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The Virginia Voice Winter 2013-2014

Boost Your Benefits with Premier Membership

Daniel Atwell, DCAnna Bender, DC *

Jeff Bowers, DCJeremy Busch, DC, CCSP,

CCEP, CSCSChris Connolly, DC

Philip Connolly, DC, DACANCamille D’Amato, DC, CCSP

Gary Dennis, DCDiane DeReu-Foley, DC

David Dolberg, DCJanice Piedmont Dunlap, DC

Theresa Dunton, DCWilliam Todd Fisher, DC

Joe Foley, DCChris Frey, DC

Michael Geheren, DCTeresa Green, DC

Jay Greenstein, DC, CCSPLawrence Griffith, Jr, DC

Mark Gutekunst, DCTom Hennessey, DCDuane Hudspath, DCVincent Joseph, DC

Joseph Kennedy, DC. CSCSElizabeth Koch, DC

Bob Leib, DCFranklin Luke, Jr, DC

James McLelland, DC *Bibhu Misra, DC, MSc, ACRB-

1, FIAMACharles O’Dea, DC

Dennis O’Hara, DC, CCSPHeather O’Quinn, DC

Meredith Oudt, DCMinesh Patel, DCAnne Pinto, DC

Robert Pinto, DC, CCEP, CCSP,

ACRB Level IIAndrew Reno, DC, CCIC

Chiropractic May Lower Blood PressureBy Marissa Luck, ChiroNexus

Brad Robinson, DC, FICANisha Saggar-Patel, DCJean-Luc Sansfaute, DCTheodore Savvas, Jr, DC

Tim Scheuerman, DCJoanne Schmit, DC

Matt Schrier, DCRandy Short, DC

Elizabeth Skorupa, DCLonnie Slone, DC

Will Sonak, DCSam Spillman, DCRobert Thoma, DCRay Tuck, Jr, DC

Kevin Walsh, DC, CCP, CWPBill Ward, DC, CCSP

Tom Wetzen, DCJoshua White, DCM Scott White, DCAdam Wilding, DC

Howard Wilson, DCStephen Wolford, DC

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Nearly a third of Americans have high blood pressure, putting them at risk

for heart disease, stroke, and number of health conditions. While medication is the primary treatment for hypertension, there are several non-pharmaceutical ways to manage high blood pressure including stress reduction, weight loss, and diet changes. Now, a growing body of research suggests that chiropractic care could help. Researchers from Sherman College of Chiropractic have found preliminary evidence that regular chiropractic care reduced blood pressure in middle-aged African Americans. Earlier research has suggested that chiropractic adjustments can decrease blood pressure in patients with cervical spine dysfunction or anxiety. However there have been no age and racial-specific studies on the effects of chiropractic on blood pressure.

Researchers conducted a non-randomized, non-controlled pragmatic study to evaluate the feasibility of a future clinical trial. The results are still considered preliminary, but since they support earlier findings, they are highly suggestive as to the potential effects chiropractic can have on blood pressure. The study included 58 hypertensive patients of African American descent who were over the age of 40. Patients received one year of chiropractic care for various spinal conditions, and their blood pressure was taken three times throughout the course of the study. The researchers discovered that in patients with a BMI lower than 50, diastolic blood pressure significantly decreased over the course of treatment. Patients with a BMI higher than 50 (considered severely obese), did not experience the same drops in blood pressure. This led researchers to suggest

that obese patients may be “more resistant” to blood pressure reductions than non-obese patients when it came to chiropractic care. Chiropractic care isn’t the only hands-on therapy that may help with hypertension. A study published earlier this year showed that massage decreased blood pressure in pre-hypertensive women.

Primary reference: McMasters KL, et al. Blood pressure changes in African American patients receiving chiropractic care in a teaching clinic: a preliminary study. Journal of Chiropractic Medicine 2013; 12(2): 55-59.Additional references: On file; contact VCA office.Marissa Luck covers current chiropractic and natural health news for ChiroNexus.net. She is Content Director at ChiroHosting.com and ChiroNexus.com.

Is This YourLast Issue?

On March 1st, the Unified VCA office must terminate members who have not yet renewed their membership for 2014.Don’t miss out on:• MemberFYIs;• VCAdoctalk;• Compliance, coding,

billing, Medicare, cash, other consultants;

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you & staff training;• Much more.Already renewed? Thanks!Not yet or not sure? Call the office (540-932-3100) now!

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Most people use the word “consult” in an incorrect manner as it pertains to our professional services

under the CPT code rules. Part of the initial evaluation and management service DCs’ provide is face-to-face time reviewing the history of the present complaint/illness. We often have referred to that as a “consultation”. It is perfectly fine, if your appointment with a patient stops there, to not charge because you have not completed the whole E&M service. There is no CPT code that covers “reviewing the history only”. So, with that in mind, my answers to the member’s questions appear below.1. Is a consultation a service or a prelude to a service?

A consultation involves a referral, an examination and a written report to the referring doctor so this is not a consultation. You could call the time that you are only speaking to the patient about the history of their present illness as a “pre-service interview”. There is no code for that so you wouldn’t be able to bill it to a carrier and

Consultations(From a Recent VCAdoctalk Post)

From Becky Walter, MCS-PCompliance Specialist for VCA Members

From the Consultants

PQRS Changes(From a Recent VCA Blast Email)

From Susan McClelland, FICC

PQRS has changed again for 2014. A few of the most significant changes are listed below.

• There is now a THIRD measure on which you can report (#317).

• There is a new code for measure #182, AND the thresholds have been changed.

• Some of the existing code definitions have been altered.• PQRS reporting is part of other CMS programs which

currently affect you (e.g., Physician Compare) and will affect you in the near future (e.g., Value Based Modifier).

Note that this is the last year you can earn incentive money for satisfactorily and successfully participating in PQRS, and it is the second year where non-participation will cause you to suffer a penalty. In addition, penalties will increase over time and are cumulative. It is highly recommended that you start participating now to avoid future loss of income due to penalties. So, how do you learn to do this correctly?• Purchase a recording of the January 7th webinar. Go

to http://tinyurl.com/a832fhk. For the VCA member discount, enter code COCSA2014

• Attend the “Medicare Made Simple” seminar being presented in Fredericksburg on February 22. This is a full day seminar and will include not only the PQRS information, but many other Medicare topics as well; for example, proper use of the ABN.

For answers to your coding, billing and Medicare ques-tions, use Susan’s VCA-members-only email address, mcclelland.consulting@usit.net.

you should make a policy that you never charge anyone for that.

2. If it is a service, does the regulation only pertain when it is advertised as such? It isn’t a bonafide service as to CPT code guidelines. Why would you use this as an advertising campaign? Just always state that you never charge for a pre-service interview.

3. If it is not advertised as such, would mentioning it during the initial telephone contact be considered advertising? No, unless you’re cold-calling prospective patients.

4. If it would be, would it still be qualified as such if the patient asks the charge of the consultation and only then is it mentioned that there is no charge? It doesn’t qualify at all, really. It’s a portion of a service not complete. You do have to inform the patient the moment the charge will begin. For example: “This office never charges for a pre-service interview, meaning when you just are reviewing the history of your case face-to-face with the doctor. If, during that interview, you and the doctor agree that you would like further evaluation for this problem which would include a completed physical examination, a charge would then occur.” This is not bait-and-switch, it’s as if you see Medicare patients who have transitioned to a maintenance/wellness state, offer them the ABN, they choose Option 3 and leave. You don’t charge them for the adjustment because you didn’t perform it.

For answers to your ccompliance questions, email Becky at Becky@wcc.roacoxmail.com.

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Annual Reports from Your National Associations

From the American Chiropractic Association

The American Chiropractic Association (ACA) achieved a surge of advocacy accomplishments on behalf of the

chiropractic profession in 2013. From increased Medicare reimbursement for chiropractic services, to fighting managed care abuses and increasing veterans’ access to the services provided by doctors of chiropractic (DCs), ACA’s strong advocacy record remains intact and will grow stronger in the year ahead following the upcoming 2014 National Chiropractic Legislative Conference (NCLC), February 26–March 2 in Washington, DC. ACA’s more significant achievements in 2013 include: • $60 Million Medicare Reimbursement Increase:

Medicare payments to DCs will increase by an estimated $60 million, and the value of Chiropractic Manipulative Treatment CPT® codes will increase up to 10 percent in 2014.

• BCBS Federal Employees Plan Defines DCs as Physicians Without Limitation: DCs will no longer have any limitations attached to their definition as physicians under the 2014 Blue Cross and Blue Shield (BCBS) Service Benefit Plan.

• VA Expansion: The Department of Veterans Affairs (VA) began pilot chiropractic residency programs; and provisions in the Veterans’ Educational Transition Act of 2013 that would significantly increase the numbers of DCs serving at VA facilities, along

From the International Chiropractors Association

The International Chiropractors Association (ICA) is pleased to have this opportunity to report on its priorities,

programs and activities. This report represents but a small sample of the ICA’s recent activities, programs, publications and policies. You are invited to visit ICA’s website at www.chiropractic.org for regular and detailed updates on ICA’s activities. Chiropractic Organizations Unite Behind Public Position on Chiropractic as a Drugless Approach to Health Care: November 21, 2013 -- In an historic and profoundly significant unanimous position statement, the more than 40 organizations that comprise The Chiropractic Summit have adopted a clear and concise public position on chiropractic science and practice as a drug-free approach to health care. At a meeting of the Summit organizations in Seattle, Washington on November 7, 2013, the Summit adopted the following statement: The drug issue is a non-issue because no chiropractic organization in the Summit promotes the inclusion of prescription drug rights and all chiropractic organizations in the Summit support the drug-free approach to health care. “This definitive and unequivocal position statement puts to rest any question as to position of all of the credible organizations within the chiropractic profession on the issue of drugs,” said ICA President Dr. Continued on page 5 Continued on page 7

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with codifying chiropract ic services as a standard VA benefit, are currently under consideration by the Senate.

• Aetna Reverses Policy Denying Same Day Payment for 97140 and CMT: Aetna reversed a policy that denied separate payment for 97140 when billed with CMT, even when the two procedures were performed to separate regions and when modifiers 25 and 59 were used appropriately.

• Standing Firm Against Managed Care Abuses: A federal judge

ruled that a DC may pursue overpay-ment allegations against United

Healthcare (UHC) even though his or her patients may no longer be insured by them—a favorable decision in ACA and related plaintiffs’ class action suit against UHC and Optum Health.

• Medicare Coverage of DC Evalu-ation and Management Services Advances: The Department of Health and Human Services is considering reimbursing DCs for evaluation and management services, which would be the biggest potential breakthrough for the profession since chiropractic

services were included in Medicare in the early 1970s.

• Challenge to DC Physician Status Repelled but Further Action Required: ACA was a key part of a coalition effort that retained DC physician status in the Senate version of a Sustainable Growth Rate (SGR) reform package. ACA has made great strides toward ensuring DC physician status in the House version of the bill, but profession-wide advocacy is still needed.

“On behalf of ACA’s leadership and management team, I extend a heartfelt thank you to the dedicated DCs, CAs and student volunteers who helped make these crucial advocacy victories possible,” said ACA President Keith Overland, DC. “However, the profession will again be tested in early 2014 as anti-chiropractic lobbyists align to attempt to remove DC physician status under Medicare and to reverse other recent gains.” ACA and its allies will meet with legislators on Capitol Hill Thursday, February 27 during NCLC 2014 (and they’ll stay in Washington for the more than 20 hours of chiropractic continuing education and professional development).

Continued from page 4

Continued on page 7

Strategic PlanningMoves VCA Forward

Thanks to member participation, the February 1st strategic

planning meeting of the Virginia Chiropractic Association in Rich-mond was time extremely well spent. Ninety-six percent of the attendees rated the summit as not just “worthwhile” but even “fun”, and indicated that they plan to attend again next year. For the full report and photos, visit www.virginiachiropractic.org.

Another Unified VCA Member Benefit Program!

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administrative and managerial services that are aimed at making our clients more efficient and profitable.

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Harbour Pointe Chiropractic & Wellness Ctr.Michael P. Placide, D.C. / 804-523-8017

Courthouse Commons Chiropractic & Wellness Ctr.Joseph S. Kennedy, D.C. / 804-305-5748

Chiropractic Centers of Short PumpJames D. McLelland, D.C. / 804-523-8016

Community Chiropractic, PLCMatthew M. Schrier, D.C. / 434-736-9895

New Life Chiropractic, PLLJessica Upton, D.C. / 434-447-3049

CMS insert 7.5x10.pdf 4/7/2011 1:28:09 PM

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Michael McLean. “This united front will allow the world of chiropractic to move

forward with a new focus on the essentials of chiropractic’s unique approach to health and healing and stop the divisive, wasteful efforts required to address the drug agenda of a tiny sliver of the profession.” CCE Agrees to Serious Discussions on Governance Reform: Senior leaders of the Council on Chiropractic Education (CCE) have extended a public offer to the ICA and other Summit Roundtable members to engage in detailed talks on the reform of the CCE’s governance structure in response to ongoing expressions of concern by ICA and other organizations over issues of fairness and representation in the CCE structure. ICA has accepted this offer and will keep its membership and the profession at large fully informed of all aspects of this important undertaking with the CCE. ICA Fitness Council Celebrates 22nd Annual Symposium on Natural Fitness and Sports: ICA’s Symposium for 2014 will feature a cavalcade of stars, guest celebrity athletes and leading educators! Mark your calendars for February 27 through March 1, 2014 and come to the gala program in Columbus, Ohio. This year’s featured speakers include Life University’s Dr. John Downes, Dr. Perry Nicholson, Dr. Pat McLean, Dr. Eric Plasker, Dr. Terry Yochum, Dr. Robert Silverman, Dr. Jack Barnathan, Baltimore Ravens official chiropractor Dr. Doug Miller, along with an incredible line-up of celebrity guests including nine-time Mr. Olympia Lee Haney, James “Buster” Douglas, former Heavyweight Champion of the World and the man who knocked out Mike Tyson, fitness legend Monica

Continued from page 4 Brandt and of course, Arnold Schwarzenegger himself! ICA’s Landmark Lawsuits Against Major Insurance Companies Moving Forward: ICA continues to press forward on two major lawsuits against insurance carriers alleging violations of ERISA law in their conduct of post-payment review and recovery procedures. ICA’s major goal in these proceedings is to secure significant changes in insurance company procedures and establish fair and reasonable review and appeal policies. Repeal of McCarran-Ferguson Act A Top Priority for ICA in 2014: Health insurance companies remain outside the anti-trust laws and are thus able to engage in the kind of predatory and discriminatory behavior, collusion and price-fixing activities that would land any other industry in serious federal trouble. The repeal of the MacCarran-Fergusion Act, passed in 1946 giving the “business of insurance” an exemption from federal anti-trust laws, needs to be aggressively pursued. The repeal of the MacCarran-Fergusion Act, passed in 1946 giving the “business of insurance” an exemption from federal anti-trust laws, needs to be aggressively pursued and will be one of ICA’s top federal policy priorities in 2014 and beyond. ICA is in discussions with Members of Congress from both Houses on this key objective.

Ariya Family Chiropractic Center Rallies Patients, Together Donating

More than $6,000 to Community

Dr. Minesh Patel and Dr. Nisha Saggar, both VCA Members, are pleased to announce that their

recent funding efforts were a big success. They were able to contribute more than $6,000 to local charitable organizations. The money was raised by offering patients of their three practices the opportunity to receive free adjustments, but make a donation to a local charitable organization. Patients of their Richmond office contributed more than $800 to Safe Harbor, a local organization with a mission to empower survivors of sexual and domestic violence to transform their lives and promote healthy relationships for all. Ariya matched the $800. The donation was especially remarkable given that the office had been open for less than one month when the fund-raising event occurred in December. Combined, the Petersburg and Colonial Heights practices contributed $5,000 for The Fort Lee Holiday Helper Association. Ariya patients raised $3,200 for the charitable organization, exceeding the 2012 gift. Since 2000 the military and civilian communities around Fort Lee, Virginia have banded together to ensure that the children of local service members have holiday gifts.

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*Based on the claims data of NCMIC and its family of malpractice insurance companies since inception. We Take Care of Our Own is a registered service mark of NCMIC Group, Inc. and NCMIC Risk Retention Group, Inc.

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Comprehensive Compliance Workshop

Saturday, April 12, 8:30 a.m.-5:00 p.m.Sunday, April 13, 8:30 a.m.-12:30 p.m.

Front Royal, Virginia(1 hour from Fairfax, 1 1/2 hours from Fredericksburg, 2 1/2 hours from

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Learn how to make your chiropractic office compliant -- and keep it that way. After this intensive 1.5 day program, you will leave with a comprehensive binder, customizable forms on CD, and a greater understanding of these vital issues. This powerful workshop is packed with the references you need NOW, with hundreds of pages of step-by-step insights. The weekend will provide your practice with the fastest, easiest way to begin a formal compliance plan. You’ll leave feeling ready to implement the policies and procedures into your office. For more information or to register, visit www.virginiachiropractic.org or call 540-932-3100. Space is limited to 16 offices, so register now.

We CARE about your compliance needsso you can CARE for your patients!

Dr. Bob Pinto of Williamsburg and Dr. Jeremy Busch of Front Royal

travelled to Las Vegas last month to help launch the Athletic TIPS™ certification seminar. The doctors’ participation in this inaugural event was sponsored by the VCA. They were selected by the VCA Board of Directors for their interest and experience in sports chiropractic. “TIPS”, the acronym for Towards Injury Prevention in Sports, is a program driven by the need to raise awareness and ensure the protection and safety of youth participants in sports, especially those sports that put players at risk for collisions and traumatic brain injury. Modules include Concussion, Dehydration, Sports Nutrition and Sports Injury Prevention. VCA’s Dr. Jay Greenstein has been a key player in development of this program, along with Dr. Alan Sokoloff (team chiropractor for the Baltimore Ravens) and Dr. Spencer Baron (team chiropractor for the Miami Dolphins) -- aka “The Three Amigos.” Athletic TIPS™ seminars are training DCs on how to conduct community workshops on a variety of topics in their local community. Over 60 doctors from all over the country attended the eight-hour program. Those who attended are now required to complete several minor next steps in order to receive official certification and approval to schedule community workshops for athletic trainers, parents, coaches and others. Athletic TIPS™ will supports its certified

VCA Members Participate in Athletic TIPS™ Inaugural Seminar

trainers in all aspects related to the conduction of community workshops and in networking with local sports-related organizations. At the recent VCA strategic planning meeting in Richmond, the Public Relations break-out group named support of the TIPs program an important priority for the coming year. For more information about this exciting program, contact Lauren Kennedy at lkennedy@cpronline.com. Dr. Jeremy Busch at TIPs Training

Dr. Bob Pinto (left) and Dr. Jay Greenstein (right) at TIPs Training

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Member PerspectivesHerded Toward Extinction?

By Richard JT LaBarbera, DC

Maybe you’ll think I’m crazy. Maybe I’m the only one who feels this way. Maybe it’s mindless paranoia, but

it’s the way at least one chiropractor feels. When sheep are herded, they don’t know where they’re going or what they’re headed for. They may think they are headed for greener pastures. The herders may have a different idea. The sheep fail to understand the herders’ motives. PQRS, ICD-10, EHR/ Meaningful use are all based strictly and unequivocally upon a medical model of health care. They force us to identify, “diagnose”, “treat” and report on pathology, disease, sickness, or infirmity -- which have very little to do with the chiropractic model of helping people to get well and stay well; of being pro-active rather that reactive; of assisting rather than “treating”. The velvet trap has been laid for us to become absorbed, integrated and trapped into being reporters and “treaters” answerable to and part of the medical empire. . . Pawns on the path to a continuation of the type of care that has earned the dubious accolade of ranking 46th in the world in health care effectiveness. We will become their little helpers. They’ll throw us some crumbs at below-market wages and tell us to be happy with it. What a deal. Trading our identity to become part of their “team”. Is this what our forefathers went to jail for? We’re being herded toward a loss of identity; toward extinction. Here are some examples of diagnostic codes that I found in the ICD-10 Manual for Chiropractic: • Non-venomous insect bite of the left ear, • Injury of the left carotid artery,• Oculomandibular Dysostosis,• Malignant Necrotizing Syndrome,• Sub acute Necrotizing Myelitis,• Spondyloepiphyseal Dysplasia. Chiropractic Codes? I know what the voice in your head is saying, “But what choice do we have?” What would happen if 50,000 chiropractors stood up and said “No. We’re not going to submit ourselves to the egregious and pejorative downgrading of our mission. We refuse to be a part of the counter productive perpetuation of this type of care.” To quote George Bernard Shaw, ‘Most people see things as they are and ask “WHY”. I see things as they could be and ask “why not”?’ The government and insurance companies would have to establish a framework of care and reporting that reflects our profession’s uniqueness and value... Care that incentivizes improved functional ability, wellness and a better quality of life... One that demonstrates and documents the difference between merely existing and living a full and active life... One that follows the road that the founding fathers of our profession hoped, dreamed and mapped for us to follow. What if we all demanded nothing less? What would happen? Would they take away our license? Would they fire us? They’ve all but fired us already. Would they refuse to reimburse us? Good. They’re doing that now.

Then we’d have to do three things:1. Educate our patients to the value of our service.2. Ask them to pay for it.3. Tell the insurance companies to (put it nicely) go their

own way. This would result in:1. A vastly improved standard of health care.2. Vindication for our profession.3. A better quality of life for our citizens. To quote Kalil Gibran “The lust for comfort murders the passion of the soul and walks grinning at the funeral.”

Dr. Richard LaBarbera practices in Rocky Mount. He has been licensed in Virginia since 1986 and graduated from Palmer Chiropractic College in Davenport, Iowa.

“Monday Miracles”From Recent VCAdoctalk Posts

Last week I saw a lady for her second appointment.I chatted about the first visit and how she did with the adjustment. She mentioned that after the adjustment

something changed inside of her (better nerve flow, etc.) and she stopped smoking!! A smoker for 15 years.

She hadn’t desired a cigarette since the adjustment!!Will Sonak, DC

New personal injury patient presents complaining that his doctor and his insurance company are making him feel like he is going in circles. He explains, “...so I called the other guy’s insurance, and they said, “The only way to

find out for sure what’s going on with your backis to see a Chiropractor.”

David B. Dolberg, DC

Patient had been coming to see me for 3 years.She has had neck pain. Talking to her last week, we

were chatting about chiropractic and her experiences at my office. She mentioned she now has a regular period (normalizing the body). Yes, regular periods are healthy.

What is even more amazing is that she had one ovary removed about a year ago!!

Will Sonak, DC

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Welcome, New Members!

The following individuals have joined the Unified VCA since the preceding issue was published.

Adamyk, Katie EMERSON ECOLOGICS Manchester, NHPhone: 603-656-9778Allied Supplier: Distributor of nutritional supplements, vitamins + natural products

Connelly, DC, Thomas Friendship Heights Chiropractic Washington, DC Phone: 202-362-0900fhcchiro@verizon.net Out of State DC: AK, Cold Laser, Diversified, Thompson, Extremity Adjusting, FD Cox, Logan Basic, Low/Non Force Techniques, Motion Palpation, SOT

Conry, DC, Cassandra Schumacher Family Chiropractic

Bristol, TNPhone: 423-968-3311casconrydc@gmail.com Out of State DC: Diversified, Thompson, Extremity Adjusting, Gonstead, Activator, Palmer Package, Toggle, WebsterReferred by Dr. Steven Schumacher

Funicello, DC, Jayson Accident & Injury Chiropractic Ctr Forest, VAPhone: 434-385-6333aicc@funicello.net Fourth Year or More DC:Decompression, Diversified, Thompson & Other Drop, Extremity Adjusting, FD Cox, Full Spine, Gonstead, Activator, Logan Basic, Motion Palpation, Myofascial Release, Soft Tissue

Hill, DC, Isaac Hill Chiropractic Clinic Danville, VAPhone: 434-797-4455First Year DC: Full Spine, ActivatorReferred by Dr. Mathew Hill

Holland, DC, Lisa Ariya Family Chiropractic Ctr Glen Allen, VAPhone: 804-270-5700Fourth Year or More DC: GonsteadReferred by Dr. Minesh Patel

Ioven, DC, Robert Ocean Lightforce Chiropractic Virginia Beach, VAPhone: 757-425-1421First Year DC: Cold Laser, Diversified, Thompson, Gonstead, Activator,

Kinesiotaping, Low/Non Force Techniques, SOT, Webster

Keene, DC, Jeremy Tuck Clinic - Bedford Bedford, VAPhone: 540-586-1105jakeene@tuckclinic.com First Year DC: Diversified, Thompson, Extremity Adjusting, FD Cox, Full Spine, Activator, Kinesiotaping, Palmer PackageReferred by Dr. AJ LaBarbera

Lemon, Jr, DC, John Family Chiropractic of Saluda Saluda, VAPhone: 804758-1800Fourth Year or More DC: Diversified, Gonstead

Continued on page 13

12

Robert BowieSociety

($1000+)Dr. Jeremy BuschDr. Chris DeGrawDr. David Dolberg

Dr. Joe Foley & Dr. DianeDeReu-Foley

Dr. Christopher FreyDr. Noah Malavolti

Dr. Bibhu MisraDr. Mathias Pastore

Dr. Minesh Patel & Dr. Nisha Saggar-Patel

Dr. Brad RobinsonDr. Burt Rubin

Dr. Matthew SchrierDr. Samuel Spillman

Dr. Ray TuckVCA Auxiliary

Dr. Kevin WalshDr. William WardDr. Adam Wilding

X-ray film recycling project viaDr. Chris Bruno

Gold

($600 to $999)Dr. Jeff Bowers

Dr. Philip ConnollyDr. Gary Dennis

Dr. Elliot EisenbergDr. Sandy Elbaum & Dr. Adam

ElbaumDr. Jay GreensteinDr. Michael Haas

Dr. Richard LaBarberaDr. Linda Larsen

Dr. Keith SchrefflerDr. Melanie Six

Dr. Steven TraubenDr. Kevin WestbyDr. Tom Wetzen

Silver

($400-$599)Dr. Doug Cox

Dr. Janice Piedmont DunlapDr. Kell FleshoodDr. Renata KowalDr. A.J. LaBarberaDr. Susan Martin

Dr. Cory McKinleyDr. Wade Quinn

Dr. Michelle RoseDr. Jonathan Solomon

Dr. Susan Sweeten

Virginia Chiropractic Political Action Committee

FINAL2013 Contributors

Based on Monies ReceivedAs of 12/31/13

(2014 ContributorsWill Appear in Spring Issue)

The Future of Chiropractic Starts TODAYI want to advance and defend my profession by contributing to VA-CPAC, which worksdiligently to support Pro-chiropractic candidates in the State of Virginia.

I wish to contribute $________ Monthly until further notice OR $_________ One Time(Every contribution is personal. As a reference point, the minimum suggested donation is $70 per month.)

Name:___________________________________________________ Signature: ________________________________________

Personal Credit Card Payment Info for Monthly OR One-Time Contributions (as specified above): _____Visa or _____MC

Account #:_________________________________________________________________ Exp Date:_________________ Auth Code on Back:_____________

Billing Street:______________________________________________________ City:____________________________________ State:____ Zip:___________

Personal Check Payment Info (1-Time Contributions): Check #:__________ Name on Check:_________________________________________

Street Address:____________________________________________________ City:_____________________________________ State:____ Zip:___________

Date:___________________________ Mail to VA-CPAC, PO Box 15, Afton, VA 22920 or Fax to 540-932-3101.

Emerald

($200 to $399)Dr. Scott BanksDr. Eric CarlsenDr. Paul Cronk

Dr. Louis FernandezDr. Wayne Fusco

Dr. Robert HedgepathDr. Valerie HoffmanDr. Darlene Holland

Dr. Bob LeibDr. Jeffrey martinDr. Kat Mayes &

Dr. Tess GrafDr. Meredith OudtDr. William Sonak

Dr. Garrett ThompsonDr. Robert Thoma

Dr. Michael Vanella

Bronze

(Up to $199)Dr. William Todd Fisher

Dr. Mark GutekunstDr. Elizabeth Koch

Dr. Lee MatthisDr. Michael Pankow

Dr. Paul TempleDr. William ThesierDr. Steve VeGodskyDr. Gregory Walter

13

Ortega, Mia Stratford, CT Student: ART, Graston, Kinesiotaping

Ryan, DC, James Health & Balance Chiropractic Clinic Lexington, VA Phone: 540-463-2462healthandbalancechiro@gmail.com First Year DC: DiversifiedReferred by Dr. Randy Short

Santjer, DC, Suzanne Chesapeake Natural Pain Management & Chiropractic Chesapeake, VA Phone: 757-650-9750ssantjer@cox.net First Year DC: Cranial Sacral, Diversified, Extremity Adjusting, FD Cox, Activator, Low/Non Force Techniques, Motion Palpation, Soft Tissue

Shaghaghi, DC, Yasaman Family & Sports Chiropractic Falls Church, VAPhone: 703-560-4730First Year DCReferred by Dr. Tom Wetzen

Skinner, DC, Sean Tuck Chiropractic Clinic Roanoke, VAPhone: 549-563-0334sskinner@tuckclinic.com Fourth Year or More DC: DiversifiedReferred by Dr. Ray Tuck

Whitenack, DC, Daniel Norview Family Chiropratic Norfolk, VAPhone: 757-855-1099dr.dan@norviewchiro.com Fourth Year or More DC: ART, Brimhall, CBP, Diversified, Extremity Adjusting, Impulse, Motion Palpation, Myofascial Release, Soft Tissue, Webster

VCA Launches Dry Needling Forum

The Unified VCA has established a Dry Needling Forum for doctors who are interested in dry needling and those who already perform the procedure. The purpose of the forum is to share information with one another about patient experiences, treatment outcomes, education and certification, coding and reimbursement issues with insurance companies, and anything generally pertaining to dry needling. It is also a forum for the VCA to use in keeping members updated on current dry needling issues and events. Dr. Jeremy Busch, co-chair of the Insurance Committee, who is certified in the dry needling technique, will be the forum’s moderator. Dr. Busch says, “we have at our disposal an immediate resource of a growing population of dry needling physicians in the state of Virginia. Regardless of where the individual training was obtained, we all have become interested in the dry needling benefits that our patients have become reliant upon. Our challenge is for us to learn from each other in a way that we can be an example to our fellow practitioners”. If you would like to sign up for the forum, please contact Elaine Myers, VCA Executive Secretary, at unifiedvca-elaine@comcast.net. Mrs. Myers will set you up in the Dry Needling Forum Group and provide instructions on how to access and use the forum.

Continued from page 11

Members joining after 2/6/14 will appear in next issue!

14

Classifieds

The State of EBM

By Des Spence, MDFrom An Article in the January 6, 2014 British Medical Journal

Evidence based medicine (EBM) wrong-footed the drug industry for a while in the 1990s. We could fend off the army of pharmaceutical representatives

because often their promotional material was devoid of evidence. But the drug industry came to realize that EBM was an opportunity rather than a threat. Research, especially when published in a prestigious journal, was worth more than thousands of sales representatives. Today EBM is a loaded gun at clinicians’ heads. “You better do as the evidence says,” it hisses, leaving no room for discretion or judgment. EBM is now the problem, fueling over-diagnosis and over-treatment. You see, without so called “evidence” there is no seat at the guideline table. This is the fundamental “commissioning bias,” the elephant in the room, because the drug industry controls and funds most research. So the drug industry and EBM have set about legitimizing illegitimate diagnoses and then widening drug indications, and now doctors can prescribe a pill for every ill. The billion prescriptions a year in England in 2012, up 66% in one decade, do not reflect a true increased burden of illness nor an ageing population, just poly-pharmacy -- supposedly based on evidence. The drug industry’s corporate mission is to make us all sick however well we feel. As for EBM screening programs, these are the combine harvester of wellbeing, producing bails of over-diagnosis and misery. Corruption in clinical research is sponsored by billion dollar marketing razzmatazz and promotion passed off as postgraduate education. By contrast, the disorganized protesters have but placards and a couple of felt tip pens to promote their message, and no one wants to listen to tiresome naysayers, anyway. How many people care that the research pond is polluted with fraud, sham diagnosis, short term data, poor regulation, surrogate ends, questionnaires that can’t be validated, and statistically significant but clinically irrelevant outcomes? Medical experts who should be providing oversight are on the take. Even the National Institute for Health and Care Excellence and the Cochrane Collaboration do not exclude authors with conflicts of interest, who therefore have predetermined agendas. The current incarnation of EBM is corrupted, let down by academics and regulators alike. What do we do? We must first recognize that we have a problem. Research should focus on what we don’t know. We should study the natural history of disease, research non-drug based interventions, question diagnostic criteria, tighten the definition of competing interests, and research the actual long term benefits of drugs while promoting intellectual skepticism. If we don’t tackle the flaws of EBM there will be a disaster, but I fear it will take a disaster before anyone will listen.Reference: http://www.biosyntrx.com/articles.php?id=1343

Sections:• Events• Coverage• Position Wanted• Non-DC Position Available• DC Positions Available• Practices• Products & Services• Space Available• Equipment(Updated 2/06/2014, Listings from 10/15/2014. For newer ads, visit www.virginiachiropractic.org.)

VCA DC Members may place a classified ad in The Virginia Voice

and on VCA’s website free of charge. Fee is $85 for non-member DCs and all Suppliers. Listing will remain on website for 3 months, plus appear in at least 1 issue of VCA’s newsletter and at least 1 broadcast email/fax to DCs throughout VA. Limit of 35 words may be imposed. Contact VCA office for more information.

Coverage

KEEP YOUR DOORS OPEN whether it is for vacation, maternity, unforeseen emergencies, short/long term, with Dr Patricia Boulogne. CCSP with over 29 yrs exp to do it your way. I DO HAVE YOUR BACK! Trained in all major techniques including instrument adjusting, NCMIC insured, statewide coverage, competitive rates. Call/Email 617-901-0925, drpatb@gmail.com. [2/6/14]

STATEWIDE TEMP OR PERMANENT OFFICE COVERAGE: Since 1986. Emergency, vacation, maternity, short & long term coverage. Full, half day, wkly rates. Lg selection of licd/insd DCs. Can help w/your coverage & assoc needs. Call 800-501-6111 for a free quote. Ask about our satisfaction guarantee. See our web site: www.mmachiropractors.com. [thru 3/15/14]

NEED TIME OFF, but need to keep your practice open? Dr Bob Simpson: 14 years exp, NCMIC insured, long list of references! For vacations, maternity leave, or just because. Call or email 757-813-7926 or 4dr.bobsimpson@gmail.com.

20+ YEARS EXP IN BODYWORK: Statewide Coverage available. Margaret Newton, DC, LMT. Techniques in addn to basics: Cox F/D, Webster, NMT, MFR, 678-938-5712 NCMIC ins., REFERENCES.

VACATION RELIEF SVCS: Keep your ofc open. Your practice run your way. 26 yrs exp ofc coverage. Proficient in many techniques. NCMIC insd. Statewide coverage. Refs. Reasonable rates. Call J Terry Fowler, DC at 770-597-2872 (cell), or email jtfowlerdc@yahoo.com.

NCMIC insured DC available for vaca, short/long term coverage in NoVA areas. Keep your practice open, feel secure w/your patients in my hands. Exc manual adjuster treating pts w/variety of conditions, treating each as an individual, not a #. Diversified, Cox, Graston, ART, drop table, trigger pt. Exc exp treating disc type injuries, specifically low back. Call Dr Jared Hatch at 509-432-1942 or email kulog31@hotmail.com. Look forward to helping anyway I can. [10/22/13]

DC Position Wanted

ASSOCIATE CHIROPRACTOR AVAILABLE: honest, hardworking, eager team player looking for open Continued on page 15

15Continued on page 15

Time Is Money:Your Money!!!

After 120 days, you have less than a one-in-five chance of receiving payment on a debt.

That’s why the Unified VCA recommends thecollection services of I.C. System.

[ ] I’d like to learn more about I.C. System’s services and Special Benefits for Unified VCA Members

Office Name_________________________________________

Contact Name_______________________________________

Phone_____________________________________________

Fax_______________________________________________

Email______________________________________________

FAX THIS FORM TO 800-279-8229or

MAIL TO I.C. System, Assn. Relations,POB 64639, St. Paul, MN 55164

Another Unified VCA Member Benefit Program!

position in NoVa area. VA licensed, Graston trained, excellent communicator and adjuster. Email Dr Hatch at kulog31@hotmail.com for CV/more info. [10/22/13]

Non-DC Position Available

MT: Expanding sports med/functional rehab clinic. Must be comfortable working w/physicians in a team environment. Excellent massage & communication skills a must. Adjunctive training in myofascial release, sports, prenatal, & kinesiology taping nice but not required. Salary commensurate w/exp + performance system. Addl benefits include health ins, IRA, & vacation time. Email resume to performancesportandspine@gmail.com. [11/4/13]

DC Position Available

ASSOCIATE: Wash, DC. Seeking ethical, healthy, energetic, diversified practitioner. Learn from a 25 year Chiropractor how to run a successful high vol practice committed to wellness. We treat all ages. Desirable, uptown neighborhood; pleasant working environment; proficient, dynamic CAs. Competitive base salary, fair bonus structure. Provisional license available, future ownership possible. Visit www.friendlydoc.com.Email cover letter & CV to tconnellydc@gmail.com

Unique opportunity for lic’d DC to share in 20-yr holistic practice (Chiropractic, Acupuncture, MT) w/a get-well/stay-well approach. In 1 of the fastest growing areas betw DC & Richmond. Must be intrinsically motivated to succeed. Ownership potential for right person. Bring your skills & positive energy. Pls email CV/resume to FBGWELLNESS@verizon.net.

ALEXANDRIA. Looking for a dynamic Associate DC to join our team of professionals in busy inte-grated health care clinic. Must

be highly motivated, energetic, patient centered, self-starter. Full office staff & asst to help with patient care, credentialing & billing. Prefer full-time but will consider part-time. Pls check us out at http://www.skylinewellnesscenter.com/. Compensation based on exp, including full benefits. Immediate start date. Email info@skylinewellnesscenter.com.

WANTED: FT Assoc Dr. VERY busy holistic center. Nutrition, Acupress, adv exercise strategies for health/weight loss. Will train. Growth potential. www.DrBerg.com. Email roxanac@drberg.com or call 703-354-7336. [9/26/13]

GREAT OPPORTUNITY for philosophy-based, hard-working DC. Take over busy Va Bch clinic. Call Dr Tom at 757-404-7643.

PARTNERSHIP/ASSOCIATE-SHIP or SALE: NoVa. Perfect opportunity for young doc to be mentored as partner/associate with purchase option. Located in busy suburb, beautiful office w/fantastic staff & low OH. Opportunity for right dr who is motivated to practice the art & science of chiropractic. For more info: drohara@spinesportrehab.com. [1/23/14]

EXPANDING multi-discipline Arlington clinic seeking EXCELLENT, energetic, pas-sionate, skilled adjuster w/amazing people skills! Also PT & MT, but your sole responsibility will be chiropractic. Must be exceptionally skilled at full-spine & diversified. Post-op rehab, Graston, & ART a +. Exp not necessary; Va license reqd. We teach how to be successful. Just bring optimism/motivation! Base pay &/or %. Send ltr & CV to carolinecnova@gmail.com.

Associate: Actively seeking exceptional associate to join our growing wellness practice in Roanoke! Recently expanded to almost 13,000 sq ft facility & offer personal training, group exercise

& a day spa. Looking for someone who matches our values: fun, passion for chiropractic & health, inspiring, teamwork, responsibility, accountability, trustworthiness. Base salary w/bonus, IRA, health & life insurance, short/long-term disability. Pls send CV to drwalker@balanceroanoke.com.

ASSOCIATE NEEDED for busy chiropractic practice in Chester. We see lots of families & kids. Must have SPIZZ. Pls send resume to bacdoc1@gmail.com. [12/6/13]

MIDLOTHIAN: Associate/IC/Partner. Seeking FT DC to share demands of a 17 yr old Chiropractic,

massage, laser, decompression & nutrition practice. M/W/F 1-5pm, T/Th 9am-1pm.Compensation is 50/50 after expenses. We handle all admin/mktg. Expect 4k/mo for 20 pts day, 8k/mo for 40 day. Pls send resume to steelerooney@gmail.com. [12/6/13]

BUSY MULTI-CLINIC personal injury practice seeking academic DC to assist in treating patients & publish Chiropractic articles (Norfolk office). Pls fax CV to 757-623-1522. [11/20/13]

ASSOCIATE POSITION Full-time or Part-time available in

Contnued from page 14

Continued on page 16

16

Woodbridge. Rehab based chiropractic office utilizing primarily diversified technique, ART, Graston & rehab exercises. Interest in sports med & exercise a +. Our office will provide newer docs the environment for learning/growth & for the exp’d doc a place to thrive. Future partnership opportunities available. Pls send all CVs to wssrehab@yahoo.com.

VA BCH: Lg, multi-dr practice incorporating spinal rehab & MT looking for professional, motivated DC to join our wellness-based team. We’re focused on educating patients on principles of chiropractic, subluxation, health, wellness & prevention. Ideal candidate: strong chiropractic philosophical base, desire to educate, high energy level, intrinsically motivated to succeed. Great salary, bonuses & benefits. Pls send CV + COVER LETTER & PIC to Frank Lombardozzi: frank@kempsvillechiro.com. Visit www.KempsvilleChiro.com. [11/15/13]

RICHMOND: Seeking Chiropractic Physician w/strong ethics & chiro purpose to join our growing practice. Successful candidate: superior adjusting skills, clear comm skills, good sense of humor, ability to work w/a team of health professionals to improve patient outcomes. At the Advanced Wellness Ctr, we offer chiropractic, PT, massage, acupuncture, clinical hypnosis, exercise training & nutritional counseling. Pls send CV/resume to awc.resumes2@gmail.com. Come join our team of pros & make a difference!

VA BEACH. Associate needed for a sports med/chiropractic clinic located inside 35k sq ft fitness facility. Looking for a motivated dr w/a strong work ethic & a fitness background. Interest in rehab a must. Salary & bonus incentives. 3+ yrs working in a clinical setting preferred, but willing to train right individual. VA license required. Contact via email (drjoemarcil@yahoo.com) or fax resume/CV to

757-471-4464. {11/13/13]

ASSOCIATE NEEDED for 30 yr strong philosophy & principled practice in South Hill, a small town of 5000 friendly people. 4.5 days/week w/half day Friday. Competitive salary w/bonus & many fringe benefits incl VCA & malpractice dues, vacation & sick days. We use multiple techniques & ChiroTouch EHR. To experience a great day at work & learn from 30 yrs of exp, call 434-447-7860 or email nfleshood@earthlink.net.

ASSOCIATE: Expanding sports med/functional rehab clinic. Adjunctive training in myofascial release, acupuncture, nutrition, dry needling, & functional taping nice but not required. Salary commensurate w/exp + performance system. Addl benefits include health ins, CEU reimb, IRA, vacation time. Ownership opp encouraged. Email CV to performancesportandspine@gmail.com. [11/4/13]

Ariya Family Chiropractic expanding in Richmond area. Seeking existing drs or associates to partner with who wish to let go of mgmt & billing & simply treat patients. Currently 3 locations (Colonial Heights, Petersburg, Innsbrook). Rewarding incentive program, 401k, profit sharing, pd conventions, VCA membership, 1st yr malpractice. Diversified, Gonstead, Activator, Drop, F/D, decompression, SOT, passive PT. For more info call 804-761-6468 or email ariyachiropractic@yahoo.com. All conversations will remain confidential. [11/4/13]

Commission-based Associate for busy Fairfax office off of Arlington Blvd (Rt. 50). Enjoy a positive, warm, & rewarding work environment dedicated to holistic therapies. Ideal candidate must be energetic, & have a strong chiropractic philosophy w/the desire to educate patients about wellness. Fax or send resume to www.oc-rc.com fax 703-573-2552.

Continued from page 15 Super Pulsed Laser: Safe, Effective Option to Address High Prevalence of Musculoskeletal Disorders in Virginia

By Max Kanarsky, Multi Radiance Medical

The chiropractic profession, which is expected to grow 28 percent by 2020, will play a critical role

in addressing the health conditions of the aging Baby Boomer generation. Significantly, the majority of people 75 and older develop some form of musculoskeletal disorder. While most of these disorders are not devastatingly disabling, they are the cause of more mobility disorders than any other disorder. In particular, arthritis is common and affects at least one in five adults in every state. According to the state-level Behavioral Risk Factor Surveillance System’s latest findings, prevalence estimates by gender found women reporting a higher prevalence of arthritis than men in every state. In Virginia, the prevalence of arthritis is above the national average, affecting: • 26 percent of adults (29 percent women/23 percent

men)• 54 percent of adults over 65 • 68 percent of overweight/obese adults• 18 percent of physically inactive adults

The percentage of adults in Virginia with arthritis is projected to reach 50 percent by 2030. The most recent stats show that 22.5 percent of adults in Virginia reported doing no physical activity or exercise (such as running, calisthenics, golf, gardening or walking) other than their regular job, and 27.4 percent are obese.

Laser Treatment: An Advanced Tool

As the care of acute and chronic pain syndromes for older Americans increases and grows more complex, chiropractors will need a tool designed to eliminate self-perpetuating cycles of swelling and muscle spasms. Laser treatments represent the latest advanced technology for addressing these issues, with research continuing to show that combining laser treatment with manual manipulation is most advantageous. Super pulsed lasers, in particular, are superior to ultrasound, shockwave therapy and other modalities for reducing muscle stiffness and pain. They also improve poor blood flow associated with degenerative disorders like spinal stenosis. While super pulsed lasers offer more power and higher energy density than most lasers, they are not all about the power. More is not always better in therapy. Just like in chiropractic, the force applied during manipulation is less important than the mechanism delivering the energy. Super pulsing offers the most optimal high density of energy, depth of penetration and safety. What’s more, laser treatment is a natural solution to pain relief, and provides a drug-free, non-invasive approach – with no side effects. Utilizing the best units on the market, the treatments can:Continued on page 17 Continued on page 17

17

• last approximately five minutes, with benefits often felt after only three to five sessions

• produce significant outcomes by reducing pain and muscle stiffness

• provide a hands-free treatment option – with the addition of unattended treatment armatures

• be delegated to an assistant or therapist (based on scope of practice and state regulations) without concern about the buildup of thermal effect or burns

• become a significant source of revenue growth Chiropractors do double duty as clinical professionals and small business owners. Therefore, every tool must be both effective and economical. Given its effectiveness and appeal among patients as an adjunct to their physical treatment program, laser treatment costs can be easily recouped, often within a few months of use.

Optimizing Clinical Results

Maximizing laser light to relieve certain disease symptoms has been the subject of research from NASA to European scientists for many years, yielding advances and critical improvements in the technology. When a laser-light beam is super pulsed, it delivers intense concentration of photons to cells without damaging thermal effects, which increases its therapeutic value. In comparison, continuous wave or pulse lasers are limited in their ability to deliver high power due to the increase in heat-related tissue damage that accompanies a higher power output. Super pulsing of the beam breaks through the thermal barrier and is able to deliver laser power in tens of thousands of milliwatts with no damaging thermal effects to the tissue. Super pulsing lasers deliver up to 2,000 times the peak power of continuous wave lasers and up to 1,000 times the peak power of pulse lasers without any related damaging thermal effects. Increasing peak power maximizes the photon density and improves depth of penetration – reducing treatment time, and optimizing clinical results and efficiency. To learn how to choose the right laser and become a laser treatment clinic to relieve pain and improve profits, see the Spring issue of The Virginia Voice!

Dr. Kanarsky is President and CEO of Multi Radiance Laser, a VCA Supporting Supplier Member.

ASSOCIATE needed in Wood-bridge. Pls email your resume to virginiafamilych@aol.com.

New York Chiropractic College is seeking a Clinical Research Faculty. For more detailed info visit our website at: http://www.nycc.edu/AboutNYCC_employmentOpportunities.htm. To apply pls submit a cover

Continued from page 16

Continued from page 16 letter, resume, & 3 professional references to: The Office of Human Resources, 2360 State Route 89, Seneca Falls, NY 13148 or email materials to cquill@nycc.edu NYCC is an EOE. [10/21/13]

NEWPORT NEWS: Seeking DC associate/IC for our Newport News location. Full & part time position available. Must be well-versed in rehab & sports therapy. Pls

forward resume to drwright@wrightspine.com. [10/15/13]

ASSOCIATE WANTED: Seek-ing seasoned or new DC w/good manual adjusting techniques for an immediate position in Lanham, MD. You will be joining the Effective Chiropractic team of drs located in Millersville, MD, who will be training you to run the PG County office within a month. Competitive base salary w/easy to achieve bonus system. Benefits can include insurance & 401K after 90 days. Housing available in PG County if relocation needed. Call Dr Hardnett at 410-562-5858 after you send resume/CV to dochardnett@comcast.net.

SPORT AND SPINE REHAB, a rapidly growing Chiro, PT & Rehab co is looking for highly skilled, ethical DCs w/exc clinical, interpersonal & comm skills. Competitive salary, bonus structure, benefits plan inclusive of health, dental, life, long term disability insurance as well as cont ed benefit, 401K match, ownership plan, more. For more info, pls contact Dr Jay Greenstein at drjay@ssrehab.com.

Practices

PARTNERSHIP/ASSOCIATE-SHIP OR SALE: NoVa. Perfect opportunity for young Doc to be mentored as partner/associate with purchase option. Located in busy suburb, beautiful office w/fantastic staff & low OH. Opportunity for right dr who is motivated to practice the art & science of chiropractic. Email drohara@spinesportrehab.com.

Manassas: $125,000 OBO. Chiropractic & sports med office. Excellent payor mix: Approx 20% cash, 60% insurance, 15% PI, 5% Medicare. Very low OH, avg office visit collected over past 12 mos was $89. Two MTs on site. Dr retiring due to health issues, will stay on for smooth transition. Some owner financing. For more info contact Dr Tom Morgan:

VolumeDC@aol.com, 770-748-6084, www.volumepractice.com.

PRACTICE FOR SALE in SE Va, betw Richmond & Beach. Logan grad ready to retire, seeking wonderful dr to take reins. Very solid & successful practice with updated decor, EMR, the works. Located in affluent, family-friendly area... w/out hassles of big city. Beautiful facilities, solid patient base, great rep, energetic & well-trained staff. Turn-key, system-driven operation ensures success & smooth transition. Annual collections $400K. Diversified, COX, F&D, soft tissue techniques, acupuncture, some Activator, rehab. Ideal opp for dedicated & enterprising dr. Video at http://youtu.be/ni0a0WoO_jA. Email practiceforsale7@gmail.com.

NoVa PRACTICE FOR SALE: 36-yr family practice collecting $212,993. Dr take home pay before taxes $87,456. 2,338 total visits. Ideal location – just 2 blocks from new metro station. Practice located within Fairfax & Loudoun Counties – 2 of the wealthiest in the country. Well equipped & staffed. 60k potential patient draw. DC retiring – next DC can double #s with little effort. Pix on web. Financing OAC. Reply to Sam Reader & Assoc, 1-928-282-8434.

Continued on page 18

Mark Your Calendars!

Spring ConventionMay 2-4

At the beautiful waterfront Renaissance Portsmouth

18

Products & Services

Trusted VoiceTM ON-HOLD SYSTEM turns your “hold” button into an effective, efficient practice-building system. Radio/TV voiceovers, chiropractic radio, patient ed CDs also available. VCA endorsed. 10% VCA MEMBER discount! Call 877-55VOICE or visit www.trustedvoice.com.

DISABILITY INSURANCE: VCAmembers are eligible for discounts. Let us shop the top carriers & bring you the best rate. VCA-endorsed. Call Dana at 804-897-9040 or email dmharrison@comcast.net.

Space Available

OFFICE SPACE AVAILABLE in Herndon/Reston area opposite hours of owner. Willing to train on software/office procedures. Have your own practice without start-up expenses. Contact drlisa22003@yahoo.com [1/21/14]

OFFICE SPACE to share. Southern Loudoun County space available for an ambitious dr to start a practice without the upfront & continuing expenses. Fully equipped space ready for you to move in & get started. Pls send resume/CV to srspinetherapy@comcast.net. [12/6/13]

Equipment

SAVE YOUR BACK!!! No more need to lift patient w/a Zenith Hylo, 22 in hydraulic adjusting table. Teal (1 cushion w/tear); otherwise, in good working condition. Perfect for new practitioner. $1400. Located in central Va. Call 434-531-2095.

Complete Gonstead Equipment Set includes adjusting chair, pelvic bench & knee to chest table. Set gently used for a few years but is nicely upholstered & does not show much wear. Call for more info: 757-588-4000. [1/28/14]

Foot Levelers Associate Platinum Digital Foot Scanner in perfect

working condition, does not include software. $300 OBO. Call 757-588-4000 or email drconnelly11@gmail.com if interested. [1/28/14]

Quad X-ray View Box: 39’ H x 30’ W, used but still works great. Perfect for 14x17. Asking $200. Call 757-588-4000 if interested.

Universal MP500 high frequency x-ray machine: excellent condition, purchased new Oct 1994, only owner. Turnkey pkg w/machine, w/processor, new cassettes, film, caliper, film marker, hot spot light, view boxes. Takes films w/patient standing, sitting, or laying down. Inspected yearly per state law. Currently use every day. Lots of power/great for upgrading to digital. Pls email serious inqs only to dpagrp@gmail.com. [1/21/14]

X-RAY UNIT for sale! NoVa. 325 single phase Summit LX125 Collimator Mini Med Processor. Excellent Condition. $5000 FIRM. Call 540-483-1811. [1/7/14]

CLA Insight Millennium Next Gen Subluxation Station. Minimal usage. 4 EMG surface electrodes, 2 smart handles for the electrodes, digital ROM, 1 rolling thermography scanner, all cables & software installation disc. Great condition & perfect working order. Ed. patients on how their nervous system is functioning! Great deal for anyone needing a 1st or 2nd machine for screenings. $1999. Call Theresa, 703-354-2225. [12/17/13]

4 pcs Progressive resistance equipment: white metal w/teal naugahyde; neck, LB, torso rotation, back ext; $2000 ea, practically brand new. Pediatric Ponee table $800. Pics available. Call Suzanne A Coffey, DC, APCM at 434-825-4360. [12/17/13]

FOOT LEVELERS Tri-flex rehab w/all the associated accessories including framed posters for exercises. Low tech rehab that does not take up valuable office space. $300. Pls call 703-683-7771 for all inquiries. [12/10/13]

X-Ray System with processor, Chiro benches. Total office liquidation. Located in Newport News. Call for more info. 757-897-3078. [11/25/13]

CHIROPRACTIC ADJUSTING TABLE. Cox 8 Thoracic drop & straps, Color: blue/white. Purchased 7/22/13, like new. $16,700 delivered; $15,200 if picked up. Located in Va Bch. Contact Michael at 757-496-3229 or 757-621-6910, email alpinehealth1@cox.net. [11/8/13]

Chattanooga Laser with cart reduced to $1800, waiting room chairs & 3 office chairs need some TLC but great chairs (8 total) $15 each or all for $80. Wired myovision thermo & SEMG. Make me an offer. gblabey@gmail.com.

INTERSEGMENTAL TRACTION TABLE for sale. Hunter green. US

Continued from page 17

Table model ASH-7000. Excellent condition. $795 (compare @ $2149 new). Contact pchiro@performancechiropractic.com.

Summit Industries DC 325 X-ray unit (Model LX125), manufactured Oct 1995. Hope Micromax automatic processor (purchased new March 2010). $4999 for both OBO. Contact msdafc@embarqmail.com. [10/17/13]

“CHIROPRACTOR” lighted sign: 14-1/4” x 9’0”, depth 5”. White & green. Pics available upon request. Asking $800. Contact Gina @757-223-5444 or ghangey@wrightspine.com. [10/15/13]

CHIROPRACTIC TABLES, ELECTRO THERAPY, ULTRA-SOUND, X-RAY, IST: New, used & reconditioned. HF Hill & Assoc, visit www.UsedChiroEquip.com, call 800-434-4551.

Dr. George McClelland Appointed to Patient Quality & Safety Committees

George B. “Mac” McClelland, DC, and Christine Goertz, DC, PhD were recently appointed by the

American Medical Association (AMA)-convened Physician Consortium for Performance Improvement® (PCPI®) to serve on two newly assembled committees designed to advance patient quality of care and safety.• Dr. McClelland will serve on the Quality Improvement

Advisory Committee (QIAC). Dr. McClelland is past ACA Chairman of the Board of Governors, past VCA President, recipient of VCA’s Chiropractor of the Year and Lifetime Achievement awards, and current VCA Member.

• Dr. Goertz, vice chancellor for research and health policy at Palmer College of Chiropractic and ACA research consultant, will serve on the Measure Advisory Committee (MAC), which will advise the PCPI Executive Committee on matters related to performance measures and support activities related to the PCPI measure d e v e l o p m e n t methodologies.

Thanks for your service!

19

The Virginia VoiceWinter, 2013-2014

The Virginia Voice is the quarterly newsletter of the Virginia Chiropractic Association, PO Box 15, Afton, VA 22920, www.virginiachiropractic.org.

Staff: Julie K. Connolly, Exe-cutive Director.

Editorial Committee: Thomas J. Wetzen, DC, President; Scott Banks, DC, MS; Meredith Oudt, DC.

Advertising: Call 540-932-3100 or e-mail vcacentral@hughes.net.

Subscriptions: A subscrip-tion to The Virginia Voice is a benefit of membership. Back issues are archived for members on the association’s website.

Editorial Policy: Articles published in The Virginia Voice are screened by the Editorial Committee. However, neither the VCA nor its officers or staff investigate, endorse, or approve any statements of fact or opinion, which are solely the responsibility of the authors/sources of information. They are published on the authority of the writer(s) over whose name they appear and are not to be regarded as expressing the views of the VCA. Articles accepted for publication are subject to editing.

Advertising Policy: Accep-tance and publication of an ad in The Virginia Voice does not imply endorsement or approval of the company, product, or service. It is recommended that readers use due diligence and/or consult with their state chiropractic licensing board for further information on the use of advertised products or services.

Calendar of EventsFor details or to register, visit www.virginiachiropractic.org

Thurs., February 20The ABN FormWebinar

Thurs., February 20Chiropractic & Traumatic Brain InjuryBy Benettt & Zydron, PC &Kevin D. Sharp, DCDinner PresentationVirginia Beach, VA

FROM VCA:Sat., February 22Medicare Made Simpleby Susan McClellandFredericksburg, VA

FROM VCA:Sun., February 23Coding Made Clearby Susan McClellandFredericksburg, VA

FROM VCA:Sat. & Sun., February 22-23Attend BOTH Medicare & Coding and save!

Sat. & Sun., February 22-23Sat. & Sun., April 5-6Dry Needling Techniqueby David B. Fishkin, DCRockville, MD

Tues., March 4ICD-10: How to Make the Transition Part I & Part II

Webinar from ChiroHealth USA

Sat., March 8-9Laser Therapy & SRA DiagnosticsFrom USA Laser Biotech & SRA DiagnosticsFairfax, VA

FROM VCA:Sat. & Sun., April 12-13Compliance Workshopby CARE Medical BillingFront Royal, VA

FROM VCA:Fri. - Sun., May 2-4Spring ConventionRenaissance WaterfrontPortsmouth, VA• “The Musculo-

skeletal Connection to Gluten Sensit-tivity/Auto-immune Diseases” by Thomas O’Bryan, DC, DACBN

• “Leadership for Practice Explosion” by Jay Greenstein, DC, CCSP

• “Spanish for the Chiropractic Office” by Nelson Marquina, DC, PhD

• “Practice Strategies” by

ICD-10 TrainingOctober will be here before you know it!

VCA connects you to the training and resources you need...

June 28ICD-10 Training SeminarEvan M. Gwilliam, DCRichmond, VADr. Gwilliam is considered one of the foremost experts in transitioning to the new codesRegistration Includes ChiroCode manualSponsored by Future Health and ChiroCode InstituteMore information and registration to open soon

In the meantime:• Free webinar by Dr. Gwilliam on

March 4th.• Free Webinar Recordings

sponsored by ChiroTouch: Visit www.chirotouch.com.

• Online ICD-10 Toolkit at www.acatoday.org/ICD-10.

• Free info. on CMS’ web site, www.cms.gov.

• Manual for purchase from ChiroCode Institute. Visit www.chirocode.com or call 1-800-944-9877.

Frank Sovinsky, DC• “Management of Lumbar

Disc Derangements” by Bill Morgan, DC

• “Enjoy a Cash-Based Prac-tice Without Saying “No” to Insurance’ by Miles Bodzin, DC; Ray Foxworth, DC, MCS-P; & Kathy Mills Chang, MCS-P

• “Sports Injuries/Concussions” by Stefan Duma, PhD, Virginia Tech & Jay Greenstein, DC, CCSP

• Comprehensive CA Training by Minesh Patel, DC

• Modalities for Staff by HF Hill• Receptions, Exhibits, New

Member Lunch, More

20

IN THIS ISSUE:• Strategic Summit• ICD-10 Training• Chiropractic & Blood

Pressure• TIPs Inaugural Program• The State of EBM• Herded Towards

Extinction?• Monday Miracles• New & Premier Members• Classifieds• More

HIPAA WORKSHOPAPRIL 12-13

CALENDAR INSIDE BACK PAGE

PO Box 15Afton, VA 22920

THINKING/REMEMBERING

• Difficultythinkingclearly

• Feelingsloweddown• Difficulty

concentrating• Difficulty

rememberingnewinformation

PHYSICAL

• Headache• Nauseaorvomiting

(earlyon)• Balanceproblems• Dizziness• Fuzzyorblurryvision• Feelingtired,having

noenergy• Sensitivitytonoiseor

light

EMOTIONAL/MOOD

• Irritability• Sadness• Moreemotional• Nervousnessor

anxiety

SLEEPDISTURBANCE

• Sleepingmorethanusual

• Sleepinglessthanusual

• Troublefallingasleep

DOCTORS OF CHIROPRACTIC ARE GOOD AT RECOGNIZING SYMPTOMS OF MILD TRAUMATIC BRAIN INJURY FROM VEHICULAR COLLISIONS IN THEIR PATIENTS.

SYMPTOMS:

BENNETT AND ZYDRON, P.C. concentrates in this area of the law and has assisted numerous injured persons in

obtaining just compensation for their injuries.Please view our website at bandzlaw.com.

BENNETT AND ZYDRON, P.C.ATTORNEYS AT LAW

STATE WIDE1-800-562-4657bandzlaw.comCarltonF.Bennett

cbennett@bandzlaw.comJohnE.Zydron

jzydron@bandzlaw.com