Education Sessions

Saturday, Jan. 27 | 7:45 a.m. – 8:45 a.m. | Palladian Room

The Role of Relative Energy Deficiency in Sport (RED-S) on the Growth and Development of Adolescent Athletes (1 CE)  

Presenters: James F. Geiselman, Jr., DC, MS, DACBN, CCSP, ICSC, CNC, CES, NREMT and Drew Sams, MS, CPT, CES, CNC | ACA Council on Nutrition  

Presentation Summary: Relative energy deficiency in sport (RED-S) is a result of low energy availability due to an increase in intensity of exercise accompanied with low caloric intake. RED-S has become an increasingly common diagnosis for many athletes, especially athletes who practice weight restrictive measures for competition. This condition is seen in sports such as gymnastics, weightlifting and wrestling. Research has examined the effects of low energy availability (EA) on the growth of adolescent athletes by examining body composition, serum biomarkers, and athletic performance. 

Upon completion of this presentation, learners should be able to:  

• Explain the role nutrition plays in growth and development. 
• Identify the signs and symptoms of athletes exhibiting relative energy deficiency in sport (RED-S). 
• Distinguish the proper steps in the treatment for these athletes. 
• Express a practitioner’s role in mitigating RED-S in an adolescent athletic population. 

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Saturday, Jan. 27 | 7:45 a.m. – 8:45 a.m. | Congressional Room

Chiropractic Occupational Health (1 CE)  

Presenter: Scott Bautch, DC, DABCOH  

Presentation Summary: This presentation will review the varied needs chiropractic can address within occupational health and familiarize the audience with what occupational health means to industries. 

Upon completion of this presentation, learners should be able to:  

• Explain what occupational health is.  
• Review trends and needs with occupational health.  
• Describe appreciative inquiry, a brief overview, and strategy.  
• Explain the difference between addressing human interaction with the working environment and in making the working environment friendly to the human. 

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Saturday, Jan. 27 | 9:30 a.m. – 11:30 a.m. | Palladian Room

Management of the Distance and Endurance Runner (2 CE)  

Presenter: Kelly Lange, DC, CCSP | ACA Sports Council

Presentation Summary: We will explore the clinical management of the marathon and ultra-marathon runner. With an increasing number of runners starting to do events from 26 to 200 miles, it is important for the sports doc to know how to manage these athletes before and after their event. We will discuss what to do the months and days before their event including prehab recommendations for strength and mobility, on-course and finish line management for docs working on-the-field, and how to help athletes the days and weeks following their endeavor. We will touch on training, psychology, nutrition, recovery, rehab, foot health and footwear, with an emphasis on good communication and management skills to help you be the go-to practitioner for endurance athletes in your community.

Objectives:

• Introduction to unique language, concerns and needs of the athlete in the sport of endurance running
• Guidance on how to get and retain more patients for those doctors wanting to increase their exposure with this sport and community
• Considerations of strength and mobility training for the running and endurance athlete
• On-site care and medical plan recommendations for race day for when you want to work an event
• Unique considerations in ultra-running including hyponatremia, rhabdomyolysis and foot care
• Clinical pearls to help you become the go-to practitioner for your runners

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Saturday, Jan. 27 | 9:30 a.m. – 11:30 a.m. | Congressional Room

E/M Services, Modifier 25, and Chiropractic: Tips for Documenting, Coding, Billing, and Appealing Inappropriate Denials (2 CE)  

Presenter: T. Matthew Christopher, DC, MBA, CPC, CPMA, CPCO, CPB, CCPC | ACA Council on Forensic Sciences  

Presentation Summary: Modifier 25 denials are on the rise by multiple payers across the country. Attendees will discuss clinical practice guidelines for periodic patient assessments throughout a chiropractic treatment plan. With these clinical concepts as a foundation, participants will delve into key concepts related to modifier 25 and bundling rules that apply to Evaluation and Management (E/M) services performed on the same date as other chiropractic procedures. The session will conclude with a discussion of the practical applications of these concepts to chiropractic documentation, coding, billing, and appeals for inappropriate modifier 25 denials of E/M services. 

Upon completion of this presentation, learners should be able to:  

• Examine clinical guidelines related to patient assessment throughout a chiropractic treatment plan.  
• Compare and contrast AMA CPT® bundling rules and National Correct Coding Initiative (NCCI) bundling rules related to modifier 25 in the chiropractic setting. 
• Discuss how modifier 25 concepts apply to chiropractic documentation, coding, and billing practices. 
• Learn strategies to appeal inappropriate modifier 25 denials by third-party payers. 

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Saturday, Jan. 27 | 12:30 p.m. – 1:30 p.m. | Palladian Room  

Chiropractic and Pain Management: A Multidiscipline Approach (1 CE)  

Presenter: Robert McKnight, DC, DIANM | ACA Council on Chiropractic Orthopedics 

Presentation Summary: This course is designed to teach attendees about common conditions that may require a referral for interventional pain management, including how the conditions present to the office, what they look like on MRI, and how referrals should be made. The most common types of interventional pain management procedures will be discussed (what the procedures are, what conditions they treat, what medications are used, why some medications are preferred over others, and what outcomes are expected). Attendees will gain an increased ability to recognize pathology on MRI, increased ability to discuss these findings with patients and professionals and request consultations with pain physicians, increased ability to discuss pain management procedures with patients, and understand the mechanism and benefit of these procedures.  

Upon completion of this presentation, learners should be able to:  

• Recognize the most common types of interventional pain management procedures.  
• Explain how to work in harmony with pain management physicians and spine surgeons.  
• Discuss how to communicate in an educated manner with other medical spine specialists. 

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Saturday, Jan. 27 | 12:30 p.m. – 1:30 p.m. | Congressional Room  

Foundational Concepts for the Chiropractic Internist (1 CE)  

Presenter: Robert Kessinger, DC, DABCI, DACBN | ACA Council on Diagnosis & Internal Disorders 

Presentation Summary: Chiropractic evolved as an alternative, conservative health care approach that began by successfully treating a wide variety of ailments, including visceral disorders. Changes and challenges in health care offer chiropractic a unique opportunity to revisit its origins as a preventive, non-drug, non-surgical, whole body profession that does not duplicate or compete with allopathic medicine. This is the role of the chiropractic internist; this session provides an overview of the practice method. 

Upon completion of this presentation, learners should be able to:  

• Use chiropractic as a primary gatekeeper.  
• Explain the five components of primary care.  
• Identify the significance of performing a comprehensive history and physical exam.  

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Saturday, Jan. 27 | 1:45 p.m. – 2:45 p.m. | Palladian Room    

After Review, the Call on the Film Stands! A Case-Based Review of Sports Injury Imaging (1 CE)  

Presenter: Ashlee Kates-Ascioti, DC, MS, DACBR | ACA Council on Diagnostic Imaging and ACA Sports Council 

Presentation Summary: Evaluation and treatment of the athlete is a popular and growing focus for many chiropractors. Diagnostic imaging serves an important role in the overall management of injuries incurred during sport, impacting athletes from the recreational league to the professional level. This presentation will focus on the role of diagnostic imaging in the neuromusculoskeletal evaluation of athletes from a variety of sports. A case-based approach will be used to discuss when to order imaging for an athlete and what imaging modality is most effective for the evaluation of suspected injuries. Each case will feature a review of common imaging findings for conditions of the neuromusculoskeletal system as seen on radiography, magnetic resonance imaging (MRI), computed tomography (CT), and diagnostic ultrasound as applicable. A variety of imaging examples will be provided for each condition. This course will feature interactive, anonymous quizzing of the audience to encourage active participation and evaluation of the cases presented.  

Upon completion of this presentation, learners should be able to:  

• Discuss the appropriate imaging recommendations for common athletic injuries to the upper and lower extremities.  
• Identify common imaging features of musculoskeletal injuries on radiography, magnetic resonance imaging, computed tomography, and diagnostic ultrasound, where applicable. 

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Saturday, Jan. 27 | 1:45 p.m. – 2:45 p.m. | Congressional Room   

Ordering Off the Imaging Menu: Pairing Your Selection to the Clinical Question (1 CE)  

Presenter: Chris Petrie, DC, DACBR, BSE | ACA Council on Diagnostic Imaging

Presentation Summary: Diagnostic imaging is an important tool in the clinical assessment and management of patient cases. Today, there are numerous imaging modalities available to clinicians, each with strengths and weaknesses as a diagnostic or management tool. In order to make the most efficient and effective use of these imaging modalities, it is critical for the clinician to have an understanding of what options are on the imaging menu and what comes served with each. This understanding enables the clinician to pick the best modality for answering the pertinent clinical question(s). This presentation will review the various options available along with the types of clinical questions that each modality is particularly well suited to answer. We will also discuss limitations to their use and potential safety considerations that may warrant a different modality selection. In addition, we will review current imaging appropriateness criteria and guidelines used to aid the clinician in choosing whether to image and, if so, what modality to choose. We will look at a variety of case presentations and examples to aid in exploring the imaging menu and training our clinical palate to make the best pairing decisions for our patients. 

Upon completion of this presentation, learners should be able to:  

• Identify the uses and limitations of various imaging modalities available to them in clinical practice. 
• Select an imaging modality that is well-suited to answer their clinical question in various common case presentations. 

• Apply appropriate criteria and/or imaging guidelines to the use of diagnostic imaging in various case presentations. 

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Saturday, Jan. 27 | 3:15 p.m. – 4:15 p.m. | Palladian Room 

Vestibular Considerations in Postural Optimization (1 CE)  

Presenter: Adam Klotzek, DC, DACNB, FACFN, FICC | ACA Council on Neurology 

Presentation Summary: This lecture will focus on the influences of the vestibular system on controlling posture and the postural compensations that occur with unilateral vestibular loss.  Further emphasis will be placed on how the brain attempts to use other sensory inputs to substitute for vestibular deficits and how those substitutions influence posture. 

Upon completion of this presentation, learners should be able to:  

• Identify the two sensory substitutions seen in unilateral vestibular loss. 
• Interpret how sensory substitution influences posture. 
• Identify whether a patient’s posture is a secondary compensation for a vestibular loss. 

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Saturday, Jan. 27 | 3:15 p.m. – 4:15 p.m. | Congressional Room 

Clinical Management of Exertional Rhabdomyolysis for the Chiropractic Physician (1 CE)  

Presenter: James F. Geiselman, Jr., DC, MS, DACBN, CCSP, ICSC, CNC, CES, NREMT and Drew Sams, MS, CPT, CES, CNC | ACA Council on Nutrition

Presentation Summary: This presentation will explore research, causes, case studies and treatment related to rhabdomyolysis, a common and potentially fatal condition encountered by athletic trainers, coaches, primary care physicians and sports medicine physicians.  

Upon completion of this presentation, learners should be able to:  

• Define exertional rhabdomyolysis (ER). 
• Explain the clinical presentation of exertional rhabdomyolysis. 
• Identify key laboratory testing components associated with the diagnosis of exertional rhabdomyolysis. 
• Apply the knowledge learned to provide treatment and management of patients with exertional rhabdomyolysis. 

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Saturday, Jan. 27 | 4:30 p.m. – 5:30 p.m. | Palladian Room   

Battlefield Acupuncture (1 CE)  

Presenter: Andria D’Amato, DC, DABCA, FIAMA and George Berki, DC, DABCA | ACA Council on Chiropractic Acupuncture 

Presentation Summary: This presentation will explore the history of auriculotherapy and battlefield acupuncture, clinical indications, frequency of treatment, administering technique/treatment and follow up/post-care instructions. We will further discuss the need for formal credentialing and the role of acupuncture in an integrated healthcare delivery model.  

Upon completion of this presentation, learners should be able to:  

• Identify how to administer treatment to patients using battlefield acupuncture protocol.  
• Explain the technique and follow-up care to patients.      

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Saturday, Jan. 27 | 4:30 p.m. – 5:30 p.m. | Congressional Room    

Good Faith Estimates and Informed Consent (1 CE)  

Presenter: Crystal Zagwyn, DC, CPhT, DABFP, CME | ACA Council on Forensic Sciences

Presentation Summary: This presentation will provide an overview of how to implement good faith estimates (GFEs) within your informed consent and new patient appointment process.  

Upon completion of this presentation learners should be able to:  

• Identify when to use goof faith estimates (GFEs).  

• Integrate new patient procedures to make Monday morning more efficient.  
• Describe appropriate ways to document and confirm informed consent. 

ACA Engage 2024 will feature a series of education sessions that highlight chiropractic specialties, with 20 CE credits offered in total. This year, the majority of the continuing education sessions will run concurrently, and attendees may earn up to 12 CE credits for attendance.

ACA is an approved provider through the Federation of Chiropractic Licensing Boards’ Providers of Approved Continuing Education (PACE) program. ACA Engage 2024 educational sessions meet PACE Criteria for Quality Continuing Education.

To earn CE credits for Engage 2024, you must do the following:

• Attend the sessions in their entirety.
• Obtain a stamp on your attendance card, when entering and at the conclusion of the session.
• Return your signed CE card to ACA staff after you’ve completed your final session.

PACE CE Reporting and Certificates

• Attendees who participate in the education courses and are licensed in the following PACE states/territories: AK, CO, CT, DE, DC, GA, ID, IL, IA, KS, ME, MD, MA, MN, MO, MT, NH, NE, NV, NJ, NC, ND, OH, OR, PR, RI, SC, SD, TN, UT, VT, VA, WA, WY, and Nova Scotia will be sent CE certificates directly from ACA within 30 days of the conclusion of the conference. (Check with your state board to learn what restrictions/limitations on CE credits that they may have.)
• CE credits earned by those licensed in the above PACE states/territories will be reported to PACE within 30 days following Engage 2024. Please be sure to turn in your CE attendance card to the appropriate staff before you leave the conference.
• Attendees licensed in AL, AR, FL, HI, KY, LA, MI, MS, NY, TX, WV: The University of Bridgeport has applied for CE credit for Engage 2024 for these states, and this page will be updated (below) with the approval status as they receive notification. Approval by these states is not guaranteed. Please check back to ensure that your state has approved Engage 2024 sessions for CE credit. Certificates will be mailed from the University of Bridgeport to the attendees who meet the CE requirements mentioned above.

ACA Engage 2024 credits are accepted in the following states/territories/ jurisdictions:

• Alaska
• Colorado
• Connecticut
• Delaware
• District of Columbia
• Idaho
• Illinois
• Indiana
• Iowa
• Kansas
• Maine
• Maryland
• Massachusetts
• Minnesota
• Missouri
• Montana
• Nebraska
• Nevada
• New Hampshire
• New Jersey
• North Carolina
• North Dakota
• Nova Scotia
• Ohio
• Oregon
• Puerto Rico
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Utah
• Vermont
• Virginia
• Washington
• West Virginia
• Wyoming

ACA is seeking approval of CE Credits for ACA Engage 2024 in the following states (application pending):

• Alabama
• Arkansas
• Florida
• Georgia – is a PACE pre-check state, applications are required.
• Hawaii
• Kentucky
• Louisiana
• Michigan
• Mississippi
• New York
• Texas
• West Virginia

ACA Engage 2024 CE credits are not approved in the following states: Arizona, California, New Mexico, Oklahoma, Pennsylvania

Thank you for your interest in ACA Engage 2024 and its educational offerings. Contact us at [email protected] with questions about ACA education or CE.

It is the responsibility of each participating doctor to be aware of CE rules and requirements of the state(s) in which he/she is licensed, including acceptable topics for CE and license-renewal credit. Check with your state licensing board for the most current CE information and requirements for your state-related to seminars, webinars or on-demand learning.