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Chiropractors Slow to Embrace EHR TechnologyBy Whit Smyth for Medicfusion

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After decades of working to achieve respectability as a profession, some worry

that chiropractors are in danger of eroding progress made by dragging their feet on electronic health records. While hospitals and other healthcare professionals are stepping briskly into the 21st century with EHR1, only 10 percent of chiropractors currently have a HITECH Certified EHR System in place. This tepid pace and lack of urgency concerns some in the profession. They contend that all of health care is going electronic, and that chiropractors must embrace the technology or we’ll be out of the picture.

Resisting ChangePractitioners and EHR providers express frustration at chiropractors’ resistance to change and to new ways of doing business. EHR, they say, is the only way a practice can stay relevant in the years ahead. As Medicfusion consultant and North Carolina practitioner Dr. Kevin Sharp notes, “With significant changes in health care coming over the next few years, along with other changes in documentation, I believe that the survival of my

practice depends on EHR implementation.” Medicfusion’s Chief Executive Officer, Shayne Sundholm, sees the problem from the provider side. He’s heard firsthand the wide range of reasons some practices avoid EHR implementation.

“Yes, there is a learning curve with EHR. Yes, there is a cost factor. Yes, it means doing things differently in your practice,” he says. “But fortunately, as thousands of DCs can attest, these inconveniences disappear once you have EHR in place.” Sundholm cites Dr. Sharp as a small chiropractic practitioner whose EHR system has made a significantly positive difference in his work and personal life. “He added EHR to his practice six years ago, and it has transformed his business.”

Factors Driving EHR

According to Mr. Sundholm, there are a number of reasons why EHR implementation is vital today for chiropractors:• First, a mature healthcare market is moving towards cost

consciousness, quality, standardization, and consolidation. • Second, government and private reimbursements have

decreased while administrative Continued on page 3

AnEHR Provider’s

Perspective

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costs of doing business have increased. • The result is that practice stability is now largely dependent

on quantity and efficiency, while attempting to maintain a high quality of service.

How should chiropractors respond to these challenges? EHR implementation is a strategic response that lets chiropractors manage the challenges of the current and future legal, regulatory, and fiscal environment. It is also an effective way to capture, process, and report the increasing amounts of data required by numerous payers. EHR is designed to make your practice more efficient, not more complex. It’s a seamless way to update condition/injury dates and add, subtract or re-arrange diagnosis. It’s a more concise way to add charges as the doctor performs them, and it is an easier way to attain, organize, and maintain patient data. EHR also makes it easier to maintain complaint healthcare records, a critical function in today’s marketplace.

Save on Space,Increase Revenue

With EHR in place, overhead costs ultimately decrease. “This is a huge benefit that I can’t emphasize enough,” explains Dr.

Sharp, whose clinic shrunk from 25,000 square feet to 11,400 square feet. “We’re all-digital; we have no filing cabinets.” Dr. Sharp also feels that EHR lets his practice do more with less. Previously the clinic had employees who strictly handled coding and billing. Now, since everything is digital, those positions have been eliminated, saving on personnel costs. A study from HealthAffairs recently pinpointed financial gains routinely achieved with EHR. These averaged $33,000 per physician per year based on savings from two main sources: (1)

increased coding levels that led to improved billing and (2) greater efficiency from a decrease in personnel costs. With EHR you can also qualify for government incentive dollars. The HITECH Act authorizes the Center for Medicare and Medicaid Services (CMS) to issue annual payments to eligible providers who demonstrate Meaningful Use of a certified EHR System. Under this program chiropractors could be eligible for up to $24,000 in reimbursements over four years. To receive maximum incentive funding, eligible chiropractors must have certified EHR in place by October 1 of this year – the last opportunity for receiving these incentives. After 2015, Medicare-eligible chiropractors who do not demonstrate Meaningful Use will have their Medicare reimbursement payments adjusted.

Peace of Mind:A Hidden Benefit

According to Dr. Sharp, another benefit of EHR is peace of mind. “I have more time to relax and enjoy my evenings, vacations and free time,” he says. “I can leave the office knowing that everything is taken care of. You can’t put a price tag on that peace of mind.”

1 The Centers for Medicare & Medicaid Services (CMS) says that approximately 80 percent of eligible hospitals and more than 50 percent of eligible professionals have already adopted EHRs. The Office of the National Coordinator (ONC) for Health Information Technology recently reported that more than 291 million professionals and 3,800 hospitals have already received meaningful use incentive payments. The ONC also noted the swift rise of EHR technology, saying that hospitals with certified EHR increased 18 percent from 2011 to 2012.

Continued from page 1

Whit Smyth is a freelance contributor for Medicfusion EHR, a Unified VCA Supporting Supplier. For more information on EHR or Medicfusion, visit http://www.medicfusion.com.

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The Independent Contractor TrapFrom a Blog Post by John T. Whitney, DC

More and more new graduates find the cost of start-up too steep and the whole prospect of starting from scratch too risky. As a result, many of

these new doctors end up as associates (employees) -- and are not happy. There is another option that may be worth a new doctor’s time to explore. Unfortunately, the term “independent contractor” means many things to many people. What it is not is an employee who is obliged to follow the dictates of the host (owner) doctor. Many field doctors seeking an associate (employee) use the term Independent Contractor (IC) incorrectly. The host doctor may be hoping to avoid the employer burden of collecting taxes and providing benefits, but the government imposes hefty fines on doctors using the IC designation improperly. The key factors in determining what is an IC versus what is an Associate (employee) are straightforward. If the senior doctor is dictating hours, methods of care, holidays, days to be worked, and similar items, the IRS will consider the new doctor an employee. If you are in any doubt, you can call the IRS for a ruling. IRS form SS-8 is also useful in clarifying these issues. Another significant factor is who “owns” the patients. If the contract states that the patients (patient files) remain the property of the clinic, and the IC decides to move on, the IC agreement is not truly “independent.” Is the associate being asked to sign a non-compete clause; e.g., 15 miles for 5 years? If one signs something like this, the agreement is not truly “independent.” In worst case scenarios, contracts labeled as IC agreements may be conscious attempts to hoodwink a new doctor into thinking the agreement is something it isn’t. In other cases, the host doctor is not even aware of the discrepancy, since he/she probably obtained a copy of the document from a chiropractic friend who received it from another chiropractic friend who copied it from who-knows-where. While it means additional investments in time and money, an attorney well-versed in state healthcare law is a worthwhile investment when getting involved in any kind of IC, associate or employee contract.

Definition of a True Independent Contractor• One who leases space in another, already up-and-running office.• The space may be a fully serviced space complete with telephones,

adjusting tables, exam equipment, x-rays, stationery, postage, complete staff, etc. Or it may be partially serviced, in which the host doctor supplies some of the needed staff and equipment, but not all.

• One would be expected to pay commensurate with that which is supplied. Everything is negotiable.

How Much?In years gone by it was common for an IC to simply pay a percentage of collections. A typical starting-lease fee might be 40% of collections. Today the Unitied States IRS would categorize that kind of arrangement as an employee. A host doctor using this percentage method could be forced by the IRS to pay a fine, penalties, and the equivalent taxes levied on the IC.

The preferred method for an IC is to have a set monthly base payment for the space, equipment and services provided; e.g., $500. Five hundred dollars a month to lease space is a modest sum -- but it could be fair for a few months until the size of the practice increases. At some time in the future the host doctor may impose additional rent. Such an arrangement is fair to the IC and satisfies the IRS.

Just One Example• First 3-month lease fee could be $500. • Fourth month lease fee could be $500 plus 25% of collections.• When collections reach $20,000-$25,000, it could be 35% of collections

plus the $500 base rent.• Once $25,000 in collections per month is exceeded, volume-of-scale

savings start to factor in. As a result, when collections reach $25,000- $30,000, the percentage could drop back to 30% (plus the $500 base rent).

• This could continue until the monthly sum of the rent ($500) and percentage of collection reaches; say, $4000 per month (arbitrary) and level off there.

• All of this is negotiable, but the figures above provide some rough guidelines.

One typical question is who receives the uncommitted call-in patients. There are two main considerations: the length of time the senior doctor has been in the location and the effectiveness of the location for walk-ins. One approach is that uncommitted call-ins and walk-ins are assigned to the doctors in a rotation fashion. For example, perhaps the ratio of those assigned to the senior doctor and IC is 3:1 for the first three or four months, 2:1 for the next 6 months, and 1:1 after the first year. This can be complicated if only one of the doctors is an aggressive promoter and marketer. In cases like this, co-operative marketing might be usefull (the doctors split marketing costs 50/50). When one doctor covers for the other under a locum arrangement, it should be treated no differently than if a locum were hired for the task. That is to say, pay whomever looks after your patients 30 to 50% of services rendered. The IC arrangement has many positive aspects to it for both parties. The Independent Contractor enjoys the benefits of another doctor practicing in a busy office, with a supportive professional associate, at a known address -- and yet he/she remains independent. Start-up costs are minimal compared to opening a solo practice. The host doctor benefits from having a built-in locums, a possible built-in buyer, passive income, a close at-hand colleague, and the ability to expand the service hours of the office to help more patients. The IC arrangement may be a good opportunity for both the host doctor and the IC. There is a flaw however: the human element. The host/IC arrangement requires two mature human beings who realize that there will always be differences of opinion and real or imagined ”slights.” Conflict and compromise is the order of the day. Frequent, regular meetings are essential to keep the lines of communication open and prevent little problems from festering into big ones. In most cases, the host provides everything necessary for the IC to conduct a practice except marketing dollars. The set-up cost for an IC would only be for any specialty items he or she requires and a financial cushion for 3-6 months for living and business expenses From the standpoint of a host, a little construction work may be necessary in the office to prepare an office for the IC. The computer must be programmed for a second doctor, another set of color-coded files must be ordered (important!) and staff must be trained on office protocol changes. The IC should not be regarded as an extra burden by the staff or treated like a second banana by the host doctor. In time, more staff will likely be needed. The host should not view this as a burden but as a sign of progress and promise of an increase in passive income. If a host doctor has the space, several ICs could eventually practice in the facility. This can represent a significant source of income for the host. The IC should be rather picky about what office he/she joins. Most importantly, it should be a busy office. If it is not, the IC will likely struggle along with the host. If one joins a busy office the IC practice can grow rather quickly

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from the spill-over of the host’s practice alone, saving marketing dollars and time.

The host should screen the ICs who wish to practice in his office for personality, techniques, and aggressiveness. Gender may also be a factor. Some studies suggest that female practitioners are preferred by patients and grow their practices rather quickly. It is also suggested that female doctors spend more time with patients and see fewer patients on an average basis. Women practitioners are absent from the office more often than men but may add a sense of balance to a male-dominated office. An Independent Contractor does not sign a non-compete clause. However, a non-solicitation clause should be signed by both parties.

Independent Contractor Arrangements• Use a rotation system for uncommitted patients. • The host has no control over the IC’s practice. • When the IC’s contract expires, he/she can move next door and take his or

her practice along. • Input must be graciously considered by both parties. • The IC is a valuable property. • 30%-50% of gross business of the vacationing doctor is paid to the person

who covers.

Benefits for the Independent Contractor1. Proven location 2. Master of your own ship 3. Motivational via empowerment4. Lower risk than solo start-up5. Proven market 6. Affiliation without dependency 7. Lower start-up costs 8. No restrictive covenants

Financials for the IC 1. Up-front marketing costs: Yellow Pages, opening announcement, legal

fees, accounting fees, malpractice insurance, disability Insurance. 2. Any equipment or office supplies needed but not covered

by the arrangement.3. Living and business expenses for three to six months.

It may actually be more appropriate to refer to this type of practice arrangement as a “Sub-Lessee” (an accepted legal term) rather than an “Independent Contractor,” which may be a red flag to the IRS. Regardless of which direction a new doctor is leaning towards, there are many factors to consider -- and inaccurate information about such arrangements abounds. No matter what, take the time to review the IRS’ definition of an Independent Contractor. Do not skip the cost and time necessary to consult with an experienced attorney and CPA before signing any agreement. While that investment may not be “cheap”, it has the potential to save you far more money, time and stress than you may spend on legal and accounting fees.

Based on a recent post on Chiro.Org by Dr. John T. Whitney and shared on VCAdoctalk by Dr. Jason Brown.

Continued from page 4

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As most Chiropractors know by now from our previous communications, House Resolution

Number 93 passed in the Virginia General Assembly in February of this year. This resolution designates the first week in October as “Chiropractic Health Week in Virginia.” Delegate Tim Hugo was the House Patron. To help Unified VCA members in the state celebrate the upcoming first-ever Chiropractic Health Week, the Public Relations Committee is working with A Trusted Voice to produce patient hand-outs, news releases, and audiovisual presentations on the subject. Doctors such as Dr. Carly Swift in Virginia Beach are already organizing special events in their area to commemorate the occasion. Delegate Hugo presented a copy of the resolution to Unified VCA Trasurer Dr. David Dolberg in time for display at the May General Membership Meeting in Portsmouth (see photo and inset). In addition, G. Paul Nardo, Clerk of the House and Keeper of the Rolls of the Commonwealth, recently forwarded the following formal notification to the Association.

Dear Ms. Connolly:

During the 2014 Session of the Virginia General Assembly earlier this year, the Virginia House of Delegates passed a number of pieces of important legislation, including House Joint Resolution 93.

HJR 93 designates the first week in October, in 2014 and in each succeeding year, as Chiropractic Health Week in Virginia.

Pursuant to this legislation, I have been directed to transmit a copy of HJR 93 to the Unified Virginia Chiropractic Association so that the members of the organization may be apprised of the sense of the General Assembly of Virginia in this matter.

So you may take note of this recent legislative action, I have attached for your convenience a copy of HJR 93 in a .PDF format in addition to the above hotlink to the legislation. I also am asking that you share this information with all intended recipients and/or others whom you believe may benefit from knowing of the intent of Virginia state lawmakers on this public policy matter.

If you have any questions, please let me know.

Thank you,G. Paul NardoClerk of the House & Keeper of the Rolls of the Commonwealth

Virginia Passes Chiropractic Health Week:Worth Repeating -- & Celebrating!

Don’t miss this prime opportunity! Use this exciting news as a way to further educate your patients and increase your community’s awareness about Chiropractic -- and watch for members-only materials from the Unified Virginia Chiropractic Association to help you do just that. Oh, and by the way: Congratulations, Virginia Chiropractors!

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Concussion & Post-Concussion: Relevance of the Chiropractic Adjustment By Charles S. Masarsky, DC

There is a widespread understanding within the profession of the general

guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities, and so forth. What is not sufficiently discussed is the potential role of the chiropractic adjustment itself for victims of concussion and post-concussion syndrome. The following is a brief review of a small sample of the evidence within the clinical literature supporting a role for the chiropractic adjustment in concussion care. The manifestations of concussion that responded under chiropractic care in these papers included deficits in attention, vestibular function, and vision.

Attention DeficitDeficits in attention and short term memory are not uncommon in concussion. Lovett and Blum (2006) reported the case of a six year old boy who struck his head during a fall from a slide in a playground. The impact of the fall knocked the boy unconscious. Eighteen months later, the mother brought the boy to the DC. Although she “did not believe in chiropractic care”, she was “at her wit’s end” due to her inability to

alleviate her son’s headaches and neck pain with drugs. In addition to headache and neck pain, the boy was suffering from stomach pains and frequently had blood- shot eyes. Attention deficit symptoms included an inability to sit still, deteriorating grades at school, and being disruptive and inattentive in class. None of this was present before the cranial trauma at the playground. Sacro-occipital technique (SOT) examination protocols revealed evidence of C2-3 subluxation and Category II sacroiliac subluxation. Due to the mother’s apprehension, minimal force adjustments were utilized at a frequency of once per week for the first two months of care. At three weeks of care, typical spelling test scores were 80% compared to typical scores of 20% pre-intervention, along with vast improvement in penmanship. After two months of care, steady academic and behavioral improvement was noted by the school and parents and eyes were consistently clear. Stomach pains, neck pain and headaches were much improved. Pfefer et al (2011) discussed a 16-year-old football player with daily

headaches and neck pain five weeks after a head injury that left him with a sense of “fogginess.” He was unable to concentrate on homework. Previous treatment included non-steroidal anti-inflammatory drugs and narcotics for pain control. Cervical and thoracic diversified adjustments were administered. Signifi-cant symptomatic relief was noted after the second visit. Virtually complete symptomatic resolution was noted after the fifth visit (two weeks into care, although return to athletic activity created some exacerbation). Seven weeks into chiropractic care, the patient was able to return to full game play symptom-free.

Vestibular DysfunctionDizziness and vertigo are common manifestations of concussion. Collins and Misukanis (2005) reported the case of a thirty year old woman first seen three days after a motor vehicle accident. She complained of neck pain, headache, mid-thoracic and upper shoulder pain, numbness and tingling in both arms, and dizziness. Difficulty finding her car keys suggested a deficit in short term memory. Active cervical range

Continued on page 10

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of motion in all directions

reproduced the dizziness. Nine visits over a period of 18 days included low-force diversified adjustments. The patient noted that pain levels were reduced for several hours after each visit. At this point, a neurologist consulted for a second opinion performed an examination and an MRI. The MRI was negative and the neurologist concluded that the patient had suffered from a severe sprain and strain. The neurologist also advised the patient to continue chiropractic care. The day after the neurological consultation, the patient experienced light-headedness, a sensation of the room spinning, blurry vision, vomiting and dyspnea. Emergency room evaluation ruled out stroke and transient ischemic attack. Evaluation by a neuropsychologist revealed a constellation of cognitive deficits, including memory problems and difficulty with complex logical problem solving. In the neuropsychologist’s opinion, these deficits were consistent with post-concussion syndrome. Chiropractic adjustments con-tinued with low force. At six months post-injury, the patient enjoyed complete resolution of neck pain and vertigo. Mayheu and Sweat (2011) described a 23-year-old woman who suffered head trauma during a slip and fall injury. She presented at the emergency

room with symptoms of nausea, vertigo, neck pain and headache. The diagnosis was concussion. At five months post-injury, the patient sought chiropractic care for residual headache, difficulty in concentrating, and vertigo. Physical and x-ray examination findings were consistent with upper cervical subluxation, and adjustments were administered according to Atlas Orthogonal protocols. At the patient’s third visit one week following presentation, the patient noted that she had not experienced any vertigo or headaches since the first visit.

Visual DysfunctionSome degree of visual dysfunction is common among concussion victims. Gilman and Bergstrand (1990) described a 75-year-old man who suffered a head injury resulting from a fall. He immediately complained of headache and dizziness. The next morning he stated that he was completely blind. He underwent examination by both an optometrist and an ophthalmologist. His report of blindness was supported by the absence of a pupillary response in both examinations. Cranial CT was unremarkable, ruling out gross brain injury. Although concussion was not diagnosed as such, the clinical pattern clearly fits the category. The patient was followed for three months, with no subjective return of vision or objective

recovery of the pupillary response. It was at this point that a chiropractic examination was conducted. The chiropractor found a C1-C2 fixation on motion palpation. The upper cervical spine was adjusted eleven times over a period of three months. After the third adjustment, the patient was able to perceive light. After the eleventh adjustment, the patient could see rays of light coming through a window, could distinguish different colors, and demonstrated a normal pupillary response. After another two months of chiropractic care, the patient was able to read. Sweat and Pottenger (2012) reported the case of a 75-year-old woman who suffered a concussion resulting from a slip and fall injury 10 years previously. At the time of presentation at the chiropractic practice, she complained of a left “lazy eye” which interfered with reading. Chiropractic physical and x-ray examination findings were consistent with upper cervical subluxation. Extra-ocular muscle examination revealed a strabismus, characterized by the left eye lagging behind when the patient was asked to look to her right. She was unable to walk heel-to-toe, instead using a wide stance to ambulate. The patient was seen 22 times over a period of 353 days. On the first and seventeenth visit, she was adjusted according to Atlas Orthogonal protocols.

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(During the other 20 visits, adjustment was not warranted according to the analysis methods of Atlas Orthogonal technique.) At the time of publication, the patient can walk heel-to-toe and stand on one leg (time was not reported). While left eye control is not perfect, it has improved, and she is able to read as long as she wants to. Along with this improvement in extraocular muscle function, she also noted improvements in the brightness, clarity, and color perception of her vision. These improvements began shortly after the first adjustment and progressed during this period of follow-up.

Other Concussion ComponentsOther concussion and post-concussion manifestations that have been reported to respond well under chiropractic care include slowed reaction time, sleep disorders and depression. We look forward to a blossoming of chiropractic research in these areas over the next few years.

References:• CollinsME,MisukanisTM.Chiropractic

ManagementofaPatientwithPostTraumaticVertigoofComplexOrigin.JChiroprMed,2005;4:32-38.Fulltext:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2647031/

• GilmanG,BergstrandJ.VisualRecovery

FollowingChiropracticIntervention.Chiropr:JResChiroprClinInvest,1990;6:61-63

• LovettL,BlumCL.BehavioralandLearningChangesSecondarytoChiropracticCaretoReduceSubluxationsinaChildwithAttentionDeficitHyperactivityDisorder:ACaseStudy.JVertebralSubluxationRes,10-4-2006:1-6.Abstract:http://www.chiroindex.org/?search_page=articles&action=&articleId=19368

• MayheuA,SweatM.UpperCervicalChiropracticCareofaPatientwithPostConcussionSyndrome,PositionalVertigo,andHeadaches.JUpperCervicalChirprRes,2011(Jan6):3-9.Fulltext:http://www.mccoypress.net/juccr/docs/2011-1056_post_concussion.pdf

• PfeferMT,CooperSR,BoyazisAM.ChiropracticManagementofPost-ConcussionHeadacheandNeckPaininaYoungAthleteandImplicationsforReturn-To-Play.TopicsinIntegrativeHealthCare,2011;2(3):1-5.Fulltext:http://www.tihcij.com/Articles/Chiropractic-Management-of-Post-concussion-Headache-and-Neck-Pain-In-a-Young-Athlete-and-Implications-For-Return-To-Play.aspx?id=0000307

• SweatR,PottengerT.Seizure,Ataxia,Fatigue,StrabismusandMigraineResolvedbyPreciseRealignmentoftheFirstCervicalVertebra:ACaseReport.JUpperCervicalChiroprRes,2012(Mar12):20-26.Fulltext:http://www.mccoypress.net/juccr/docs/2012-1203_seizures.pdf

This article is reprinted with permission from the August 1st issue of Dynamic Chiropractic. D r . Charles “Chuck” Masarsky completed his undergraduate studies in biological sciences at Cornell University. He served in the U.S. Army Reserve as a medical specialist. Dr. Masarsky received his Doctor of Chiropractic degree from New York Chiropractic College in 1981 and became licensed to practice in Virginia in 1982. Since 1983, he and his wife, Marion Todres-Masarsky, DC, have owned and run Vienna Chiropractic Associates in Vienna, Virginia. He is currently on the post-graduate faculty of Cleveland Chiropractic College and New York Chiropractic College. An on-line course by Dr. Masarsky on this topic is available through NYCC.

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We Take Care of Our Own is a registered service mark of NCMIC Group, Inc. and NCMIC Risk Retention Group, Inc. All doctors and patient names are changed to protect their privacy. Based on a NCMIC policyholder survey conducted by Ward Group, the leading provider of benchmarking and best practices research studies for insurance companies, 95% ofsurvey respondents who review the Examiner indicated “Yes” when asked if they found its information valuable. For more information about Ward Group, visit www.wardinc.com. ©2014 NCMIC NFL 3520

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

Help a Doc... Have Some Fun!

Deluxe Get-Away: For every new member you sponsor between now and December 1, you will receive an entry into a drawing for a weekend getaway at the renown Homestead Resort in Hot Springs. Two nights accommodations for two with daily breakfast, golf, gorge hikes, The Jefferson Pools, passes to the new Spa Garden -- a value of up to $1800. THE MORE MEMBERS YOU SPONSOR, THE MORE CHANCES YOU HAVE TO WIN! Sponsored by The Homestead Resort.

Up to $1000 Cash: The person who sponsors the most new members will receive $100 FOR EACH NEW MEMBER sponsored -- up to $1000!* Sponsored by Chirocenters Management Corporation.

Dr. Lemuel Already a Winner: A drawing was held at the Spring Convention of all members sponsors to date. Dr. Brandon Lemuel won a $150 Visa gift card PLUS a personalized Celebrate Wellness! video worth $229, sponsored by A Trusted Voice.For Your Convenience: Visit the Membership tab on the Unified VCA web site for applications, benefits info., and testimonials. Questions? Call 540-932-3100 or email vcacentral@hughes.net. * In the case of a tie, a drawing will be held.

2014 Member Sponsors at 7/16/14

Dr. Camille D’Amato - 2!Dr. Will Sonak - 2!

Dr. Chris FreyDr. Mark Gutekunst

Dr. Mathew HillDr. Keith Jassy

Dr. AJ LaBarberaDr. Bob Leib

Dr. Brandon LemuelDr. Minesh PatelDr. Andrew Reno

Dr. Jean-Luc SansfauteDr. Steven Schumacher

Dr. Randy ShortDr. Tom Wetzen

Chirocenters Mgmt. Corp.

You know firsthand how important personal referral is for new patients. Membership too.

Adolph, DC, Kristopher Quality Chiropractic Falls Church, Virginia Phone: 703-237-0404 kcadolph@qualitychirova.com Second Year DC Active Release Technique (ART), Diversified, Drop Techniques - ThompsonReferred by Dr. Camille D’Amato

Bazzarone, DC, Lee Vienna Oaks Chiropractic Ctr Vienna, Virginia Phone: 703-938-9300 DRLEEBAZZ@aol.com Premier DC Diversified

Booth, DC, I. Marie Hampton, Virginia Phone: 757-224-0424 imboothdc@gmail.com First Year DC Full Spine

Boothe, II DC, Robert Boothe Chiropractic Clinic Abingdon, Virginia Phone: 276-628-8006 boothechiro@yahoo.com Fourth Year or More DC

Crum, DC, CCSP, CCRD, Joseph Appalachian Chiropractic Wellness Ctr Bristol, Virginia Phone: 276-669-0969 acwc1@bvu.net Fourth Year or More DC Diversified, Drop Techniques - Thompson, Gonstead, Instrument Adjusting - Activator

Frey, DC, Asa Circle Chiropractic Ctr Fairfax, Virginia Phone: 703-385-2990 keeperace@aol.com First Year DCReferred by Dr. Chris Frey

Jacobs, DC, Wendy Jacobs Chiropractic Arlington, Virginia Phone: 703-892-0430 Fourth Year or More DC Diversified, Extremity Adjusting, GonsteadReferred by Dr. Jean-Luc Sansfaute & Chirocenters Management Corp.

Jassy, DC, Justin Jassy Chiropractic Ctr Midlothian, Virginia Phone: 804-379-1145 kermitdfrog154@hotmail.com StudentReferred by Dr. Keith Jassy

Kabari, Kingsley Student Active Release Technique (ART), Diversified, Extremity Adjusting, Flexion-Distraction - Cox, Kinesio-taping, Motion Palpation, Myofascial Release, Sacro Occipital Technique

Kerns, Nancy Insight Imaging - Northern Va Woodbridge, Virginia Phone: 703-490-3677 nkerns@insighthealth.com Allied Supplier OUTPATIENT IMAGING, HIGH FIELD MRI, OPEN MRI, CT, ULTRASOUND, X-RAY, IMAGE GUIDED THERAPIES Referred by Dr. Will Sonak

Koch, DC, Jean The Spine and Injury Center of Fredericksburg Fredericksburg, Virginia Phone: 540-785-0200 drjeantkoch@gmail.com First Year DC Acupuncture Referred by Dr. Andrew Reno

Continued on page 14

14

EARLY REGISTRATION DISCOUNTS! VISIT WEBSITE FOR DETAILS

THe CONFeReNCe FOR CONSCIOUS CHOICe

INSPIRING SPEAKERS AND WORKSHOP LEADERS

Gregg BradenJoe Dispenza, D.C.

Barbara Loe FisherPeter Gray, Ph.D.

Suzanna Humphries, M.D.Bruce Lipton, Ph.D.

Je� rey Smith...and more to come!

EXPAND YOUR FAMILY WELLNESS INFLUENCE AND SERVICES

LEARN FROM LEADING EXPERTS ABOUT:

PregnancyBirth

ChiropracticConscious Parenting

Nutrition Informed Choice

Holistic Family Care New-Edge Science

WHO SHOULD ATTEND THE SUMMIT?

ParentsCommunity Group Leaders

Chiropractic AdvocatesHolistic Practitioners

Activists for Informed Choice New-Edge Science Promoters

...You!HOSTED BY: HOSTED BY:

Moreau, Karen DConline Colorado Springs, Colorado Phone: 712-260-2507 dconline@mchsi.com Allied Supplier CHIROPRACTIC EDUCATION ONLINE & LIVE SEMINARS

O’Flaherty, DC, Sean Richmond, Virginia Phone: 804-314-4809 dromobile@gmail.com Second Year DC

Osborne, DC, Margaret Rivermont Chiropractic Lynchburg, Virginia Phone: 434-845-8858 riverchiro2915@yahoo.com Fourth Year or More DC Diversified, Extremity Adjusting, Gonstead, Instrument Adjusting - Activator, Soft Tissue Referred by Dr. John Talmadge Purvis, DC, Lillian Purvis Chiropractic Clinic PLC Richmond, Virginia Phone: 804-323-1589 dr.purvis@verizon.net Fourth Year or More DC

Reynolds, DC, Dale Blacksburg, Virginia Phone: 540-449-2172 dreynoldsdc@yahoo.com Fourth Year or More DC Diversified, Drop Techniques - Thompson, Flexion-Distraction - Cox, Instrument Adjusting - Activator

Rooyakkers, DC, Ryan Dynamic Health Chiropractic Virginia Beach, Virginia Phone: 757-354-2161 ryan.rooyakkers@gmail.com Third Year DC

Ryan, Terence MacPractice Chambersburg, Pennsylvania Phone: 717-312-4354 x807 terenceryan@macpractice.com Allied Supplier PRACTICE MANAGEMENT & CLINICAL SOFTWARE FOR MAC IPAD & IPHONE Schaier, DC, Jon Western Branch Family Chiropractic Center Chesapeake, Virginia Phone: 757-483-6000 magicrat@cox.net Fourth Year or More DC Cold Laser, Decompression, Diversified, Drop Techniques

-Thompson, Extremity Adjusting, Flexion-Distraction - Cox, Instrument Adjusting - Other, Kinesiotaping, Low/Non Force Techniques, Myofascial Release

Shillington, DC, Dana Quality Chiropractic Falls Church, Virginia Phone: 703-237-0404 dshillington@qualitychirova.com Second Year DC Diversified, Drop Techniques - Thompson, Gonstead, Instrument Adjusting - Activator, Webster Referred by Dr. Camille D’Amato

Stickle, DC, Travis Covington Chiropractic Covington, Virginia Phone: 540-962-0809 stickledc@gmail.com Fourth Year or More DC

Stitt, Nancy Electronic Transaction Systems Corporation Sterling, Virginia Phone: 800-834-7790 x250 nstitt@etsms.com Allied Supplier FINANCIAL SERVICES Referred by Dr. Will Sonak

Tolbert, Braheem Divine Spine Chiropractic Chester, Virginia Phone: 678-851-7499 braheem.tolbert@gmail.com Member Type: Student Decompression, Diversified, Drop Techniques - Thompson, Extremity Adjusting, Instrument Adjusting- Pro-Adjuster/Sigma

Trochim, Aaron LaBarbera Chiropractic & Wellness Center Rocky Mount, Virginia Phone: 540-483-1811 Member Type: Student

Continued from page 13

Welcome,New Members!• Questions?• Comments?• Needs?• Suggestions?

Call the Unified VCA office at 540-932-3100 or visit www.virginiachiropractic.org. We are here for you!

15

Your Partner in Care

On the path to wellness, your patients may need chiropractic imagingAs an independent imaging expert, Insight Imaging - Roanoke has local, subspecialized radiologists available to consult with you on chiropractic imaging options to help guide your patient’s care.

We offer:• Thorough and prompt reports, including STAT results• Pre-authorization assistance• Quality imaging at costs around 30 - 50% less than hospital-affiliated imaging providers• Same- and next-day appointments

Insight Imaging – Roanoke | 2923 Franklin Rd. SW | Roanoke, VA 24014 | myCDI.com/Roanoke

High-field MRI | Open MRI | CT and High-resolution CTA | Ultrasound | Digital X-rayArthrography | Image-guided Therapeutics

To schedule a patient, call 540.581.0882, or fax an order to 540.581.0881.

16

Robert BowieSociety

($1000+)Dr. Jeremy Busch

Dr. Doug CoxDr. Chris DeGrawDr. David Dolberg

Dr. Christopher FreyDr. Jay GreensteinDr. Noah Malavolti

Dr. Bibhu MisraDr. Mathias Pastore

Dr. Minesh Patel & Dr. Nisha Saggar-Patel

Dr. Christopher PerronDr. Brad Robinson

Dr. Burt RubinDr. Matthew SchrierDr. Samuel Spillman

Dr. Ray TuckDr. Kevin WalshDr. William WardDr. Adam Wilding

X-ray film recycling project viaDr. Chris Bruno

Gold

($600 to $999)Dr. Jeff BowersDr. Gary Dennis

Dr. Sandy Elbaum & Dr. Adam Elbaum

Dr. Mark GutekunstDr. Michael Haas

Dr. A.J. LaBarberaDr. Richard LaBarbera

Dr. Linda LarsenDr. Bob Leib

Dr. Keith SchrefflerDr. Steven TraubenDr. Kevin WestbyDr. Tom Wetzen

Dr. Nora Wilson-Lesser

Silver

($400-$599)Dr. Janice Piedmont Dunlap

Dr. Joe Foley & Dr. DianeDeReu-Foley

Dr. Susan MartinDr. Kat Mayes &

Virginia Chiropractic Political Action Committee

ContributorsBased on Monies & Pledges Received As of 7/29/14

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.

Dr. Tess GrafDr. Wade Quinn

Dr. Jennifer RathmannDr. Susan Sweeten

Emerald

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

Dr. Louis FernandezDr. Wayne Fusco

Dr. Robert HedgepathDr. Cory McKinleyDr. Meredith Oudt

Dr. Garrett ThompsonDr. Michael Vanella

Bronze

(Up to $199)Ms. Lori Anne Collins

Dr. Philip ConnollyDr. Elizabeth KochDr. Charles O’DeaDr. Daniel ShayeDr. William Sonak

17

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866.643.7778Visit Medicfusion.com for more info or to schedule a demo!EHR EHR for Chiropractors

Purchase a ChiroComplete System Today!

Watch $24,000 DISAPPEAR!if you don’t implement EHR by October 1st!

Classifieds

Events

For DC and staff training from the Unified VCA and its partners, visit the Calendar section of the web site.

Coverage

Vacation/Temporary relief coverage. I’LL PRACTICE YOUR WAY WHILE YOU’RE AWAY! 20 yrs exp. Diversified, Drop, F/D, Activator, Rehab, & Physical Modalities. NCMIC insured. Statewide coverage. Dr Dale Reynolds, 540-449-2172, dreynoldsdc@yahoo.com. [6/18/14]

TEMP COVERAGE: Sean O’Flaherty, DC, Phone 804-314-4809. Email dromobile@gmail.com for bio. [6/13/14]

VACATION RELIEF SVCS: Keep yr ofc open. Yr practice run your way. 24 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.

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

KEEP YOUR DOORS OPEN whether it is for vacation, maternity, unforeseen emergencies, short/long term, with Dr Patricia Boulogne. I am 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.

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

Unified VCA DC Members may place a classified ad in The Virginia Voice and on VCA’s website free of charge. Fee is $50 for member vendors and $85 for all non-members. 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 member and non-member DCs throughout VA. Limit of 35 words may be imposed. For deadlines, display ad info. and/or to submit your listing, e-mail vcacentral@hughes.net.

Sections:• Events• Coverage• Non-DC Positions

Available• DC Positions Available• Practices• Products & Services• Space Available• Equipment

(Updated 7/23/2014, Listings from 4/01/2014)

guarantee. See our web site: www.mmachiropractors.com. [thru 5/16/15]

Non-DC Positions Available

Certified Massage Therapist w/malpractice insurance wanted for chiropractic office in Fishersville. 3 days/wk. Neat appearance, punctuality, flexibility required. Willing to learn CA duties, both back office & front desk. Call 540-943-0022. [5/16/14]

DC Positions Available

Amazing Career Opportunity: Seeking caring, highly motivated Chiropractor to help build perfect practice. Our training teaches how to build and run a high volume, successful practice. Our clinics are sport based so any manual therapy certifications are a plus (ART, Graston, etc.) Guaranteed base salary plus bonuses. Benefits include medical, Continued on page 18

18

Another Unified VCA Member Benefit Program!

vacation, education, possible ownership. Visit www.novapainandrehab.com. Send resume and availability for interview to drward@novarehab.com. [7/17/14]

WANTED:: Philosophy based doc to join growing chiro team in Hampton Roads. Call Dr Tom @ 757-404-7643. [7/16/14]

ASSOCIATE: NoVa. Searching for Assoc DC to join our practice providing spine care & integrated physical medicine. Clinically strong, motivated, delf-starter w/good interpersonal & comm skills. Acupuncture subspecialty, PT, Rehab training a +. Competitive salary & profit sharing w/Opp for Partnership. Email CV to RaphaClinic007@gmail.com. [7/9/14]

Wanted: FT Assoc Doctor. VERY busy holistic Ctr. Nutrition, Acu press, adv exercise strategies for health/weight loss. Will train. Growth pot. www.DrBerg.com. Email

roxanac@drberg.com or call 703-354-7336. [7/7/14]

Want to work & play at the beach? Our 25 year successful practice is looking for a dynamic hard working DC who has the potential to take over the reins. Not your typical associate position where you work hard but have nothing to show for it. I am willing to teach you what it takes to run a highly organized profitable chiropractic practice & then eventually transition the practice over to you. If you feel you have the right stuff then send your letter of intent and CV to drpankow@gmail.com. Lets get started on your exciting future! [6/26/14]

Ariya Family Chiropractic Centers of Greater Richmond area looking to make an associate’s dream come true. Rewarding compensation package -- ask our current drs. For our Colonial Heights office, 20 miles south of Richmond. 401k, first year malpractice, UVCA membership & convention covered, ownership possibility. Salary $42-$48k + bonus. Experience a plus. Questions call 804-526-7125. Fax

resumes to 804-520-7624 or email ariyachiropractic@yahoo.com [6/26/14]

FULL TIME ASSOCIATE DC, Great Falls: Exciting opportunity awaits you! Looking for a fun & exciting practice to work in? Family practice in Great Falls is looking for Associate to join our team. Must have excellent adjusting. Palmer pkg preferred. Competitive salary w/benefits & bonuses: 100% employer paid health & dental insurance; retirement plan, pd vacation & Holidays. E-mail loebigchiro@aol.com. [6/17/14]

Integrative wellness studio looking for chiropractor. We have several MTs, an acupuncturist, one on one yoga & are searching for the right chiropractor to lead the office. This is a growing wellness studio & the chiropractor needs to be dynamic & motivated to grow. Please send resume & info to drseanwoods@cox.net. [6/13/14]

WANTED: Assoc Chiropractor to join our family wellness practice of 15 years, w/office locations in Norfolk & Va Bch. If your desire is to focus on low force adjusting & wellness counseling while our staff handles massage, cold laser & insight scanning this could be a great fit! Partnership/Profit sharing possibilities. Send cover letter & CV to DrMark@CoastalChiro.net. [6/11/14]

SEEKING CHIROPRACTOR to join professional team. Must be highly motivated, energetic, patient centered, self-starter. Full office staff helps w/patient care & billing. We encourage building community relationships, but no heavy marketing required. Focus on patient care...we take care of the rest. Part- or full-time. Visit www.skylinewellnesscenter.com. Send CV & short note about goals to jobs@skylinewellnesscenter.com Base $55k, full benefits, variable compensation plan. [6/9/14]

FULL-TIME ASSOCIATE DC needed ASAP in Manassas office. Must be PT friendly, have some basic knowledge of Spanish, & be licensed in VA. Palmer Pkg, diversified, drops & Cox decompression techniques are mainly used on current patient pop. PT/DC practice w/full rehab center. Pls contact me offline with any resumes or additional questions.

Dr Reiman, drkevinreiman@yahoo.com. [5/20/14]

The foundation of our Mission is to positively impact the lives of our patients. If you believe you have the drive & desire to help us make a positive difference, we want to hear from you. Currently recruiting drs for our TX, VA, IL, WA, & OK markets. Pls review our website & apply at www.airrosti.com. [thru 5/6/15]

ASSOCIATE FULL TIME: Looking for a great set of manual adjusting hands along with a big heart to help us in our Charlottesville office. Just show up & adjust, help manage patient care, document progress & leave! We will take care of hiring, firing, marketing, collections, admin. 40-42 hrs/week Experience w/pregnancy, peds & geriatrics is helpful. Competitive pay w/add’l bonus. Submit cover letter w/ CV to staffprax@gmail.com. [4/28/14]

ASSOCIATE: Effective Chiropractic needs full time DC w/PT privileges & MD license. We are a family practice seeing a little bit of everything. Great pay & benefit pkg. Experience preferred but not mandatory. Must be a confident manual adjuster. Pls email CV to Dochardnett@comcast.net. [4/15/14]

Busy Herndon office seeking F-T associate. Experienced, highly motivated/organized, Diversified, good hands, ability to treat myofascial & rehab component, children, pregnant women. MM, PI, WC, cash mix. 4 days (3 full, 2 half) + Saturdays 1/2 day. Base salary + commission, buy out or in option for right person. Health benefits, pension plan. Bilingual Spanish ideal, not mandatory. ASAP. Resume/references to chirohern@yahoo.com. [4/10/14]

IC or Associate: Excellent opportunity for new/established doctor in a well-appointed, stable, low-stress/low-OH practice in a beautiful historic section of Hampton Roads. Dr/mentor/partner will allow you to cultivate, prosper & grow in a multidisciplinary environment. Must have Part IV/Va license/eligible, malpractice & ability to integrate techniques, concepts & philosophies with a patient-centered mindset w/current technology. Email CV to myharbourhealthcare@gmail.com w/description of intentions. [4/8/14]

Continued from page 17

19

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 & be intrinsically motivated to succeed. Great salary, bonuses & benefits. Pls send CV + COVER LETTER & PIC to Frank Lombardozzi: frank@kempsvillechiro.com. Visit www.KempsvilleChiro.com.[4/8/14

ASSOCIATE POSITION: Full-time or Part-time position available in Woodbridge. Must be hard-working, ethical & passionate about helping people. ART, Graston, Rehab, sports background a plus. We’ve just moved into a beautiful new office space w/room for unlimited growth & success. Salary + malpractice & seminar allowance. Partnership or profit sharing opportunities for the right associate. Please send all resume to drstevenhan@yahoo.com. [4/8/14]

ASSOCIATE FULL TIME: Seeking amazing manual adjuster with good communication skills who leads healthy lifestyle & is solid team player. No need to attend to hiring, firing, marketing, collections, admin -- just delivering amazing adjustments, managing patient care, documenting progress. 40-42 hrs/week competitive pay with additional bonus. Available immediately. Submit cover letter with CV to aektaerry@gmail.com. [4/1/14]

ASSOCIATE WANTED - Seeking a seasoned or new chiropractor w/good manual adjusting techniques for an immediate position located in Lanham, MD. You will be joining the Effective Chiropractic team of Doctors located in Millersville, MD, who will be training you to run the PG county office within a month. We offer a competitive base salary with an easy to achieve bonus system. Benefits can include insurance & a 401K offered after 90 days. Housing is available in PG county if relocation is needed. Please call Dr. Hardnett at 410-562-5858 after you send your 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 inclusive of health, dental, life, long term disability insurance, cont ed benefit, 401K match, ownership plan, more. For more info, pls contact Dr Jay Greenstein at drjay@ssrehab.com.

Practices

DC/MD PRACTICE FOR SALE: Reston, VA. Beautiful integrated DC/MD physical medicine & rehab practice for sale. Great location across Reston Hospital in a professional MOB. Affluent area w/ friendly solid patient base, mostly major medical ins. Collections for 2012, 2013, 2014 (projected) over $350K. Practice has zero debt. Selling due to family reasons. Serious inquires only. Email DrDal@VAPWC.com. [7/23/14]

PRACTICE FOR SALE in Southwest Virginia. All equipment and files included. Office is rented. Contact wfpur@yahoo.com [7/10/14]

PRACTICE FOR SALE: Chiropractic & Physical medicine office located in Herndon, VA. Excellent for first office. All ready to go. Very low overhead & good Landlord. Currently operating few half days due to lack of Drs. Seriously interested Drs, pls. email to RaphaClinic007@gmail.com for preview. [7/10/14]

PRACTICE FOR SALE in SE Va, betw Richmond & the Beach. Logan grad ready to retire, seeking wonderful Dr to take the 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 opportunity for dedicated & enterprising dr. Video at http://youtu.be/ni0a0WoO_jA. Email practiceforsale7@gmail.com. (6/14/14]

Continued on page 20

20

LOOKING TO BUY: Fairfax. Local buyer interested in a successful diversified & rehab based practice in Fairfax, VA. Buyer is flexible regarding buy out & partnership options. Please call if interested: 540-358-1276. [5/28/14]

VA PRACTICE FOR SALE. Northern coastal area. $154,206 gross 3 days/wk. Family referral practice. Div/Drop/Act./therapies. Asking only $70,000 including practice, equipment, accounts receivable, & transition assistance. Contact Loren Martin, Practice Opportunities Inc. 952-953-9444. martin@practiceop.com. [4/29/14]

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: Unified VCA members are eligible for discounts on disability insurance. Let us shop all the top carriers & bring you the best rate. VCA-endorsed. Call Dana at 804-897-9040 or email dharrison@mail.com.

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 an start up expenses. Contact drlisa22003@yahoo.com [7/1/14]

OFFICE SPACE to share. Southern Loudoun County space available for an ambitious doctor to start a practice without the upfront & continuing expenses. Fully equipped space ready for you to move in & get started. Please send resume/CV to: srspinetherapy@comcast.net. [5/22/14]

OFFICE & EQUIPMENT for Rent/Lease in Central VA: HIgh traffic st - 3000 sq ft office w/chiropractic tables, PT equip, XRay & processor, & support furniture available for rent/lease immediately. Contacts for excellent

support staff available. Large signage on high traffic st. Pls call 434-942-3946 for details.[5/21/14]

Equipment

FOR SALE; Closing practice - Cox7 Table, ChiroTouch License, Triton DTS 600 Decompression System, Chattanooga Ergostyle Hylo, 2 ea. Chattanooga Forte 4-channel Estim/US combos, 3 ea. Winco 8625S therapy tables w/shelf, & much more. Email for price list & pics dfadc2b@gmail.com. {7/17/14]

Foot Levelers, Foot scanner and computer. Asking $200 for the package. Please contact drsharaposner@gmail.com with all interests or offers. [6/30/14]

SAVE YOUR BACK!!! No more need to help the patient off the table with this Zenith Hylo, 22 in. hydraullic adjusting table. Teal, in very good working condition, $1200 OBO. Located in central Va. Call 434-531-2095. [6/18/14]

2 metal chart filing cabinets. 5’6” high and 7’ high. Solid, quality metal construction. Over $1000 new for both,

sacrifice at $200 ea., or $300 for both. pchiro@pchiro.com. 66” H x 24” W x 13” D and 83.5” H x 36” W x 13” D. [6/14/14]

Chattanooga Cold Laser-Vectra Genisys 2784 with 9 diode laser 850nm-Practically Brand New. Only tested a few times. All original accessories included. $1700 call 757-971-0011. [5/6/14]

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

Unified 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 member and non-member DCs throughout VA. Limit of 35 words may be imposed. For deadlines, display ad info. and/or to submit your listing, e-mail vcacentral@hughes.net.

Continued from page 19

Another Unified VCA Member Benefit Program!

21

800-838-1766 • thehomestead.com

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Discover 2,000 acres of timeless luxury at this elegant escape that dates back to the 18th century. Here, you’ll find everything needed for the ultimate getaway. Test your game on our championship golf courses. Or hit the slopes for an unforgettable ski adventure. It’s all just part of your stay.

OMNI UNDERSTANDS

©2014 Omni Hote ls & Resorts Win a Deluxe Homestead Getaway! See Page 13.

Reminder to Unified VCA Members:The Insurance Committee regularly publishes tips and information based on YOUR questions. For example:• Medical Fraud from an Insurance Company’s Perspective --

How to Avoid an Investigation - May 2014• Insurance Claims – How They Are Examined, Processed

and Settled - March 2014• Appealing Denied Claims on ERISA Regulated Insurance

Plans - January 2014• Refund Request for Overpayment - Part 2 - November 2013• Refund Request for Overpayment - September 2013• Establishing Medical Necessity - July 2013• Medical Necessity - May 2013• Business Insurance - March 2013• Silent PPOs - January 2013

To access these Tips at any time (you’ll need your member log-in:1. Go to www.virigniachiropractic.org2. Click on Tools & Resources3. Click on Insurance4. Click on Insurance Tips5. Click on Desired Topic

Suggestions for future Insurance Tips? Let us know! Forward your ideas to:• Dr. Jeremy Busch, Insurance Committee Co-Chair:

drjeremybusch@hotmail.com,• Dr. Bibhu Misra, Insurance Committee Co-Chair: drmisra@

theomcenter.com, or• Mr. Dale Jackson, Insurance Committee Liaison:

vdjackson@carolina.rr.com.

InsuranceTips

Cash? The Unified VCA has resources to support your practice, too! Contact vcacentral@hughes.net.

Product Value & Marketing:The Path Less Followed

By Richard LaBarbera, DC

There is often major disparity between the true value of a product or ser-vice and the intensity at which it is used. What narrows or even obliter-

ates this gap is marketing. Obvious examples are fast food, big box stores, Wall Street and pharmaceuticals. High utilization rates create corporate megaliths resulting not from exceptional quality, but instead from a high-powered and relentless voice telling us how much “WE NEED IT.” Conversely, there are numerous examples of high-quality products and services that, due to poor marketing practices, flounder or fail. Of course, the one foremost in my mind is Chiropractic! Due to people’s health related upbringing, the misperception of the “Back Pain Guy” and funding limitations, it is nearly impossible to market ef-fectively the health benefits of our noble profession to the at-large public. So how do we get our “Big Picture” message to the people? It seems to me that it is most effectively done on a one-to-one basis or in small groups. This allows at least five avenues to pursue:1. Community groups/civic organizations2. Local corporations3. Local health fairs4. Church groups5. In-house workshops This is what a previous supervisor of mine would have called “grunt and groan work” -- and no doubt about it, it’s hard work. However, the upside is this: nothing can replace the value of face to face, eye to eye contact with the readiness to address concerns and answer questions, then and there! This approach commands respect, instills confidence in you and leaves no doubt in the consumer’s mind that you care deeply about the ser-vice that you offer. So, whereas social media has unquestionable benefits, it can’t match the credibility factor that personal contact carries with it. If this was done by all chiropractors on a consistent basis, our pro-fession would experience a groundswell of support through public awareness and our image would correspondingly rise to new heights. We would be em-braced as the authentic health care providers, allowing the public a way out of the vicious and descendent cycle of needles, drugs, and knives that serves as the sole path that most Americans diligently and deleteriously follow from cradle to grave. Chiropractic would no longer be an “alternative” but would instead become the first choice for those wanting a safe, natural and effective means to a better quality of life. That our society would arrive at such a revelation would be a dream come true; one that we all have from time to time. It need not be fleet-ing. It would become a well deserved reality and a boon to mankind. The path less followed would become the one that all follow. We can make it happen. The choice is ours. Our love for our profession and its unequaled ability to cre-ate positive change will drive us if the intention and the will are steadfast. To quote Calvin Coolidge, “Persistence and determination alone are omnipotent.”

Take advantage of FREE patient hand-outs, PowerPoint presenta-tions, and more that are perfect for one-one-one and small group patient education.

UVCA’s members-only “Celebrate Wellness!” series features over 40 topics, just waiting for you to use. Visit www.virginiachiropractic.com and click on icon.

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CARMICHAEL, Calif. – July 28, 2014 – The Foundation for Chiropractic Progress (F4CP), a not-for-profit organization dedicated to raising awareness about the value of chiropractic care, applauds the Joint Commission, a national nonprofit organization that accredits more than 20,000 healthcare organizations and programs, for its restatement in favor of “non-physician” led patient-centered medical home (PCMH) healthcare teams. The F4CP points to doctors of chiropractic (DCs) as being trained to both serve and lead within the PCMH setting. “Collaboration between providers is a central element to achieving the high quality and cost-effective goals of the PCMH model,” says Gerard Clum, DC, spokesperson, F4CP. “Possessing extensive training in diagnosis and treatment, doctors of chiropractic (DC) can contribute tremendous value to PCMHs. Particularly, for patients with conditions such as low back pain, neck pain and headaches, evidence supports chiropractic as a suitable option that presents greater opportunity for superior outcomes.” According to the F4CP report, “The Role of Chiropractic Care in the Patient-Centered Medical Home,” there are several roles a DC can assume within a PCMH to advance patient care:• As neuromuscular and musculoskeletal specialists with direct patient

access. • As neuromuscular and musculoskeletal specialists, on referral from primary

care providers (PCP).

Joint Commission Declares Medical Doctors Not the Only ProvidersQualified to Lead Patient-Centered Medical Homes

• As PCPs who also deliver care to patients seeking help for non-musculoskeletal conditions.

• As providers of diagnostic and therapeutic prevention and health promotion services, including but not limited to evidence-based diet and exercise counseling.

National entities, including the National Committee for Quality Assurance, Accreditation Association for Ambulatory Health Care and URAC, agree that an organization can provide the attributes of a PCMH without physician leadership – with the exception of the American Medical Association House of Delegates. “I congratulate the Joint Commission for opening the doors to other healthcare disciplines to support patient care through the PCMH model,” says Dr. Clum. “This updated approach allows care to be determined based on a patient’s needs, rather than a profession’s needs. It marks a tremendous step forward for our nation’s healthcare system and patient population, and I am optimistic that this will soon become the generally accepted method for care delivery.”

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

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The Virginia VoiceSummer 2014

The Virginia Voice is the quarterly newsletter of the Virginia Chiropractic Association, dba the Unified VCA, 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

Face to Face ProgramsFor DCs & Staff

FROM VCA:Sat., Aug. 9Coding & DocumentationBy Dr. Kevin SharpHoliday Inn BlacksburgBlacksburg, VA6 CEUsFor DCs & CAs

FROM VCA:Fri.-Sun., Sept. 26-28Fall ConventionHyatt Regency atReston Town Center17.5 CEUs (Up to 15.5 Type 1)For DCs & CAsExhibits

FROM VCA:Sat., Sept. 27General Membership MeetingHyatt Regency atReston Town Center

Sat., Oct. 18Laser Therapy & Spondylogenic Reflex AnalysisFairfax, VA

FROM VCA:Sat., Nov. 15Medicare Made SimpleBy Ms. Susan McClellandRichmond, VA8 Type 1 CEUsFor DCs & CAs

FROM VCA:Sun., Nov. 16Coding Made ClearBy Ms. Susan McClellandRichmond, VA4 Type 1 CEUsFor DCs & CAs

Sat., Dec. 06Laser Therapy & Spondylogenic Reflex AnalysisFairfax

Online CEUsThe Unified VCA has made arrangements with two of the top sites for online chiropractic CE credits, ChiroCredit.com and EON! (Education Over the Net!) to give members a discount on registration fees. EON!’s programs are sponsored by New York Chiropractic College and ChiroCredit.com’s programs are sponsored by the University of Bridgeport College of Chiropractic. Many even qualify for Type 1 credit in Virginia! Online programs are a convenient way to augment the face-to-face hours you receive via live Unified VCA seminars and conventions. Plus they give you an opportunity to explore specific new topics of possible interest without incurring travel costs.

SEE

CONVENTION

INSERT

 

OPEN HOUSE EVENT August 14 4:00 - 7:00 PM

Come & see our newly expanded facilities,

sample new state-of-the-healing-arts therapies & enjoy healthy snacks!

 

9210  Forest  Hill  Avenue,  Suite  B-­‐3  Richmond  VA  23235  

www.healthinsyncs.com  

To see the wide range of programs offered by these top notch companies and/or take advantage of the member discount, visit these special Unified VCA web sites:• EON!: Visit www.eondirect.com/

vachiro. No code needed.• ChiroCredit.com: Visit www.

chirocredit.com/vca. Enter Unified VCA member discount code 936581 during registration.

CA Training & Coaching

The Unified VCA has made arrangements with Assistants for Chiropractic Excellence to provide the A.C.E. Program for CAs at a member-discounted rate. The program offers CA training and coaching with team-inspired implementation and systematic growth to gain higher profits, less office stress, more referrals, increased patient retention, more freedom, well-trained CAs and less staff turnover. A.C.E. provides high quality training and motivation without travel expenses. Membership includes a monthly one-hour seminar (live on the phone and online recording), course materials, file downloads, Synergy Forum and unlimited Q&A. Monthly membership is just $77 per month for Unified VCA members (use discount code VCA20). There are no member-ship requirements or hidden fees. Cancel any time with 15 days notice. “This program from KimKlapp is an excellent way to keepyourstafffocused.It’slikehavingyourown private consultant in your office,butata fractionof thecost. Ihighlyrecommendtheprogram.”-Dr.TomTauer

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IN THIS ISSUE:• DCs & EHR• Independent

Contractors• Concussion,

Post-Concussion, & the Chiropractic Adjustment

• Chiropractic Health Week

• Product Value & Marketing

• Non-Physicians & Patient-Centered Medical Homes

• Insurance Tips• New & Premier

Members• Classifieds• More

CALENDAR INSIDE BACK PAGE

CONVENTIONINSERT!

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:

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

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