Eupdate 23, No

VolumeeUpdate 23, No. 10 December 2013 Colorado Chiropractic Association The voice of Colorado chiropractic since 1917.

CONNECTING YOU to the Colorado chiropractic profession INSIDE this issue... Acupuncture and Chiropractic a Happy pg. 2 Clinical Relationship

Upcoming Events pg. 6

Holidays Equal Pay Mass Action Lawsuit pg. 8

Primary Disc Pain pg. 10

In warm appreciation Standing Meetings pg. 13

from our association, Staying Safe When Vacationing pg. 14 we extend our Best Wishes for a Board/Staff and DORA pg. 18

happy Holiday Season Obamacare - What Happens in 2014 pg. 20 and a New Year Membership Information pg. 26 filled with Peace, Joy and Success CC-PAC Donations pg. 28

Club CCA Vendors pg. 30 -CCA, Board and Staff- War Chest Donations pg. 31

Mission Statement

The mission of the Colorado Chiropractic Association is to protect, promote, and expand the ethical and professional practice of chiropractic in the state of Colorado. eUpdate December 2013

any other professional would want to own that particular concept is beyond me. This parallels the dental profession who is the only profession licensed to diagnosis and treat disorders of the teeth and gums. However, that does not eliminate us as acupuncture practitioners to treat TMJ, facial palsy, tic douleroux and a host of other mouth and face related conditions to include neurogenic toothache. I think the last thing most L.Ac’s are interested in doing is either Acupuncture and diagnosing and treating subluxation of the spine or diagnosing and treating tooth and gum disorders. It seems like we Chiropractic a Clinical have much more significant conditions to deal with. Doctors of Chiropractic feel the primary way to reduce a vertebral subluxation or impingement syndrome due to spinal fixation is to manually move the vertebrae through a low amplitude, high speed thrust to the vertebral segment in Relationship question. This historically produces an audible release which most refer to as a “pop” or “crack”. The adjustment is not By: John A. Amaro L.Ac., DC, FIAMA, Dipl.Ac.(NCCAOM), Dipl.Med.Ac. usually painful however the audible release is extremely disturbing to millions of potential patients who would never consider having a chiropractic adjustment because of the noise alone. Perhaps they are the same estimated 65% of the population which would never consider acupuncture because they are needle phobic. In its 110 year history, the science of Chiropractic through the adjustment of the spinal column, has achieved overwhelming, undisputed clinical response One of the most significant approaches to the successful treatment of somato viscero and musculo-tendino conditions on millions of people worldwide. Even though the chiropractic profession of the body is to utilize a historic approach from the archives of chiropractic which has produced absolutely which revolves around the correction of the vertebral subluxation (spinal magnificent clinical response. The procedure is one in which manipulation of the spinal segments can be substituted misalignments and fixations) officially had its birth in 1895, the spine has been with stimulation of the acupuncture points directly at the vertebral level to include the DU, SHU and HuaTuojiaji John A. Amaro L.Ac., DC, FIAMA, an avenue of approach for many professions over the centuries. It is a known points. This procedure has been practiced by both manipulation and reflex stimulation by DC’s for decades with Dipl.Ac.(NCCAOM), Dipl.Med.Ac. fact almost every culture and nation through history has utilized some form spectacular clinical response. It is a very quick, easy to apply and clinically significant approach which truly has of manual therapy of the spine for the correction and maintenance of health. few equals. The technique is perhaps best applied with a non-penetrating “Teishein” (pressure needle), quartz piezo Hippocrates “The Father of Medicine” is reputed to have said, “Look well to stimulator, or low level laser. If one insists on using needle stimulation it is suggested needles be used only at the Carefree, Arizona the spine for the cause of disease”. Neurologically, the vertebral column and [email protected] primary vertebrae in question (the one most fixated or sore to palpation) with the non-invasive methods to be used for the spinal nerve roots play a monumental role in human dysfunction, disease all other stimulation sites. This will allow you to treat a multitude of patients instead of only a few. The results are not and pathology. It has been shown a chiropractic evaluation of a physiologically better with a full needle approach, just more time consuming. altered patient will invariably reveal reflexes which can be traced directly back to the spine, specifically to the vertebral nerve root of the visceral involvement. There are six different reflex zones in the body which specifically control significant vertebral segments of the body. Stay tuned Any time a person has a particular health condition affecting one or more of the named reflex zones there are four I have often heard acupuncture practitioners addressing the approximately specific vertebrae which are attributed to each and every zone. Palpate each of the four vertebrae and determine which 24,000 Doctors of Chiropractic in the US who by individual State Law include of the four is the most painful on palpation. Treat the DU meridian point, the SHU point if it is present and the Hua for online clinical meridian acupuncture (not TCM) as part of their scope of practice pose Tuo point one half human inch bilateral to each of the vertebra. Please note there are many references to a point being the question, “How would the chiropractic profession like it if acupuncture located “between the spinous process” of a particular vertebrae. This means it is on the DU channel but no specific DU training dates. practitioners (L.Ac., AP) were to begin focusing their attention and treating the point is located at this point. Also note the Hua Tuo points have been extended in this graphic to include the entire spine”? Well, personally if you were to ask me, I think they would be darn fools cervical spine instead of from just T1 down to the sacrum. These reflex if they didn’t!!!!! points have been used in chiropractic procedures for over 100 years . I have specifically made reference to the acupuncture point number Just as the body’s reflex points, trigger points, Heads postulates, Ayurvedic as well as the vertebral segment as it was historically described in the COMING SOON! marma’s and Asian /European acupuncture points cannot be claimed as specific practice of chiropractic. It is imperative to stimulate all points namely ownership by any one group, nation or culture; likewise the spine does not the DU, SHU and the Hua Tuo points at each specific level. This is specifically belong to the domain of the Chiropractic or Medical profession. extremely important. Please refer to Fig A for precise location of points. Both acupuncture points and the spine because of their primordial anatomical presence, decry specific ownership. Fig. A (For full size copy of this chart contact: [email protected] ) The Chiropractic profession continues to maintain its right and guards its art, science and philosophy to be the only profession which specifically diagnosis’s Glandular Zone: The Glandular system of the body, controls any and all and treats the “vertebral subluxation” through spinal manipulative therapy or glands of the body and any diagnostic conditions related to the glands the chiropractic adjustment. This does not mean that no other licensed health to include the thyroid, adrenal, spleen, pancreas, thymus, maxillary, practitioner to include acupuncturists cannot directly treat the spine; it just sudoriferous (sweat), lymph, prostate, ovaries, uterus, appetite, energy, means not the detection and treatment of the vertebral subluxation. Why an pituitary, pineal and every other structure of the body which falls under acupuncturist, medical practitioner, physical therapist, massage therapist or the category of “glandular”. The four specific reflex acupuncture points are: GV 16 (Occiput/Atlas), DU14 C7/T1, DU13 T1/T2-BL 11), DU5 2 L1/L2-BL22, and between spinous process of L5/S1 BL26. eUpdate

Earn 100-300 hrs CE through classroom and On-Line (distance) Eliminative Zone: This zone specifically relates to the skin, bowels (large Intestine, rectum, small intestine), nasal, Fully approved and preparatory to include all distance learning modules for mucus, urinary tract (kidneys, bladder) lungs, sinuses. The four specific reflex acupuncture points are: DU 15 C1/ C2-BL10, DU 12 T3/T4-BL13, between spinous process of T12/L1 -BL21), DU4 L2/L3-BL23. the National Board of Chiropractic Examiners & ALL States. CE credit New York Chiropractic College Dept. Continuing Education Nerve Zone: This zone controls all functions of the central, peripheral and autonomic nervous system, sympathic, cerebro-spinal, ganglionic any and all neurogenic dysfunction. The four specific points are: between spinous of C3/C4 vertebrae, between spinous process of T4-T5-BL14, DU8 T9-T10-BL 18, and between spinous process of L3/L4 (BL24)

Digestive Zone: This zone regulates all matters of digestion and assimilation. The four specific points are: Between With an introduction to spinous process of C4/C5 vertebrae, between T4/T5-BL14), between spinous of T8/T9 (Weiguanxiashu), between This is the most popular Acupuncture “intramuscular dry needling” spinous of L4/L5-BL25 program in North America. “AcuPoint Physical Medicine "tm Muscular Zone: This zone does exactly what its name implies namely any and all dysfunction, affliction or symptomatology of the musculo-skeletal-ligamento-tendino system of the body. The four specific points are: Between spinous process of C5/C6, DU11 T5/T6-BL15, DU10 T6/T7-BL16 GV, DU6 T11/T12-BL20, DU3 L4/ International Academy of Medical Acupuncture L5-BL25, between spinous process of L5/S1-BL26 Gate of Origin) and the Circulatory Zone: This zone controls any and all conditions related to impaired circulation, heart, arteries, veins, Colorado Chiropractic Association lymphatics high/low blood pressure, capillaries, etc. The four specific points are: Between spinous process of C6/

presents C7, between spinous of T2/T3, DU7 T10/T11-BL19), DU5 L1/L2-BL22)

John A. Amaro DC, L.Ac., FIAMA, Dipl.Ac.(NCCAOM, Dipl.Med.Ac. Stimulate each specific point by utilizing a teishein for 20 strokes in short blasts of five. The piezo may be used with three to five plunges over each specific point. Laser is used for 12-15 seconds per point with a 635nm 5mw red laser. Gua Sha is an extremely versatile instrument which has an exceptional approach to this treatment.

If one were to study and apply the principles shared in this article, I can assure you the success cases will Special Fee International abound. This may very well be one of the most significant approaches to health one will ever be presented with. per class Academy of Unfortunately this procedure has been lost to the vast majority of DC’s however it is one in which definitely made for CCA Members chiropractic a very sought after treatment in the early days of its existence. Those acupuncturists who develop this $275. Medical procedure will be amply rewarded. Acupuncture Non Members All registrations What you will learn by simply studying the chart provided here in Fig. A will no doubt alter the way you as a $320 per class & inquiries practitioner will approach and treat illness as it reflexes back to the spine. 800-327-1113 800-327-1113 This program meets all academic requirements of the NBCE and www.IAMA.edu www.IAMA.edu individual States leading toward State Certification in Acupuncture Should you desire a full page copy of this extremely important chart in Fig A, please contact me with your 15 hrs per Classroom and On Line. request. Class Size limited ……..take advantage of this opportunity Best Wishes for many great successes utilizing this approach. Meets all DC, State, NBCE and NAET Acupuncture Requirements John A. Amaro L.Ac. Dipl.Ac.(NCCAOM), FIAMA , DC, (Level One) 105 hrs. Modules #1—#7 “Fellowship” (FIAMA) Carefree, Arizo Class #1 and #3 classroom seminar. Class #2, #4, #5, #6 and #7 Distance Learning Program Classroom #1....SEP 28-29 (Level Two) 100 hrs. Modules #8—#14 “Cyber” Distance Learning Class #2………....ON LINE Fully Approved Leading toward Diplomate “Dipl.Med.Ac.” (15 hrs per module) Classroom #3 ..OCT 19-20 Level Two individual modules may be taken during or following the Fellowship program for those doctors Class #4………....ON LINE requiring 150 or more hours or to attain Diplomate (Dipl.Med.Ac.) in the IAMA. Class #5……....ON LINE (Level Three) 120 hrs. Case Study “Diplomate” (Dipl.Med.Ac.) Class #6………...ON LINE Diplomate (Dipl.Med.Ac.) status with the International Academy of Medical Acupuncture is earned following Class #7………...ON LINE completion of Level One and Level Two in addition to the submission of 30 clinical case studies (Level 3)

4 eUpdate eUpdate 2014 Upcoming Events More Seminars Register for any of our events on-line at Listed www.coloradochiropractic.org/registration/events.cfm To take online classes (including four hours of documentation) visit Online! cca.peachnewmedia.com

Introduction to SRA Diagnostics Series Saturday-Sunday, February 1-2, 2014 Saturday-Sunday, April 12-13, 2014 Saturday-Sunday, June 7-9, 2014 Saturday-Sunday, Oct 4-5, 2014

DOT Physical LIVE Training Saturday-Sunday, February 15-16, 2014 Saturday 9:00 a.m. - 6:00 p.m. Sunday 9:00 a.m. - 1:00 p.m. Location: To Be Determined

Clinical Nutrition with - David Seaman, DC - 4 Part Series Saturday, February 15, 2014 Saturday 9:00 a.m. - 6:00 p.m. Location: Anabolic Labs Headquarters in Colorado Springs Stay tuned for registration details

X-Files Basic Training - Basic X-Ray Certification for Chiropractic Assistants. March 29-30, 2014 July 26-27, 2014 November 8-9, 2014 Colorado law requires that unlicensed personnel taking any type of x-rays (including digital) in chiropractic clinics receive at least 24 hours of training. This course provides 12 hours of training with instructions on how to complete the remaining 12 hours at your clinic.

CE Hour requirements for 2013-2015 Colorado relicensing period: 15 CE hours between November 1, 2013 and October 31, 2014 AND 15 CE hours between November 1, 2014 and October 31, 2015 Must have valid health care provider level CPR card AND at least four hours total of documentation/record keeping every two years.▲

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join the mass action and would need to collect specific, detailed information immediately. Due to the time and money involved for DCs, Sherman & Howard will be seeking to divide the stages of this potential mass action into two phases: Join the Insurance 1. LIABILITY 2. DAMAGES Equality Mass Action The LIABILITY stage will determine if the statute says what we think it does AND determine if insurance companies have broken the law by not following it. If the arbitrators Lawsuit Now say YES, then the DAMAGES stage will move forward to determine how much the insurers must pay to DCs for their failure to comply with the statute. If the arbitrators say no, then the case will be over. As you may know, the CCA and the law firm of Sherman & Howard have been investigating the possibility of a mass action To participate in the arbitration, you will need to sign a letter of engagement, provide copies arbitration against health insurance carriers who have failed of any contracts you may have with health care providers, and pay a $500 contribution to to reimburse doctors of chiropractic (DCs) at the same rate as fund the arbitration costs. Again, if the first stage is successful, the DAMAGES stage of the other medical professionals for the performance of substantially action moves forward - if it is not, then the case will be closed. If the case is closed and identical services. there are any unused funds, participating DCs would be reimbursed equally.

Many health insurers in Colorado have failed to comply with If the DAMAGES phase of the mass action does move forward, DCs will then be asked the Colorado Equal Pay Statute 10-16-104(7) by reimbursing to provide specific billing records, accounting, and other information to determine your doctors of chiropractic at a lower rate that other medical specific amount of DAMAGES from not being paid equally. There may be a significant time professions. commitment for DCs to gather this information.

Colorado doctors of chiropractic may be entitled to recover Sherman & Howard may hire outside contractors to evaluate the data, but it will be up to monetary DAMAGES from health insurers who have under- individual doctors to provide the data. In addition, DCs may be asked to contribute an reimbursed them in violation of the Colorado Equal Pay statute. additional $500 to $1,500 towards additional costs associated with the arbitration. Those DAMAGES may include the difference between the amount health insurers SHOULD have reimbursed Colorado The arbitration demand is expected to be filed prior to the end of this year or shortly after DCs and the amount health insurers ACTUALLY reimbursed the new year. When the arbitration is ready, the CCA will send out another email with links Colorado DCs. The DAMAGES could be significant in many to the necessary forms you will need to sign. cases. The CCA encourages you to take part in this action for the benefit of the chiropractic Sherman & Howard has agreed to take this case on a fee profession. For more detailed information, please click here to read CCA Insurance Chair contingency basis - however, there are many other costs Dr. Greg Crawford's in-depth article. associated with a mass action such as the cost of arbitrators, copying, filing costs, expert witnesses, and data mining services, that doctors of chiropractic will be asked to contribute to up Please contact Chris Mosley or Jamie Mulholland of Sherman & Howard LLC to get more front. information on how you can become a plaintiff in this lawsuit. Chris Mosely 303-299-8466 or [email protected] It was originally expected that each DC would pay $1,000 to Jamie Mulholland 303-299-8441 or [email protected] 8 eUpdate December 2013 eUpdate

A metabolic promoter of discogenic pain and herniation

The metabolic syndrome and diabetes are both associated with a greater Primary Disc Pain – expression of disc-related pains (4-6). When these conditions are identi- See Dr. Seaman LIVE fied in patients with disc-related pains, anti-inflammatory dietary changes in 2014 40% of all back pains are required. Primarily patients need to avoid sugar, flour, gluten grains, and foods rich in omega-6 fatty acids. The diet that has been shown to Colorado Springs By: David R. Seaman, DC, MS reduce the metabolic syndrome includes vegetables, fish, lean meat, fowl, (4 part series) eggs, shellfish, cheese. olive oil, and moderate red wine (7-9). Feb 15 Aug 9 No more than 5% of all back-related pains are caused by disc herniation References beyond the outer annulus into the vertebral canal. However, up to 40% of May 10 Oct. 18 all back pains are discogenic (1,2). That is, the pain is coming from the 1. Adams M, Bogduk N, Burton K, Dolan P. The biomechanics of disc itself and is referred to as discogenic pain. back pain. New York: Churchill Livingstone; 2002: p.78 -and-

David Seaman, DC, MS, The outer layers of the annulus are innervated by an abundance of noci- 2. Souza TA. Differential diagnosis and management for the chiro- One day seminar DABCN ceptive neurons. The development of discogenic pain has both mechanical practor: protocals and alogorithms. Gaithersburg: Aspen Pub; 2009: p.144 in Denver Professor, Clinical Sciences and chemical components. National University of Health 3. Goupille P, Jayson MI, Valat JP, Freemont AJ. Matrix metal- July 26 Sciences Pinellas Park, FL The initial insult is mechanical damage to the vertebral endplate, which loproteinases: the clue to intervertebral disc degeneration? Spine sets in motion an inflammatory process that degrades the nucleus and 1998;23(14):1612-26. further degrades the inner annulus, leading to the development of radial fissures. The degradation of the nucleus is done by enzymes called matrix 4. Jhawar BS, Fuchs CS, Colditz GA, Stampfer MJ. Cardiovascular metalloproteinases (MMPs) (3). Collagenase is an example of one we all risk factors for physician-diagnosed lumbar disc herniation. Spine J. 2006, learned about in chiropractic college. MMPs degrade collagen and proteo- 6:684-91. glycans.

When the nucleus is degraded it is no longer capable of bearing loads and can lead to pain due to inappropriate mechanical strains experienced by the outer annulus and/or facet joints, which can caused localized inflammation. However, when the MMPs create radial fissures that extend into the outer annulus, the inflammatory exudate will activate outer annular nociceptors, which leads to pain that is also caused by inflammation.

Treatment of discogenic pain

Patients with disc pain may respond to very well to manual care alone and with rehabilitation exerciese. When this happens, life is most easy for the doctor and patient. In other cases, natural anti-inflammatory sub- stances may be needed to achieve adequate results. Proteolytic enzymes, curcumin, ginger and glucosamine/chondroitin all have anti-inflammatory properties.

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Mesa County Chiropractic Association Meeting First Wednesday each month January 1, 2014 February 5, 2014 April 2, 2014 Standing We March 5, 2014 May 7, 2014 Meetings Back in 1946, NCMIC was formed by a group of 12:30 to 1:30 p.m. at UTEC Culinary Restaurant at chiropractors with the express purpose of oﬀering 2508 Blichman Ave in Grand Junction. You may order ahead by calling 970-255-2641. Please contact Dr. malpractice insurance to D.C.s at a time when no Wes Sheader for more information at drsheader@ 2014 one else would. newlifechiropractic.org or 970-254-2954.

The CCA eUpdate is published monthly. Its purpose Colorado Chiropractic Association Board of is to provide news about activities of the various committees and information concerning current TakeCare of Directors Meeting developments of interest to the membership. Articles, reports, letters, opinions, advertisements, statements, and editorial comments do not necessarily represent Next Meeting: January 16, 2014 the position of the CCA. No endorsement of any item It has always been our mission to protect doctors’ practice and reputation. But Colorado Chiropractic Association Headquarters should be inferred unless specifically identified as the don’t just take our word for it. In a recent survey, 95 percent of our 8751 E. hampden Ave Suite B-7 official policy of the CCA. All material may be ed- ited for clarity or space, and publishing decisions are policyholders were extremely or very likely to recommend Denver, Co 80231 based on quality of writing, timeliness, and potential NCMIC to a friend.* interest to the readers. The CCA eUpdate reserves the right to edit or reject all materials. The CCA eUp- Colorado Women’s Chiropractic Association date accepts advertisements and inserts from a variety of sources, but makes no independent investigation or ® Second Tuesday of every odd numbered month verification of any claim or statement contained in the advertisements. Inclusion of advertisements should Our Own January 14, 2014 March 11, 2014 July 8, 2014 not be interpreted as an endorsement by the CCA of any product or service offered through the advertise- May 13, 2014 September 9, 2013 ment program. More than 40,000 D.C.s know they can 7-9 p.m. CCA Conference Center. Each meeting features count on NCMIC—a company created by a guest speaker and an open forum for ideas and Colorado Chiropractic Association chiropractors and for chiropractors. discussion. Contact Dr. Rebecca Noren for more info The voice of Colorado chiropractic since 1917. www.coloradochiropractic.org - (303) 984-1111 or [email protected] [email protected] Find out how you, too, 8751 E. Hampden Avenue #B-7 Denver, CO 80231- 4929 - 303-755-9011 OR 800-829-0339 can beneﬁt from NCMIC’s Colorado State Board of Chiropractic Examiners “We Take Care of Our Own®” approach. Usually 4th Thursday every other month Call 1-800-769-2000, ext. 3120. January 23, 2014 May 24, 2014 September 25, 2014 March 13, 2014 July 24, 2014 November 20, 2014

www.ncmic.com Colorado State Board of Chiropractic Examiners (CSBCE). We Take Care of Our Own is a registered service mark of NCMIC Group, Inc. and NCMIC Risk Retention Group, Inc. ∗ Based on a NCMIC policyholder survey conducted by Ward Group, the leading provider of benchmarking and best practices research studies for insurance companies. For more information about Ward Group, visit www.wardinc.com. Meetings generally start at 9 a.m. Location is 1560 ©2013 NCMIC NFL 3520 Broadway, Denver. Check the board’s web site for room and agenda: www.dora.state.co.us/chiropractic/ boardmeetings.htm

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needs/issues. Do not walk anyone around your home (inside or out). This includes someone dressed in a “uniform,” police or otherwise. If necessary, call the local police or sheriff’s department to verify the Staying Safe When person’s presence at your home 3. Criminals often hear about the fact that your home will be unoccupied Vacationing Away from you! Do not talk openly about an upcoming vacation or travel that you have planned. Many criminals are casing neighborhoods from Home looking and listening for unoccupied homes around the holidays. It is best not to talk about your travel plans in the presence of anyone you By: Attorney Angela McGraw do not know and trust. It is best not to give details to anyone about the exact dates and length of time you plan to be away from your home. For example, do not advise someone that you “cannot accept a delivery Most of the articles I write deal in some way with the concept of safety. because you will be out of town all week,” simply state that you cannot This article is no different, with the exception of the perspective from which make that date/time work and offer an alternative. I write. Usually I write about what I have learned professionally over the years. This time I write to share some safety tips I learned the good ol’ 4. When you travel, have a neighbor mow your yard, shovel your snow fashioned “hard way.” and/or move your car to make it appear that you are home. It was June 18, 2013. I flew from Denver to St. Louis for a business trip. KEEP YOURSELF SAFE I arrived at my hotel tired and starving. I hit the first restaurant I could find that was still open and within walking distance of my hotel. I ate and 1. Notice your surroundings when you travel. Notice whether the did some work. About 90 minutes later, I asked my server for my check. hostess stand is occupied or unoccupied when you enter a restaurant. Angela E. McGraw is an About this time, the Cardinals game had let out and the restaurant quickly The incidents of crimes involving pick pockets can be increased by attorney at Fleishman & Shapiro filled with excited fans. A man approached my table and sat down. He unattended or “seat yourself” hostess stands as the restaurant staff is less P.C. She represents people who engaged me in meaningless conversation as I continued to search for my aware who is coming in and out of the establishment. have suffered serious injuries and server so I could pay my tab. I answered his questions for several minutes 2. Keep your personal belongings on you at all times. This includes purses as my anxiety level began to build. I quickly learned that this “noisy fan” those with insurance disputes. when seated at a table. Your purse should never hang on the back of was a professional pick pocket. By the time I realized this, he had already and can be reached at 303-861- a chair or be placed on the floor next to you. Never keep all of your placed his hand over my phone and slid it into his pocket. Surveillance tapes credit cards or cash in your wallet. Rather, divide your cards and cash 1000 or amcgraw@colorado-law. revealed that he also attempted to take my wallet and credit card. net Our website is: between a pocket or pack attached to your body and your purse/wallet. For men, keep credit cards and cash in more than one pocket (i.e. in a www.colorado-law.net. As a result of this experience, and of my conversations with investigating officers in St. Louis, I learned that it feels very bad when you ignore your jacket or shirt pocket and in your pants pocket). instincts. I also learned that we all need a reminder now and then to help us 3. Do not allow a person unknown to you to use your camera or your stay safe and avoid being the victim of theft when we travel away from home. phone. Many criminals will feign emergencies and ask to borrow your Here are a few pointers: phone only to steal your phone from you. If approached, offer to place KEEP YOUR HOME SAFE the emergency call for the person in need. If the emergency is real, he or she will take you up on your offer. 1. Criminals often view your property over the course of several days before committing the crime of burglary. For example, a common 4. Do not allow someone unknown to you to sit at your table at a scheme used by those looking to steal from you while you are away restaurant, no matter what his or her reason for doing so. When you from home occurs as follows: Step 1) criminal approaches your door are distracted, your personal items may disappear. Yes, this is what with a business card or flier in his or her hand, criminal attempts to happened to me. turn the handle of your door knob and then rings the doorbell; Step 5. A child’s social security number is often targeted for theft. Run credit 2) criminal leaves a “flier” attached to the handle of the doors that score screens on your children to determine if credit cards have been successfully opened on the houses where no one answered the door; established using their names and social security numbers. Step 3) criminal’s partner drives by shortly thereafter looking for “signs” of the homes where doors are open and no one is home; Step 4) 6. Being part of a community is rewarding. We all bear a responsibility to theft occurs. one another to observe those around us and to speak up if something is not right. Enjoy the fall and upcoming holiday season. Get to know Articles, reports, letters, opinions, advertisements, state- 2. Criminals are seeking to interview homeowners about their “security ments, and editorial comments in this publication do your neighbors and travel safely. not necessarily represent the position of the CCA. systems” and offering to inspect the premises for free to assess safety

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Colorado Chiropractic Association The voice of Colorado chiropractic since 1917. 8751 East Hampden Avenue #B-7 Board Members It is YOUR responsibility as a Colorado doctor of Denver, CO 80231-4929 chiropractic to know, understand and adhere to the (303) 755-9011 Practice Act under which you are licensed. To view the or (800) 829-0339 Click for Fax (303) 755-1010 and Staff Statutes, Rules, and Board Policies for Colorado doctors of e-mail [email protected] chiropractic, visit: CCA

Reprinting of materials is granted, except for materials indicated as copyrighted or reserved, but Colorado State Board of Chiropractic Examiners (CBCE) only upon giving credit to the CCA eUpdate in the Executive Committee By-laws reproduction. Reproduction of any other material District 6 Director/Alternate without credit is prohibited, and if you want to William “Bill” Thomas, DC Program Director Licensing info quote or reproduce from any item, call or write for Chairman of the Board information and permission. Copyright(C) 1989 to Nelson Vetanze, DC, CCEP Connie Mahaffey [email protected] present Colorado Chiropractic Association District 7 Director/Alternate Scope of practice info (revised September 2011) Randy Roman, DC/ [email protected] President Michael Treinen, DC [email protected] Mike Masteller, D.C. DABCO Elected to a 2nd term 9/27/13 Program Manager District 8 Director/Alternate Lisa Hill CBCE Meeting Dates www.coloradochiropractic.org David Dickerson, DC THURSDAYS 1st Vice President 303.894.2987 Kelvin Washington, DC, DACBSP, Dipl., Ac. [email protected] Jan 23, 2014 District 9 Director/Alternate Lea Yoder, DC/ Mar. 13, 2014 1560 Broadway, Suite 1350 2nd Vice President Shane Steadman, DC May 24, 2014 Board Meeting Dates Dr. Craig Warhurst Denver, CO 80202 Directors at Large MAIN (303) 894-7800 July 24, 2014 Thurs. Jan. 16, 2014 Secretary-Treasurer (303) 894-7764 - Fax Sept. 25, 2014 Jill Hutter, DC Thurs. Mar. 13, 2014 Steve Schuster, DC, LCP Chad Kesner, DC, DACBSP, CCCN, CEDP (Possible change stay tuned) David McClain, DC Thurs. May 15, 2014 J. Matt Storey, DC (alternate) Board of Directors Greg Haitz, DC (alternate) Thurs. July 17, 2014 District 1 Director/Alternate Patrick Ray, DC (alternate) Fri. Sept. 12, 2014 Rhonda Jackson, DC/ * www.dora.state.co.us/chiropractic/ (annual business meeting) Gary Rademacher, DC statuterulespolicies.htm Staff for locations please contact the CCA District 2 Director/Alternate Robert Nelson, DC, DACBSP, FICC / James Farrell, DC Executive Director The Michael Skolnik District 3 Director/Alternate Vineta Campau Medical Transparency Act of 2010 Tim Ray, D.C., FACO, CCSP, ICSSD/ Membership Development Find Your Robert Bridge, DC Director Senate Bill 10-124 enacts the "Michael Skolnik Medical Transparency Act of Becci McCormack 2010" to extend reporting requirements to many health care professionals District 4 Director/Alternate Aaron Koepp, DC, DABCO,CCSP,CCST Media and Events Coordinator who apply for or renew a license, certification, or registration, on or after District /Greg Crawford, DC, DABCO Amanda Segebart July 1, 2011. The Division of Registrations is in the implementation process at this time. Please refer back to www.dora.state.co.us/chiropractic/ District 5 Director/Alternate statutesrulespolicies.htm for additional information as it becomes available. Robert Palmer, DC/ Brian Polvi, DC

18 19 eUpdate December 2013 eUpdate

Medicaid Expansion (Approximately April 1, 2014) In Michigan, whether or not to expand the Medicaid program was a hot legislative topic throughout 2013. Medicaid provides health coverage for some low-income people, families and children, pregnant women, Obamacare the elderly, and people with disabilities. Medicaid programs must follow What Happens in 2014? federal guidelines, but they vary somewhat from state to state. Ending Lifetime & Yearly Limits (January 1, 2014) The health care law stops insurance companies from limiting lifetime coverage for essential health benefits. In 2014 this applies to yearly limits Health Insurance Marketplace Coverage Begins too. Exception: Grandfathered plans. January 1 – What Other Provisions Come Into Effect? Expanded Small Business Tax Credits (January 1, 2014) Employers with fewer than 25 full-time equivalent employees making an While many provisions of the Patient Protection and Affordable Care Act average of about $50,000 a year or less may qualify for employer health (ACA) – commonly referred to as “Obamacare” – have already gone into care tax credits. To qualify for the Small Business Health Care Tax Credit, effect, many of the most important provisions of the new health acre law the employer must pay at least 50% of your full-time employees’ premium begin January 1, 2014. Perhaps most importantly, coverage under policies costs. You don’t need to offer coverage to your part-time employees or to purchased on the Health Exchange begins. Also, the “individual mandate,” dependents. Starting in 2014, the tax credit is worth up to 50% of your tax credits, and the expansion of Michigan’s Medicaid program all come contribution toward employees’ premium costs (up to 35% for tax-exempt into effect. employers). The tax credit is highest for companies with fewer than 10 employees who are paid an average of $25,000 or less. The smaller the Coverage Begins in the Health Insurance Marketplace (January 1, 2014) business, the bigger the credit. For individuals who have signed up for health insurance on the new health insurance exchange, their insurance coverage begins January 1, The credit is available only if you get coverage through the SHOP 2014 (as long as they signed up by December 15, 2013). All policies sold in Marketplace. Michigan on the exchange were required to cover chiropractic care as an essential benefit. Initial Enrollment Period Ends (March 31, 2014) The initial enrollment period began October 1, 2013, and runs through Coverage for Pre-Existing Conditions (January 1, 2014) March 31, 2014. For 2015 and beyond, the Open Enrollment Period is Starting in 2014, health insurance plans can’t refuse to cover a person or October 15 to December 7 of the previous year. Individuals may also charge them more just because they have a pre-existing health condition. qualify for Special Enrollment Periods outside of Open Enrollment if they This is true even if the person has been turned down or refused coverage experience certain events, such as moving to a new state, certain changes due to a pre-existing condition in the past. Exception: Grandfathered in income, and changes in family size (for example, marry, divorce, or have individual health insurance plans. If a person has one of these plans, they a baby). can switch to a Marketplace plan during open enrollment and immediately get coverage for pre-existing conditions. Employer Shared Responsibility Payment (2015) The Employer Shared Responsibility Payment is a new requirement under Savings on Monthly Premiums and Out-of-Pocket Costs (January 1, 2014) the health care law that will apply to some larger employers in 2015. People who purchase insurance through the Health Insurance Marketplace Employers may have to make this payment if they have 50 or more full- may be able to get lower costs on monthly premiums or out-of-pocket time equivalent employees and at least one of those full-time employees costs, or even free or low-cost coverage (depending on income and family gets lower costs on their monthly premiums through the Health Insurance size). Marketplace.

20 21 eUpdate eUpdate

Introduction to SRA Diagnostics for CMT, Laser & Nutrition Co-Sponsored by Colorado Chiropractic Association Obamacare & Spinal Reflex Institute Intl. What Happens in 2014? CCA Member Discount!

An Introduction to Spondylogenic Reflex Analysis (SRA) as a necessary tool for identifying and treating spondylogenic reflex syndromes (SRS). The SRS is the primary cause of most cases of unresponsive injury recovery and recurrent and chronic conditions. Frank Jarrell, DC, Director of Spinal Reflex Institute will discuss effective strategies and powerful solutions for persistent and unresolved cases; providing insight into a twenty year, evidence based project on the SRS and its’ relation to the chiropractic subluxation complex. Important Dates to Remember He will present case examples and demonstrate adjusting, laser therapy, spinal stabilization Frank Jarrell, DC and nutritional aspects of SRA for grossly improved patient outcomes. • October 1, 2013: Enrollment opens, federal government will Class Outline release state-specific costs for health plans • SRS Physiology and SRA Diagnostics • December 15, 2013: To ensure coverage begins January 1, 2014, • SRS Activation, Leg Length Deficiency and Attachment Tendonitis • The SRS Neuromusculoskeletal Cascade into Pain and Dysfunction individuals must enroll by this date • Applying SRA without Changing Your Delivery Technique • January 1, 2014: People who enrolled by December 15 will begin • Laser Chiropractic Adjusting for SRS Mitigation • Failed and Unresolved Case Management receiving coverage through the Exchange plans they selected • Instant Outcomes for Maximum Patient Impact • February 15, 2014: The last day to get coverage and avoid being • Program notes - Download liable for a penalty for not having insurance. The maximum • Optional - SRS Extended Demonstration penalty if you don’t have coverage for the entire year is $95 or one “Comprehensive system, precise protocols and ‘GPS’ instant percent of your taxable income, whichever is bigger. It will go up treatment maps... SRA has transformed my case outcomes!” in future years. Brian Johnson, DC Santa Barbara CA SRA... a critical tool in today’s • March 31, 2014: Exchange Open enrollment period ends. treatment environment! Software & Treatment Chart Samples Individuals enrolling between February 15 and March 31 may • Easy integration into your practice • Use your preferred techniques have to pay a month’s worth of the penalty for not having coverage. • Fast training & immediate results That penalty would be assessed when paying 2014 taxes in April • Add treatment options to suit your 2015. After March 31, 2014, indivuduals can get new private health interests - CMT, Nutrition, Laser + Pain & Symptom Spondylogenic Reflex protocols for powerful, insurance for 2014 only through a special enrollment period if you Biomechanics Pain & SymptomCorrelates have a qualifying life event like a job loss, birth, or divorce. SRT Protocol Correlates immediate and unprecedented outcomes • April 1, 2014?: Medicaid expansion may begin today • January 1, 2015: Employer Mandate begins. 2014 Colorado Dates & Locations • Feb 1-2 Denver Colorado • April 12-13 Denver Colorado • June 7-8 Denver Colorado • Oct 4-5 Denver Colorado

Obamacare article provided by the Michigan Chiropractic Association. • Software / iPad based training & treatment 12 CECs / Free Optional Extended Demonstration Sunday chart “GPS” system Laser Neuromechanics Treatment $395.00 / $345 CCA Member • Multiple treatment & Adj / Manip support modalities Use coupon code ‘CCAmember’ during checkout • Seamless integration Register Today! - srapainlaser.org / 970•259•5520 22 23 eUpdate eUpdate

Module I and Module II will NOT be repeated in CO in 2014; and the present: The next series will be offered in another city (TBA). Please get the reading list if you are starting at Module III. Functional Medicine Series: FUNCTIONAL MEDICINE Module I & II (completed in 2013): Covered Basic Principles of Functional Medicine: Basic blood chemistry, optimal vs. pathological ranges, metabolic syndrome and insulin resistance, immune dysfunction, A 6 Module SERIES CBC abnormalities, anemias, forms/symptom questionnaires, case studies, etc. metabolic disorders, methylation, inflammation, metabolism, thyroid/liver/kidney dysfunction, urinary tract disorders, lipid markers, (Modules III-VI in 2014) CVD, intro to GI disorders, advanced testing, etc. Take any one module as an Functional Medicine Series Module III-VI independent class! Brandon M. Lundell, 2014 continuation of the series will include: Module III (April 5 & 6, 2014): GI Dysfunction and DC, DABCI, Dipl Ac, Recognize patterns of dysfunction before disease manifests. Protocols; Module IV (May 3 & 4, 2014): Endocrine disorders: Adrenals, Male, Female, NE, APC Preconception and Infertility etc.; Module V (June 28 & 29, 2014) – Endocrine Disorders (cont’d) and 12 CEs available for AL, AZ, CO, CT, DE, GA, IA, ID, IL, IN, KS, MI, MN, multiple case studies; Module VI (August 2 & 3, 2014) – Advanced Laboratory Evaluations – MO, MS, MT, ND, NE, NM, NV, OR, RI, SC, TN, TX, UT, VA, Nutrient Status Evaluations, Amino Acids/Organic Acids, Detoxification, Connecting the Dots, more VT, WA, W Y. (Ask to have your state added.) case studies, Applying Functional Medicine in the real world.

Implement INDIVIDUALLY TAILORED protocols incorporating blood/lab tests and diet, lifestyle and supplement recommendations. NW is going green. We will provide flash drives and notes for seminars, however, in 2014 there will be an Dr. Brandon Lundell is more than a certified DABCI, he instructs DABCI students! He has also practiced Functional Health and lab testing for many years; there is a additional charge for written notes. reason for the six month+ waiting list at his clinic! www.nutriwest.com

Receive a Certification for completing a course in Functional Medicine (Lab Please Contact Dr. Lynn Toohey of Nutri-West for More Information Interpretation, including serum, saliva and stool tests) and Comprehensive Lifestyle, Dietary, Nutritional, and Holistic Protocols. The demand for this training is being met! Certificates of 866-271-8888 0r 303-662-9997 (Denver area) achievement are awarded after each class. We’ve added Module VI to fulfill the demand! E MAIL: [email protected] Training materials included in the registration fee! Includes: a Comprehensive, Holistic Blood Easy online registration: Chemistry Lab Reference Manual compiled by Dr. Lundell; thorough notes, outlines, slides etc.; a http://www.coloradochiropractic.org/registration/eventDetail.cfm?eventID=670

complimentary month of bloodwork analysis software; all the tools you need to guide through the Embassy Suites, Airport, Denver process and ensure future success in Functional Health! 7001 Yampa St , Denver, CO 80249 Tel: 303-574-3000 Call & ask for the Nutri-West Group Rate ($109/night) or sign online at: Foundations in Functional Medicine Certificate: Any two completed class modules http://embassysuites.hilton.com/en/es/groups/personalized/D/DENIAES-NUT- Intermediate Functional Medicine Certificate: Four completed class modules 20130808/index.jhtml?WT.mc_id=POG

24 25 ropraCti eUpdate hi C Join the Colorado Chiropractic Association C a s o s d o a C The voice of Colorado chiropractic since 1917. r i a o t

i o

n C Protect your right to Practice WELCOME! to the 1917 Protect your Patient's right to receieve care Enhanced Name & Title(s): Membership NEW Colorado Clinic name: The Colorado Chiropractic Address: Association offers enhanced Members City/State: Zip: membership opportunities to help support YOU, your patients, Landmark: Office Hours: and the chiropractic profession Deanna Arnill-Mutzel, DC Clinic Phone: FAX: Home Phone: Cell Phone: Chicago, IL in Colorado. Your enhanced Web Site: E-mail: membership will be used to fund legislative activity at the state level Luke Martin, DC Home Address (for voting districts): Fort Collins, CO AND the care and maintenance of City/State: Zip: the CCA office – the headquarters Spouses Name: Spouse is DC?: Y/ N Your date of birth: Date of CO License:: for chiropractic in Colorado! Lane Bunker, DC Longmont, CO Have you practiced elsewhere? Y / N How long in practice elsewhere?:

Chiropractic College: Year graduated: State(s) licensed in: John Walburn, DC Also affiliated with: How did you hear about the CCA?: A SPECIAL Thank You to Grand Junction, CO By submitting this application I am committing to a minimum of 1 year membership, at said level, with the Colorado Chiropractic Association (CCA): the following generous I agree to uphold the code of ethics and bylaws of the Association and to abide by the rules and regulations set forth, including timely pay- CCA Enhanced Members Ashley Lamb, DC ment of dues. If I wish to cancel membership I will do so in writing. I understand that by providing my fax number, e-mail address, and other business/personal information; I hereby consent to receive faxes, e-mails, texts and other electronic communication sent by, or on behalf of, Denver, CO the Colorado Chiropractic Association unless I notify the CCA to remove my info from the communication list. Fred Blesch, DC David Huges, DC Dues Schedule - Please check one: ENHANCED membership Robert Borman, DC DC (4 years or more in practice) $65.72 Monthly $744.57 Annually $1,500 Annually BRONZE Loveland, CO  Jennifer Crismon, DC  DC Spouse $17 Monthly $200 Annually Contact the CCA for MORE info on enhanced options.  DC (3 years in practice) $40 Monthly $456 Annually Elizabeth Decker, DC  DC (2 years in practice) $20 Monthly $228 Annually EASY PAY  DC New Graduate $10 Monthly $114 Annually monthly Glynn Hopkins, II, DC  DC Retired $32 Monthly $363 Annually deductions  DC Non-resident of Colorado or Licensed Non-practicing $75 Annually from your credit card or Larry Low, DC  Non-DC member/Student $35 Annually bank account. If paying by check, make payable to CCA ^g Craig Warhurst, DC Get to know the new MONTHLY DUES MUST BE PAID AUTOMATICALLY - Please select an option below for EASY PAY CC#: ______Exp. Date: CCA members in your area! (MC, Visa, AMEX, or Discover) Please contact the doctors in your area and OR deduct from my checking or savings account BANK NAME:______Thank You welcome them to Colorado and the CCA. Account #______Routing#:______or submit voided check to ALL CCA Members It’s EASY - Contact information I authorize the CCA to initiate, on or about the 20th of each month, debit entries to my credit card or bank account as specified above, for the minimum of 12 months from sign up date. I understand that dues will be adjusted if my membership classification changes. This agreement will for your support of the CCA and the available at needchiro.com remain in affect unless I notify the CCA in writing to cancel it. Colorado chiropractic profession Signature: ______Date: ______or call the CCA 303.755.9011 or 800.829.0339 Please return this completed form with payment to: Dues are deductible as an ordinary business expense. Contributions or gifts to the Colorado Chiropractic Association are not tax deductible as charitable contributions for income tax purposes. However, they CCA  8751 E. Hampden Ave #B-7 may be deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of association lobbying activities. The CCA estimates that the non-deductible portion of your annual 26 Denver, CO 80231-4929 dues - the portion which is allocated to lobbying - is 21%. or FAX to (303) 755-1010 April 2013 eUpdate Join the CC PAC Club Colorado Chiropractic CC-PAC Club Members 2012-2014 CC-PAC Club P.A.C. Club Joseph Arvay, DC Douglas Jones, DC Jason Barnes, DC Chad Kesner, DC Why join the club? Bob Bridge, DC Aaron Koepp, DC Donating to the CC-PAC, Colorado Chiropractic Political Action Committee, is the best way Greg Crawford, DC Mandy Kreager, DC to protect your patients rights and patient access to chiropractic treatment in Colorado. Your Tim Cummings, DC Todd Kreager, DC contribution will be used to support positive, pro-chiropratic contacts with state legislators. Lee Dimick, DC Fred Lewin, DC Each Colorado legislative session fosters issues that impact doctors of chiropractic and their Joe Dziezgowski, DC Jeffery Maen, DC patients. The Colorado Chiropractic Association, CCA, keeps updated on these issues and together Eric Dzwonkowski, DC Luis Marquez, DC with our lobbyists push for a pro-chiropractic agenda. There is always a need for a well-funded Alfred Euhus, DC Robert Masteller, DC PAC. Please contribute today. Thank you! Kelly Grady Isaac Mooberry, DC (Staff, spouse, family, friends and patients can contribute too.) Shandy Grady, DC Bob Nelson, DC CC-PAC Club Contribution Pledge Form (please check one): Eric Graves, DC Glen Pinto, DC Charge my credit card $_____ (up to $550) as a one time donation to the current CC-PAC fund Keith Graves, DC Randy Roman, DC Greg Haitz, DC William Salsman, DC Charge my credit card $____ now, and, $____on ______(month) 1st and $____on ______(month) 1st Pamela Hart, DC Ken Spresser, DC Charge my credit card $100 now, and $100 on January 1st and $100 on June 1st Ted Hasty, DC William Strempel, DC Charge my credit card $50 now, and $50 on January 1st and $50 on June 1st Glynn Hopkins II, DC Nelson Vetanze, DC Contributor’s Name(please print):______Profession/employer:______Jill Hutter, DC James Whidden, DC Candice Huffman, DC William R. White, DC Address:______City/State Zip______Rhonda Jackson, DC Lea Yoder, DC Phone: ______Cell Phone:______Donald Johnston, DC Fax:______E-mail:______

You may also donate by check - please make payable to CC-PAC $______Credit Card#:______Exp Date:______Visa, Mastercard, Amex, Discover Signature: ______Date: ______I authorize the CC-PAC Club to initiate debit entries to my debit/credit card as specified above. This agreement will remain in affect unless I notify the CC-PAC Club in writing to cancel it. THANK YOU PLEASE scan and email to [email protected] OR fax to 303-755-1010 Questions? Call 800.829.0339 or 303.755.9011 The Campaign Finance Reform Act establishes rules on contributions to PACs (Political Action Committees) in Colorado. The PAC contributors! maximum contribution an individual can make to a PAC is $550 per election cycle (every two years). For example, an election cycle is from December 2012 to December 2014. Corporate/business checks are allowed as well as checks from individual accounts. A husband and wife may make a single $800 contribution if the contribution is done from a joint checking account. Each family member may contribute with their own personal account, but only one contribution can be made from a joint account. In addition, contributions can be made directly to candidate campaigns by individuals up to $400 each two-year election cycle ($200 for the primary election and $200 for the general election). Please include your current address, profession/employer with your contributions to make it 28 easier for the candidates to properly report. Club members War Chest

Club CCA members provide on-going support for the CCA and the chiropractic profession through advertising, donations, and the excellent products and services they provide to Colorado DCs. Contributors PLEASE consider a club CCA member for your chiropractic product and service needs.

Bill Alfini, D.C. Thank you to Daniel Baird, D.C. Richard Brighi, D.C. those that have Timothy Conwell, D.C. www.nutriwest.com Laura Duke, D.C. Lynn Toohey, PHD - 866.271.8888 contributed. nutritional supplements and education George Evans, D.C., P.C. www.anaboliclabs. Douglas Forsstrom, D.C. CCEP com Roger Franz, D.C., CCEP 800.344.4592 Keith Graves, D.C. CCEP nutritional supplements CCA James Green, D.C., DABCO Linda Halteman, D.C. www.malmanlawfirm.com Jerry Malman 877.733.0793 WARCHEST Ryan Hatch, D.C. personal injury law firm Glynn Hopkins, II, D.C. It is time for this profession to start building a War Julie Johnson Bogdan, D.C. Chest to show that we are a strong profession Bradley Keeney, D.C. and willing to fight for our rights and privileges Nate Mayfield, D.C. Vendors: Find out how no matter what the stakes are. The Colorado YOU can become a club Chiropractic Association needs to build this Dennis Miller, D.C. www.ncmic.com CCA member at fund TODAY. The upcoming year will be a huge IsaacMooberry, D.C. 800.769.2000, x 4200 KatyMooberry, D.C. http://www. challenge for our doctors. One, to preserve our Jay Sanders, D.C. coloradochiropractic.org/ rights to practice as we have become accustom and two, to allow us not only to protect what we Kimsey Self headlines/files/ClubCCA2.pdf have now, but to do what we need to become the Bruce Shotts, D.C. primary care doctors of the future. Scott Smith, D.C. DABCO Craig Smith, D.C. Nhu Trieu, D.C. Donate Nelson Vetanze, D.C. CCEP www.chirohealthusa.com Gary Wiedeman, D.C. 888.719.9990 Terry Wiley, D.C. cash discount program Here eUpdate

Please direct INSURANCE questions to CCA Insurance Chair Insurance Dr. Greg Crawford email to: Assistance [email protected] or FAX to 970-493-2105

Medicare Questions - contact Dr. Crawford or Kathy Mills Chang - [email protected] 1-855- TEAM-KMC Susan McClelland - [email protected] Resources Join the Novitas JH MAC Transition email list at https://www.novitas-solutions.com/transition/jh/lists.html Join Medicare (CMS) email list: http://www.cms.gov/Medicare/Medicare.html

You will be required to receive claim payments via electronic fund transfer Electronic Funds Transfer form: http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS588.pdf Novitas will acknowledge receipt of your EFT form with a letter.

Send Claims to: Part B Claims for COLORADO Noviats Payer ID: 04112 Novitas Solutions Attn: Part B Claims PO Box 890107 Camp Hill, PA 17089-0107 Provider inquires: 1-855-252-8782 Index for contact info Novitas Solutions: https://www.novitas-solutions.com/contact/index.html

Check Local Coverage Determinations (LCD) with Novitas: https://www.novitas-solutions.com/policy/jh/l32718-r4.html Navigating Novitas Solutions website start here: https://www.novitas-solutions.com/site-map.html

PLEASE NOTE: Kathy Mills Chang and Susan McClelland are consultants in this arena and may require a fee for extensive questions. 32