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The Virginia Voice Summer 2013

Join Your Colleagues

Premier Members

Daniel Atwell, DCAnthony Avedisian, DC

Jeff Bowers, DCJeremy Busch, DC, CCSP, CCEP,

CSCS, CHtChris Connolly, DC

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

Gary Dennis, DCDiane DeReu-Foley, DC

David Dolberg, DCJanice Piedmont Dunlap, DC

Theresa Dunton, DCWilliam Todd Fisher, DC

Joe Foley, DCChris Frey, DC

Michael Geheren, DCJay Greenstein, DC, CCSP

Lawrence Griffith, Jr, DCMark Gutekunst, DCTom Hennessey, DCLeslie Holcombe, DCDuane Hudspath, DC

Vincent Joseph, DCJoseph Kennedy, DC. CSCS

Elizabeth Koch, DCBob Leib, DC

Franklin Luke, Jr, DCBibhu Misra, DC, MSc, ACRB-1,

FIAMACharles O’Dea, DC

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

Meredith Oudt, DCMinesh Patel, DCAnne Pinto, DC

Robert Pinto, DC, CCEP, CCSP,ACRB Level II

Andrew Reno, DC, CCICBrad Robinson, DC, FICANisha Saggar-Patel, DC

Authoring the Narrative

By Chadwick Hawk, DC

Jean-Luc Sansfaute, DCTheodore Savvas, Jr, DC

Tim Scheuerman, DCJoanne Schmit, DC

Matt Schrier, DCRandy Short, DCMelanie Six, DC

Elizabeth Skorupa, DC *Lonnie Slone, DC

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

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

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

Howard Wilson, DCStephen Wolford, DC

* Newly Upgraded!

Most chiropractors are aware of their office’s image and

presence in their community. If you practice in a smaller town like Danville, it is easy to measure your reputation. I first opened my practice in North Garden, Virginia, population 900. In this small town, I found it rather easy to determine how effective I was in marketing my message. However, if you live in the midst of millions of other people in northern Virginia, it can be more difficult to let your community, not to mention your city, know who you are

and what you do. It is the blessing and curse of this profession that no two chiropractors do exactly the same thing in their respective practices. While one of us may never adjust below the atlas, another may focus on rehabilitation of knees. These are completely different approaches to caring for the patient’s body while practicing under the same license. You are unique and you should capitalize on YOUR approach and talents. When you examine our

profession’s history, you will quickly see how many of the early leaders authored the narrative of Chiropractic. They cast the vision of how they saw Chiropractic at that time. There is a very valuable lesson for us in their approach that we can utilize today. You have the opportunity today to author your narrative in your community. You do not have to sit back and passively accept what others think of you… you need to shape that thought or message. In fact, I Continued on page 3

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would contend that it is your responsibility to effectively

communicate who you are and what you do on a daily basis to your patients and to your community. You cannot just depend on the VCA or other leaders to promote Chiropractic in your area. There are several primary methods of getting your narrative into your community: your patients, your website, and your print material. I intentionally left out advertising because I am talking about long-term, reliable resources that will have an impact in your area. Most forms of advertising limit space or time, leaving you unable to fully convey who you are and what you do. While advertising can be effective at attracting new patients, it does not keep patients in your office. It’s who you are and what you do that does it! Y o u r website and print material are your voice when you cannot be present. They tell a prospective patient who you are as a person and a Chiropractor. They must be an accurate reflection of you, your office, and what you do. The simplest way of doing this is to buy a template website where some of your personal information is imported and you are able to select pre-written text that may or may not reflect your particular approach. Similarly, finding pre-written printed material that covers topics important to you goes back over one hundred years in this profession, but does a poor job telling YOUR story. With this “one size fits all” method, you’re forced to settle for whatever happens to be available. A better, more effective way is to create customized material in both digital and print media that is a true reflection of your practice and style. This helps eliminate confusion or conflicting ideas about what you do and how you do it. It also promotes the most identifiable part of your practice – YOU! Marketing research proves that the personal connection communicated through story or experience carries far more weight in the decision making process than sterile research or letters after your name. So take time to craft your message and let Virginia know who you are! Become the author of your own narrative.

Chadwick Hawk, DC is the CEO of Atlas Media Group, PLC, a VCA Supporting Supplier Member (www.atlasmediagroup.org.). Dr. Hawk is also a practicing Chiropractor in Charlottesville, Virginia, and a DC Member of the VCA.

Continued from page 1

On August 22, 2013, in a first of its kind meeting, coding and reimbursement executives from the VCA

and WellPoint/Anthem met to discuss several issues of importance to Virginia chiropractors. Dr. Bibhu Misra, VCA Vice President and Insurance Chairman stated, “clearly the right experts were involved so no stones were left unturned around established and nationally accepted reimbursement protocols and standards. The meeting was hopeful and the VCA will learn the proper code use and value on Dry Needling from Anthem within two weeks.” Several other outcomes of the meeting place the VCA in a better position to bring about changes that Virginia doctors need and deserve. • Connections have been made at the top for policy

change. VCA is now linked to the national Medical Director for all WellPoint/Anthem plans in 14 states. A conference call took place with him in May 2013 and regular contact continues.

• The Regional Vice President and Medical Director for Anthem is very responsive to VCA about membership concerns.

• The VCA now has higher level contacts to assist us on member concerns with network and claim processing issues.

• The VCA presented to Anthem several state laws that we believe place them at risk for potential unfair practices. • Ethical and fair carrier business practices. • Unfair claim practices. • Bone and joint diagnostic

VCA Convinces WellPoint/Anthem There is Compelling Evidence for

Higher Dry Needling Value

Continued on page 5

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procedure law.• Reimbursement law.

• Anthem now considers dry needling by a doctor of chiropractic more complex than they originally thought. Dr. Misra presented compelling clinical evidence and provider risk/complexity factors that convinced Anthem to re-evaluate coding for dry needling.

• Anthem staff admitted and VCA objected to claim practices that ignore the full evaluation of claims for unlisted procedures. The added burden placed on DCs to provide a procedure report, which Anthem stated they do not read or use in the claim evaluation for CPT #97139, is viewed as a serious unfair claim practice by the VCA.

• VCA provided several available coding options that would allow improvement in reimbursement.

• A solution around CMT and E/M codes with modifier -25 was reached. • Dr. Misra presented examples of why exams and

treatment would be performed on the same visit for an established patient.

• Anthem agreed that in these cases there was no conflict in the contract language for in-network providers. (If a modifier-25 is not specifically prohibited in a particular section of the contract, it could be used as the re-exam and would be viewed as a separate and distinct procedure from the CMT. Anthem agreed it would be appropriate to bill a modifier-25 on the E/M code if therapy and/or CMT was also provided on this visit.)

• The meeting helped place the chiropractic community and VCA members in a more favorable light; similar

strategies can be used with other large insurers in the state.

In summary, this is a very important step in building relationships with major insurance companies. Honest, straightforward and frank discussions of issues on both sides will go a long way in making things better for chiropractic in Virginia. Another meeting with Anthem is being planned for November to present chiropractic cost-effectiveness research and an Evidence Based Model for Chiropractic Prevention and Wellness. Stay tuned for further developments and what we anticipate will be favorable results for Virginia doctors. The VCA has informed Anthem that we will not go away and that there’s a Plan B in place for regulatory intervention if an acceptable outcome is not forthcoming on Dry Needling.

Continued from page 3

Dr. Bibhu Misra briefs 2013 strategic planning meeting attendees on insurance-rleated initiatives and priorities.

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Another Unified VCA Member Benefit!

Welcome, New Members!

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

Ambrose, DC, Douglas Ambrose Chiropractic & Acupuncture Clinic Richmond, VA Phone: 804-897-6130 dougambrose5@gmail.com Fourth Year or More DC

Backus, DC, Adriana Arlington, VA Phone: 202-674-0644 First Year DC Diversified, Activator, SOT, Thompson, ART, Rehab

Baheri, DC, Cler Chiropractic & Wellness Fredericksburg, VA Phone: 540-656-2980 Fourth Year or More DC Diversified, Nutrition, Weight Loss

Capri, DC, Joseph Richmond, VA hopeofglorychiro@gmail.com First Year DC Diversified, Pettibon, True Cellular Detoxification

Childress, DC, Stephen Childress Chiropractic Spinal Rehab & Wellness Lebanon, VA Phone: 276-889-1314 SLChildressdc@gmail.com Fourth Year or More DC

Curry, DC, M Curry Chiropractic PC Salisbury, MD Phone: 410-860-1111 Out of State DCDavis, DC, Steven Arlington, VA First Year DC

Davis, Yolanda Foot Levelers Inc Roanoke, VA Phone: 540-345-0008 yolanda.davis@footlevelers.com Allied Supplier Custom made orthotics, pillows, rehab equipment, foot scanner

Dubats, DC, Steven Chiropractic First Inc Mechanicsville, VA Phone: 804-746-7277 Fourth Year or More DC Diversified, Activator, Drop Table

Fontaine, DC, Matthew Positively Chiropractic Annandale, VA Phone: 703-642-8685 staff@posichiro.com Second Year DC Active Release Techniques

Knizner, DC, William Augusta Waynesboro Chiropractic Waynesboro, VA Phone: 540-943-1434 wcckiz@hotmail.com Fourth Year or More DC Kortering, DC, Kathryn Bristol Physical Therapy & Chiropractic Bristow, VA Phone: 703-686-4010 korteringdc@yahoo.com First Year DC Diversified, Thompson, Trigger Point/Myofascial Release Referred by Dr. Howard VanNostrand

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Mankooei, DC, Shayda Commerce Chiropractic Center Springfield, VA Phone: 703-644-5900 ccc7223@vacoxmail.com Fourth Year or More DC Diversified, Activator, Thompson

Manning, DC, Jerry Manning Chiropractic Danville, VA Phone: 434-836-2905 info@manning-chiropractic.com Fourth Year or More DC Diversified, Thompson, Cox, Activator, Graston

Nicolai, DC, Thomas Fauquier Chiropractic Warrenton, VA Phone: 540-347-5900 drtnicolai@gmail.com Fourth Year or More DC Palmer, Thompson, Activator

O’Flaherty, DC, Sean Key West, FL Out of State DC

Richmond, DC, Bradley Ballwin, MO Phone: 540-907-0626 Bradley.richmond@logan.edu Student Logan Basic, Diversified, Thompson Drop, Cox, Graston

Robinson, DC, David Blue Ridge Chiropractic Clinic Stuarts Draft, VA Phone: 540-337-1238 Fourth Year or More DC

Schwartz, DC, Allison Premier Health Chiropractic Virginia Beach, VA Phone: 757-962-6191 Second Year DC Impulse IQ, Activator, Pediatrics

Skorupa, DC, Elizabeth Back In Action Chiropractic Yorktown, VA Phone: 757-989-5393 getbackinaction@yahoo.com Premier DC Activator Referred by Dr. Chris Connolly

Svihla, DC, Lawrence Atlantic Chiropractic Clinic Poquoson, VA Phone: 757-868-8822 Fourth Year or More DC Diversified, Cox

Tran, DC, Nguyen Optimal Chiro-Rehab Center Fairfax, VA Phone: 703-573-4773 info@oc-rc.com Fourth Year or More DC

Vozar, DC, Amanda Atwell Family Chiropractic & Wellness Harrisonburg, VA Phone: 540-442-8294 First Year DC Thompson, Diversified

Continued from page 7

Doctors Teass & WalterNamed “Top Docs”

Two of the association’s past presidents, Dr. Greg Walter of Roanoke and Dr. JeffersonTeass of Vinton, were named “Top Docs” in this year’s Roanoker Magazine poll. The biennial polling aims “to determine the best doctors in the Roanoke Valley.”

Congratulations, Dr. Walter and Dr. Teass!

Welcome!

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EHR Leaders Provide Free Webinars& Discounts to VCA Members

As health care hurtles towards full use of electronic health records, you must implement EHR to qualify for

government funding and to operate effectively in the years ahead. As EHR deadlines loom, you need guidance! Rather than re-invent the wheel or “endorse” a single EHR company, the VCA is tapping into the expertise of leading vendor experts currently serving the chiropractic profession. We believe that there is not one single EHR company that is perfect for every office -- and that you need to go through the process of conducting your own due diligence to ensure that you choose the best system for your needs. VCA has contacted a number of organizations to see if they are interested in providing educational information and special offers to VCA Members. Medicfusion and Future Health have been the first to step up to the plate. We aren’t talking about demos and sales pitches. We are talking about information to answer your questions and concerns regarding EHR -- and to help you learn how to compare and contrast the companies marketing to you. And with the last day to get started for the full Federal EHR Incentive fast approaching -- October 3rd -- time is of the essence! In exchange for VCA’s promotion of their webinars, both Future Health and Medicfusion are giving significant discounts to any VCA members who do decide to buy from them. However, attending their demos is not a prerequisite to register for the free educational programs -- nor the focus.

See VCA’s web calendar for webinar schedule.

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Another Unified VCA Member Benefit!

trigger pt. Exc exp treating disc type injuries, specifically low back. Call Dr Jared Hatch at 509-432-1942 or email kulog31@hotmail.com. Look forward to helping anyway I can. [6/19/13]

VA OFFICE COVERAGE for SHORT or LONG TERM: Over 27 years of proficient clinical experience in all major techniques, Chiropractic nutri-tion, Sports Medicine & Rehab care. I will do it your way & you get your practice back as you left it, or better! NCMIC insurance is intact. Willing to travel statewide - full & half days. Patricia Boulogne, DC, CCSP, AP at (cell) 617-901-0925 or email drpatb@gmail.com.

NEED TIME OFF, but need to keep your practice open? Dr Bob Simpson: 14 years experience, NCMIC insured, & a long list of references! For vacations, Maternity leave, or

Classifieds

7), Oct 25-27 (module 8). For flyer or to register, go to www.acu-seminar.com.

Coverage

High vol chiropractic office needs team oriented, multi-tasking, energetic cover dr end of Dec 2013 to March 2014. Goal oriented, dependable & instrument proficiency a must. EHR exp helpful. Email resume to vabeachchiro@hotmail.com. Pls feel free to check out our exciting clinic at www.vabeachchiro.com. [8/19/13]

NCMIC insured DC available for vaca, short/long term coverage in Fredericksburg, Richmond, NoVA areas. Keep your practice open, feel secure w/your patients in my hands. Exc manual adjuster treating pts w/variety of conditions, treating each as an individual & not a #. Diversified, Cox, Graston, ART, drop table,

just because. Call 757-813-7926 or email 757traveldoc@gmail.com.

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

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

STATEWIDE TEMPORARY OR PERMANENT OFFICE COVERAGE: Since 1986. Emergency, vacation, mater-nity, short & long term coverage. Full, half day, wkly

VCA DC Members may place a classified ad in The Virginia Voice and on VCA’s website free of charge. Fee is $85 for non-member DCs and all Suppliers. Listing will remain on website for 3 months, plus appear in at least 1 issue of VCA’s newsletter and at least 1 broadcast email/fax to DCs throughout VA. Limit of 35 words may be imposed. For deadlines, display ad info. and/or to submit your listing, e-mail UnifiedVCA-Elaine@comcast.net.

(Updated 8/22/2013. Listings from 5/25/2013.)

Events

CERTIFIED ACUPUNCTURE SEMINAR 2013: 200 hrs, 5 month term. June 7-9 (module 1), June 28-30 (module 2), July 26-28 (module 3), Aug 9-11 (module 4), Aug 30-Sep 1 (module 5), Sep 20-22 (module 6), Oct 11-13 (module Continued on page 13

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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. ∗ Based on a NCMIC policyholder survey conducted by WardGroup, the leading provider of benchmarking and best practices research studies for insurance companies. For more information about Ward Group, visit www.wardinc.com.

©2013 NCMIC NFL 3520

WeBack in 1946, NCMIC was formed by a group ofchiropractors with the express purpose of offeringmalpractice insurance to D.C.s at a time when noone else would.

More than 40,000 D.C.s know they cancount on NCMIC—a company created bychiropractors and for chiropractors.

Our Own®

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“We Take Care of Our Own®” approach. Call 1-800-769-2000, ext. 3120.

It has always been our mission to protect doctors’ practice and reputation. Butdon’t just take our word for it. In a recent survey, 95 percent of ourpolicyholders were extremely or very likely to recommendNCMIC to a friend.*

Take Care of

www.ncmic.com

WTCOO_VirginiaVoice_7.5x10_bw_Layout 1 3/24/13 9:24 PM Page 1

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rates. Lg selection of licd/insd DCs. Can help w/your coverage & assoc needs. Call 800-501-6111 for a free quote. Ask about our satisfaction guarantee. See our web site: www.mmachiropractors.com. [thru 3/15/14]

Position Wanted

ASSOCIATE DC AVAILABLE: honest, hardworking, eager team player looking for open position in NoVA or Fredericksburg area. VA licensed, Graston trained, excellent communicator and adjuster. Email Dr Hatch at kulog31@hotmail.com for CV/more info. “I look forward to our future relationship.” [6/19/13]

Non-DC Position Available

DC NEEDS CA / OFFICE MGR to help run his Alexandria practice. Experi-ence necessary. Email vcadrknapp@yahoo.com to

send resume or for more info. No calls. [8/7/13]

MANAGING CA WANTED: Leesburg Chiropractic & Massage is expanding our team! (FT/PT) You can make the difference. Direct patient care position. On the job training is available to the right candidate. Competitive salary based on experience. EMAIL CV & resume to management@leesburgchiro.com. [8/1/13]

MASSAGE THERAPIST needed for busy Fairfax office. Fax resume to 703-352-8935. [6/10/13]

STATE / NATL CERTIFIED MT needed for deep tissue & exercise rehab. Hrs: Mon 8-12pm & 2-6pm, Tues 1-6pm, Wed 8-1pm, Thurs 1-6pm, Fri 8-1pm, every other Sat 8-1pm. We supply rm & all supplies. Pls send resume w/refs & cover letter to admin@kempsvillechiro.com. [5/30/13]

DC Position Available

ASSOCIATE POSITION available in busy suburban Washington, DC multi-disciplinary Urgent Care clinic (Fairfax). Email CV to

rrosadc@gmail.com or fax to 703-876-6234. [8/19/13]

High vol chiropractic office needs team oriented, multi-tasking, energetic cover dr end of Dec 2013 to March 2014. Goal oriented, dependable & instrument proficiency a must. EHR exp helpful. Email resume to vabeachchiro@hotmail.com. Pls feel free to check out our exciting clinic at www.vabeachchiro.com. [8/19/13]

ART CERTIFIED ASSOCIATE WANTED: Arlington. Strong clinical skills & ART full body certification a must. Our practice, in busy NoVa Courthouse area, right across river from Nation’s Capital, has flourished for 15+ yrs. If you want to be part of a successful, hardworking team that maintains it new patient flow thru patient, trainer, therapist, coaches & orthopedic sur-geon referrals, not plans or gimmicks, contact Dr Schreffler directly at docschref@aol.com or 571-278-0484.

Continued from page 11

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Dr. Michael Vanella NamedChiropractor of the Month

VCA Member Dr. Michael Vanella, who practices in Virginia Beach, was recently awarded On Purpose’s

Chiropractor of the Month. According to On Purpose, the award recognizes Dr. Vanella’s and his staff’s “focused commitment to providing the highest quality chiropractic care possible to the community.”

Congratulations, Dr. Vanella!

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Office Name_________________________________________

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Another Unified VCA Member Benefit Program!

Successful candidate will enjoy competitive base salary, pd vacation + great incentive program. Website: www.schrefflerchiropractic.com. [8/19/13]

VA BEACH chiropractic office is seeking an enthusiastic, high energy, subluxation based chiropractor. Needs to be honest, sincere, w/onfident public speaking skills. Strong leadership skills are highly recommended. Must have a solid chiropractic philosophy & is willing to do whatever it takes. Experience in New Patient attraction is preferred. This is a full time position. I am a Chiropractic Consultant/Partner in the Markson Connection & I am looking for the right person to be trained as an associate with the potential for partnership. Pls send CV to draxelrod@elmsfordchiropractic.com. [8/12/13]

A CONFIDENT, COMMITTED, HARDWORKING ASSOCIATE NEEDED to join a 2 office/3 Dr practice in Midlothian. Full time w/benefits, retirement, pd vacation & ownership potential for right candidate. Practice exp a plus but not a requirement. Pls email resume/CV to drbrus@chirocenters.com. [8/12/13]

GREAT OPPORTUNITY for right person. Looking for honest, caring, self-motivated Dr to practice in our Newport News office. Strong clinical & adjusting skills a must. Salary + incentive bonus. Pls email resume to dr.westby@gmail.com. [8/2/13]

DC in Annandale & Centreville. Bilingual English & Korean, VA license required. Email resume to changchiro@yahoo.com. Website www.changchiro.com, phone 703-916-0303. [7/29/13]

Large, multi-doctor practice is looking for a professional, motivated DC to join our wellness-based team. We have a large practice that

incorporates spinal rehab & massage therapy. We are focused on educating our patients on principles of chiropractic, subluxation, health, wellness & prevention. Ideal candidate must have strong chiropractic philosophical base with a desire to educate patients about chiropractic care & wellness, high energy level & be intrinsically motivated to succeed. Great salary, bonuses & benefits offered. Please send a CV plus COVER LETTER & PICTURE to Frank Lombardozzi at frank@kempsvillechiro.com. Visit our website at www.KempsvilleChiro.com.

WANTED, independent con-tractor DC for stable, 29 year old suburban Richmond practice (experience preferred). Come & build a practice in a well-run, well staffed, policy based office. Serious inquiries contact owner dr at elliotedc@comcast.net. [7/9/13]

ASSOCIATE: Successful family wellness practice in Richmond area. Key traits: passion, compassion, exc comms skills. As we cont to grow in the community, right candidate must be able to detect & correct subluxation in patients of all ages & pregnant women. Exp w/Insight Subluxation Station, Creating Wellness programs & nutrition coaching (Standard Process) helpful but not necessary. Certainty w/1 or more adjusting techniques including Diversified, Thomp-son Drop, F/D & Activator required, + application of acute & corrective therapies. Pls call 866-594-0140 for more details & instrux on how to apply for this great opportunity. Pls do not contact office directly. [6/26/13]

BUSY PRACTICE outside of Richmond would love to attract an Independent Contractor! Plenty of patients & overflow to kickstart an IC’s practice. Please email dr.anna@atleechiropractic.com for more information. Check out our office at atleechiropractic.com. [6/26/13]

WANTED: FT Assoc Dr. VERY busy holistic Ctr. Nutrition, Acu press, adv exercise strategies for health/weight loss. Will train. Growth potential. Go to www.DrBerg.com. Email roxanac@drberg.com or call 703-354-7336. [6/11/13]

ASSOCIATE needed for busy Fairfax office w/buy-in opportunity. Fax resume to 703-352-8935. [6/10/13]

INDEPENDENT CONTRAC-TOR NEEDED to work in chiropractic / sports medicine office located in a 30,000 sq ft fitness facility in VA Bch. MT on site. Looking for a doctor interested in potential buyout.

Fitness background & rehab interest a +. Will train the right dr to be successful. Email drjoemarcil@yahoo.com or fax cv to 757-471-4464. [6/10/13]

RICHMOND: Motivated, ener-getic, & caring assoc w/great comm skills wanted. Enjoy a positive, warm & rewarding work envir in full service chiro & wellness ctr. Your dream of owning your own practice could be realized in just 2-3 years. Salary, bonus, health ins, retirement, & malpractice. Email resume to drwill@chirocenters.com or fax to 804-523-8011. [5/31/13]

Continued from page 13

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NEED AN ASSOCIATE to run office in VA Beach. Fast growing office, join a great team. Call Dr Tom 757-404.7643.

ASSOCIATE WANTED: Seeking 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 Drs 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 resume/CV to dochardnett@comcast.net.

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

PracticesBeautiful, historic waterfront town on Chesapeake Bay. Only chiropractic practice in county of 11,000! Town growing quickly as resort & arts area. Great beaches, fishing, golf & lifestyle. Well-equipped office w/certified EMR (4 yrs incentives left at $26,000), Impluse IQ, Hill flexion tables, therapies. Great staff.

Collecting $170,000 on 2 ½ days/wk. $69,000. Will considered owner financing to the right person. waterfrontpractice@gmail.com or 757-442-1158. [7/25/13]

Unique opprty for new or expd SOT dr. 17 YO SOT practice in thriving downtown Fredericksburg. Dr would like to stay in bldg to practice exclusively in nutrition. Willing to mentor SOT student. Office fully equipped w/certified EHR, therapeutic laser, Lloyd Hi-Lo & elevation tables. P-T (25 hrs/wk) practice gross for 2012 was $218K. Practice buy-out $100K neg. Contact Christine Thompson at cthompson@whole-health.net or 540-809-4223. [7/16/13]

FOR SALE: 33 yr old practice in Henrico Cty, Richmond. Great location on main hwy gives high exposure for new patients w/great signage to add to strong base of existing patients. Free standing bldg, fully equipped, 3000 sq ft ofc w/spacious reception, private ofcs, multiple treatment rms for chiropractic, acupunture, MT. Lg therapy/rehab rm, xray rm, storage space. Lots of rm for practice expansion. Turn key. Dependable, happy staff comes as a Bonus! 2012 Annual Net $387,500. Bldg lease w/opt to buy. Serious inquires only: spinesrus@hotmail.com. [7/10/13]

WEST RICHMOND: Excellent *BUY-IN* OPPORTUNITY! Make $75K your 1st yr, $90K your 2nd yr ~ w/annual increases. Estd Diversified practice collecting $587,000 in 2012! 3 day wkends! 100% CASH - NO ACCOUNTS RECEIVABLE! CALL TODAY Professional Practice Advisors, 800-863-9373, www.practiceadvisors.com. [6/26/13]

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. [6/20/13]

FOR SALE: 31 yrs old. Acupuncture & chiropractic in beautiful horse country near DC. Quiet location w/best parking in town. Turn key. Dr retiring for other pursuits. Serious inquiries only call 540-270-7007. [6/12/13]

Continued from page 14

Continued on page 19

Another Unified VCA Member Benefit Program!

16

Robert BowieSociety

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

Dr. Elliot EisenbergDr. Joe Foley & Dr. Diane

DeReu-FoleyDr. Christopher FreyDr. Jay GreensteinDr. Noah Malavolti

Dr. Bibhu MisraDr. Mathias Pastore

Dr. Minesh Patel & Dr. Nisha Saggar-Patel

Dr. Brad RobinsonDr. 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 Bowers

Dr. Philip ConnollyDr. Gary Dennis

Dr. Sandy Elbaum & Dr. Adam Elbaum

Dr. Michael HaasDr. Richard LaBarbera

Dr. Linda LarsenDr. Cory McKinleyDr. Keith SchrefflerDr. Susan SweetenDr. Steven TraubenDr. Kevin WestbyDr. Tom Wetzen

Silver

($400-$599)Dr. Doug Cox

Dr. Janice Piedmont DunlapDr. A.J. LaBarbera

Dr. Jonathan SolomonDr. Robert Thoma

Virginia Chiropractic Political Action Committee

2013 ContributorsBased on Monies or Pledges

Received as of 8/26/13

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

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

Name:___________________________________________________ Signature: ________________________________________

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

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

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

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

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

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

Emerald

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

Dr. Louis FernandezDr. Wayne Fusco

Dr. Robert HedgepathDr. Darlene HollandDr. Renata KowalDr. Susan MartinDr. Lee MatthisDr. Kat Mayes &

Dr. Tess GrafDr. Meredith OudtDr. William Sonak

Dr. Garrett ThompsonDr. Michael Vanella

Bronze

(Up to $199)Dr. Paul Temple

Dr. William ThesierDr. Gregory Walter

Thank You!

17

www.cmcbillingonline.com

BBilling Service

CMC’s mission is to provide Chiropractors and Chiropractic patients with unparalleled service unlike any traditional billing

service. We achieve this by dedicating a highly trained Client Service Representative to serve our clients every need. We

support our Client relationship with state of the art computing and communication technology. We also offer other scalable

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

OOur Mission

MManagement Services

Our packages include payroll and benefit administration, HR virtual access, office assistant, performance reports and more.

TTechnology

Our state of the art computing and communication technology solution coupled with the most advanced medical software is

designed to simplify administrative tasks and improve productivity- and it’s simple to use!

Chirocenters Management Corporation

Dedicated to providing solutions for Chiropractors and Chiropractic Patients

• Medicare

• Commercial Insurance Plans

• Secondary Plans

• Personal Injury Payer

CMC will focus on completing the necessary administrative task so that our clients team can focus on the patients well being.

Third Party Billing with All Payers

We utilize our software to manage claims with all payers, including:

Electronic & Paper Claims

We will always find the best and most efficient means available for the quickest payout.

Payer Follow-Up

We will research all outstanding insurance and resubmit those claims for payment.

Call Center

CMC will be the primary recipient for all billing related calls from Insurance

payers, patients, attorneys, etc. thereby keeping your phones clear for new

patient calls.

Other Offerings

Insurance Verifications/Authorization, Collections, Scheduling, Credentialing,

Durable goods, Nutritional Supplements, phone coverage, training.

• Worker’s Compensation

RReferences

Please feel free to

contact these clients for

testimonials or references

about our services.

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

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

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

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

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

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

18

September 11, 12:00 noonFREE EHR WEBINARLess Work Than You Think To Collect Up To $39,000by Steve Kraus, DC,Future Health

September 25, 6:30pmFREE EHR WEBINARElectronic Health Records & HITECH Incentivesby Kevin Sharp, DC, Medicfusion

September 19, 12:00 noonFREE EHR WEBINARLess Work Than You Think To Collect Up To $39,000by Steve Kraus, DC,Future Health

October 4 - 6, 2013 VCA Fall ConventionHilton Hotel & Spa at Short PumpRichmond, VASEE INSERT!

October 19-20, 2013Dry Needling Techniqueby David B. Fishkin, DC, MPH

November 16-17, 2013Dry Needling Techniqueby David B. Fishkin, DC, MPH Rockville, MD

November 16-17, 2013From the Council on Extremity AdjustingThe Certified Chiropractic Extremity Practitioner Certification Program (CCEP)Weekend 1 of 7: TMJ, Ribs & Shoulder Girdleby Dr. Marni CapesFront Royal, VA

December 14-15, 2013Dry Needling Techniqueby David B. Fishkin, DC, MPH Rockville, MD

December 14-15, 2013From the Council on Extremity AdjustingThe Certified Chiropractic Extremity Practitioner Certification Program (CCEP)Weekend 2 of 7: Advanced Principles of Upper Extremity Adjusting by Dr. Thomas SatterwhiteFront Royal, VA

January 11-12, 2014From the Council on Extremity AdjustingThe Certified Chiropractic Extremity Practitioner Certification Program (CCEP)Weekend 3 of 7: Advanced Principles of Lower Extremity Adjusting by Dr. Kevin HearonFront Royal, VA

Calendar of Events

How Excess Body Weight Promotes Pain

By David R. Seaman, DC, MS, DABCN

When I was first in chiropractic college, the general belief at the time within chiropractic, physical therapy and medicine was that being overweight would mechanically

strain the low back and cause pain. Subsequent studies demonstrated that there was not a direct correlation between being overweight/obese and back pain. In recent years, studies have demonstrated that some people who are overweight suffer from diabetes or a chronic inflammatory state that precedes diabetes known as

the metabolic syndrome. In other words, some overweight individuals are chronically inflamed, while others are not. With this in mind, researchers have further identified that being overweight/obese contributes to chronic pain when these individuals are chronically inflamed. Table 1 on left outlines the recently studied correlations (BMI, metabolic syndrome, diabetes and pain expression). For more details on this topic, see my recent paper in Chiropractic & Manual Therapies (1), which is available as a free full text

Body mass index (BMI) Overweight and obese individuals are more likely to suffer from tension-type or migraine headache, fibromyalgia, abdominal pain, and chronic widespread pain Studies have implicated an elevated by BMI as a promoter of low back pain Obese subjects with hsCRP levels above 3 mg/dL are more likely to report low back pain, compared to obese subjects with normal levels

Metabolic syndrome Local and widespread musculoskeletal pains are more common in patients with the metabolic syndrome Prevalence of neck pain is higher in patients with metabolic syndrome Shoulder pain is associated with the metabolic syndrome Achilles, patella, and elbow tendinopathy are associated with the metabolic syndrome Risk of lumbar disc herniation is increased by the metabolic syndrome Low back and radiating pain is associated with elevated serum lipids and cardiovascular disease risk factors Osteoarthritis is promoted by the metabolic syndrome

Type 2 diabetes Patients with type 2 diabetes have reduced mobility across all joints tested compared to age/weight matched controls Patients with type 2 diabetes are more likely to develop lumbar stenosis compared to non-diabetics Type 2 diabetes increases the risk of expressing disc herniation in both the cervical and lumbar spines Continued on page 19

19

The Virginia VoiceSummer, 2013

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

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

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

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

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

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

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

NORFOLK - 20 yr practice for sale. Dr retiring. 1400 sq ft office w/active IC massage room rental to cover most of overhead. Attractive decor, chiro tables, x-ray. Priced to sell at $55K. Perfect setting for new DC. Call 757 813-5080. [6/6/13]

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: 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

Seeking practitioner to share office space straight rental and some shared expenses. Charlottesville 2300 sq ft, available M,W,F. Prefer integrative minded practitioner (DC, MD, DO, MT, acupuncturist, medical/pain mgmt dr). Contact Suzanne A. Coffey, DC APCM, 434-825-4362 or drcoffeydc@gmail.com. [6/26/13]

Equipment

PRICE REDUCED. Thuli stationary chiropractic table, completely redone, 3 drops work perfectly, $695. Call Dr Allan Tomson, 703-865-5690. [8/22/13]VARIOUS ITEMS: free x-ray, & processor, flat tables, Synergy system, art work, spinal charts framed, chairs, storage & file cabinets, book cases, Hill stim unit, carts, etc, all must go. call Tom Vinick 757-404-7643. [8/8/13]

LOTS of equipment in NoVa including leather stationary table, metal wall desks, stainless equipment stands, hydrocollators, stimulator, infrared lamp, ultrasound units, shredder, copier, trash cans. For low prices or pics, email skf3@verizon.net or call Sharon at 703-609-9863. [8/7/13]

INTERSEGMENTAL TRAC-TION TABLE for sale. Hunter green. US Table model ASH-7000. Excellent condition. $795 (compare @ $2149 new). Contact pchiro@performancechiropractic.com. [8/7/13]

ABS (American Back Solution) Decompression Table for sale. Used for 3 yrs. There are no visible flaws & the motor was recently checked and overhauled. Purchased in 2006 - retail price then $65,000 - asking $7,500. For more info contact William M Austin, DC, 3544 Berryhill Dr, Roanoke, VA 24018 or call 540-556-3914 [7/8/13]

4 pcs Progressive resistance equipment: white metal w/teal naugahyde; neck, LB,

Continued from page 15

paper. This paper includes an example of chart that can be used in practice to track inflammatory markers. Some of the markers involve laboratory testing, while many are anthropometric measures. Not surprisingly, the appropriate natural intervention for an excess BMI, the metabolic syndrome, and diabetes, involves diet and exercise. In my view, the operational goal should be to reduce chronic inflammation. Nutritional supplements are also useful in this regard. Two recently published papers that outline this nutritional approach are available at their respective websites (2,3).

References 1. Seaman DR. Body mass index and musculoskeletal pain: is there a connection? Chiro Man Ther. 2013;21:15. Download at: http://www.chiromt.com/content/21/1/15/abstract2. Seaman DR. Dietary “crackheads” and the never-ending battle against the bulging waistline. Dynamic Chiro. 2013; Vol 31. Issue 7.Download at: http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=564193. Seaman DR. Anti-inflammatory nutrition for musculoskeletal pain. ACAnews. May 2013.Download at: http://mydigimag.rrd.com/publication/?i=155184

torso rotation, back ext; $2000 ea, practically brand new. Pediatric Ponee table $800. Pics available. Call Suzanne A Coffey, DC APCM 434-825-4360. [6/26/13]

Insight Millenium Subluxation Station. Brand New from CLA. Rec’d it as a replacement 10 yrs ago but never used it. Has been sitting in original box on storage shelf in my office since then. Machine & power supply only. No wires/instruments. Make me a reasonable offer. Call 757-549-1664 or email chesapeakewellnesscenter@gmail.com. [6/13/13]

VARIOUS: Blue Eurotech drop table, can also traction; brown Cox low back table; brown massage table; stainless steel equipment cart; metal shelving; brown drop table; other small items. Call 540-270-7007. [6/12/13]

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

Continued from page 18

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IN THIS ISSUE:• Authoring the Narrative• Anthem & Dry Needling• How Excess Body

Weigtht Promotes Pain• Free EHR Webinars• New & Premier Members• Classified Listings• Va. C-PAC Contributors• More

FALL CONVENTIONOCTOBER 4-6RICHMOND

SEE INSERT!

PO Box 15Afton, VA 22920