The following are informative minutes of the November 2, 2006 meeting of the WCA Board of Directors. Please note that these minutes may not cover all of the subjects discussed or motions passed by the board. The portion of the minutes dealing with confidential attorney-client communications, personnel issues, legislative strategies, communications with legislators, communications with government employees, political contribution strategies and specific complaints or information about individual practitioners is considered confidential by the board. WCA members may obtain detailed minutes by contacting the WCA office.

Board of Directors

November 2, 2006

Minutes

The meeting was called to order at 8:30 a.m. by WCA President Sherry Walker at the WCA building in Madison. Members absent Drs. Adams and Bronston.

Motion: Moved by McMahon, seconded by Lefler to approve the minutes of the September 28, 2006 meeting. Motion carried.

Motion: Moved by McMahon, seconded by Lysne to elect Steve Douglas Vice President of the WCA. Motion carried.

Motion: Moved by Douglas, seconded by Lefler to elect Wendy Varish Treasurer of the WCA. Motion carried.

Motion: Moved by Steele, seconded by McMahon to elect Leo Bronston Secretary of the WCA. Motion carried.

Motion: Moved by Douglas, seconded by Varish to approve the following:

Attorney General – Criminalizing Malpractice

The board discussed the criminal charges filed by WDOJ against a nurse who caused the death of a patient by accidentally administering the wrong medications. The WCA will report on this case to the members because it appears this is the first time the state has criminalized malpractice and the implications for all health care providers are significant.

Motion: Moved by Douglas, seconded by Varish to move into executive session. Motion carried

CMS Forms

The board reviewed the new CMS forms that will be required in 2007 to accommodate the new NPI numbers.

X-Ray Guidelines

The board had an extensive discussion on the PCCRP x-ray guidelines.

Motion: Moved by Shepherd, seconded by Moola to send the PCCRP guidelines to the members for their review. Motion failed.

Motion: Moved by Varish, seconded by Moola to request the staff write to national organizations and the colleges/universities to solicit their opinions on the PCCRP guidelines. Motion carried.

ACN – Advance Imaging Guidelines

The board discussed ACN’s advanced imaging guidelines and determined that they do not violate Wisconsin law because the guidelines apply to all health care providers and do not interfere with a chiropractor’s right to take basic x-rays as determined by the patient’s condition.

Worker’s Compensation

The board discussed the creation of the WC guidelines committee, its mission and its operations to date. It is expected that the treatment guidelines will be implemented through the emergency rule process in December.

The board also discussed the many problems members are having with the state certified data bases.

Motion: Moved by McMahon, seconded by Varish to request an opinion by WCA legal counsel on collecting data as a prelude to asking the state to conduct an audit on certified data bases. Motion carried.

Auto Case Reimbursement

The board discussed the staff request for a memo from WCA legal counsel on the circumstance under which a chiropractor must submit a bill to the patient’s managed care company instead of to the patient’s or other party’s auto carrier.

DRX-9000

The board discussed a detailed complaint sent by a patient over a chiropractor’s abusive use of the DRX 9000 technology. Staff will monitor the case as it makes its way through DRL for appropriate reporting to the membership.

Medicare – Fee Schedule Reductions

The federal government has not yet determined if it will restore the reduction to provider reimbursement. Members are encouraged to continue to generate letters until such time as Congress has acted – which is expected to be before the end of 2006.

The meeting was adjourned approximately 1:45 p.m.