Board of Directors

April 4, 2002

Minutes

 

The meeting was called to order at 8:30 a.m. by WCA President Sherry Walker, DC at the WCA building in Madison, WI. Members absent Drs. Lyne, Scherer, and Steele.

 

Motion: Moved by McMahon, seconded by Baker to approve the minutes of the March 7, 2002 meeting. Motion carried.

 

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

 

Applicants seeking regular membership:     

 

Stacy M. Bula, DC                    Antigo

Mark E. Erb, DC                       Menomonie

Warren Silbaugh, DC                 Janesville

Angela Tenniswood, DC            West Salem

Steven Tenniswood, DC            West Salem     

 

Applicants seeking student membership:    

 

            Todd J. Bauer                           Palmer

            Angela K. Hall                          Northwestern

            Joseph W. Ryan                        Palmer

 

Motion carried.

 

Motion: Moved by McMahon, seconded by Baker to approve the following:

 

Members seeking change in status

 

            James L. Greenwald, DC           From retired to resignation

 

Motion carried.

 

Five: Moved by McMahon, seconded by Henrichs to approve the following:

 

Financial Report

 

The board requested staff to review the potential for re-offering the vaccine program.

 

The Fall Convention was previewed with the centerpiece being the opportunity for chiropractors to earn up to 24 hours of continuing education. Dr. Rakowski will conduct a nutrition seminar on Thursday and Friday, Dr. Lipton a program on the Science of Innate Intelligence on Friday and Saturday, and Dr. Curl a rehab program Saturday and Sunday. In addition the WCA will have the potential to provide CPR certification for up to 300 doctors as part of their program.

 

The board reviewed a proposal from the Foot & Spine Research Institute regarding their educational offerings. This was referred to staff for research and recommendations.

 

Government Affairs:

 

A detailed review of the physical therapy bill was conducted focusing on the following points.

 

To our knowledge, this is the first bill in the United States that provides competitive protection for the chiropractic adjustment.

 

The bill states:

 

A physical therapist may not claim that any manipulation service that he or she provides is in any manner a chiropractic adjustment that is employed to correct a spinal subluxation.

 

This language is something that the profession has wanted for a very long time. Those physical therapists that want to tell their patients that their manipulations are the same as an adjustment will no longer be allowed to do so. The words “in any manner” are important because it covers all types of communication – with no exceptions. If this bill does not pass, chiropractors will lose this important protection

 

Other protections in this bill

 

-          The physical therapists were seeking the right to direct access for all patients. We defeated this attempt. The referral laws are still in place.

-          The physical therapists were seeking the potential to use x-rays in their practices. We defeated this attempt. Without this very important diagnostic tool, it reinforces the limited nature of a physical therapist’s work.

-          The physical therapists were seeking the use of the term “diagnosis” in a manner that was equivalent to the term “differential diagnosis”. We defeated this attempt. The use of the term “diagnosis” has been strictly limited to their training and education as a physical therapist. We added specific language that so that the definition does not include “the making of a chiropractic or medical diagnosis”.

-          The physical therapists wanted to retain current law that prohibits doctors from advertising that they provide physical therapy services unless they advertised physical therapy before 1995. This currently impacts hundreds of chiropractors and would have eventually shut out the entire profession. We saved this important right that can have a significant economic impact on the profession. All chiropractors, without limitation, will be able to advertise that they provide modality based physical therapy services.

 

Physical therapists have been manipulating patients for more than 30 years. This bill does not give them a right they did not already have.

 

Contrary to what some people have been told, the state statutes only provide general guidelines as to a profession’s scope of practice. One of the primary functions of each examining board is to interpret the training and education of their providers to see if it fits into their general scope of practice.

 

Physical therapists receive a broad range of training in manipulation. It is part of their core education and training. It is the height of arrogance to assume that the chiropractic profession can tell another health care profession that they must discontinue providing a service for which they are licensed, trained, and reimbursed.

 

The federal government, through the CPT process, is the 800 pound gorilla that ultimately determines the services for which a provider group is reimbursed. Physical therapists are reimbursed for CPT code 97140, which includes manipulation, millions of times each year.

 

Chiropractors adjust patients, we do not manipulate.

 

Imagine a circle. Now cover that circle with a much bigger circle. The small circle represents a manipulation. The circle that covers it represents the much more encompassing work of an adjustment. The adjustment represents our underlying philosophy, our comprehensive diagnosis and on-going assessment of the patient’s condition, and our well defined adjusting techniques.

 

The ACA made a mistake by settling for  the nomenclature of “Chiropractic Manipulative Treatment” instead of “Chiropractic Adjustment Treatment”. Just because the ACA made a strategic mistake in the naming of our codes, does not mean that suddenly 100+ years of our history have evaporated. While other health care professions touch a patient’s body with their hands for the purpose of moving tissue, muscle, and or bone (manipulation), the adjustment a chiropractor provides is unique because of its comprehensiveness.

 

The ACA lawsuit against the physical therapists.

 

Under federal law only chiropractors may provides manipulation services to treat spinal subluxations. The physical therapists claimed that since they have a right to be reimbursed for  manipulative services, this should include manipulations for spinal subluxations. The ACA disagreed and sued the physical therapists. The WCA supported this lawsuit financially.

 

CMS recently ruled in the chiropractic profession’s favor – but the ruling was limited. We have won a big victory in Medicare which ruled that services to treat a spinal subluxation must be provided by a chiropractor. This did not put the physical therapists out of business. While they lost the right to reimbursement for spinal manipulations, they are still being reimbursed by Medicare each year for  the millions and millions of other manipulation services they provide to their patients.

 

Insurance Bill

 

The insurance bill was reviewed with emphasis on the importance that the disclosures requirements for IRO were retained. Without these disclosure requirements patients would not have been informed of their right to seek an independent review. Should this have occurred it would have gutted the intent of the bill and greatly reduced its effectiveness.

It was also announced that the Office of the Commissioner of Insurance (OCI) has certified the first two companies that have qualified to conduct external appeals from patients. The two companies are Permedion of Westerville, Ohio, and Medical Review Institute of America of Salt Lake City, Utah.

The process will be available beginning June 15, 2002. Patients who have had claims denied since December 1, 2002 are eligible as long as they have filed a request for review by October 14, 2002. Patients who have claims denied after June 15, 2002 will have four months to apply for an external review.

Unfortunately, external review is not available to patients whose employer is self insured unless the employer makes the process available to their employees on a voluntary basis.

Past issues of the Wisconsin Chiropractor has described the IRO process, in detail, along with the rules for the independent review organizations. The complete IRO application process will be taught as part of the new Paying for Chiropractic Care Program).

Emergency Health Powers Act

In the discussion of the Emergency Health Powers Act it was noted that the bill retains an individual’s right to reject required vaccinations for reasons of religion or conscience. To insure that those that object are treated fairly the WCA will investigate the quarantine provisions and inform our members of the potential for legislative action.

Internet Education

Sherry ‘Walker, DC briefed the board on the examining board’s discussion of the potential for internet education. The following arguments were made against allowing Internet Education until significant modifications are made to insure the integrity of our continuing education rules.

 

Philosophy Credit for CE

 

Sherry Walker, DC also presented a summary of the public hearing that discussed the potential of offering CE for philosophy courses. Dr. Walker presented the following as the WCA’s position on this issue:

 

Philosophy is one of the cornerstones of a chiropractor’s education. In fact, it is the philosophy of chiropractic that serves as a bedrock principle for our clinical approach to a patient – to look beyond the symptomotology of a patient to find and treat the cause of a patient’s problem. Our philosophy has allowed us to develop a true doctor-patient relationship where we can focus on helping patients improve the quality of their life and health.

 

However, the intent of the legislature in requiring continuing education is to provide for the ongoing improvement in the clinical skills of a chiropractor. Based on the current literature, it is not possible to document the many positive clinical benefits of applied chiropractic philosophy in the clinical setting. As further research occurs, we expect these benefits will be validated as a clinical skill.

 

The examining board was also presented with a number of examples in which the so called philosophy seminars were nothing more than disguised personal opinion programs designed to sell a product service, or business strategy.

 

Since philosophy cannot be directly related to improving a chiropractor’s clinical skills at this time, the board requests that the examining board withdraw this rule.

 

Since the examining board indicated that it is inclined to move ahead with this rule, the board approved the following motion.

 

Motion Six: Moved by Varish, seconded by McMahon to request that the staff write to the chiropractic examining board and state that the WCA will use all possible legislative means to defeat the proposal to allow continuing education hours for philosophy courses. Motion carried unanimously.

 

Member Suggestions

 

The board discussed several suggestions it received from its members. Based on these suggestions,

 

-          The WCA will, once again, strongly encourage its members to contribute their time to grass roots campaign activity and will coordinate the interest of members with various campaigns.

-          The WCA will continue to review the agenda of the National Chiropractic Legislative Conference to determine if the agenda warrants sending representatives to Washington for this conference.

-          The WCA is considering the most effective way to impact the WIAAs decision to require physicals by physicians only. The WCA is currently conducting “listening sessions” based on the “Future of Chiropractic” article that appeared in the January edition of the Wisconsin Chiropractor.

 

WI Data Base Requirements

 

The staff briefed the board on a member complaint that dealt with an insurance company’s perceived failure to update their data base as required under Wisconsin law. The member had contacted the insurer and told them that they had not seen an increase in the UCR value in a number of years. The insurer confirmed that fact and did not have a response as to their obligation under Wisconsin Administrative Code to update their dataset with data no older than 18 months. The board limited its discussion to the requirements of the law and was reminded that no discussion could occur regarding any aspect of a members pricing. The WCA will respond to complaints of this nature by informing members of their rights to file complaints with OCI.

 

Chester Wilk, DC

The content of Dr. Wilk’s discussion with a number of WCA board members was discussed. The following is a summary of his ideas/proposal:

The Alliance of State Chiropractic Spokespersons (ASCS) has been formed to bring together the "best of the best," handpicked from every state, with its prime mission being to contact virtually every radio station, TV station, newspaper and legislator in America to effectively communicate the chiropractic message. The book that will guide this process is Dr. Wilk’s text Medicine, Monopolies, and Malice (MMM)..

By consensus, the board had no inclination to support this proposal. The board reiterated that:

 

-          The President and Executive Director serve as the official spokespersons for the WCA and their work is supplemented by the board of directors.

-          The WCA does not endorse organizations or products.

-          While the WCA has great respect for the work of Dr. Wilk and believes he deserve s the admiration of the profession, his book represents a strategy of confrontation with the medical profession at a time when the WCA believes it is in the best interests of our members to promote interdisciplinary cooperation while maintaining the uniqueness of chiropractic.

 

Attorney Generals Opinion on Point of Service

 

The board was given a copy of the opinion of the Attorney General requested by the insurance commissioner that confirmed that the point of service requirements required under Wi Stat. 609.10 do not apply to self insured employers. The WCA had already disseminated that information to our members.

 

Insurance Review of 97140

 

The board was briefed that CMS has announced changes in its national coding initiative that will allow chiropractors to use the 97140 code on the same day as a CMT code. When the CMS decision is announced the WCA will provides its members with full details on its correct use. Most important will be that the procedure has an expected use time of 15 minutes which is far less than the average chiropractor performs the procedure.

 

CranioSacral Therapy

 

The board held a clinical discussion on their current knowledge of the use of CranioSacral Therapy among a broad range of health care profession. In view of the fact that not a great deal is known about this therapy the staff was requested to gather information for a more complete discussion at the next board meeting.

 

Accident Marketing

 

The WCA receives a number of complaints about what is perceived to be unethical marketing of chiropractic services to accident victims. The board was shown a current example of this type of marketing. The board did not take action because unless the chiropractor is breaking a law the first amendment protects their right to publish any form of advertising – even that which is offensive to the profession.

 

The meeting was adjourned at approximately 2:15 p.m.