, almonds, and mature soybeans (Note:
exposure to light will destroy the riboflavin in these
natural sources; foods with riboflavin should not
be stored in glass containers that are exposed to
light)
Vitamin B3
(Niacin)
Helps the body to convert carbohydrates into glucose (sugar),
which is “burned” to produce energy; essential in the breakdown
of fats and protein; plays an important role in the health of the
nervous system, skin, hair, eyes, mouth, and liver; also plays an
important role in ridding the body of toxic and harmful chemicals
Beats, wheat germ, brewer’s yeast, beef liver, beef
kidney, pork, turkey, chicken, veal, fish, salmon,
swordfish, tuna, sunflower seeds, and peanuts.
Biotin
(Vitamin H)
Used in cell growth, the production of fatty acids, metabolism
of fats, proteins, and amino acids; also helpful in maintaining a
steady blood sugar level; plays a role in process in which energy
is released from food
Cheese, beef liver, cauliflower, eggs, mushrooms,
egg yolks, chicken breasts, salmon, spinach,
brewer's yeast, nuts, bananas, tomatoes, and
whole grains
Vitamin C
Acts as an antioxidant, a nutrient that protects cells against the
effects of free radicals, potentially damaging by-products of
energy metabolism (Free radicals can damage cells and may
contribute to the development of cardiovascular disease and cancer); required for the growth and repair of tissues in all parts of
the body; necessary to form collagen, an important protein used
to make skin, scar tissue, tendons, ligaments, and blood vessels;
essential for the healing of wounds, and for the repair and maintenance of cartilage, bones, and teeth
Citrus fruits and juices, green peppers, strawberries, tomatoes, broccoli, turnip greens and
other leafy greens, sweet and white potatoes,
cantaloupe, papaya, mango, watermelon, brussel
sprouts, cauliflower, cabbage, winter squash, red
peppers, raspberries, blueberries, cranberries, and
pineapples
Calcium
More than 99% of total body calcium is stored in the bones and
teeth, where it functions to support their structure; the remaining
1% is found throughout the body in blood, muscle, and the fluid
between cells; needed for muscle contraction, blood vessel contraction and expansion, the secretion of hormones and enzymes,
and sending messages through the nervous system
Milk, yogurt cheese, Chinese cabbage, kale, spinach, watercress, liver, seafood (salmon, sardines,
and shellfish), calcium-fortified orange juice
Vitamin D
Major biologic function is to maintain normal blood levels of calcium and phosphorus; helps to form and maintain strong bones;
works in concert with a number of other vitamins, minerals, and
hormones to promote bone mineralization
Vitamin D is made in the body after exposure to
ultraviolet (UV) rays from the sun; sunshine is a
significant source of vitamin D because UV rays
from sunlight trigger vitamin D synthesis in the
skin; also found in cod liver oil, fish (salmon, mackerel, sardines), and fortified dairy products
Vitamin E
Acts as an antioxidant (see Vitamin C); might help prevent or
delay the development of such chronic diseases as cancer and
cardiovascular disease; has also been shown to play a role in immune function, DNA repair, and other metabolic processes
Vegetable oils, nuts, green leafy vegetables, broccoli, whole-grain and fortified cereals
Echinacea
Traditionally been used to treat or prevent colds, flu, and other
infections. Believed to stimulate the immune system to help fight
infections. Less commonly, echinacea has been used for wounds
and skin problems, such as acne or boils.
The aboveground parts of the plant and roots of
echinacea are used fresh or dried to make teas,
squeezed (expressed)
38
New Members
Steven Antoniotti DC, 1820 S
Westnedge Ave Suite 1, Kalamazoo,
MI 49008. Logan College. Licensed
since 2013. First Year Member. District
6.
Levi Bernath DC, 713 Capital Ave.,
Ste. 3, Battle Creek, MI 49015. Palmer
College. Licensed since 2008. Century
Club. District 6.
Jerod Bradley, 855 N. Cass Ave.,
Vassar, MI 48768. Palmer College of
Chiropractic. Expected date of graduation 2008.
Mervin Brown DC, 824 W. Maumee
St., Adrian, MI 49221. Palmer College.
Licensed since 1972. Retired Member.
District 4.
Kenneth Cooper DC, 693 Capital Ave.
SW, Battle Creek, MI 49015. Life University. Licensed since 2001. Century
Club. District 6.
Natalie Dabrowny DC, 4101 John R.
Rd., Ste. 300, Troy, MI 48085. Palmer
College. Licensed since 2014. First
Year Member. District 3.
Brianna Donnelly, 7882 Carson Rd.,
Brockway Twp., MI 48097. Life Univer-
Dr., Kimball, MI 48074. Life University.
Licensed since 2014. First Year Member. District 2.
Michael Meath DC, 2730 Carpenter Rd., Ste. 3, Ann Arbor, MI 48108.
Licensed since 2005. Century Club.
District 4.
sity. Expected date of graduation 2018.
Student Member. District 2.
David Gavron DC, 1469 Cranberry Ct.,
Wixom, MI 48393. Life University. Licensed since 2014. First Year Member.
District 3.
Justin Jwad, 6970 Golden Ct., West
Bloomfield, MI 48322. National University. Expected date of graduation 2014.
Ronald Keller DC, 6580 Academy Dr.,
Brighton, MI 48116. Parker College.
District 4.
Paul Kelly DC, 1689 S. 37 Rd.,
Cadillac, MI 49601. Palmer College.
Licensed since 1987. Retired Member.
District 8.
Mark Kinnard DC, 393 S. Main St.,
Romeo, MI 48065. Sherman College.
District 2.
Kenneth Large DC, 28629 Hoover
Rd., Warren, MI 48093. Lincoln College. Licensed since 1969. Regular
Member. District 2.
Ryan Newcombe DC, 3060 W.
Coldwater Rd., Mt. Morris, MI 48458.
Palmer College. Licensed since 2014.
First Year Member. District 6.
Franklin Norton DC, 37211 Harper
Ste. 9B, Clinton Twp., MI 48036. Life
University. Licensed since 2014. First
Anthony Paternoster DC, 42428 Clinton Place Dr., Clinton Twp., MI 48038.
Cleveland College. Licensed since
2012. First Year Member. District 2.
Ronald Rabineau, 1530 Clearview
Ln., Gaylord, MI 49735. Logan University. Expected date of graduation 2015.
Melanie Waskevich DC, 901 E. Indian
St., Midland, MI 48640. Palmer College. Licensed since 2003. Century
Club Member. District 5.
Alyssa Zeglen DC, 33225 Grand River
Ave., Farmington, MI 48336. Palmer
College. Licensed since 2014. First
Christopher Mangin DC, 2824 Stable
Common Supplements - Continued from page 38
Fish Oil/
Omega-3
Fatty Acids
Most often used for conditions related to the heart and blood system. May lower blood pressure or triglyceride levels (fats related
to cholesterol). Fish oil has also been tried for preventing heart
disease or stroke. May help with depression, psychosis, attention
deficit-hyperactivity disorder (ADHD), Alzheimer’s disease, and
other thinking disorders.
Magnesium
Green vegetables such as spinach, some legumes
Helps maintain normal muscle and nerve function, keeps heart
(beans and peas), nuts and seeds, and whole,
rhythm steady, supports a healthy immune system, and keeps
bones strong. Also helps regulate blood sugar levels and promote unrefined grains.
normal blood pressure. There is also an increased interest in the
role of magnesium in preventing and managing disorders such as
hypertension, cardiovascular disease, and diabetes.
Zinc
Helps the immune system fight off invading bacteria and viruses.
Makes proteins and DNA, the genetic material in all cells. During
pregnancy, infancy, and childhood, the body needs zinc to grow
and develop properly. Zinc also helps wounds heal and is important for proper senses of taste and smell.
Fish, including mackerel, tuna, salmon, sturgeon,
mullet, bluefish, anchovy, sardines, herring, trout,
and menhaden.
Oysters (the best source of zinc), red meat, poultry, seafood such as crab and lobsters, and fortified
breakfast cereals. Also, beans, nuts, whole grains,
and dairy products, which provide some zinc.
Sources:
National Institutes of Health, Office of Dietary Supplements
National Center for Complementary and Alternative Medicine (NCCAM)
39
News from CFCU
Welcomes New Board Member
Dr. Amanda Apfelblat Joins CFCU Supervisory Committee
By Margie Brace
Vice Chair, Board of Directors
(CFCU) is proud to announce the addition
of Dr. Amanda Apfelblat of Garden City to
our CFCU Board of Directors as a member of our Supervisory Committee.
Dr. Apfelblat – a MAC President’s
Club member – serves on the MAC Board
of Directors representing District 3, which
is comprised of Oakland County. At the
MAC’s Fall 2014 Convention, she was
given the Kirk A. Lee Community Champion Award “in recognition and appreciation of [her] unselfish commitment to
serving others and [her] community.”
Dr. Apfelblat also serves a Chair of the
MAC Membership Committee. She has
been a member of the Membership Committee since the MAC’s founding in 2007.
Additionally, she has served the Association in a number of capacities over the
years, including as President of District 3.
A graduate of Life University, Dr. Apfelblat is a founding member of the Michigan Chiropractic Pediatric Association, an
organization founded to engage and serve
Michigan families through the promotion
of chiropractic care and public education,
as well as by establishing meaningful
communication with other healthcare professionals and organizations. She currently
serves as a Board of Directors member
of the MCPA. She is also a member of
the International Chiropractic Pediatric
Association who has an advanced Board
Certification in Pediatric Chiropractic.
Civic and community involvement and
awards include: Westland Chamber of
Commerce, 2007 Westland Business Person of the Year, Garden City Business and
Amanda Apfelblat, DC
JOIN US!
2014 EXPRESS
Convention!
CEse!
5
1
sibl
s
o
P MAC
Be sure to join us for the MAC 2014 Express Convention for a fun, relaxed,
educational weekend! Our excellent speakers include:
Carl Alden��CA Roundtable
Aaron Berish, Robert Iwrey, ��An Ounce of Prevention (DCs & CAs)
Jessica Gustafson
James Bowen��Reducing Taxes & Increasing Income
Dr. Sol Cogan��Caring for Elite Athletes (Physical Measures, Pain
Management, Tests, Technique)
Bharon Hoag��Running a Successful Practice
Edie Hofmann��HIPAA Compliance
Greg Nowakowski ��Ethics & Boundaries (Ethics & Boundaries)
Dr. Steve Simmons��Philosophy in the 21st Century
Dr. Kevin Wong��Spinal & Lower Extremity Analysis (Tests, Pain Management,
Physical Measures, Technique)
REGISTER NOW!
For more information
and to register, go to
http://www.chiromi.com/
expressconvention
40
Margie Brace
Professional Women’s Group, Westland
Salvation Army, and Schoolcraft College’s
Massage Therapy Program. She has spoken at Westland Middle Schools and High
Schools about the field of chiropractic and
also sponsors a college scholarship for
William D. Ford High School students.
Obituaries
Dr. Linda Rassel (1943-2014)
Longtime MAC member and Michigan
chiropractic legend Dr. Linda Rassel of
Okemos passed away September 5, 2014,
surrounded by her loving family, including
five daughters, four of whom went on to become chiropractors themselves. She was 70.
At the MAC Fall Convention in Kalamazoo, Dr. Rassel was posthumously honored
with the first-ever MAC “Extraordinary
Impact Award,” in appreciation for being a
“veracious chiropractic advocate, mentor, and leader” (See article on page 7). In
future years, this award will be presented in
her honor.
A magna cum laude graduate of Palmer,
Dr. Rassel was deeply involved with her
state associations, serving on the Board
of Directors of the Michigan Chiropractic
Council and on a number of key committees. She was the recipient of numerous
awards and deeply appreciated for her many
years of valuable service.
She also served as a member of the
Michigan Board of Chiropractic, the International Chiropractors Association, and on
the Board of Trustees for Life University.
A Diplomate of the National Board of
Chiropractic Examiners, she practiced in
Michigan for nearly 40 years. She served as
a mentor for numerous young people who
went on to become chiropractors themselves.
Dr. Rassel is survived by her daughters,
Dr. Denise Rassel, Dr. Elizabeth Rassel, Dr.
Ruth Rassel, Dr. Heather Rassel, and Kelly
Kossuth. She had 11 grandchildren and four
great-grandchildren.
Her feisty, never-give-up style and passionate dedication to chiropractic will be
sorely missed.
Dr. George Goodman (1944-2014)
Dr. George Goodman, DC, the sixth and
longest-serving president of Logan, passed
away September 8, 2014. He was 70.
Dr. Goodman served as Logan President from 1992 until his retirement in
2013. His tenure as President was marked
by great success and progress. A 1968
graduate of Logan, his career at the school
as an educator and administrator spanned
45 years. Prior to becoming President, he
served as Vice President of Chiropractic
Affairs, Clinic Director, and Dean of the
School of Postgraduate Education.
Among his numerous awards and
distinctions are the Distinguished Service
Award of the Logan College Alumni Association in 1982, Logan Alumni of the Year
in 1989, elected a Fellow of the International College of Chiropractors in 1983,
and he was presented a Distinguished
Service award by the Canadian Council on
Chiropractic Education in 1992.
Current Logan President Dr. Clay
McDonald said of his passing “The loss
of Dr. Goodman and his dedication to the
chiropractic profession and Logan is a
huge loss. We pass along our thoughts and
prayers to Dr. Goodman’s family.”
Dr. Frank R. Sovinsky
(1951-2014)
Longtime chiropractic mentor, consultant,
speaker, and author passed away August
31. He was 63.
A 1981 graduate of Palmer, Dr. Sovinsky was a co-founder of DC Mentors, a
leadership training and business consulting company for chiropractors.
Prior to co-founding DC Mentors,
he practiced in Lodi, California, from
1982-1997. He is the author of Life: The
Manual and co-author of The E-Myth
Chiropractor. He was a Fellow in the
Palmer Academy of Chiropractic, inducted
in 2011.
41
Communication Strategies
By Anne Blain, CEO
I recently read an article discussing
how technology is evolving rapidly
and how it has affected the way we
communicate with each other. With
the changing environment we all need
to stay in touch and enhance what we
know to be valuable communication
skills. As business owners and as
parents we still need to converse face
to face in our professional and personal lives and we want to be successful in our verbal exchanges. I believe
that every day it is my job to lead and
inspire people and I must rely on my
skills. Below are a few simple tips I
use to help me be successful.
• Be a good listener.
tion is intolerable. When complaining have a solution.
• When you share something with
others and when you are finished,
ask others to share with you.
• It can be annoying if you interrupt
and do not listen to what others
have to say.
• If you have no passion and do not
care about what you’re saying, it
may be a good time to stay silent.
• If you don’t take others seriously,
then expect your words to roll off
their back when their words roll of
yours.
• If we are too long-winded, people
get bored.
• If you do not get to the point, minds
wander when your words wander.
• If you do not follow through when
making a point, you will not be
taken seriously.
• When you have no goal or higher
purpose, people will tune you out.
• People don't have the same values
and therefore what matters to you
may not matter to them. Understanding this, you can still find the
common ground.
• Whining without a solution or ac42
• If it’s all about you and not about
them, people quickly stop listening
when they realize this.
• When addressing a group encourage questions and comments. If
you are disconnected, it may appear
that you just stepped out of your
ivory tower to address the huddled
masses.
• Don’t expect enthusiastic responses
to ambiguous messages.
Anne Blain, CEO of Chiropractic Federal
Credit Union
If you have a financial question, please forward
to: [email protected] or contact us at
800.422.6424, Subject: “Your Money Matters”
CFCU: Announcing… A New
Partnership!
Now Serving the Chiropractic Profession in Ohio!
(CFCU) has been meeting the financial
needs of Michigan chiropractors, their employees, and family members since 1950.
In 2013, CFCU expanded their charter
and began operating in Minnesota. Now,
CFCU is further expanding and opening
membership to members of the Ohio State
Chiropractic Association.
“For 64 years, CFCU has been meeting
the financial needs of the chiropractic pro-
fession, and we have been a pioneer in the
credit union industry in the development
and introduction of services for our members’ businesses,” said Dr. Philip Knight,
Chair, CFCU Board of Directors. “We are
very excited to now offer our exclusive
services to members of the OSCA, and
we are looking forward to meeting [their]
business and personal financial needs.”
CFCU is the only credit union exclusively serving the chiropractic profession.
In addition to the full range of personal
financial products, CFCU specializes in
offering business services and loans to
members, including equipment loans,
commercial real estate, and more.
“The OSCA is very excited about the
new partnership with Chiropractic Federal
Credit Union (CFCU),” said Bharon
Hoag, Executive Director, Ohio State
Chiropractic Association. “For decades
financial institutions have found it difficult
to work with chiropractors because they
did not understand our profession. It is
very different than other healthcare fields
in the manner of education to the business
startup. We feel that CFCU will provide
a wonderful option to our members to get
funding and have a better banking experience. We encourage all of our members to
reach out to CFCU to see what they can do
for you. This is an all chiropractic financial institution and they understand your
reality!”
Source: Chiropractic Federal Credit Union,
www.chirofcu.org
MyMACWellness/MDCH
43
President’s Letter - Continued from
page 3
Positioning Chiropractic in
Obamacare
With the expansion of Medicaid a major
part of the Patient Protection and Affordable Care Act (ACA) – commonly
referred to as “Obamacare” – chiropractic
inclusion in the Michigan Department
of Community Health budget has been
more important than ever before. Between
April 1 and August 25, more than 373,000
Michiganders signed up for the new
Healthy Michigan Plan, with an additional
100,000 expected to be covered by 2021.
With this expansion, Michigan’s uninsured
population is expected to drop by about 46
percent.
Our Government Relations team has
been closely following national efforts by
organized medicine to dismantle Section
2706(a) of the ACA This critical provision
prohibits discrimination against chiropractors and our patients.
Statewide, we have monitored all plans
offered under the new health insurance
exchange to ensure their proper inclusion
of chiropractic care. Coverage under these
plans began last January 1. As new plans
are offered through the exchanges, know
that the MAC is vigilantly monitoring
them for chiropractic inclusion!
Legislative Agenda
We have also worked hard to set the stage
for legislation that would require insurers
to pay for all services allowed under the
new scope (Patient Equity Act) and bills
that would eliminate burdensome deductibles and co-pays (Transparency in Coverage Act). This important legislation will be
re-introduced in the next legislature.
Public Relations – Getting Out the
“Conservative Care First” Message!
I am proud to have overseen not just a
continuation of our fruitful collaboration
with the Michigan Department of Community Health, but an expansion of it with
our MAC Screenings Program. This innovative program is designed to get MAC
members into their local communities
talking about chiropractic wellness. This
bold, aggressive PR campaign uses MAC
resources, such as a beautiful, professionally designed booth, coordinated printed
material, turn-key scripts, co-branding
with the Michigan Department of Community Health, and assistance in finding and
scheduling events, to allow our members
44
to promote chiropractic, wellness, and
their practices in their communities. For
more information, or to register for an
upcoming event in your area, go to www.
MACScreenings.com.
National Efforts – F4CP
We are extremely proud of the fact that the
MAC is the highest monthly contributor
among state associations to the Foundation for Chiropractic Progress (F4CP),
a national, not-for-profit organization
dedicated to raising awareness about
the value of chiropractic care. The great
public relations and educational activities spearheaded by the Foundation are
extremely beneficial to the future of our
great profession. MAC members have access to a new national directory and to all
the great marketing materials developed
by F4CP. Call the MAC at (517) 367-2225
for more information.
Member Advocacy Program (MAP)
This new program is geared toward helping our members “map their futures”
through such events as philosophy nights,
a mentorship program, programs specifically for woman DCs, special webinars,
the MAC Sports Council, the Health
Screenings Program, our patient newsletter, Real Health, business resources, and
the MAC WorkSafe Program. Working
with the Insurance Committee, our MAP
seminars at our conventions are designed
to be relevant for every chiropractor, from
the new graduate to the most seasoned
professional.
Sky’s the Limit in 2015!
Finally, I want to thank you for the opportunity to serve. Leaving my position as
president of this incredible organization
is bittersweet. The future of our profession is very strong, and I look forward to
working with our new president the next
two years as Chairman of the MAC Board
of Directors. Early next year, we will be
gathering to chart our strategic course
for the next two years in many important
areas, including government relations,
legal affairs, public relations, and more.
Watch for notice of this important strategic
planning meeting. Please consider attending and making your voice heard. If we
all work together, we can work to make a
brighter future for chiropractic generations
to come!
And, if you are not a member of the MAC,
please get involved TODAY! NOW is
the time to show your commitment to the
profession!
Sincerely,
Dennis W. Whitford, DC
President
Conventions, Seminars, and
Webinars: Providing YOU with the
CE You Need!
The Committee takes very seriously
its mission of providing exceptional
educational opportunities for Michigan
doctors of chiropractic. We strive to put
on the most impressive conventions and
seminars in the nation, with national
speakers routinely contact us regarding
speaking slots. We are consistently adding
to our online library of webinars available
for continuing education credit, MAC
Web-Ed, giving doctors a quick, easy, lowcost way to pick up credits during a lunch
hour and before and after work.
All of these programs are designed to provide the classes you need to stay current
with your continuing education. You can
count on the MAC to provide you with the
education you need when you need it!
Mark
Your
Calendar!
MAC Spring
2015
Convention
April 24-26, 2015
Adoba Eco,
Dearborn, MI
www.chiromi.
com/macS15
November 2014
January 2015
November 6 • Insurance
Ellen Berra, Dr. Jody Smith, Carl Alden
Saginaw
January 17 • Nutrition
Dr. Davis Brockenshire
November 15 • Nutrition, Ethics & Boundaries
Dr. Paul Kraft, Carl Alden
Plymouth
November 22-23 • Express Convention
Various Speakers
Soaring Eagle, Mt. Pleasant
For more information and to register,
go to www.chiromi.com/seminars or www.chiromi.com
PRESIDENTS & AMBASSADORS CLUB
PRESIDENTS CLUB
Dr. Adam Apfelblat
Dr. Amanda Apfelblat
Dr. Solomon Cogan
Dr. Henry Cousineau
Dr. Eric Duncan
Dr. William Goss
Dr. R. James Gregg
Dr. David Guzzardo
Dr. Nick Hartop
Dr. Thomas Klapp
Dr. Michael Kwast
Dr. Brian Loranger
Dr. Anna Loranger
Dr. Joseph Lupo
Dr. Eric Marshall
Dr. Bradley McMath
Dr. John Mufarreh
Dr. Rodney Nagel
Dr. Randolph O’Dell
Dr. Lisa Olszewski
Dr. Damian Palmer
Dr. Donald Reno
Dr. J. Alan Robertson, MD
Dr. Corey Rodnick
Dr. Shelley Shepherd
Dr. Daniel Spencer
Dr. Lewis Squires
Dr. Kirk Steketee
Dr. Donald Towers
Dr. Walter Tumlinson
Dr. Dennis Whitford
AMBASSADORS
Dr. Virginia Beetham
Dr. Jeffrey Buller
Dr. Sam Caruso
Dr. Eric DiMartino
Dr. Angela DiMartino
Dr. Christopher Dolecki
Dr. James Duncan, II
Dr. Leigh Elceser
Dr. Charles Gilcher
Dr. Craig Gilling
Dr. William Gischia
Dr. Daniel Gordon
Dr. Eric Hartman
Dr. Chad Hickey
Dr. John A. Hofmann
Dr. John M. Hofmann
Dr. Keith Hohf
Dr. Ronald House, II
Dr. Erik Hudak
Dr. Heather Hudak
Dr. Kenneth Hughes
Dr. Kevin Karadeema
Dr. Paul Kraft
Dr. Marc Lukosavich
Dr. Toby Mitchell
Dr. Jeromy Myers
Dr. Rachelle Myers
Dr. Thomas Palmer
Dr. Brian Parkhurst
Dr. Karla Parkhurst
Dr. David Paschket
Dr. Kirby Perrault
Dr. Renee Pethtel
Dr. Tony Purdy
Dr. Jeffrey Rauch
Dr. James Ribley
Dr. Angela Scarffe
Dr. Eric Seif
Dr. Tanya Seif
Dr. Robert Shaner
Dr. Ian Shaw
Dr. Patrick Sheeran
Dr. Steve Sheldon
Dr. Steven Simmons
Dr. Jody Smith
Dr. Cheryl Snyder-Hughes
Dr. Dennis Stepanovich
Dr. Ronald VanKints
Dr. Randal Wilcox
45
Members on the Move!
Dr. John Ostergren
Marks 65 Years in Practice!
Longtime MAC member Dr. John Ostergren of Midland recently celebrated his 65th year in practice in Michigan. “I don’t
intend to quit for a while,” he told the Midland Daily News,
which did a story on his impressive longevity. “I still love what
I do, as I always have.”
Dr. Ostergren got into the profession after a chiropractor
provided him relief from migraine headaches. “I was getting no
help until I had chiropractic care and it helped steer me into this
profession,” he told the News. “It did the job.”
He began practicing in Greenville in 1949 before taking over
an office in Alma in 1950. In 1964 he began practicing in Midland, and his current office opened in Midland in August 1966.
At the time, he says, he was one of only two chiropractors in the
region. When he started, house calls and $2 or $3 office visits
were the norm.
Dr. Ostergren told the News he likes the philosophy behind
chiropractic care: “We put nothing in and take nothing out. We
take care of what’s there.”
Dr. Ostergren told the News he doesn’t intend to retire for a
while: “I still love what I do, as I always have… One of these
days I suppose I’ll want to hang it up, but I still enjoy being in
my office and working. I just play it slow and easy, and enjoy
helping people.”
Source: Midland Daily News, “Midland Chiropractor Marks 65 Years,” July
9, 2014
Veterans - Continued from page 32
compared to 4 percent of the general
public.
These sobering facts demonstrate the
need for conservative, drug-free approaches to pain care at the VA. The
national organizations, together with prochiropractic lawmakers in the US House
and Senate, have pushed legislation that
would provide access to chiropractic
care, but, despite these efforts, as of
January 2014, the VA provides access
to a chiropractor at only 48 major DVA
treatment facilities within the U.S. In
46
Michigan, only one of the state’s five
medical centers – the Oscar G. Johnson VA
Medical Center in Iron Mountain – has an
on-site chiropractor.
“VA currently provides access to a DC
at more than 45 major treatment facilities
within the U.S. However, the overwhelming majority of eligible veterans continue
to be denied access to chiropractic services
because VA has failed to take any significant action to provide access at around 100
other VA facilities,” said ACA President
Anthony Hamm, DC. “Action is needed to
ensure that all the brave men and women
who have put their lives on the line for our
country have access to as much health
care as they need when they get back
home, regardless of the provider they
wish to see.”
Watch the MAC Journal and Week in
Review for information on how you can
get involved as pro-chiropractic legislation affecting our military, their families,
and our veterans moves through the
national legislative process.
Sources:
National Institutes of Health
Department of Veterans Affairs
American Chiropractic Association
Dr. Miguel Ruelan
World Record Setting DC!
Longtime Century Club member Dr.
Miguel Ruelan, Jr., recently set a
world bench-pressing record, lifting an
incredible 451 pounds! A power-lifter
specializing in bench press, Dr. Ruelan
has been the owner of Flushing Back
& Neck Care Center since 2001.
After his world-record setting lift,
Dr. Ruelan, a 1998 graduate of Palmer,
was profiled in My City magazine, a
publication for the Greater Flint Area
highlighting community, business,
events, arts, history, and more. He set
the record at the Michigan American
Powerlifting Federation’s 3rd Annual
Can-Am Bench Press Championships
in Detroit. Weighing in at only 177
pounds, Dr. Ruelan’s lift on his second
attempt set a new Masters World Record for his weight class.
Dr. Ruelan began power-lifting in
1987 in his home state of New Jersey,
where at a gym he was trained by a
former Olympic power-lifter, who
convinced him to enter a fundraising
competition at the gym, which he won.
He did not compete while at Palmer,
but returned to competitive lifting
after coming to Michigan to practice
in 2001.
Dr. Ruelan and his wife, Heather
– a personal trainer at the Flushing
YMCA and professional figure competitor herself – have two children.
For the full My City magazine
profile on Dr. Ruelan, go to http://
mycitymag.com/raising-the-barlocaldoctor-sets-world-record/.
If you would like to be
featured in the MAC Journal
“Members on the Move,”
simply contact Tim at the
MAC at (517) 367-2225,
or email [email protected].
47
416 W. Ionia St. • Lansing, Michigan 48933
www.chiromi.com • e-mail [email protected]
(517) 367-2225, (800) 949-1401, Fax (517) 367-2228
MEMBERSHIP
APPLICATION
MAC Mission: To improve the health and well being of the public by advancing and protecting the practice of chiropractic.
Purpose of the MAC: The purpose of the Michigan Association of Chiropractors is:
• To promote the Chiropractic profession as a distinct branch of the healing arts based on the body’s inherent recuperative
abilities and the role that vertebral subluxation plays in that process, and
• To advocate for Michigan Doctors of Chiropractic, chiropractic patients, and the chiropractic profession to the government,
the public, the business community, and the community of third party payers.
PLEASE PRINT OR TYPE
Please fill out this application in its entirety for approval of the Board of Directors.
Date _____________________
Name __________________________________________________Birth Date_________________
Male
Female
Office Name_________________________________________________________________________________________
Office Address _______________________________________________________________________________________
City/State/ZIP _____________________________________________________________ County ___________________
Home Address _______________________________________________________________________________________
City/State/ZIP _______________________________________________________________________________________
Phone Numbers: Office (
) _____________________ Home (
) ___________________ Fax (
) _________________
Email Address _______________________________________ Web Site _______________________________________
Techniques Practiced _________________________________________________________________________________
________________________________________________________________________________________________
Chiropractic College _______________________________________________ Graduation Date _____________________
Date of First Licensure ___________ Date Licensed in Michigan ____________ License Number _____________________
Membership Types and Fees
Student ............................................ FREE
First year (of Michigan licensure) ............ FREE
Second year (of Michigan licensure) .......$ 360
Third year (of Michigan licensure) ............$ 480
Fourth year+ (of Michigan licensure) ........$ 720
Century Club* ................................$1,200
Ambassadors Club* .......................$2,220
Presidents Club* ............................$3,420
Spouse member ................................. TBD
(1/2 of primary member not to exceed $600.00)
Associate/Part time............ ...............$ 600
(15 hours or less/week)
Semi-Retired ....................................$ 200
Retired ..............................................$ 50
(25 yrs in practice, 15 hrs or less/week)
Vendor member ................................$ 300
Out-of-state member ........................$ 200
*Century, Ambassadors and Presidents Clubs include two (2) free conventions/year, discounts on seminars, and more.
Please go to www.chiromi.com/members/member_benefits for details, or call the MAC office at (800) 949-1401.
Dues Payment Options:
Set up automatic recurring billing on my credit card
Please bill my credit card:
Monthly
Quarterly
Semi-Annually
Annually
Bill my credit card one time
Check for Dues enclosed: $ ______________
Please bill me:
Monthly
Quarterly
Semi-Annually
Annually
$ ____________________
CC# ____________________________________________________ Exp. date _______________
I hereby attest to the accuracy of the foregoing information. I agree to abide by the By-laws and Code of Ethics of the MAC, and Chiropractic Statutes of Michigan.
I understand that my failure to remit dues will result in suspension of all rights and privileges and will result in the loss of membership. Dues are paid in advance.
Signature _______________________________________________________________ Date________________________
MEMBERSHIP IS CONTINUOUS UNLESS CANCELLED
For Office Use ONLY
Date Approved ____________________ District # _____________________ Dues Received ________________
PLEASE SEND YOUR FIRST QUARTER PAYMENT AND A PHOTOGRAPH WITH YOUR APPLICATION.
12/2012 SQP
48
District Information
Your MAC district meeting is YOUR local source for important, exclusive updates and information. Many of the districts
feature guest speakers, and some of the programs are approved for CE credits. For more information about your district
meetings, please contact your District President, or go to www.chiromi.com/districts.
District 1
District 3
Meetings are the 2nd Wednesday of each
month at Amigos Mexican Restaurant,
Taylor
month at Pasquale’s Restaurant, Royal
Oak
John M. Hofmann, DC
Board Representative & President
313-386-1050 • [email protected]
Sara Whedon, DC
President
Jeromy Myers, DC
President, Board Representative
Timothy Thomas, DC
Vice President
Amanda Apfelblat, DC
Board Representative
Doug Lynes, DC
Glenn Caudell, DC
Robert Levine, DC
District 7
District 2
District 4
month at Pasquale’s Restaurant, Royal
Oak
month at the Hard Knock Grill, Jackson
Elra Morgan, DC
President
[email protected]
Lisa Olszewski, DC
Board Representative & President
734-433-9564 • lisa_Olszewski@yahoo.
com
Becky Gennero, DC
Vice President
Kenneth Murkowski, II, DC
Vice President
Eric DiMartino, DC
Harold (Skip) Book, DC
Nick Hartop, DC
Brooke Sharp, DC
Secretary
734-944-2090 • drbrooke@newerasaline.
com
Kellie Treichel, DC
Secretary
District 6
Meetings are the first Thursday of each
month. Locations rotate. Please watch for
your District Newsletter via email, or go to
www.chiromi.com/districts/district_7
Therese House, DC
President
James Chichester, DC
Vice President
Eric Hartman, DC
Ron Wilcox, Jr., DC
Lawrence Doran, DC
Secretary
Daniel Painter, DC
Treasurer
John Wallace, DC
Treasurer
District 5
District 8
Meetings are the last Tuesday of each
month at the Pi’s Chinese Restaurant,
Midland
Brandon Turino, DC
President
Paul Rodnick, DC
President
Lewis Squires, DC
Steven Simmons, DC
Board Representative & Vice President
Bruce Turino, DC
Robert Markle, DC
49
Classified Ads
Seeking a full-time, self-motivated, ambitious,
detail oriented chiropractor with PI experience. Competitive salary, paid malpractice, and benefits included. Please
send your CV and contact information if interested. [email protected].
Practice Sales. [email protected] (734) 735-0768.
For Sale, fully equipped chiropractic office
and practice in Allen Park, MI. Call Dr. Kalis for more information at (313) 382-5222. Owner will stay through the
transition.
Farmington Hills Clinic for Sale. Excellent location, 1,000 sq. ft., 6 rooms, equipment with x-ray facility.
Great way to get started. Retiring. Same location 32 years.
Truly great opportunity. Resume lease, very inexpensive.
Great deal. Asking $45,000. Cash buyers. Dr. Carlini. (248)
342-5858.
40 Year Old Practice with thousands of patient records, 6 treatment rooms, 3 adjustment rooms, 3
disc distraction rooms, four station rehab therapy room
with three 1st tables, ultrasound, electro stim therapy, hot
pack units (x2), cold pack unit, full x-ray, exam suite with full
spine bone density unit. Laundry. Three thousand square
foot office in independent building with over 20 car parking
on busymain street in city with 100 ft. of building exposure.
Active in the community for 40 years. Has massage therapy and two independent contractors. Will work transition
to new owner’s specifications. Please call (248) 542-3492,
cell (248) 752-2220. Madison Heights, Michigan.
Perfect “Turn Key” Opportunity in White Lake!
Ideal location. High traffic/high visibility/easy access. Exceptionally equipped & staffed. Current DC retiring. Price
Negotiable. Call (248) 698-9141, or email dramielarison@
gmail.com.
Practice for sale: Midland. Established for
over 20 years. Spinal decompression. DRX-9000. Hundreds of active patient files. Many different options available from associate to buy-in/buy-out. Midland has a good
economy and is family oriented. Email gotime43@yahoo.
com.
Temperance, Michigan: 38 year practice for
sale. All equipment, 3,000 sq. foot building 20 car parking
lot. Dr. retiring. Call MWF, (734) 847-1111, or email [email protected].
32 year central Michigan Practice for Sale.
Within one hour drive to Lansing or Grand Rapids. 3,600
square foot freestanding building. Please email to [email protected] with your contact information,
and I will discuss details with you.
Chiropractor wanted to start his/her own
practice in Western Michigan (Sparta) in a well established,
1,400 sq ft, Chiropractic office on busy, 4-lane Sparta Ave.,
equipped with two Zenith Hilo adjustment tables with drop
sections, an Eurotech flexion/distraction table (all recently
re-covered and look new), a Fischer 300x125 X-ray machine. High speed Internet is available. You pay gas and
electric. Plenty of well-lit parking and signage for your
signs. All this for only $700 per month! I’d like to keep this
as a Chiropractic office, otherwise, I’ll rent to another profession for $1,000 per month. Call Carol at (616) 916-0731
or (616) 874-7871 or e-mail, [email protected].
Newly Opened Practice For Sale In Grandville
- Costs of suite buildout, front desk, advertising. (616) 6483025
PRACTICES FOR SALE IN THE FOLLOWING cities:
Allen Park, Battle Creek, Cadillac, Canton, Carleton,
Clarkston, Dearborn, Eastpointe, Flat Rock, Fraser, Garden City, Grand Rapids, Jackson (2), Kalamazoo, Lansing,
Plymouth, South Haven, St. Clair Shores, Swartz Creek,
Tawas City, Temperance, Warren, Westland and Toledo,
OHIO. Details: Dr. Tim Cartwright, C-21 - Professional
50
Busy Canton office looking for motivated associate with potential partnership opportunity. Newer office,
fully equipped including massage therapy. Email [email protected].
None.
Rochester Chiropractic has an outstanding opportunity for Associate D.C., Build your practice within our
facility with no overhead. Please email resume to [email protected].
Office for sale. Central Michigan location, Mt.
Pleasant. Doctor retiring. Building and equipment. (989)
772-4269.
Chiropractic Office Building in St. Clair
Shores for over 30 years with 2 separate suites. Asking
price $98,500. Call Dr. Kennedy at Res. (586 226-1880,
cell (586) 212-2748.
Michigan office space for rent 1,100 plus SQ FT
already set up for Chiro. Current Chiro moving to another
location. Absolutely must at least take a look if in market.
Contact Dr. Brian at [email protected] for info.
LCCW senior graduating in December. Seeking
subluxation based associate or IC position near Plymouth
or Ann Arbor. Please e-mail [email protected] for
more information.
I can help find you a chiropractic office that
fits your needs and the needs of the doctor. Placements in
many cities around Michigan. 38 yearsw as a chiropractor
and 10 years at Century 21-Professional Practice Sales.
Call Dr. Tim Cartwright (734) 735-0768 or email [email protected].
I’m a soon-to-be DC, who will be graduating September 26. I’m looking to be an asset to your practice. I’m a
good adjuster (Diversified, Thompson, Cox, Activator) and
also have special interest in pediatric adjusting. I’m very
motivated to help the practice I land in flourish. If interested,
please contact me at [email protected].
December Graduate looking to move to northern Michigan seeking associate position. Well versed in
Thompson, Diversified, Gonstead, Activator and much
more. email [email protected] for more info.
Busy Clinic Seeking Associate to join the team.
Seeking an energetic, self-motivated chiropractic associate
in Jackson, MI for busy family practice. Base pay, bonuses,
and malpractice coverage. Email resume and questions to: [email protected]. Michigan Chiropractic practice seeks motivated
and dedicated associate doctors and students who need
preceptorships for its Upper Peninsula location. HealthQuest is the official chiropractor of the NFL Detroit Lions
and has multiple offices throughout Michigan. Please send
your CV/resume to [email protected].
Successful chiropractic group looking for hard
working and energetic Associate Doctors to supplement
offices in Detroit/Flint areas. Applicant must be practice
ready, self-motivated, and enjoy working in a team environment. Please send your CV/resume to [email protected].
Motivated Doctor WanteD to join friendly, successful CASH practice! Ann Arbor. One-on-one coaching
included. Attractive terms. Call (734) 971-BACK (2225).
Send resume [email protected]. Fax
(734) 971-2530. Serious inquiries only.
Petoskey, Michigan. All the basics. Smart, funny,
quick learner, hard worker, fully committed, great adjusting
skills, and even better people skills. But what we want most
is someone who wants to grow with us, and stay with us.
Interested? Write a cover letter specifically for this job and
include a CV or resume to breathoflifechiropractic@gmail.
com. Provide earning expectations. Send a photo. Send 3
times that work for a 25 minute initial phone conversation.
(231) 622-8828.
Busy Grand Rapids office looking for a long term
associate with excellent adjusting & patient management
skills. Email resume (616) 304-7800.
Ferndale: Associate Doctor wanted for our
new state of the art Wellness Center. Competitive pay &
benefits. Must be confident, motivated & wellness driven!
Email CV to [email protected].
Looking for full or part time associate
to work Owosso, MI office. Please email me at [email protected].
Waterford: Looking for a happy, enthusiastic,
outgoing Associate Chiropractor to join our newly expanded practice. Salary, health insurance, SEP account
and malpractice covered. If you can say you love being a
Chiropractor you found the right office! Fax resume: (248)
618-3515. Email [email protected].
Garden City: Looking for a happy, enthusiastic,
outgoing Associate Chiropractor to join our newly expanded practice. Salary, health insurance, IRA, & malpractice
covered. If you can say you love being a chiropractor, you
found the right office!Fax resumes to (734) 838-0359, or
email [email protected].
Independent Contractor Wanted; Doctor needed to share office space. Work Tuesdays, Thursday, Saturdays. Optional buy out. Fully equipped state of art clinic
in Oakland Co. on busy street. 18 year estb. in community.
Call (248) 681-3090 or email harborfamilychiro@yahoo.
com.
SW Michigan Independent Contractor/Associate wanted for rapidly expanding wellness and rehabilitation clinics. Must have good personality and manual
adjusting skills. Rehab knowledge a definite plus. Great
opportunity for the right person. Email resume to [email protected].
Premier West Bloomfield/Commerce Chiropractic Office looking for an enthusiastic and highly motivate
Classified Ads
associate. Great communication skills and strong personal
character are a must. If you are thankful everyday for being
a chiropractor then this is the office for you. Email resume
to [email protected].
INDEPENDENT CONTRACTOR/ASSOCIATE DOCTOR
WANTED: Buy-out preferred, 2 year transition in established practice located in Livingston County MI. Email CV/
resume to [email protected].
Rochester: Newly built modern office available for sharing. Evalution Dt decompression, K-laser,
RMT, IST, Digital xray, 4 adjusting rooms. 2,000 sq ft total.
Ideal for start up doc or doc looking to slash overhead. Call
Dr. Goss (586) 212-7014 or [email protected].
Associate Doctor wanted to join our High Volume, Fun, Lifetime Wellness Based Family Practice in
Clarkston, MI. Excellent Opportunity, Part Time (two afternoons per week), Flat Rate plus Eligible for Individual and
Team Bonuses. Please fax resume to (248) 623-6443 or
email to [email protected].
Associate Wanted To Join a high-volume family-oriented practice. Must have a passion to learn how to
educate patients about subluxation correction and lifetime
chiropractic wellness care. Salary plus bonuses and malpractice insurance. Call Gregg Chiropractic at (734) 5258422. Ask for Lisa, or email resume to rjg@greggchiro.
com.
Offering an extraordinary opportunity for
a doctor looking to exceed their career experience. Learn
from one of the professions leaders in chiropractic healthcare. Known for having one of the largest practices in
Michigan. Our Flint, MI 4,000 square foot facility is state of
the art. We are a subluxation based practice which incorporates neurology, biomechanics, physical measures, rehabilitation, as well as Non Surgical Spinal Decompression
for a total patient experience. We change peoples lives.
Salary plus bonus as well as benefits. If your passionate
about chiropractic and up tone, I’ll provide the rest. Send
resume to [email protected].
Associate Doctor wanted to assist well
established Chiropractor with overflow and new patient
growth. We have state-of -the art equipment and facilities, rehabilitative exercise, massage therapy, nutritional
counseling, pharmaceutical grade supplements, cold laser,
acoustic compression, spinal decompression and much
more. If you are interested, contact kristen@harrisonchiro.
com.
Associate Chiropractor wanted to join a successful Mid Michigan clinic. A great experience & competitive salary plus bonus, malpractice, seminars and vacation
time. Email resume to [email protected].
Chiropractic Office for Lease between Ann
Arbor and Ypsilanti. Newly renovated/updated wellness
center is available for lease on Monday, Wednesday and
Friday when primary chiropractor is at another location. I
am most interested in health minded, frteindly and professional chiropractors. Office is on a very busy street with
good signage and parking. This is an affordable opportunity for someone relocating with an existing patient base,
or initiating a practice from scratch. Any further details will
be discussed when we meet. Call Dr. Eric (734) 904-7931.
Wonderful opportunity to join busy, upbeat
chiropractic team in Great Lakes Bay Region, Michigan.
State of the art chiropractic practice seeking ambitious
associate with a great attitude. Very competitive compensation package including health insurance and retirement
fund. [email protected].
Midland associate doctor with buy-in/out intention. Will train for success. 20 year established practice
with DRX-9000. I am ready to groom a successful doctor. Call Dr. Rodney Nagel (989) 906-4781.
VERY REWARDING associate position with partnership option in Plymouth & West Bloom. Potential to earn six
figure salary. Both owners were associates and know how
difficult it can be, we treat our staff with the up most respect.
Serious inquires only; Full time/Benefits/401K/Paid Vaca/
more -- visit our website under the “Contact Us” tab for full
details -- www.letsachievehealth.com.
Lansing, Great Opportunity for a great associate. Salary, excellent incentives and unbeatable percentage. Email CV to [email protected].
MICHIGAN FAMILY PRACTICE:Christian Chiropractic
Office next to MSU in East Lansing. Just expanded! CBP
Join our team! Base pay + bonus + malpractice. Nutrition
interest a plus. Dr. Denise Rassel [email protected].
INNATE BASED DC wanted for a busy, family-oriented practice in Grand Ledge (Lansing area). Email CV
Associate Chiropractor wanted for well established wellness center in Plymouth; that offers a wide
variety of integrative services: chiropractic, laser therapy,
massage, nutrition. Great setting to use talents and grow.
Send resume to: [email protected].
Busy chiropractic office is seeking an energetic associate to work in Kimball, MI. Position is immediately
available. Office hours and salary are negotiable. Please
fax resume or CV to (810) 966-1901.
Soldano Family Chiropractic Center is hiring motivated, passionate doctors who are willing to learn
from an ELITE team. We are expanding very quickly in the
Southwest Michigan area and are looking to hire several
doctors over the next year. We are offering some of the
best compensation packages seen in the profession. If you
are willing to learn and be pushed to reach your fullest potential please email your resume at Soldanofamilychiro@
gmail.com.
Ferndale Chiropractic is looking for a growth
oriented Chiropractor. Great opportunity for the right Doctor. Please call (248) 709-2447 for more information.
Expanding Western Michigan clinic has an opportunity for a full-time associate. Position includes a retirement program, health insurance, paid coaching, marketing
team, malpractice insurance and more! Email resume to
[email protected].
Associate Chiropractor position available in
our state of the art office in Livonia. We are a busy wellness and correction based office. Candidate must possess
a vitalistic, big picture chiropractic philosophy, be self motivated, success driven and have a passion for saving lives
through lifetime chiropractic care. Benefits include: paid
training, 401K, malpractice insurance, paid vacation time,
salary plus bonuses, and partnership opportunities after
two years. If you possess the confidence and passion to
change the world through chiropractic, send your resume
We are seeking a licensed, or soon to be licensed, chiropractor to join our busy 2 doctor practice in
suburban Detroit. We are looking for a long term, mutually beneficial relationship. We enjoy a reputation for clinical excellence, providing effective chiropractic services in
Birmingham for the past 30 years. In addition, our clinic is
remarkably well organized, with modern furnishings and
equipment. The practice uses primarily manual adjusting
techniques, with an emphasis on corrective exercise and
active patient care. We practice continuing education and
strive to provide the highest level of care to our patients.
Base pay + bonus + malpractice insurance. Please email
your resume or CV in confidence to davidchiro@yahoo.
com.
Are you looking to practice in a beach community with big city amenities? Only 25 miles from Grand Rapids, Michigan, Holland is nestled along beautiful Lake Michigan and was rated one of the 5 best places to live in the
US. Lakeshore Family Chiropractic was founded in 2006
and recently renovated a 4,600 square foot state-of-the-art
facility that uses digital x-ray, Myovision, and touch screen
computers. The clinic specializes in family, wellness, and
preventative care, and provides massage therapy. This
successful office is seeking associate doctors with a passion for serving the public through chiropractic care and
are willing to learn with a positive attitude. Applicants must
have excellent people skills, be willing to be coached, and
open to learning the latest marketing techniques and business procedures. The office provides a fully trained staff
and practice representative who will get new patients for
you. This would be a tremendous opportunity for anyone
considering new opportunities in chiropractic care. This is
an ownership opportunity associate position. www.lakeshorefamilychiropractic.com.
Busy Grand Rapids office looking for a long
term associate with excellent adjusting & patient management skills. Email [email protected].
Greater Lansing area. Established, respected
multidisciplinary clinic seeking associate doctor. Specializing in Cox and Gonstead. Email resume to backman888@
yahoo.com.
Associate wanted to join a well established
practice in Northern Macomb County. Subluxation based.
Family wellness center. Salary plus bonuses, and malpractice insurance. Call (586) 286-6616.
Doc for a Day is hiring part time contractors for
coverage work. Great pay, flexible hours. Must have insurance, transportation, license, and have graduated 3 years
ago. Call (847) 367-9641 or email daleslachman@gmail.
com.
Seeking a full-time, self motivated, ambitious,
detail-oriented chiropractor with PI experience. Competitive salary, paid malpractice, and benefits included. BiLingual is a plus. Send resume and cover letter to Mark at
[email protected].
Award winning pediatric, pregnancy and sports
clinic located in Western Michigan has an opportunity for a
full-time associate. Position includes matching 401k retirement, health insurance, paid professional coaching, practice representatives, digital x-ray, Chirotouch software, malpractice insurance, chiropractic technicians and more! To
apply for this position: 1) Go to www.bthcwc.com, 2) Look
for the heading “Employment Opportunities” on the top of
the page, 3) Follow the instructions.
INDEPENDENT CONTRACTOR WANTED: Great opportunity for the right doctor in a beautiful fully equipped
state-of-the-art office with digital x-ray, massage therapy,
cold laser. Call (248) 650-2225 or email info@peerchiro.
com. Looking to grow your practice or start your own in an
amazing location in Rochester Hills, Michigan. Visit us at
www.peerchiro.com.
Associate Position Available, Full/Part time
in Macomb, MI. We are looking for a caring, outgoing
person who loves the principle of chiropractic and has a
passion for serving and helping others. A well-suited candidate for this position must: have a strong chiropractic
philosophy and approach, be coachable, excellent communication skills, and enjoy working with families. Send
resumes to: [email protected]
Build a successful practice with less overhead in downtown Rochester. Available: EMR, Laser,
Foot Levelers 3D Scanner. Email sharedchirocare@aol.
com.
51
Classified Ads
Looking for a Licensed Massage Therapist Part
or Full Time available. Excellent opportunity to live in
beautiful Northern Michigan. Fax resume (989) 732-0629.
Reno Chiropractic Center in Sterling
Heights, MI is looking for a licensed and certified massage therapist. Part-time (6 hrs./wk). Send resume to
[email protected].
On site experienced billing and front desk
help needed for two practices in Livingston County. Need
solid, honest, dependable team members for expanding
offices. [email protected]
Experienced Chiropractic Assistant needed
in a busy multi clinic office in Grand Rapids area. Salary is negotiable, based on experience.(616) 940-4647 or
[email protected].
Reliable Office Coverage. 26 year, experienced DC available for short and long term coverage.
Diversified, activator, AK, Nutrition and more. Call Dr.
Kathleen Akin at (800) 528-4223 for locations, references
and rates.
Chiropractor With 20 Years of chiropractic
relief experience. Well versed in many techniques. Very
reasonable half day and full day rates. MAC membership
discount. References upon request. (586) 201-9020. It’s
easier than you think to take the time off that you need.
Office Coverage State Wide Since 1986. Full
and half day rates. Emergency, maternity, short, and long
term coverage. Large selection of licensed and insured
chiropractors. We can help with your coverage and associate needs. Call for a FREE quote. 1 (800) 501-6111.
www.mmachiropractors.com.
Young and talented chiropractor available
state wide work relief and coverage. Contact for rates and
availability. 218-205-6141 or [email protected].
Female DC available again for long and short
term fill-in coverage in SE Michigan. Many years experience. Diversified, Activator, AK, Thompson Drop, therapy,
nutrition. Reasonable rates and references. Call Dr. Lori
at (734) 646.2045.
bucky, bin, Flash Label. Like new, $9,500. (810) 6295566.
$225.00. Call me at (248) 563-8771 to discuss further or
for pics of the items.
Bennett Linear 3,300ma, 125kv Bucky, cassettes,
Developer Film bin, Flash ID, Darkroom light. Developer
regular maintainence schedule. $6,200. You move and
bear costs. Pics: [email protected].
Barnes flexion table with pneumatic drops.
Cervical raise/lower/ I-S drop, Thoracic, Lumbar and Pelvic drop. Comes with T bar and air compressor. Newly
upholstered. Email drszagesh@health1stchiropractic.
com for information.
FOR SALE: BIOMERIDIAN Vantage $3,500.00. Description: 2008 Vantage System, MSAS 2008 Software,
Epic Stylus with Sure Touch Tip & Cable, Handmass &
Extra Handmass Cable, Standard Probe and Cable,
Power Supply Cord, Vantage Accessory Arm, Vantage
Test Plate, External CD Drive, Battery (installed) & extra
Battery, Quick Start Guide, Instruction Manuals, BioMeridian Brochures, Patient Waiting Room DVD, Practice
Management CD, Large Pull Up Advertising Banner. Call
Anne (586) 228-0270.
ML830 class 3b Laser 4 yr. old, works excellent plus Station. Excellent support. $2,499 Dr. Manela.
[email protected] (248) 544 2400.
Sale: Myovision 8000 sEMG, Zenith Hi Lo Table,
Back Specialist Flexion Distraction, Proadjuster, Footleveler Orthotic Scanner, Ultrasound Stim Combo, Practice Management Program DVDs Manual, Banners and
Videos. Call (586) 907-8113, email goodhealthdc@gmail.
com.
Brand New Erchonia Low Level Laser w/ Base
station 3LT-complete system. Price is negotiable. Contact
Tom at (313) 590-7997 or [email protected].
Hill Table HA90C with all auto drops (cervical, thoracic, lumbar and pelvic drops, break away chest)
Heritage fabric upgrade, slate blue, tan base, dual touch
strips, $2,900. Call (517) 676-0788.
Erchonia Laser PL5000 For Sale. 3 years old.
Works Great. Recently serviced with new battery. Doctor
does not have enough time to use and doesn’t want to
hire additional staff to run it. $8,500 Call (616) 889-7182.
Chattanooga Ergo Style elevation table with
cervical, thoracic, lumbar pelvic drops. Slate blue. In
good condition. $1,200. (734) 930-6990.
Hill Anamotor cervical and lumbar traction.
Good condition. $900. Call Dr. Terebelo (248) 593-8282.
Barnes used flexion distraction elevation
table with all drops and a swivel headpiece for sale. Black
and slightly worn head piece. Selling for $2,500. Please
email me at [email protected] or text me at (906)
322-8212.
Hill Anatomotor Table for sale. Like new. All
attachments included. $1,500. email krystalrsiminski@
gmail.com.
Exam Room Small 2-door metal cabinet, $300.
(248) 593-8282.
Light Force X, Deep Tissue Laser, 15 watt, includes 4 lenses, travel kit, marketyig material, training
manual, $14,900. Call (248) 681-6804.
Chattanooga stainless steel cold pack machine on caster wheels. Works great. $1,800.00 New. Sell
for $400.00 or best (586) 719-0933.
Zenith 230 HiLo. Pierce key dimensional. Headpiece, cervical, pelvic drop. New Heritage, excellent condition. $5,200. (313) 277-3766.
Chiropractic channel letter sign. Neon letters 17.5” High 16ft 8” long. Mint condition, lights up brite
with no issues. $1,999.00. Call (586) 719-0933.
Mini Med Processor, 2 - 8x10 and 3 - 14x17 Green
Cassettes, unused film. [email protected].
Best Offer.
Chirotouch EMR Software. New never used. Half
price. Contact [email protected].
Zenith 260 Hylo Elevation Table, very good condition, $2,900 pick up only, text or call (231) 590-3704.
Zenith ll 440 HILO for sale. Teal Heritage Covers. $3,900.00. Call (734) 672-2087 or email [email protected].
X-ray view boxes for sale: 4 double panel view
boxes (14X17 EACH PANEL) from Star X-ray. They are
in great shape. $50.00 each or all four for 175.00 . Flat
bench table with arm rests Slate blue in mint condition
Universal HP500 high frequency x-ray w/
52
Wanted: An arthrostim or an electric or
manual adjustment instrument. Please contact me at
[email protected] – Dr. Manela.
Need Myovision surface emg-thermographyscannner. Call (734).454.5600 and ask for Vickie
or Dr. Sisk or email model, how old and price to:
[email protected].
ChiroTouch EMR/EHR Software license. Purchased new for $11,250. Will sacrifice for $6,000 (approx.
$2,500 in costs from ChiroTouch to install, transfer data,
tech support & training buyer is responsible for.) glchiro@
chartermi.net.
Reduce Overhead, Share space, Share Staff,
Very affordable. Operate within a well equiped, CBP traction, decompression office that borders Wayne-Oakland
county. without worrying about running the office. Livonia,
8 Mile and Farmington. Very accessible to I-275, M5 and
I-96. Call Dr. Greg with inquiries (248) 615-1533.
Is your Activator or Impulse device broken,
misfiring, works when IT wants to? Drawer full of “spare”
devices with known issues? www.tabledoc.com can fix
those devices. Save money over new. All work warrantied. (517) 268-8089. Located in Lansing, MI.
Is your table upholstery tired/ripped/covered
with duct tape? Let our re-upholstery service cover that
for you. www.tabledoc.com or (517) 268-8089. The Table
Doctor. All colors available, foam extra. Work done onsite.
Located in Lansing, MI.
Measure the effectiveness of your treatments, phase angle from Bioelectrical Impedance Analysis objectively measures cellular level improvements to
illustrate improvement. Don’t over pay for your BIA, call
CellMetRx today, (989) 724-5631, www.vitalityanalyzer.
com, $600.00, ongoing clinical support, independent
peer-reviewed publications available.
FREE Cold water film processor, bucky and
bucky stand, (3)14 x 17, (2) 7 x 17, (1) 14 x 14 and (1) 8
x 10 rare earth cassettes and lots of film to a DC starting
up. (248) 545-8550. Royal Oak.
Place Your
Classified Ad
online at
www.chiromi.com/classifieds
Central Medical Imaging
53
NCMIC
54

MAC Journal • November/December 2014 I

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