The ACA blog provides readers with information to help them advance their knowledge, achieve their professional goals and strive for excellence, while also creating a greater sense of community among chiropractors nationwide through online engagement and information-sharing with their colleagues.

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Q&A with NCLC Presenters: Dr. Austin McMillin

Dr. McMillin's initial and ongoing interest in rehab and active care for the spine is centered on enhancing the basic chiropractic care he can provide to patients and more effectively managing a broader range of musculoskeletal conditions. "It’s my opinion that the chiropractic profession should be leading the way in improving functional musculoskeletal care, especially as it relates to the spine in central body fitness," he writes. "New, evidenced-based approaches in rehab and active care for the spine and central body fit perfectly within chiropractic practice. They also help raise the bar in musculoskeletal care. They allow for better care continuum for patients and provide another level of connection to natural health care and wellness."

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Collaboration for Low Back Pain Treatment in Older Adults

Part of the Evidence in Action series by the Palmer Center for Chiropractic Research

The inclusion of chiropractic practitioners into various collaborative health systems has increased over the past decade. The addition of chiropractic within these multi-disciplinary settings has been embraced by many as a way to manage spinal conditions, such as back and neck pain, using noninvasive therapies. However, taking a patient-centered approach to such integration involving various health care practitioners leads to new questions and challenges and requires novel research to optimize patient outcomes in these settings.

Author: Zac Shannon
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Budget Bill Passed by Congress Contains Several Important Health Provisions

In the early morning hours of Friday, Feb. 9, the House passed a bill that was passed by the Senate several hours earlier to keep the government funded for another two years.  This action by Congress ensures fiscal “peace” through this year’s mid-term election and into 2019.  Shortly after the House passed the measure, the president signed the bill, again effectively ending the threat of a government shutdown for the foreseeable future.


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Blues Plans Issuing Denials for Certain Modifiers

ACA has recently heard from members in a few states that some Blue Cross Blue Shield plans are automatically denying claims that contain the -25 and -59 modifiers. The states we have heard from to date include Illinois, Oklahoma and Texas. The Blues plans in these states are owned by Health Care Service Corporation (HCSC), an umbrella company that also owns the Blues plans in Montana and New Mexico. ACA has since learned that a new code-auditing enhancement is the source of the denials. 

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‘Spring Training’ for Baseball’s Chiropractors: 4th Annual PBCS Seminar and Workshop

The 4th annual Professional Baseball Chiropractic Society (PBCS) Seminar and Workshop took place on Jan. 19-20.  It was held at the beautiful spring training home of the Kansas City Royals and Texas Rangers in Surprise, Ariz. This was the third consecutive year that the PBCS Seminar and Workshop was hosted at a Major League Baseball (MLB) spring training facility.  Thirty-four team chiropractors were in attendance from the MLB and Minor League Baseball (MiLB), representing a total of 18 MLB organizations. 

Author: Rick Bishop
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Q&A with NCLC Presenters: Dr. Joel Kreisberg

If you are looking for ways to diversify your practice or to distinguish yourself from other integrative practitioners, health coaching skills offer a unique advantage, according to Joel Kreisberg, DC, PCC, a presenter at NCLC 2018. If you are interested in innovative care models and increasing your satisfaction with work, health coaching provides an opportunity for both. You do not have to give up any of what you are doing already; just shift to a relationship-centered care model, which facilitates growth and healing for patients and practitioners. 

 

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ACA Convenes Stakeholder Forum to Address Opioid Crisis, Collaboration

The American Chiropractic Association (ACA) hosted a historic Stakeholder Collaborative Forum on Jan. 26 at Northwestern Health Sciences University to delve deeper into the current market need for chiropractors in combating the opioid crisis as well as issues related to chiropractors working within or in collaboration with hospitals and health systems. Michele Maiers, DC, PhD, facilitated the meeting with the primary goal to identify industry trends and how to position members to be successful.  Several qualities were identified and work groups were established to help guide ACA in the creation of toolkits we can provide for our members. 

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Wills, Trusts and Other Estate Planning Options

Estate planning is one of the most common topics of discussion between financial planners and their clients. The first step toward ensuring that the wealth you build and enjoy during your lifetime will enhance the lives of your children or other recipients for decades to come is having a basic understanding of the options available to you for distributing your assets after death. 

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My Rotation Through a VA Pain Medicine Clinic

Part of a series on the chiropractic residency program in the VA health care system

Some of the most valuable knowledge you gain in the Veterans Affairs (VA) chiropractic residency program comes from rotating in other specialties. Within the VA Connecticut Healthcare System, Stephanie Halloran, DC, rotates at both the West Haven and Newington locations. Thus far, she has spent time in rheumatology, physiatry, women’s clinic (primary care), neurology, pain medicine and the interventional pain clinic. Although she says each rotation has contributed greatly to her clinical acumen, in this post she primarily focuses on what she learned in pain medicine.

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Research Review: Systematic Review and Meta-Analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation

Based on case reports/series and case-control studies, an association between chiropractic neck manipulation (CM) and cervical artery dissection (CAD) has been proposed. However, questions remain as to whether CM is actually a cause of CAD, or if the relationship is the result of other extraneous factors. The purpose of this study was to examine the strength of evidence about whether CM causes CAD by performing a systematic review, meta-analysis and evaluation of the body of evidence as a whole.

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