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The Wisconsin Chiropractor The Official Publication of the Wisconsin Chiropractic Association

Fall 2026 | Volume 61 | No. 3

Building a Practice Together How Doctors Mike and Jody Wagner took a chance on themselves - and the lessons they've learned along the way. Read more on page 13.

What’s Inside: From the Editor: The Word of Moses - 4 Still Need CE Hours? The WCA has you covered - 26

Are You Charging What Workers' Comp Allows? - 34 Breaking Through Bundling Denials - 42

Wisconsin Chiropractic Association | www.wichiro.org

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Table of Contents 04

Editor's Note - The Word of Moses

WCA LEADERSHIP

John Murray, WCA Executive Director and CEO

President CHRIS RESCH, DC

2026 WCA Achievement Awards

Vice President BRENDA HOLLAND, DC Treasurer TOM EDWARDS, DC

Back to Basics Podcast: 2026 Election Preview

HIPAA Compliance for Chiropractors

Building a Practice Together, One Decision at a Time

Understanding the Cost of Malpractice Insurance

License Renewal and Wisconsin CE Requirements

Marketing Isn't a Department. It's a Discipline.

Advancing Chiropractic Medicine Prof. Dr. Paul Ling Tai

Membership Director ZACH KASUN

Exercise and Recovery: Unlocking the Power of mTOR and AMPK

Help Desk Manager JACQLYN WEISENSEL

Should You Allow a Disruptive Patient to Return?

WCA Classified Ads

Abyde

ChiroPreferred

Dr. Patrick Flynn, The Wellness Way

Dr. Scott Bergman

Secretary JASON MACKEY, DC Directors BRUCE DAVIS, DC MARTIN JACOBSON, DC JACOB STOFFEL, DC MICHAEL COURT, DC BRAD FREITAG, DC

WCA STAFF Executive Director & CEO JOHN MURRAY Education & Convention Director ANDREA MURRAY Corporate Accounts Director LEAH KNOPE

Education & Convention Support SHANA KUEHN

NCMIC

The Wisconsin Chiropractor is the official publication of the Wisconsin Chiropractic Association, 2401 American Lane | Madison, WI 53704 Material may not be reprinted without the expressed written consent of the Wisconsin Chiropractic Association. 608-256-7023 | Fax 608-256-7123 | www.wichiro.org

Editor's Note

by John Murray, Wisconsin Chiropractic Association Executive Director and CEO

The Word of Moses

This bipartisan legislation was approved by the Assembly Committee on Health unanimously during both sessions. But it never saw a floor vote by the full Assembly or even a committee hearing in the State Senate. I asked Rep. Moses why he thought these bills never got past a committee vote. Here is his response;

I highly recommend watching or listening to the recent edition of the WCA Back to Basics podcast with host WCA President Dr. Chris Resch, State Representative Clint Moses (R-Menomonie) and myself.

There’s a lot of people that are paid to come and talk to us and sway our opinion on things. The insurance lobbyists in that building have a good presence. They do a good job advocating for their cause, their purpose. They kinda killed the bill once it got out of committee the last two sessions."

The topic was the 2026 fall elections and the discussion ranged from the race for Wisconsin Governor between Congressman Tom Tiffany (WI-7) and Milwaukee County Executive David Crowley, to possible changes in majority control of the Wisconsin Legislature.

Now this should come as no surprise to anyone who knows anything about how politics works in America. Deep-pocketed insurance companies have vast resources they use to hire lobbyists, contribute directly to campaign committees and invest millions of dollars in third party advocacy groups who pay for direct mail, radio, TV and digital ads helping those same politicians get elected and reelected.

We also touched on the political dynamics of pre authorization legislation in Madison. This last item deserves a little more attention. For the past two sessions of the Wisconsin Legislature, the WCA has advocated for passage of legislation that would prohibit health insurance companies from imposing pre authorization requirements for the first twelve chiropractic visits.

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Membership groups like the WCA will never have the resources to compete with corporate health insurance companies when it comes to lobbying firepower, campaign contributions or third party money.

We need to support our chiropractic champions like Rep. Moses this election cycle so we have a fighter’s chance going into the next legislative session. Let’s start raising that ruckus NOW. Just because the majority of the members of the Wisconsin Legislature are in their districts running for reelection, it does not mean that their staff are not still working at their offices in the State Capitol.

Rep. Moses had the following to say about that:

So I think from a WCA provider side of things, get to know your rep, get to know your state senator and tell them about the frustrations you’re having in practice. Tell them about the patient stories, the patients who aren’t getting care because of the bottlenecks in the pre authorization process. Let them know it is important.”

Let’s send them a message now, while they are asking for your vote. Wisconsin Find My Legislator https://maps.legis.wisconsin.gov/

Find Your State Representative and State Senator. Enter the address you use to vote.

Email or Call their office. His comment accurately reflects the political reality of the situation. The only way groups like the WCA can overcome the huge financial and political power of the corporate health insurance companies is through direct grassroots advocacy. Chiropractors and their patients have to raise a ruckus with their elected officials and demand that they take action to curb these abusive practices. Otherwise - nothing will change.

Keep your message simple and be cordial. Tell them:

You are a chiropractor who votes in their district and you want them to support legislation that prohibits insurance companies from imposing pre authorization policies that unfairly deny important health care to their constituents.

Ask your patients to do the same.

So now that Rep, Moses has confirmed what the WCA has known for a while, what is the plan, you ask?

The sooner we pressure lawmakers on the issue of pre authorizations, the better. We have to let lawmakers know that dealing with pre authorizations is important to chiropractors and their patients and that we are not going away until action is taken.

While we will never be able to compete dollar for dollar with the corporate health insurance companies when it comes to political contributions, we also can’t concede the field to them.

Don’t wait. Take action now!

Protect the Profession CONTRIBUTE TO CHIROSTRONG >

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2026 WCA Achievement Awards

Four Chiropractic Professionals to be Recognized for their Dedication Every two years, the WCA recognizes members of the Wisconsin chiropractic profession whose work has shaped the people and communities around them. There is no committee slate and no application. Every recipient arrives the same way: a colleague, a mentor, or a staff member takes the time to write down what they've watched someone do. This year's recipients will be honored at a private reception for the honorees and their guests on Saturday, September 26, during the WCA Fall Convention in Green Bay.

Please join us in congratulating these exceptional chiropractic professionals!

LIFETIME ACHIEVEMENT AWARD

CHIROPRACTOR OF THE YEAR

NELS BAKKE AWARD

CHIROPRACTIC TECHNICIAN OF THE YEAR

Terry Ann Pace, DC

David J. Portmann, DC

John Damrow, DC

Katlyn Hotchkiss

Pace Chiropractic Office, Westfield

Manitowoc Chiropractic, Damrow Chiropractic Manitowoc Office, Janesville

Bradley Chiropractic & Physical Therapy, Rib Mountain

Full profiles of all four recipients appear in the winter issue of The Wisconsin Chiropractor. -7-

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The 'Back to Basics' Podcasts Series Hosted by WCA President Dr. Chris Resch

The Wisconsin Chiropractic Association “Back to Basics” podcast brings you engaging conversations with leaders in the chiropractic profession. In each episode, we explore the people, ideas, and strategies shaping the future of chiropractic.

2026 Election Preview Episode Over the last three legislative cycles, Wisconsin expanded chiropractic Medicaid reimbursement; first the adjustment, then parity for exams and x-rays, and now extremity adjustments. Over the same period, chiropractors in Minnesota saw access to Medicaid coverage reduced for patients over age 21. Our success in Wisconsin wasn’t due to luck - it was due to consistent lobbying efforts at the State Capitol and supporting pro-chiropractic candidates during elections. In this special post-primary edition of Back to Basics, WCA President Dr. Chris Resch sits down with State Representative Clint Moses, DC and WCA Executive Director and CEO John Murray to break down the August 11 primary results and what they mean for chiropractic in Wisconsin. They dig into the governor's race, the handful of Assembly seats that will decide legislative control, what retiring leadership in both chambers opens up, how the Medicaid expansion actually got done, and why prior authorization reform is the WCA's number one priority heading into next session.

LISTEN

WATCH ON YOUTUBE

https://www.buzzsprout.com/2608272

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S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

HIPAA Compliance for Chiropractors: What You're Actually Required to Do This article is intended for educational purposes and does not constitute legal advice. For guidance tailored to your practice, consult with a qualified healthcare attorney or compliance professional.

Running a chiropractic practice means you’re likely wearing many hats. From juggling patient care, insurance headaches, and overall, keeping the whole business running smoothly, Health Insurance Portability & Accountability Act (HIPAA) compliance usually tends to sit on the back burner.

Where chiropractic practices actually get tripped up It doesn’t have to be a large, dramatic breach. It's the everyday stuff that potentially adds up to an investigation. • Texting patients appointment reminders or treatment notes without a secure platform

That’s until the Office for Civil Rights (OCR) investigation letter shows up, or a laptop with patient files goes missing, or a disgruntled ex-employee files a complaint.

• Staff sharing login credentials because "it's faster" • Business Associate Agreements (BAAs) that don't exist or are years out of date with your billing service, EHR vendor, or answering service

While chiropractors might fall under alternative medicine, they are covered entities under HIPAA just like any other healthcare provider. It doesn't matter if you're a solo practitioner with one front desk person or a multi-location organization, if your practice handles and transmits electronic Protected Health Information (ePHI), you need to follow HIPAA.

• Taking months to provide a patient their health records

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S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

The non-negotiables Looking for where to start? Here’s what’s at the foundation of a compliant program.

A current Security Risk Analysis (SRA)

Staff training

The SRA is a proactive analysis of your chiropractic office’s physical, technical, and administrative safeguards. The SRA needs to be kept current and will be one of the first things the OCR asks for if your practice is investigated.

Once a year, minimum, and documented. "We talked about it in a meeting" doesn't count in the eyes of the OCR. If your office experiences a breach, make sure staff is retrained to avoid similar situations happening.

Dedicated Leadership

A breach response plan

Top to bottom, your organization must take compliance seriously. Having a HIPAA Compliance Officer (HCO) is key, a resource regarding all things HIPAA in your practice.

Because if something does go wrong, having a plan beats scrambling. You must have an action plan in order, knowing how you would lock down systems, notify patients and OCR, and depending on the size of the breach, looping in the media and state.

Written policies and procedures By having policies and procedures your staff can refer to, your staff knows if they’re doing things right by the book.

Access Controls and Encryption As technology continues to advance, so do hackers. It’s key to ensure your office’s ePHI is properly protected and barriers are put in place that only those who need to see data can.

Business Associate Agreements (BAAs) with every vendor touching PHI Your billing company, your cloud EHR, your IT support all have to complete a BAA, holding both parties liable to protect PHI.

Documentation OCR doesn't just want to know you're compliant, they want to see proof. Everything about HIPAA your practice does has to be organized and documented.

Why this matters beyond avoiding fines Patients trust you with sensitive health information, and in chiropractic care, that often includes details tied to injuries, accidents, or ongoing conditions that patients don't want floating around. Treating HIPAA as a real part of running your practice protects that trust. It also protects your business, since "we were going to get to it" is not a valid defense if your office is investigated.

Want to see how you can streamline compliance for your office? Meet with WCA Corporate Partner Abyde at the Fall 2026 Convention. Contact: twatson@abyde.com | 800.594.0883 - 11 -

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Building a practice together, one decision at a time How Doctors Mike and Jody Wagner have grown their Appleton practice — and the decisions they've made along the way.

Their first office had never really been theirs. It was a satellite space from another chiropractor who was looking to transfer his lease and sell his equipment. They simply made it work. When the chance came to build something of their own, they had eight and a half years of experience to pull from and knew how patients should move through the space, where the rooms belonged relative to one another, and what a day actually feels like from the front desk.

Eight and a half years into practice, Doctors Mike and Jody Wagner decided their Appleton chiropractic clinic had outgrown its space, just as prime real estate on the corner across the street went up for sale. They asked around before they committed to a major decision. Not all of the advice was encouraging, but they decided to take a chance anyway.

What made the building right was not the design. It was the years that came before it: the time it takes to learn what you like, what you do not, and what you think you’ll still want a decade later.

The plan was to be moved into their new building by Labor Day, well before Jody's late-September due date with their second child. Then came the construction delays, and groundbreaking didn't happen until Labor Day weekend. It was a very stressful time for the Wagners.

Before they built their new practice, they were told "You're never going to lose a patient because your waiting room's too small." Now, when asked about the decision to build, Mike and Jody say the critics were wrong and it was the best decision they’ve made for their practice. - 13 -

Taking a chance on themselves

Partnership in practice and in life

Practicing chiropractic wasn’t necessarily the plan for the Wagners. Jody was an undergraduate at UW-Madison when a friend's father, Dr. Petersen in Watertown, invited her to shadow his chiropractic clinic. What captured her attention was the conversations with patients — she would rather be with people than in a lab. She left his office that day already certain of what she wanted to do. Mike arrived at his decision to pursue chiropractic from his own injuries as a high school athlete. He had seen firsthand what a good chiropractor could do for someone.

The natural division of labor has worked from the beginning. They see their own patients, run their own schedules and occasionally collaborate on a shared case or a tricky adjustment. What patients don't see is the business running behind closed doors. Jody oversees the front office and staff, while Mike, more naturally inclined toward the analytical side, handles the insurance contracts, the numbers, the parts of running a practice that happen after hours. They divide and conquer. At home, the boundary is even more deliberate. Most weekends, the family drives north to their cabin. Business talk gets exactly forty-five minutes, the length of the first leg of the drive. Then, it's off limits for the rest of the weekend. It is a small rule that is consistently kept. Their boys are now teenagers, and Mike and Jody are both aware of how little time that leaves before they are off leading their own lives. They are protective of what time remains.

They met as bacteriology majors in Madison and went on to Palmer together. It wasn't until the last year of school that the question became unavoidable: work for someone else, or start something of their own. With a good support system in place, they chose to take a chance on themselves.

Patient one and beyond They opened on a Monday morning with no idea when their first patient would come. A salesman stopped by and Jody told him if he ever needed a chiropractor, to give her a call. He did, and days later, he became "patient one" at five o'clock on a Friday — the only patient she saw all week. They still see members of his family today. Twenty-two years and thousands of patients later, "patient one" is still part of the story.

Lessons they’ve learned Clear expectations with patients The first lesson is one most new DCs learn the hard way. Early in their careers, they expected to get every patient to 100 percent. Over time, they came to see objective improvement as the real win, and being honest with patients about what's realistic as part of the care. Collaboration has shaped how they practice Mike and Jody refer regularly to a small list of physiatrists, orthopedists, and spine surgeons in the area, the same handful of trusted names, built up over years. One neurology-spinal group went so far as to invite them in directly, curious how chiropractors actually evaluate a patient. "We have no idea what you do," they were told. It was, in a small way, a sign of how much the relationship between chiropractors and other providers has shifted since Mike and Jody first opened their doors.

They have always practiced with patience and with a clear sense of how they want things done. They do not lean on aggressive treatment plans or push patients toward a fixed number of visits. Instead, care is adjustment-centered and plainly explained: what they expect to happen, and what the patient can (or can’t) do to help their progress. What that honesty has earned them is trust — the kind that turns a single patient into a family, and a family into three generations walking through the same door. - 14 -

Meet the Wagner Family Chiropractic SC team (pictured left to right) Dawn Philipsen, Dr. Megan Gordley, Dr. Mike Wagner, Dr. Jody Wagner, and Michelle Jackl

Their advice to new DCs is straightforward Build trusted referral relationships and know when to involve other providers. Knowing when to make the call, and having someone you trust to make it, is part of practicing well.

The Wagners made a deliberate choice not to build the practice around specialists; so there's no single billing expert or office manager whose absence would leave a gap. Every staff member is cross-trained across roles, even as each naturally gravitates toward the parts of the job they're best at.

They find real value in their WCA membership Events give them a place to meet like-minded peers and build relationships beyond their immediate community, and that's a big part of why they've stayed members.

The payoff shows up in the moments that matter most: when one longtime staff member needed major surgery, coverage was seamless, because everyone already knew how to do everyone else's job.

Both describe themselves as politically active, and what they value most about a strong state association is access: the ability to get chiropractic in front of the people making decisions at the state Capitol — work neither of them has the time or expertise to do from an exam room.

They say that what has worked is treating the whole front office as a team where everyone is equally capable, not a hierarchy of specialists. It is the same philosophy that has carried the Wagners for twenty-two years: no single person, no single decision, resting on one set of shoulders alone.

And that is why they contribute to the WCA's political conduit, ChiroStrong, even if it's a small amount each month. It adds up, and it's how the profession gets a seat at the table.

Patients feel the difference without ever knowing why. They just know that whoever greets them at the front desk, whichever doctor adjusts them that day, they are in good hands.

Find people to lean on Today, the practice includes three doctors, three front-office staff, and a massage therapist. "Dr. Megan Gordley has been crucial in building our practice the last 8 years," said Mike. - 15 -

New WCA Members!

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Thank you for your membership and dedication to the profession!

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S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Understanding the Cost of Malpractice Insurance for Chiropractors This article helps chiropractors understand the key factors that influence malpractice insurance costs and why selecting the right policy is essential for long-term protection. It offers practical guidance for comparing carriers and finding coverage that balances affordability and comprehensive protection. Key Concepts: Why chiropractors need malpractice insurance | Chiropractic malpractice insurance cost factors | Choosing a carrier

Who needs chiropractic malpractice insurance?

Chiropractic care is becoming an increasingly popular choice for U.S. patients. In fact, chiropractors treat over 35 million patients in the U.S. each year, and industry revenue is projected to reach $21.9 billion in 2025.

While not all states require chiropractors to carry malpractice insurance, it’s highly recommended that every practitioner carry it. Malpractice insurance provides protection for your practice, assets, and reputation, as well as protecting your investment in a highly specialized education!

As the field continues to expand, so does the need for reliable, fairly priced chiropractic malpractice insurance. This important coverage differs from medical malpractice insurance, which doesn’t always fit the unique risks and needs of chiropractic professionals.

Unfortunately, being in a unique type of practice can make you vulnerable to certain types of lawsuits by patients. These chiropractic malpractice claims often fall into one of two categories: (1) failure to diagnose a medical condition that needs immediate care, and (2) harm to the patient from the treatment itself.

If you’re a new or soon-to-be graduating chiropractor, getting proper malpractice insurance is one of the best steps you can take for your career. Plus, if you’re a long-time practitioner, it’s always well worth it to revisit your current plan to ensure you’re fully covered.

Chiropractors are not medical doctors, so it can be tricky if a patient comes directly to you without the evaluation or referral of a medical doctor. But since that is often the case, it makes protecting yourself with the right malpractice insurance that much more important.

Needless to say, malpractice insurance coverage can be a major expense throughout your career, costing thousands of dollars annually. That’s why we put together this helpful guide to answer your questions about how much malpractice insurance costs for chiropractors. It will help you understand how chiropractic malpractice insurance pricing works, and how certain factors—like carrier choice, where you practice, and the makeup of your practice—can affect your cost.

Lawsuits by a chiropractic patient may not happen often, but they do occur. By getting the right chiropractic malpractice insurance, you can protect against lost wages and also protect your business. - 18 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

How is the price of chiropractic malpractice insurance determined?

How is chiropractic malpractice insurance selected and purchased?

To understand how much malpractice insurance costs for chiropractors, it’s important to understand the different factors that can impact what you pay. In addition to industry claims trends, the cost of chiropractic malpractice insurance is typically driven by two sets of factors, which we’ll dive into below.

You can select and purchase your chiropractic malpractice policy through an agent or broker, an insurance program, or directly from an insurance carrier. One of the advantages of purchasing insurance through an agent or broker who works with several different carriers is that you can compare different rates and coverage options. Once the agent facilitates your policy purchase, the carrier provides the actual coverage.

While we can’t speak for other insurance companies, these are the factors used to structure pricing at MedPro Group—the carrier behind ChiroPreferred:

Another great option is to buy your insurance directly from a trusted insurance program or carrier. This potentially gives you more power in the decision-making process and may help you better understand the coverage you’re buying. Ready to buy coverage? Start a free ChiroPreferred quote today.

1. Your professional factors: Experience — How long you’ve been in practice and whether you’ve had prior claims will impact pricing. Coverage — It’s worth noting that Occurrence and Claims-made policies have different pricing structures. [Learn more about these two coverage types here.]

Why don’t all malpractice insurance carriers charge the same price? Many factors go into a personalized quote for chiropractic malpractice insurance. While similar data is used to determine pricing, each insurance carrier has their own method for weighing each factor—a process called underwriting. In addition to reviewing your personal information and local regulations and claims trends, the company also considers their own unique risks and business philosophy.

Location — Some states and counties experience more malpractice claims than others, driving up coverage costs. 2. Your malpractice insurance company’s factors: Claims — For every dollar of premium that comes in, the majority should be set aside to protect you in the event of a claim.

Though it may feel like comparing apples and oranges when you review your options, it may help to keep this in mind:

Operating costs — This is the money set aside by your insurance company to keep the lights on and take care of their employees.

Don’t all insurance carriers essentially offer the same chiropractic liability product?

Profit — Just like you, setting aside some margin of profit is how an insurance company stays in business.

The short answer is no. From claims defense strategies to coverage types offered, the top - 19 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Now that you’re informed, get protected.

chiropractic malpractice insurance companies each have their own method of reviewing applications (underwriting) and determining pricing. This can explain some of the variation in pricing from two carriers who seem to be offering the ”same” product.

Carrying chiropractic malpractice insurance is the only sure way to protect against a patient incident or injury lawsuit, and make sure you’re able to successfully protect your career, your reputation, and your practice.

PRO TIP: Be sure to read the fine print on any policy you may be considering. Also ask about additional coverages to better understand the full scope of your policy and better understand what determined the bottom-line cost. Buy what will keep you well-covered and consider if ”extras” make sense for your needs.

Ultimately, you’ll want to strike a balance between finding the lowest price and getting the malpractice protection you need and deserve. That’s where ChiroPreferred comes in. ChiroPreferred is an insurance program from MedPro Group designed exclusively for chiropractors. Together, we offer you the reliability you expect—and need—for your malpractice insurance. We now even offer a premium credit for WCA members!

How can I get the lowest price possible on my chiropractic malpractice insurance? As you work through how much malpractice insurance will cost you as a chiropractor, you may find yourself tempted to go for what seems like a good deal — especially if you’re new to the field.

Ready to secure coverage? Get started on a quote or schedule a free insurance consultation.

Be careful about choosing insurance just because you’ve heard the carrier’s name often or the policy seems cheap. That attractive lower price may come with some serious setbacks. The carrier could lower your costs at first to get you to buy a policy, and then slowly raise your premium over the next few years. What’s more, they might not spend much money on your claims defense — which allows them to pass the ”savings” along to you.

This document should not be construed as medical or legal advice. Because the facts applicable to your situation may vary, or the laws applicable in your jurisdiction may differ, please contact your attorney or other professional advisors if you have any questions related to your legal or medical obligations or rights, state or federal laws, contract interpretation, or other legal questions. ChiroPreferred is the marketing name used to refer to the chiropractic-related products offered by MedPro Group. MedPro Group is the marketing name used to refer to the insurance operations of The Medical Protective Company, Princeton Insurance Company, PLICO, Inc., and MedPro RRG Risk Retention Group. All insurance products are administered by MedPro Group and underwritten by these and other Berkshire Hathaway affiliates, including Wellfleet Insurance Company, Wellfleet New York Insurance Company, and National Fire & Marine Insurance Company. Product availability is based upon business and/or regulatory approval and may differ among companies. © MedPro Group Inc. All Rights Reserved.

PRO TIP: Buy solid coverage upfront. You’ve worked too hard to get where you are — don’t fall into the trap of going the discount route to save a few dollars. It may cost you thousands of dollars down the road if a claim is ever filed against you.

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📍La Crosse Loggers Game

WCA members from the southwest district gathered at a La Crosse Loggers game for their membership meeting in August. Thank you to those who joined us! WCA District 4 representative Dr. Mark Cassellius, Dr. Lance Wulff, Dr. David Washa, Dr. Tyanna Washa, and Dr. Leo Bronston and his team!

Your WCA membership just got even better. WCA members can now get a 5% premium credit on malpractice insurance from ChiroPreferred.

Premium credit availability based on certain eligibility criteria. Other credits and debits may apply.

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chiropreferred.com/wca

Join us at the KI Convention Center in Green Bay!

Who Should Attend? Î Chiropractors at any stage of practice Î Associate doctors and clinic owners

Why Attend? Î Earn required CE credits for DCs, CTs and CRTs Î Expand clinical confidence with evidence‑informed, practice‑enhancing topics Î Support your own health and longevity while learning how to better serve your patients Î Connect with peers in a non-clinical setting

Hear From Our Speakers

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20 26 IS A L ICE NSE RE NE WA L YE A R

STILL NEED CE HOURS? JOIN US IN GREEN BAY!

Join us at the WCA Fall Convention September 24–27 for up to four days of continuing education programming specifically for doctors and clinic staff. Build a seminar schedule that meets your interests!

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TH U 8:00 AM – 5:30 PM Food Sensitivities & Intestinal Permeability: Impact on Neurodegenerative Diseases

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FR I 8:00 – 9:45 AM Novel Frontiers in Natural Regenerative Medicine

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Prof. Dr. Paul Ling Tai Sponsored by American Indian Nation Health Outreach

10:15 AM – 12:00 PM 2 h rs The Inflamed, Exhausted Brain: Natural Solutions for the Modern Mood Crisis FR I

Dr. Lexi Loch, ND Sponsored by EuroMedica

1:30 – 3:15 PM 2 h rs Understanding Male Sexual Health: Causes, Assessment, and Integrative Care of Erectile Dysfunction FR I

Dr. Derek Strong, DC, ACN Sponsored by Standard Process

3:45 – 5:30 PM 2 h rs The Role of Nitric Oxide, Glutathione & SCFA in Mucosal Immunity™ FR I

Dr. Thomas Culleton, DC, DACNB Sponsored by Apex Energetics

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Buying Time for the Brain: What Research Says About Slowing Cognitive Aging

Sat 10:15 AM – Su n 2:00 PM

Two chances

FR I 1:30 – 3:15 PM Human Trafficking and Awareness

2 h rs

FR I 3:45 – 5:30 PM Essentials of Risk Management and Office Procedures

2 h rs

Dr. Mario Fucinari, DC, CPCO

S AT 10:15 AM – 12:00 PM 2 h rs Building a Successful and Compliant Chiropractic Practice: Care Planning and Risk Mitigation Dr. Miles Bodzin & Holly Jensen Sponsored by Cash Practice

S AT 1:30 – 3:15 PM Multidisciplinary Personal Injury (PI) Case Management

2 h rs

S AT 3:45 – 5:30 PM Using Medical Necessity to Make Your Notes More Effective

2 h rs

Dr. Aaron Wiegand, DC, CCST Sponsored by ChiroTouch

FR I

Clinic staff

8:00 AM – 8:00 PM

S AT

8:00 AM – 6:00 PM

CT Therapeutic Modalities (Specialties) Training

Dr. Brenda Holland · equipment by Turowski's Electrotherapy 8–11 AM · Therapeutic Ultrasound 11 AM–2 PM · Thermotherapy & Cryotherapy 2–3 PM · Mechanical Therapy 3–6 PM

6:00 – 8:00 PM

Chris Dolen, HeartQuest

8:00 – 9:45 AM

2 h rs

Dr. Brenda Holland · required for CT licensure

CPR/AED Certification FR I

FR I 10:15 AM – 12:00 PM Proving Medical Necessity in Any Type of Case

Chiropractic Technician (CT) Certification

Dr. Scott Bergman, DC · exam Sunday Sponsored by NutriDyn

TH U

2 h rs

C T C E R T I F I C AT I O N 1 2 h rs

Nutrition Module 1: Structural Nutrition

C P R / AE D

FR I 8:00 – 9:45 AM Navigating Rules and Regulations of a Cash Practice

Dr. John Davila, DC, FICC Sponsored by ChiroPreferred

Dr. Lexi Loch, ND Sponsored by EuroMedica

S AT–S U N

Friday – Saturday

Dr. Mario Fucinari, DC, CPCO

Dr. Robert Silverman, DC, MS, CNS Sponsored by NutriDyn & KBMO Diagnostics

S AT

C O M P L I AN C E & R I S K

2 h rs

Please note: specialty modules require CT Certification registration or an existing DSPS license number.

CPR/AED Certification — Repeat Session Chris Dolen, HeartQuest

C AN ' T MAK E G RE E N B AY? You still have time. OCT 13

Professional Boundaries · Dr. Jeff Wilder

Doctible

NOV 4

GLP-1 Medications · webinar

N O V 7– 8 D EC 1 0

Womenʼs Health & Wellness Forum · Dells

NCMIC

NOV 12

HIPAA / OSHA · webinar

Professional Boundaries · Dr. Jeff Wilder

Doctible

R E G I S T E R AT WIC HIRO .O RG

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Standard Process

License renewal deadline December 14 — December fills fast.

Marketing gets the click. Your website gets the patient. Turn more online visits into booked appointments

“This website is hard to use. Not getting my business.”

“Yebsite is greatJ ManHt wait for my appointment”

Scan here for a free website audit from Doctible - 24 -

WCA Continuing Education Andrea Murray, WCA Education & Convention Director | awmurray@wichiro.org | 608-292-1802

Wisconsin CE Requirements

License Renewal Deadline: December 14, 2026 The current biennium ends at 11:59 pm on December 14 and the next biennium begins at 12:00 am December 15.

CHIROPRACTORS

CTs

CRTs

Total CE Hours this biennium

40 HOURS

6 HOURS

12 HOURS

Maximum Online CE Hours

8 HOURS

2 HOURS

Professional Boundaries

2 HOURS within total CE hours

N/A

Chiropractic Nutrition Cert.

4 HOURS within total CE hours

N/A

CPR/AED

2 HOURS within total CE hours

N/A

Î Are you recently licensed?

Î If I received my license/certification in this

If you received your license after December 15, 2024:

biennium, do I still need to renew?

YES! All licensed CTs, CRTs & DCs must renew their

You must still renew your license.

license by the December 14 deadline, regardless of

NO CE hours needed this biennium

when you earned your license.

Î If I received my license/certification in this

Î Renewing both CT and CRT licenses? If you are both a CT and a CRT, you may satisfy the

biennium, do I need continuing education hours?

CE requirement for both licenses at the same time if

NO. If you received your license/certification within

the course you take is approved for both credentials.

THIS biennium you do NOT need any CE hours;

Using a Combined Course

however, you must still complete the renewal process and pay the applicable fee to renew your license

• A 12‑hour CT/CRT‑approved course will fully satisfy the renewal requirements for both licenses. Mixing Online and In‑Person Hours

Î Can DCs complete an online CPR/AED course,

• You may take up to 2 hours online.

or is a hands-on component required as well?

From DSPS in 2018 “The CPR/AED programs are

• You still need 10 hours of in‑person CE from a

not approved through Chiro 5 and thus are not subject

course approved for both CT & CRT.

to the self-study requirement, so they can be fulfilled License Renewal Checklist

WCA CE Calendar

LicensE Portal

LicensE FAQs

online as long as it was appropriately approved by DHS or another appropriate approving body.”

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WCA Continuing Education

FA L L & W I N T E R 2 0 2 6 · S E P T– D E C

IN-PERSON SEMINAR

Full course descriptions on the pages that follow

ONLINE WEBINAR

Your license renews soon. Looking for continuing education? Register for all of them at wca.ce21.com.

DAT E

CO U R S E

F O R M AT

LO C AT I O N

CE HRS

SEP

24–27

2026 WCA Fall Convention

SEMINAR

Green Bay

up to 32

OCT

10–25

CRT Certiﬁcation Course

SEMINAR

Fond du Lac

48 / 12

Fundamentals of Exercise Rehabilitation — Session 1

SEMINAR

Cedarburg

up to 24

Professional Boundaries in Chiropractic

WEBINAR

Online

17–18

Comprehensive Dry Needling — Level 1

SEMINAR

Oconomowoc

17–18

Chiropractic Nutrition — Module 2

SEMINAR

Milwaukee

Curcumin and Grape Seed Extract

WEBINAR

Online

Beyond Burnout

WEBINAR

Online

It’s Not the Back—Now What?

SEMINAR

Eau Claire

Delivering Quality Outcomes in Upper & Lower Extremity

SEMINAR

Oconomowoc

Are You Ready? Medicare/HIPAA Audits + AI

SEMINAR

Onalaska (La Crosse)

Are You Ready? Medicare/HIPAA Audits + AI

SEMINAR

Appleton

Beyond GLP-1

WEBINAR

Online

Fundamentals of Exercise Rehabilitation — Session 2

SEMINAR

Cedarburg

up to 24

7–8

WCA Women’s Health and Wellness Forum

SEMINAR

Wisconsin Dells

8 / 12

HIPAA and OSHA Compliance

WEBINAR

Online

13–14

CT Certiﬁcation & Specialties Course

SEMINAR

TBA

22 / 6

Comprehensive Dry Needling — Refresher

SEMINAR

Oshkosh

14–15

Chiropractic Nutrition — Module 3

SEMINAR

Oconomowoc

21–22

Red Flags for CTs and CRTs

SEMINAR

Pewaukee

CT Light Therapy Certiﬁcation

WEBINAR

Online

5–6

Activate Peak Potential

SEMINAR

DeForest

5–6

Chiropractic Nutrition — Module 4

SEMINAR

Milwaukee

5–6

Red Flags for CTs and CRTs

SEMINAR

Stevens Point

Professional Boundaries in Chiropractic

WEBINAR

Online

12–13

Comprehensive Dry Needling — Level 2

SEMINAR

Grafton

NOV

DEC

Questions? 608-256-7023 · registration@wichiro.org

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WCA Continuing Education

FALL & WINTER 2026 COURSE GUIDE

Professional Boundaries in Chiropractic

SEPTEMBER 2026

2 CE DC – Professional Boundaries | 2 CE CT/CRT

2026 WCA Fall Convention

Meets the new Chir 5.01(1)(i) requirement — sexual misconduct, risk management and boundaries in clinical practice.

Up to 32 CE DC | 12 CE CRT | 6 CE CT

Four days of education and connection — most of your DC hours, or all of your CT and CRT renewal hours, in one place.

Speaker: Dr. Jeﬀ Wilder Sponsored by: Doctible

Speaker: Multiple speakers

Tue, Oct 13 | 6–8 PM Online webinar

Full convention agenda and registration details on the following pages.

Thu, Dec 10 | 12–2 PM Online webinar

Thu–Sun, Sep 24–27 Hyatt Regency Green Bay / KI Convention Center — Green Bay

SERIES: Chiropractic Nutrition Counseling Certiﬁcation

OCTOBER 2026 Chiropractic Radiological Technician (CRT) Course

12 CE DC – Nutrition per module

A four-module, 48-hour certiﬁcate series. All four modules meet the WI requirements for Certiﬁed in Chiropractic Nutrition Counseling.

48 CE CRT – Certification | 12 CE CRT – Renewal

Approved by the WI Chiropractic Examining Board; satisﬁes the legal requirement for chiropractic assistants to take X-rays.

Speaker: Dr. Scott Bergman, DC, ND Sponsored by: NutriDyn

Module 2 — Energy, Immunity & Inﬂammation Sat–Sun, Oct 17–18 Hilton Garden Inn Milwaukee Northwest — Milwaukee

Speaker: Wendy L. Varish

Sat, Oct 10 – Sun, Oct 25 Radisson Hotel & Conference Center — Fond du Lac

Module 3 — Detox & Digestion Sat–Sun, Nov 14–15 Aurora Summit Medical Center — Oconomowoc

Fundamentals of Exercise Rehabilitation

Module 4 — Cardiovascular, Endocrine & Neuro-Behavioral Sat–Sun, Dec 5–6 Hilton Garden Inn Milwaukee Northwest — Milwaukee

Up to 24 CE DC/CT

Satisﬁes the legal requirement for CTs to perform exercise rehab in the clinic. DCs and their CTs should attend together.

Comprehensive Dry Needling — Level 1

Speaker: Dr. Jeﬀrey Sergent, DC

20 CE DC/PT

Session 1 — Sat, Oct 10 Muscle and Movement Therapy — Cedarburg

Hands-on training to implement dry needling immediately — superﬁcial and deep technique, plus a take-home starter kit.

Session 2 — Sat, Nov 7 Muscle and Movement Therapy — Cedarburg

Speaker: Dr. Michael McQueen, DC Register for Level 1 and Level 2 together and deduct $250.

Sat–Sun, Oct 17–18 | 8 AM–6 PM daily Aurora Summit Medical Center — Oconomowoc

Questions? 608-256-7023 · registration@wichiro.org

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WCA Continuing Education Curcumin and Grape Seed Extract: Two Botanicals that Address the Top Two Causes of Death

FALL & WINTER 2026 COURSE GUIDE

Are You Ready? Random Medicare/HIPAA Audits Plus AI 6 CE DC/CT/CRT | incl. 2 Professional Boundaries

2 CE DC – Nutrition | 2 CE CT/CRT

What triggers an audit, ransomware risk, and the AI protections your practice needs. Bring your staﬀ.

How two botanicals act on the pathways shared by cardiovascular disease and cancer: inﬂammation, oxidative stress, immune dysregulation.

Speaker: Dr. Ty Talcott Sponsored by: ChiroHealthUSA

Speaker: Dr. Lexi Loch, ND Sponsored by: EuroMedica

Wed, Oct 28 | 1–7 PM Stoney Creek Hotel & Conference Center — Onalaska (La Crosse)

Wed, Oct 21 | 12–2 PM Online webinar

Thu, Oct 29 | 1–7 PM DoubleTree by Hilton — Appleton

Beyond Burnout: A Nervous System-Based Approach to Patient Care

NOVEMBER 2026

2 CE DC – General | 2 CE CT/CRT

Beyond GLP-1: Restoring Satiety Biology with Nutrition, Botanicals, and Lifestyle

Recognize burnout as a nervous system response and leave with in-oﬃce tools for regulation and recovery.

2 CE DC – Nutrition | 2 CE CT/CRT

Speaker: Dr. Danielle Thomason Sponsored by: ChiroPreferred

Supporting satiety biology through nutrition, botanicals and lifestyle — beyond the GLP-1 conversation.

Thu, Oct 22 | 12–2 PM Online webinar

Speaker: Mimi Prunella Hernandez, MS, RH(AHG) Sponsored by: Standard Process

It’s Not the Back—Now What? Screening & Conservative Care for Extremity Complaints

Wed, Nov 4 | 12–2 PM Online webinar

8 CE DC

WCA Women’s Health and Wellness Forum

Screen the spine ﬁrst, rule out red ﬂags, then apply conservative extremity care — mobilization, soft tissue, taping and cupping.

8 CE DC | 8 CE CT | 12 CE CRT

Hormonal change, pelvic conditions, chronic pain, nutrition and imaging. 8 hours Saturday, optional CRT add-on Sunday.

Speaker: Dr. Jacob A. Stoﬀel, DC, EMT

Sat, Oct 24 | 8 AM–5 PM Holiday Inn Eau Claire South — Eau Claire

Speaker: Drs. Kristina Petrocco-Napuli, Kari Resch, Ashley Woyak & Heather Miley Early-bird registration ends Oct 19.

Delivering Quality Outcomes in Upper and Lower Extremity Conditions

Sat–Sun, Nov 7–8 Wilderness Resort — Wisconsin Dells

8 CE DC | 8 CE CT

Common athletic injuries: diﬀerential diagnosis, rehab rationale, coding and billing guidance, and hands-on manual interventions. Speaker: Dr. Eric J. Kirk

Sat, Oct 24 | 8 AM–5 PM Aurora Summit Medical Center — Oconomowoc

Questions? 608-256-7023 · registration@wichiro.org

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WCA Continuing Education HIPAA and OSHA Compliance

FALL & WINTER 2026 COURSE GUIDE

DECEMBER 2026

2 CE DC – HIPAA/OSHA | 2 CE CT/CRT

CT Light Therapy Certiﬁcation

Five HIPAA mistakes you can’t aﬀord to make, plus decoding OSHA and the coming Security Rule updates.

2 CE CT | 3-hour certification

The 3-hour Light Therapy Certiﬁcation required by the WI Examining Board for CTs. Awards 2 CE hours.

Speaker: Travis Watson Sponsored by: Abyde

Speaker: Wendy L. Varish Sponsored by: WCA

Thu, Nov 12 | 12–2 PM Online webinar

DSPS license number required at registration.

Chiropractic Technician (CT) Certiﬁcation & Specialties Course

Thu, Dec 3 | 12:30–3:30 PM Online webinar

22 CE CT – Certification | 6 CE CT – Renewal

Activate Peak Potential: Innovative Treatments for Enhanced Patient Care and Performance

Earn 12-hour CT certiﬁcation, add up to four modality specialties, or attend Day 2 for renewal hours only. Speaker: Dr. Brenda M. Holland, DC, DICCP

12 CE DC | 12 CE CRT | 6 CE CT

Day 1 — Fri, Nov 13 | 8 AM–8 PM · CT Certiﬁcation Location to be announced

Advanced laser technique, neuro-recalibration protocols and functional workshops you can run Monday morning.

Day 2 — Sat, Nov 14 | 8 AM–6 PM · Specialties Location to be announced

Speaker: Dr. Kirk Gair, DC Sponsored by: Erchonia Corporation

Comprehensive Dry Needling — Refresher

Sat–Sun, Dec 5–6 Comfort Inn & Suites Madison North — DeForest

10 CE DC

A focused 10-hour refresher — clinical safety, advanced anatomical review and expanded hands-on lab time, including spinal musculature.

Comprehensive Dry Needling — Level 2 20 CE DC

Speaker: Dr. Michael McQueen, DC

Advanced technique for complex muscle groups — wrist and hand, foot and plantar fascia, rotator cuﬀ and suboccipitals.

Prerequisite: Dry Needling Level 1 or equivalent.

Sat, Nov 14 | 8 AM–6 PM Aurora Medical Center Oshkosh — Oshkosh

Speaker: Dr. Michael McQueen, DC Prerequisite: Dry Needling Level 1 or equivalent.

Red Flags for CTs and CRTs

Sat–Sun, Dec 12–13 Aurora Medical Center Grafton — Grafton

12 CE CT/CRT | 6 CE per day

Two stand-alone 6-hour sessions. Red ﬂags from history-taking, the matching radiographic ﬁndings, and positioning troubleshooting. Speaker: Wendy L. Varish Saturday 12–6 PM · Sunday 8 AM–2 PM

Sat–Sun, Nov 21–22 Holiday Inn Pewaukee-Milwaukee West — Pewaukee Sat–Sun, Dec 5–6 Holiday Inn Stevens Point — Stevens Point

Renewing your license this cycle? Don’t leave hours on the table. DOCTORS OF CHIROPRACTIC

Wisconsin now requires 2 CE hours in professional boundaries, ethics and

CHIROPRACTIC TECHNICIANS & CRTS

- 29 -

Wisconsin limits CTs to 2 online CE hours

Everything in this guide is at wca.ce21.com. WCA members save on

THE NEED FOR CHIROPRACTIC CARE IS GROWING.

ARE YOU READY? Let’s grow together.

DPF

The Wellness Way clinic model offers branding, systems, onboarding, marketing and ongoing operational support, backed by a national network.

SCHEDULE A CALL WITH OUR TEAM

DPF

COACHING DPF Coaching partners with chiropractors through private practice training and business coaching, allowing you to grow with more clarity and confidence.

SCHEDULE A CALL WITH OUR TEAM

STRONGER CLINICS | HEALTHIER- 30COMMUNITIES | LASTING IMPACT

Marketing Isn't a Department. It's a Discipline. by Dr. Patrick Flynn, DC

Most chiropractors think marketing is something you buy—an ad, a mailer, a social media manager. But after building The Wellness Way from one clinic to a network of 60, I've learned the truth: marketing is simply the consistent practice of taking action to connect people with your value and build trust. That's it. And once you understand that, everything changes.

Here's the first shift. Everyone in your clinic is a marketer. The doctor who finally helps a patient understand why they've felt terrible for 15 years is marketing. So is the front-desk person who remembers names, and the staff member who keeps the space spotless—because a clean clinic sells before anyone says a word. One real conversation can turn a hesitant first-timer into a lifetime patient who brings their whole family.

The second shift is understanding how people actually find you. Your future patients are already out there, wandering toward you right now. Some sprint through your door after seeing one video. Others bump into your name for months or years—a post here, a yard sign there, a Google review, a friend's story—until one day they say, "I have to know more." Your only job is to keep showing up consistently where they are. Miss a week, miss a family. What separates growing clinics from stuck ones isn't talent or personality. It's obsession—the disciplined kind that pays attention to every touchpoint. A message answered quickly. A review responded to. A follow-up that reminds someone they matter. These small actions, done daily, are how trust compounds.

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At The Wellness Way, we organize this into what we call the Cycle of Opportunity—four equal stages that never stop turning: AWARENESS

EXPERIENCE

They discover you exist. A reel, a flyer, a friend's recommendation.

They get real value before paying a dollar—a free guide, a consultation, an event that leaves them saying "no one ever explained it like this." Your goal: let them feel the difference.

Your goal: plant the seed that you're different.

COMMUNITY

PERSPECTIVE

Patients become advocates. They bring spouses, kids, and coworkers. They post their wins and tag friends. Your goal: turn patients into your most powerful marketing engine.

The light bulb goes on. They finally understand why the one-size-fits-none approach never worked, and why yours does. Your goal: shift their belief system.

Then the cycle restarts—because every person they bring enters at Awareness, and the machine keeps spinning. This isn't a linear funnel you exit. It's a flywheel that, once turning, delivers new patients through the people who already love you. None of this requires a bigger budget. It requires consistency and the discipline to ask, every visit: "Who else needs this?" That's the system behind predictable growth. We've spent a decade testing it inside real clinics, and we're always glad to share what we've learned with fellow chiropractors who want to build something that lasts.

Meet our Fall Convention General Session speaker! Join us at Fall Convention on Saturday, September 26 for our General Session "It's the Best Time to Be a Chiropractor" featuring Dr. Patrick Flynn and the Wellness Way.

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S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Are You Charging What Workers’ Compensation Allows? by Dr. Ray Foxworth, DC, FICC More than 43% of the charges reviewed fell below the amount allowed by the applicable state schedule. In this sample, chiropractors left more than $99,000 in allowable revenue uncollected. Each undercharged service represented an average loss of more than $45.

A chiropractor recently told me workers’ compensation patients were no longer profitable. His collections looked low, so he assumed reimbursements had been cut again. But when we reviewed numbers, the carrier was not the problem. His fees were.

The biggest surprise was where the losses occurred. Many doctors expect treatment codes to present the greatest opportunity. Instead, Evaluation and Management services were undercharged nearly 55% of the time, and higher-level examination codes accounted for more than 83% of the total revenue lost.

Like many chiropractors, he had never compared his charges with his state’s workers’ compensation fee schedule. For years, he had billed well below the maximum allowable reimbursement for many services. He was not being underpaid. He was undercharging.

The greatest source of undercharging was not the adjustment. It was the doctor’s expertise: the history, examination, clinical decision-making, diagnosis, and treatment planning supporting quality care. Chiropractors often want recognition as portal-of-entry providers, yet many charge less than the state-allowed amount for the services that demonstrate their diagnostic and clinical value.

He is far from alone. We recently analyzed workers’ compensation fee schedules and clinic charges across 49 states.

- 34 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

This isn’t about overcharging.

or introducing new services. It can also help ensure your charges reflect the value of the care you provide.

Workers’ compensation systems are highly regulated, and allowable fees are established by law, regulation, or state-approved schedules. Charging less than permitted voluntarily reduces practice revenue without creating an additional benefit for the injured worker, employer, or carrier.

ChiroHealthUSA will never tell you what to charge or direct you to raise or lower your fees. We can show you where your fees stand, and you make the decision. The goal is not the highest fee or the lowest fee. It is the right fee for your practice.

It may also signal a broader problem. Fee schedules are often established and then forgotten while wages, rent, supplies, technology, software, compliance, and other operating costs keep climbing.

Workers’ compensation may be where undercharging becomes visible, but it may not be where the problem ends. If the law allows it, your fees support it, and the value is there, why would you charge less?

When we find undercharging in workers’ compensation cases, we frequently discover that fees throughout the practice have not been reviewed in years.

Want to discover other opportunities successful practices use to strengthen profitability and compliance? Download our free white paper, 4 Overlooked Secrets of Successful Chiropractic Practices, for practical strategies to protect revenue, improve financial systems, and build a stronger practice.

Ask yourself: When did you last review your fees—not only for workers’ compensation, but across your entire practice?

Î A fee analysis may uncover opportunities to strengthen collections without adding patients, extending office hours,

Dr. Ray Foxworth, DC, FICC, is the visionary behind ChiroHealthUSA, serving as its founder and CEO. With over 39 years of dedicated service in chiropractic care, Dr. Foxworth has navigated the complexities of billing, coding, documentation, and compliance firsthand. His experience includes roles as former Staff Chiropractor at the G.V. Sonny Montgomery VA Medical Center and past chairman of the Chiropractic Summit and Mississippi Department of Health. He is an at-large board member of the Chiropractic Future Strategic Plan and holds an executive board position with the Foundation for Chiropractic Progress. Reach Dr. Foxworth at 1-888-719-9990, info@chirohealthusa.com, or www.chirohealthusa.com. Join a free weekly webinar on practicing with greater peace of mind — register at www.chirohealthusa.com.

- 35 -

Membership Questions? Zach Kasun, WCA Membership Director zkasun@wichiro.org 608-292-1805, Ext 105

- 36 -

From the WCA Help Desk Navigating Medicaid’s 20-Spinal-Manipulation Spell-of-Illness Policy In early July, Medicaid issued a letter addressing chiropractic compliance and misunderstandings about the 20-spinal-manipulation spell-of-illness policy in DHS 107.15(3)(b). When a New Spell of Illness May Begin Under DHS 107.15(3)(b), a new spell of illness may be designated when treatment is medically necessary and one of the following conditions applies: • • •

An acute onset of a new spinal subluxation. An acute aggravation of a pre-existing spinal subluxation caused by injury. An acute change in a pre-existing spinal subluxation supported by objective findings.

How the Spell of Illness Is Calculated A spell of illness begins on the first day of treatment or evaluation following the onset of a qualifying condition. It ends when chiropractic treatment for that condition is no longer medically necessary or after 20 spinal manipulations, whichever occurs first. Documentation and Counting Requirements • • •

Document the spell: Record each spell of illness in the patient’s plan of care. Do not carry over unused treatments: Unused treatment days from one spell of illness cannot be transferred to a new spell. Count treatments paid by other insurers: Spinal manipulations covered by Medicare or another third-party insurer count toward the 20-manipulation limit for the spell of illness.

If you have questions, contact Jacqlyn at 608-292-1804 or wcahelp@wichiro.org - 37 -

Introducing De-Stress Peptides™

The Science of Calm De-Stress Peptides™ features Lactium® — a patented bioactive peptide derived from milk protein that has been clinically studied for over 20 years. Unlike pharmaceutical options, De-Stress Peptides™ works gently with your body’s own calming system — specifically the GABA receptors in the brain — to support a natural, balanced stress response without sedation or dependency.

KEY BENEFITS Supports healthy cortisol balance & stress response* Supports faster sleep onset & restful sleep*

Clinical Support for

Encourages healthy blood pressure & heart rate under stress*

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Helps maintain focus & cognitive clarity* Supports digestive comfort during stressful periods* Promotes positive mood and overall well-being* * These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Proud Sponsor

Celebrating our Wisconsin Chiropractic Association alumni-your referrals help keep Northwestern strong and growing! Northwestern Health Sciences University-College of Chiropractic Success:

• #1 in Board Pass Rates among US accredited chiropractic colleges: 95.7% in 2025 • Best Graduation Rate in the Country: 94.4% • Top Sports and Rehabilitation Emphasis Program - 38 - and become a Connector go to: CONNECTOR To refer a student

Ask the Help Desk | wcahelp@wichiro.org | 608-292-1804

UnitedHealthcare Prior Authorization Update for Chiropractic Services Effective October 1, 2026, UnitedHealthcare will no longer require prior authorization for three chiropractic spinal manipulation codes when services are provided to members enrolled in UnitedHealthcare Medicare Advantage or Dual Special Needs Plans (D-SNPs). • 98940 — Chiropractic manipulative treatment, one to two spinal regions • 98941 — Chiropractic manipulative treatment, three to four spinal regions • 98942 — Chiropractic manipulative treatment, five spinal regions

Î This update applies only to UnitedHealthcare Medicare Advantage and Dual Special Needs Plans. It does not apply to UnitedHealthcare commercial plans. At this time, these are the only chiropractic CPT codes included in this prior authorization update. You should continue to verify member eligibility, benefits, and authorization requirements before providing services. Contact Jacqlyn at the Help Desk with any other questions 608-292-1804 or email wcahelp@wichiro.org

The WCA Help Desk is here to help you with your practice questions.

A top-rated member benefit, the Help Desk supports chiropractic professionals with trusted guidance on billing, coding, compliance, insurance, and more, so you can focus on your patients!

- 39 -

- 40 -

Ask the Help Desk | wcahelp@wichiro.org | 608-292-1804

Amino Acids and Peptides in Chiropractic Q: What are natural amino acids and peptides?

strategies. Their potential value lies in supporting biological healing processes rather than simply masking symptoms.

Amino acids are the basic building blocks of proteins. Peptides are short chains of amino acids, commonly made of 2 to 50 amino acids, linked together by peptide bonds. Because they closely resemble compounds already used by the body, peptides can act as targeted biological messengers.

Q: What is the main takeaway? Natural amino acids and peptides represent a rapidly evolving area of regenerative and precision medicine. For chiropractic care, they offer intriguing possibilities for musculoskeletal repair, inflammation management, and recovery support, but responsible use depends on strong evidence, regulatory compliance, proper clinical training, and patient-specific decision-making.

Q: Why are peptides gaining attention in modern chiropractic medicine? Peptides are gaining interest because they may support tissue repair, inflammation regulation, wound healing, and regeneration of tendons, ligaments, cartilage, and other soft tissues. These areas are highly relevant to chiropractic care, where many patients seek support for back pain, joint degeneration, traumatic injuries, and chronic musculoskeletal conditions.

Q: What are examples of natural peptides? Examples of natural or naturally derived peptide ingredients include collagen peptides, elastin peptides, and hydrolyzed plant proteins such as pea, lupin, quinoa, and wheat protein. These ingredients are broken down into smaller amino acid chains, which may make them easier for the body or skin to use depending on the product type and intended application. Collagen peptides or plant-based collagensupport formulas:

Q: What kinds of chiropractic conditions might peptides be relevant to? Potential areas of interest include chronic back pain, joint degeneration, tendon and ligament injuries, cartilage damage, soft-tissue trauma, delayed healing, nerve-related conditions, and inflammatory musculoskeletal problems.

Hexapeptide-11 Hydrolyzed elastin protein Hydrolyzed pea protein Hydrolyzed lupin protein Hydrolyzed silk protein Hydrolyzed quinoa protein Hydrolyzed wheat protein

Q: Are peptide therapies proven for musculoskeletal healing? For many musculoskeletal uses, high-quality human clinical trials remain limited. Providers should distinguish between approved peptide supplements and unapproved or experimental peptide products. Q: How could peptides fit into chiropractic care in the future? In the future, peptides may become part of integrative, precision-based care plans that combine chiropractic assessment, rehabilitation, lifestyle support, nutrition, and regenerative - 41 -

Sources: https://www.chiroeco.com/should-your-practice-offer-peptide-therapy-this-dc-says-yes/ https://coremedicalwellness.com/peptide-therapy-pain-management/ https://www.spectrumcorona.com/post/unlocking-the-power-of-peptides-in-pain-management-a-chiropractic-perspective https://formulabotanica.com/natural-peptides/

Ask the Help Desk | wcahelp@wichiro.org | 608-292-1804

Breaking Through Bundling Denials Insurance payers are increasingly denying re-examination claims as bundled with chiropractic manipulative treatment (CMT). The central finding is that practices can strengthen claim clarity by accurately linking each service line to the diagnosis or diagnoses that justify it and by documenting any evaluation and management (E/M) service as significant and separately identifiable when billed on the same date as CMT. This report summarizes guidance presented by Dr. Evan Gwilliam in the June webinar, The Re-Exam Reality Check: When E/M and CMT Can Coexist, and translates it into practical billing and documentation actions. Bundling denials are a recurring reimbursement risk and practices may encounter denials when an E/M re-examination and CMT are reported on the same date.

➡ An E/M service should not be billed merely because routine assessment occurred before treat-

ment; the record must support work beyond the evaluation ordinarily included in the procedure.

Diagnosis pointing communicates medical necessity. Box 21 of the CMS-1500 lists the ICD-10CM diagnosis codes for the claim. Box 24E links each individual service line to the applicable diagnosis or diagnoses by using the corresponding reference letters A–L on the paper form. Each billed service line should contain at least one accurate pointer. Missing or incorrect pointers can obscure the medical-necessity relationship and contribute to claim rejection or denial. The claim form and clinical record must tell the same story. Clinical notes should explain what occurred, why the services were necessary, and how the findings affected care. The claim then communicates that same rationale through the selected procedure codes, diagnosis codes, modifiers, and diagnosis pointers. Consistency between the claim and the record is essential because the documentation must be available to support every reported service.

- 42 -

Ask the Help Desk | wcahelp@wichiro.org | 608-292-1804

Separate E/M work requires specific support. When an E/M service is performed on the same date as CMT, the documentation should establish that the E/M work was significant and separately identifiable from the usual work associated with manipulation. Different diagnoses are not automatically required, but coding and modifier use must follow current payer policy and applicable coding rules.

Breaking it all down 1. Audit diagnosis pointers before submission. Confirm that every service line points to at least one diagnosis in Box 21 and that each pointer accurately supports the service reported. 2. Establish an E/M–CMT checklist. Require staff to verify separate and identifiable E/M work, appropriate modifier use, and payer-specific requirements before billing a re-examination with CMT. 3. Align coding with documentation. Ensure that diagnoses, procedures, modifiers, assessment findings, and the treatment plan present a consistent account of medical necessity. 4. Review denial patterns. Track bundling, missing information, and medical-necessity denials by payer to identify recurring workflow or policy issues. 5. Train clinical and billing teams together. Use the webinar in the website Resource Hub as a shared training resource and reinforce the connection between clinical documentation and claim-field accuracy.

What this will do for your business •

Cleaner claims with clearer service-to-diagnosis relationships

•

Fewer avoidable denials caused by missing or inaccurate claim information

•

More consistent support for appropriately reported re-examination services

•

Reduced rework for billing staff and more focused appeal efforts

•

Improved coordination between providers, coders, and revenue-cycle teams

Diagnosis pointing is a practical control that helps translate the clinical rationale into the claim. It is not, by itself, a guarantee of payment; successful reimbursement also depends on accurate coding, complete documentation, appropriate modifier use, and compliance with the relevant payer's policy. Practices should apply a consistent pre-submission review process and use denial trends to refine training and workflows. If you have any questions regarding this, please reach out to Jacqlyn at the Help Desk: wcahelp@ wichiro.org or 608-292-1804.

- 43 -

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Scan here to learn more WCA Special expires July 15th, 2026. Cannot be combined with other offers or discounts. To receive this special offer, you must include the code WCA Special in the notes section of your online order or mention the WCA Special to your customer service representative over the phone.

Advancing Chiropractic Medicine: Intranasal Stem Cell and Exosome Strategies for Neuro-Musculoskeletal Repair by Prof. Dr. Paul Ling Tai, DPM, ND, ACFS, ABPS, ABAARM, DABCN

The Future is Here & Now

What Are Exosomes?

Chiropractic care has long championed the body's innate healing ability through natural, non-invasive methods.

Exosomes are nano-sized extracellular vesicles (30–150 nm) secreted by mesenchymal stem cells (MSCs).

Today, regenerative medicine offers powerful new tools that align perfectly with chiropractic philosophy. Stem cell-derived exosomes delivered via intranasal nebulization represent a cutting-edge approach for neuro-muscular-skeletal repair and rejuvenation. They harness the body's own cellular communication without surgery or pharmaceutical drugs.

They carry proteins, lipids, mRNA, and microRNA that reduce inflammation, promote tissue repair, enhance neurogenesis, and enable rapid cell-to-cell signaling. Unlike whole stem cells, exosomes are cellfree, contain no DNA, and have lower risk of immune rejection or tumor formation. They serve as natural biological messengers, typically derived from healthy human or umbilical/ placental sources.

Join Prof. Dr. Paul Ling Tai at the WCA Fall Convention on Friday, September 25 for his seminar "Novel Frontiers in Natural Regenerative Medicine: The Role of Stem Cells, Exosomes, and Bio-Identical Amino Acids as Living Biological Nutrients", sponsored by American Indian Nation Health Outreach. - 46 -

Why Intranasal Delivery?

A Natural Fit for Chiropractic Care

Intranasal nebulization is a non-invasive delivery route well-suited for chiropractic integration. The nasal cavity's olfactory and trigeminal nerve pathways provide direct access to the central nervous system, bypassing the bloodbrain barrier.

Chiropractors are uniquely positioned to integrate these therapies. Spinal adjustments optimize neural flow and biomechanics, while exosomes support cellular repair and regeneration. Portable nebulizers allow convenient at-home maintenance under professional supervision.

Preclinical studies show MSC-derived exosomes administered intranasally can:

Regulatory Considerations

•

Rapidly reach the brain and spinal cord

•

Reduce neuroinflammation

•

Support axonal regeneration

•

As of 2026, use remains limited.

•

Improve outcomes in models of stroke, traumatic brain injury, spinal cord injury, and hypoxic-ischemic damage

•

Florida has specific FDA-approved pathways for certain applications, while most states treat these as research or investigational.

•

All stem cell and exosome products are FDA-approved for topical and cosmetic use only.

•

No specific therapeutic claims can be made, and patients must be fully informed.

Regulatory considerations are important.

Applications in Chiropractic Practice This delivery method shows strong potential for conditions commonly treated in chiropractic practice, including: •

Peripheral neuropathies

•

Chronic pain syndromes

•

Injuries involving muscles, fascia, ligaments, and tendons with or without neurological involvement

Safety data are encouraging with minimal adverse events reported, though larger clinical trials are still needed. Chiropractors should pursue proper training, follow peer-reviewed literature, and collaborate ethically with regenerative specialists.

Early clinical observations suggest improvements in motor function, reduced inflammation, speedy recovery and repair by 400% and better quality of life with favorable safety profiles.

Looking Ahead Intranasal exosome strategies offer a natural, biologically aligned advancement. By embracing these innovations responsibly, chiropractic can enhance outcomes for complex neuro-musculoskeletal conditions while staying true to its holistic, drug-free principles.

- 47 -

Senator Tina Smith (D-MN), David Crowley, Milwaukee County Executive and Democratic nominee for Wisconsin Governor, Dr. Ben Mikla, John Murray - WCA, Dr. Gene Yellen Shiring, Senator Tammy Baldwin (D-WI).

Dr. Michael Court, State Representative Clint Moses (R-Menomonie).

Dr. Gene Yellen Shiring, Congressman Bryan Steil (WI-01), Dr. James Damrow.

Dr. John Damrow, John Murray-WCA, Congressman Bryan Steil (WI-01), Dr. James Damrow.

Dr. Tom Edwards, Dr. James Early, Dr. Brenda Holland, John Murray-WCA, Senator Dan Feyen (R-Fond du Lac), Zach Kasun-WCA.

Dr. Brad Freitag, State Representative Todd Novak (R-Dodgeville), Dr. Jason Mackey.

- 48 -

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- 49 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Exercise and Recovery: Unlocking the Power of mTOR and AMPK by Dr. Scott Bergman, NutriDyn

As healthcare providers, we understand the importance of exercise in maintaining overall health and well-being. However, the recovery process is just as if not more crucial than the exercise itself. Exercise breaks muscle down. Proper recovery allows the body to repair and rebuild muscle tissue, replenish energy stores, and adapt to the demands of physical activity. In this article, we will briefly explore the benefits of mTOR and AMPK in exercise recovery and discuss specific nutrients that stimulate these pathways to support muscle and tissue repair.

mTOR: The Master Regulator of Muscle Protein Synthesis mTOR (mechanistic target of rapamycin) is a critical signaling mechanism that regulates cellular growth, metabolism, and energy homeostasis in response to nutrient availability. It can be initiated by proteins, carbohydrates, and, to a much lesser degree, fats. In the context of exercise, mTOR plays a critical role in promoting muscle protein synthesis. Studies have shown when muscle fibers are challenged during exercise, mTOR is activated, triggering a cascade of signaling pathways that increases muscle protein synthesis rates by up to 50%, enhances muscle growth and hypertrophy, and improves muscle function and strength1,2,3. Examples of supplements that effectively upregulate mTOR pathways are the branched chain amino acid L-Leucine and the amino acid compound creatine5.

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S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

AMPK: The Energy Sensor of the Cell

Continue Your Education

AMPK (adenosine monophosphate-activated protein kinase) is a key regulator of cellular energy metabolism. In the context of exercise, AMPK signaling pathways promote fatty acid metabolism, reduced oxidative stress, increased glucose uptake and utilization in the muscle, and increased muscle protein synthesis for tissue repair 6,7,8.

Doctors seeking to deepen their clinical impact through evidence-based nutrition education are encouraged to attend Module #1 of the 48-Hour Chiropractic Nutrition Certification at the WCA 2026 Fall Convention in Green Bay on September 26–27.

A variety of nutrients have been identified as AMPK activators. For instance, taurine enhances AMP production 9. Acetyl-L-Carnitine, EGCG from green tea, Sulforaphane, R-Alpha-Lipoic Acid, and Omega-3 fatty acids all increase tissue repair, stimulate antioxidant defenses, and reduce inflammation 10, 11, 12, 13, 14.

This foundational module provides practical, clinically relevant instruction on metabolic pathways and nutrient strategies that directly support tissue repair, performance, and recovery. Participants will leave with actionable tools they can immediately integrate into patient care — enhancing outcomes across athletic, rehabilitative, and general wellness populations.

Resveratrol and Quercetin inhibit the activity of AMPK phosphatases, thereby allowing AMPK to remain active and repair tissues longer 15, 16 . N-Acetyl-L-Cysteine and Hydroxytyrosol increase glutathione production, which reduces oxidative stress and further promotes AMPK 17, 18 .

Dr. Scott Bergman is a chiropractor, board-certified naturopath, and diplomate in integrative medicine, and a certified functional medicine practitioner in Walnut Creek, California.

By activating AMPK, these nutrients can improve insulin sensitivity, enhance muscle protein synthesis, enhance tissue repair and regeneration, contributing to improved overall health and well-being.

He is a science officer for NutriDyn, a leader in nutraceuticals for over 50 years, and a nutritional consultant for National and World Champion triathletes, as well as members of the Luna Bar / Luna Chix professional mountain bike and triathlon team. As a certified triathlon coach, Dr. Bergman has instructed beginners for endurance events and has trained hundreds of athletes in Ironman-distance triathlons.

By leveraging the benefits of these pathways and incorporating targeted nutrients into one's regimen, individuals can optimize exercise-induced muscle growth and repair. As healthcare professionals, it is imperative that we educate patients on the significance of proper exercise-induced muscle adaptation and provide guidance on how to integrate these nutrients into their daily routine to support optimal muscle function and overall well-being. - 51 -

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- 52 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Should You Allow a Disruptive Patient to Return? H

ealthcare providers occasionally face difficult decisions when a patient’s behavior crosses the line. Whether it's verbal abuse, intimidation, discriminatory language, or other disruptive conduct, there are times when dismissing a patient is necessary to protect staff, other patients, and the practice environment.

But what happens when that patient asks to return?

Evaluate the passage of time. Has enough time elapsed to demonstrate meaningful change and reduce the likelihood of recurring issues?

•

Seek staff input. Your team was directly affected by the patient's actions. Their perspective should be considered when making your decision.

If you decide to allow the patient to return, establish clear expectations from the outset.

Consider this scenario: A patient was dismissed after using an offensive slur and intimidating a staff member. Months later, the patient contacts the office, expressing remorse and claiming they've changed. Should the provider allow them back into the practice?

Meet with the patient to review the practice's standards for respectful behavior, outline both patient rights and responsibilities, and discuss the consequences if future incidents occur.

The answer depends on the circumstances.

Setting these ground rules can help prevent misunderstandings and create accountability moving forward.

Before deciding whether to re-accept a dismissed patient, it's important to consider whether the behavior may have been influenced by an underlying physical health condition, mental health issue, or substance abuse disorder. While these factors do not excuse inappropriate conduct, they may warrant additional consideration.

There is no one-size-fits-all answer when it comes to re-accepting a dismissed patient. Each situation should be evaluated individually, taking into account the severity of the original behavior, the patient's efforts to address it, and

If you are contemplating re-establishing the patient relationship, consider: •

•

the impact on your staff and practice.

Determine what has changed. Has the patient sought counseling, treatment, or other interventions to address the behavior that led to the dismissal?

For more claims information and additional risk management insights, visit ncmic.com/ resources. - 53 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Before You Spend More on Marketing, Make Sure Your Website Is Working When a practice wants more new patients, the first instinct is often to invest in more marketing. Google Ads | Social media campaigns | SEO/AEO | Community sponsorships | Direct mail All of the above can bring more people to your website, but here’s a question that’s often overlooked: What happens after they get there? Your website is where prospective patients decide whether to call your office, request an appointment, or keep searching. If it isn’t creating confidence and making the next step easy, even the best marketing campaign can fall short. Your Website Is Where Marketing Pays Off Think of your website as your practice’s digital front desk. Every referral, online search, review, or advertisement eventually leads people to the same place. Once they arrive, they have just a few moments to answer important questions: Î Do you treat my condition? Î Can I trust this practice? Î Is it easy to schedule an appointment? Î Should I keep looking? If those answers aren’t immediately clear, many visitors leave without acting. More traffic won’t solve that problem. A better website often will. - 54 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Five Questions Every Chiropractor Should Ask

The goal isn’t simply to have a good-looking website. It’s to create an experience that builds trust, answers questions, and makes contacting your office feel effortless.

You don’t need to be a marketing expert to spot opportunities for improvement.

Get More From the Marketing You’re Already Doing

Start by asking yourself: •

Is it immediately clear what services and conditions you treat?

•

Can a new patient request an appointment in just a few clicks?

•

Does your website load quickly and work well on a mobile phone?

•

Are patient reviews and trust signals easy to find?

•

Before increasing your marketing budget, take a close look at the website supporting those efforts. A well-designed website helps every referral, advertisement, search result, and social media post work harder because it’s built to convert interest into action. If you’re wondering where your website stands, Doctible’s Free Website Audit reviews your site’s mobile experience, conversion opportunities, trust signals, and overall performance. You’ll receive practical recommendations to help you improve the experience for prospective patients and get more value from the marketing you’re already doing.

Does every page guide visitors toward taking the next step?

Even small improvements in these areas can make it easier for prospective patients to choose your practice.

Small Changes Can Lead to Better Results

Learn more and request your free website audit at doctible.com.

Many practices focus on attracting more visitors when they could see meaningful results by improving what happens after someone arrives

Î Clear calls to action, fast page speeds, easy-to-use appointment forms, and messaging that speaks directly to patient needs all help turn more website visitors into appointment requests.

- 55 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Beyond the Adjustment: How Radial, Focused Shockwave, and EMTT Are Transforming Chiropractic Care As non-invasive regenerative medicine continues to evolve, forward-thinking chiropractors are expanding their clinical toolkits beyond traditional spinal adjustments. Integrating acoustic wave and electromagnetic modalities—specifically Radial Shockwave Therapy (RSWT), Focused Shockwave Therapy (FSWT), and Extracorporeal Magnetotransduction Therapy (EMTT)—offers a comprehensive, science-backed approach to accelerating tissue healing, treating recalcitrant conditions, and improving patient outcomes. Understanding how these technologies function and complement one another is key to maximizing their clinical utility. dissipates rapidly as it travels deeper (reaching depths of approximately 2 to 6 cm). RSWT is ideally suited for treating superficial soft tissue conditions, chronic tendinopathies, myofascial trigger points, and large muscle groups (e.g., plantar fasciitis, Achilles tendinitis, and lateral epicondylitis).

Radial vs. Focused Shockwave Therapy: Precision and Penetration While both Radial and Focused Shockwave therapies utilize high-energy acoustic waves to stimulate cellular repair, neovascularization, and pain relief, their mechanical mechanisms and physical dynamics differ significantly.

Focused Shockwave Therapy (FSWT): Focused shockwaves are electrohydrodynamically, electromagnetically, or piezoelectrically generated true shockwaves. Unlike radial pressure waves, focused waves travel faster than the speed of sound and converge at a precise focal point deep within the body (reaching penetration depths up to 10 to 12

Radial Shockwave Therapy (RSWT): Radial waves are pneumatic, pressure-driven waves generated by a projectile accelerated inside a handpiece. Upon striking the transmitter, energy disperses radially into the target tissue. The energy peak is highest at the skin surface and

- 56 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

cm) without losing energy in the superficial skin layers. FSWT allows clinicians to target deep-seated pathology, joint capsule inflammation, non-unions, enthesopathies, and localized calcifications with pinpoint accuracy.

Extracorporeal Magnetotransduction Therapy (EMTT) EMTT represents a powerful electromagnetic advancement in musculoskeletal rehabilitation. Operating via high-energy magnetic pulses (with effective field strengths exceeding 100 millitesla and an oscillation frequency between 100 and 300 kHz), EMTT penetrates deep into body tissues at the cellular level. Unlike shockwave therapy, which relies on mechanical acoustic force, EMTT utilizes high-frequency magnetic fields to restore damaged cellular membrane potential, stimulate ATP production, and reduce chronic inflammation. It is pain-free, is applied unassisted, can be administered through clothing, and covers broad target areas, making it exceptional for treating osteoarthritis, spinal degenerative disc disease, lower back pain, pelvic floor issues, neuropathy and bone marrow edema. Clinical Benefits for the Modern Chiropractic Practice Integrating RSWT, FSWT, and EMTT into a chiropractic workflow creates a synergistic therapeutic continuum. Combining mechanical stimulation (shockwave) with electromagnetic bio-stimulation (EMTT) addresses both structural tissue breakdown and systemic micro-inflammation simultaneously. By offering these modalities, practices experience:

Î Accelerated Patient Recovery:

Combining soft-tissue acoustic breakdown with cellular electromagnetic repair shortens overall treatment protocols. Î Expanded Scope of Care:

Doctors can successfully treat difficult, non-responsive chronic conditions that spinal manipulation alone may not fully resolve. Î Practice Growth:

Providing advanced, non-invasive therapies attracts cash-pay patients seeking alternative options to injections or surgery. Written by David Tucker, co-owner of Shockwave Centers of America, a leading supplier of high quality, FDA registered Radial and Focused Shockwave Devices and EMT Therapy Devices at the lowest prices. Call today to learn more at 561-300-3444.

- 57 -

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Red Foods for Movement Longevity: Whole Food Nutrition for Mobility, Recovery, and Healthy Aging by Mimi Hernandez, MS, RH(AHG)

Movement is one of the clearest expressions of healthspan.

Beetroot Beetroot has emerged as one of the most studied functional foods for exercise physiology because of its natural nitrate content. In the body, dietary nitrates are converted into nitric oxide, a signaling molecule that helps blood vessels remain open and flexible, supporting circulation, oxygen delivery, and muscular

Yet for many aging patients, mobility loss begins long before disability appears. Reduced circulation, impaired metabolic flexibility, chronic low-grade inflammation, and oxidative stress gradually erode exercise tolerance, joint comfort, recovery, and resilience. Chiropractors see these patterns daily in patients struggling with knee discomfort, reduced stamina, slower rehabilitation, and the physical consequences of sedentary aging.

efficiency during activity.

Supporting movement longevity requires more than isolated nutrients. Whole food nutrition offers a broader strategy, supplying the body with naturally occurring compounds that work together to support vascular health, musculoskeletal function, metabolism, and cellular resilience. Among the most compelling examples are deeply pigmented red foods such as beetroot, mountain spinach, and astaxanthin-rich algae. - 58 -

•

Clinical studies show beetroot supplementation can improve exercise tolerance, walking capacity, and recovery in older adults and postmenopausal women.¹

•

Research also demonstrates benefits for endothelial function and blood pressure regulation, linking mobility directly with cardiometabolic health.²

S P O N S O R E D C O N T E N T F R O M O U R T R U S T E D C O R P O R AT E PA R T N E R

Mountain Spinach (Atriplex hortensis)

The Synergy of Whole Red Foods

Mountain spinach, also known as red orache, extends the red food story through its dense concentration of minerals and phytonutrients. Like beetroot, it contains betalains, including vivid betacyanin pigments associated with antioxidant and anti-inflammatory activity.

What makes these foods especially compelling is their synergy within a whole food philosophy of care.

•

Betalain-rich red foods have been studied for their ability to reduce knee discomfort and improve joint function while supporting exercise performance and recovery.³ Mountain spinach also contributes naturally occurring electrolytes and chromium, a trace mineral involved in glucose metabolism and metabolic resilience.

Beetroot supports nitric oxide production and circulation.

•

Mountain spinach contributes minerals, betalains, and metabolic support.

•

Astaxanthin-rich algae helps protect mitochondrial and muscular integrity during stress and exercise.

Together, they form a coordinated nutritional strategy that aligns closely with the goals of chiropractic and rehabilitative care: preserving mobility, supporting recovery, and helping patients remain active across the lifespan.

• This connection is particularly relevant in aging populations, where reduced metabolic flexibility and declining physical activity often occur together.

Movement longevity is not simply about adding years to life. It is about preserving the strength, resilience, and functional capacity that allow people to continue moving well throughout those years.

Astaxanthin-Rich Algae

Whole red foods offer chiropractors an evidence-informed nutritional approach that supports both structural health and the physiological foundations of healthy aging.

Astaxanthin-rich algae adds another dimension to movement longevity. The microalgae Haematococcus pluvialis produces astaxanthin as a survival response to environmental stress, concentrating one of nature's most potent lipid-soluble antioxidants within a whole food matrix.

Mimi Hernandez, MS, RH(AHG), is a clinical educator for Standard Process and a registered clinical herbalist whose work bridges whole food nutrition with phytotherapy. Her interests include cardiometabolic health, healthy aging, and family wellness. Mimi is the author of National Geographic Herbal, where she shares her deep knowledge of traditional and modern botanical medicine.

Astaxanthin uniquely embeds within cellular membranes, where it helps protect tissues from oxidative damage associated with aging and physical exertion. •

•

Studies suggest supplementation may support endurance, aerobic capacity, muscle recovery, and exercise adaptation, particularly in older adults.4 - 59 -

X-Ray Support You Need

Step In. Adjust Lives. Stay Flexible.

X-ray imaging plays an important role in modern chiropractic care by supporting accurate diagnosis and improving patient confidence. Radiographic Services Inc. helps clinics meet their imaging needs with reliable equipment and support.

We're looking for chiropractors to join our locum tenens team! Cover for doctors while they're on vacation or away, keep clinics running smoothly, and enjoy flexible work on your terms.

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Make a real impact supporting colleagues & patients. Must have current chiropractic license, 3+ years of experience, and malpractice insurance. Opportunities in the Milwaukee area, Sheboygan County and Fox Cities. Join us today and put your skills to work--where they're needed most. Call or text: 847-367-9641 or Email: info@docforaday.com

Contact us today to see how we can support your practice! Peter Howard - Sales Manager Phone: 608-622-5716 Email: peter@rsixray.com PO Box 64, Lodi WI 53555

The Wellness Way: Protein Calculator Determine your optimal protein intake with our brand-new protein calculator. Launched in unison with our Protein Optimization Guide, our calculator uses a special formula that outputs the ideal intake for optimal health. Enter your weight, activity level, and fitness goal for a Wellness Way suggested daily allowance.

Winding Down? You have spent your entire career developing and growing your practice. Now is the time to look ahead. If you do not have an exit plan, LSM may be your solution. Consider joining this large, patient-centered practice and see how smooth your move to retirement can be. Please contact Sarah Pavlik at 608-316-6972 or spavlik@lsmchiro.org for information.

Want to host the calculator on your website? Download our FREE official WordPress plugin now to host the calculator on your own website. Customize the calculator to match the styles and colors that emulate your brand. It's even possible to customize your own formula to come up with different recommendations. Plus, explore our other popular resources, like the transformative "Power of Protein Challenge" and the game changing "No Sugar Challenge."

Stuck Or Plateaued? Running a chiropractic practice is not easy. Consider joining with LSM to revitalize your career. With 18 clinics, support staff and the latest technology, LSM can help you flourish. All benefits including healthcare, dues, malpractice and 401K plan. Work as the Chiropractor you were meant to be. Please contact Sarah Pavlik at 608-316-6972 or spavlik@lsmchiro.org for information.

- 60 -

Chiro One: Attention Wisconsin Chiropractors!!

Wisconsin Practices For Sale and Associate Wanted

We are hiring Doctor of Chiropractic to join our team in Milwaukee Wisconsin! We are offering a compensation package unmatched by our competitors!! Let's Talk!

Green Bay. Long established family referral practice for sale in prosperous town just 15 mins SE of Green Bay. 50% self pay. $206,870 gross. Asking $140,000. 3 experienced part-time staff. Sale includes very attractive free-standing prof building.

Join our team of 150+ doctors and 130+ clinics!! • Resident-In-Training Program starting with competitive compensation. • Full-Curriculum-based learn program and leadership development. • Performance Based Flexible work weeks. • PTO, parental leave, 401k, medical, dental, and vision options.

Janesville area practice for sale. Solid family practice for sale. 30+ year well known reputation. Diversified. Gross $495,883. Excellent ins/cash payor mix. Fully equipped and furnished. Financing available. Milwaukee. Solid family referral practice. Prime corner location on busy Howell Ave. Skilled staff. Div/FD. Cash/insurance mix. Sale includes attractive professional bldg. 1,484 sq ft office plus apt upstairs and 2 car garage. $347,335 gross. Financing available.

Average salary of $150k-$200k across multiple markets. We are one of the largest privately-owned, fastest growing, chiropractic companies in the country complete with experienced teams of specialists including: marketing, clinical operations, legal, revenue cycle, HR, IT, maintenance, and more!!

Menasha/Appleton. Fantastic opportunity to own a solid, long established practice. 643 patient visits per month with steady new patients. Skilled staff. Balanced cash/ins mix. Act/Palmer Pkg adjusting. Well equipped. Option to buy very attractive free-standing prof bldg in prime location. $399,117 gross. Financing available.

This robust team allows our doctors to focus on great patient care. Contact: claudia.wright@medullallc.com or Call: 708-5955227

Stevens Point/Plover. Div/Drop/ART/Instr adjusting, therapies include myofascial release, acup, laser, Graston also nutri. 530 patient visits/month. Highly skilled staff. Excellent lease. Profitable referral practice. Financing available.

Take the Time You Need - We're Here to Help

Stillwater, MN near Hudson. Prime center location. Fully equipped. Balanced payor mix. $388,288 gross. Asking $160,000. Financing available.

Need coverage while you're away from the clinic? Our locum tenens chiropractic fill-in service provides reliable licensed doctors who step in seamlessly, so your patients continue to receive quality care while you recharge.

Contact Loren Martin: Practice Opportunities, Inc. P: 952.322.1177 | Email: martin@practiceop.com | www.practiceop.com WCA Member/Licensed Broker

Vacation & medical leave coverage Short or long-term options All of our docs are licensed, insured and experienced. Vacations. Surgery Recovery. Maternity or Paternity Leave. Call or text: 847-367-9641 or Email: info@docforaday.com

Get Paid for Your Old X-ray Film National Precious Metals provides secure x-ray film recycling and document destruction for chiropractors throughout Wisconsin. We provide free pick up, pay you for your film based on the current silver market, and provide chain-of-custody documentation and certificates of destruction. Contact us through our website or email nationalpreciousmetals@gmail.com.

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Associate Chiropractor - Appleton, WI Aascend Chiropractic is seeking a motivated, compassionate, and growth-minded Associate Chiropractor to join our progressive, well-established practice in Appleton, Wisconsin. We are committed to helping people thrive through advanced chiropractic care, rehabilitation, and innovative health technologies. Our clinic provides a supportive team environment with excellent clinical tools, including physiotherapy, digital X-ray, vertical and horizontal traction, soft-tissue therapies, dry needling, Hyperbaric Oxygen Therapy, and Class IV Laser Therapy. This is an excellent opportunity for a chiropractor who wants to develop clinically, build strong patient relationships, and grow with an expanding practice. Opportunity for future partnership is available for the right candidate. Position Highlights: • 4-day work week • Compensation: $48,000–$120,000/year, based on experience and performance • 100% malpractice insurance coverage • Paid holidays, vacation, and personal/sick days • Continuing education allowance • Short-term and long-term disability • Supportive, collaborative team • Professional and clinical growth opportunities • Potential partnership opportunity

Pregnancy + Pediatric Associate Chiropractor Needed Full-Time Are you the kind of provider who knows that healing doesn’t start + stop with symptoms? Do you believe in root-cause care, honoring the body + supporting women and families through every season of life? Then you might be exactly who we’re looking for! At Roots Wholistic Health, we don’t do cookie-cutter care. We serve with intention, educate with passion and create a space where patients feel seen, heard + truly cared for. We're growing and looking for an Associate Chiropractor who fits our vibe + our tribe. Who we are: • We're a regionally-recognized center serving Waupaca + surrounding communities from Stevens Point to Appleton. • We have a relaxed + flexible environment sprinkled with the high energy of kiddos! • We believe in spending time with our patients in each appointment to foster strong immune systems, strong connections and strong families. We treat patients like one of our own - one of our tribe! We need someone who is:

We are looking for someone who is passionate about patient care, enjoys working as part of a team, and is interested in integrating chiropractic care with rehabilitation and advanced technologies.

• Passionate about women’s health, pregnancy, postpartum + pediatrics; and connects easily with patients. • Believes in holistic + functional approaches, not quick fixes or just treating the symptoms. • Comfortable + confident in adjusting women in pregnancy, newborns + children of all ages. • Self-motivated + a lifelong learner who values education + empowerment. • Thrives in a team-oriented environment + loves collaboration.

Our purpose is simple: To help people thrive.

What we offer:

If you are looking for a long-term opportunity with a practice that values patient outcomes, professional growth, and innovation, we would love to meet you.

• 4 - Day Work Week • $55,000 - $95,000/Year (Base Salary + Performance Bonus) • Paid Vacation + Clinic Recognized Holidays • Malpractice Insurance Coverage +Up to $500/Year for Continuing Education

Tables for Sale - Excellent Condition! All equipment is available for pickup. Leave a message for Dr. Bob Anderson to arrange pickup or if you'd like more information. • TradeFLEX Model #E9017 (2) --> Asking $1600 • Zenith II - Model 210 F Hilo w/ Pelvic Drop --> Asking $3000 OBO • Zenith II - Model 220 F Hilo w/ Pelvic & Cervical Drop --> Asking $3900 OBO

What we require: • All candidates MUST have the following: • Wisconsin Licensure • Webster Technique Certification • ICPA/PX Pediatric Course Training • Wisconsin Nutrition Certification Check out pics + videos, and additional details at www.rootswholistichealth.com/employment-opportunities! We look forward to hearing from you!

Established Madison Chiropractic Practice and Turnkey Clinic After decades of serving the Madison community, a well-established chiropractic practice is seeking its next owner. This is a rare opportunity to acquire an established patient base while stepping into a fully built-out, turnkey clinic. The 3,200 SF facility includes multiple treatment rooms, reception and waiting area, private offices, storage, kitchenette, ample parking and professional signage, Chiropractic equipment and furnishings are available, allowing for a seamless transition with minimal startup costs. Flexible acquisition options include: • Purchase the chiropractic practice (terms negotiable) • Lease the fully equipped clinic • Purchase the real estate as an owner-user • Discuss a customized transition structure The owner is preparing for retirement and is committed to helping ensure a successful transition for the next chiropractor. Located in a highly desirable west Madison professional office setting with immediate availability. For additional information or to arrange a confidential discussion, please contact Mark@EmmChiro.com.

Chiropractic Office Space for Rent Beautiful Hudson, WI on the St. Croix river is one of the fastest growing cities in Wi and has seen almost a 60% growth since 2000! Southside Office Complex consists of a wide array of health care and business offices including Dental, Insurance, Counseling, and Accounting and Financial services. Office consists of 700 sq. ft., 3 treatment rooms, lobby, front office and full use of commons area including bathrooms. All utilities, CAM, maintenance fees and taxes are included in rent. Ample parking including handicap access ramp and excellent location visible from I-94 and located in a busy business corridor. Ideal for Chiropractic, Physical Therapy, Massage Therapy/Acupuncture For more details, interested parties may contact: Paul Lawton | 715-808-9030

High Profit Chiropractic Practice for Sale in Kenosha County, WI

Chiropractor Available for Relief Coverage I have 28 years of experience treating patients as a Chiropractor in Wisconsin. I was self-employed for 10 years from 19992009. I have worked at multiple offices, and I'm familiar with many Chiropractic Techniques. I am licensed in WI and fully insured with NCMIC. I live in Menomonee Falls, Wisconsin.

Thriving, profitable, 70% CASH chiropractic practice for sale in Salem Lakes and Kenosha County, Wisconsin – close to both Milwaukee and Chicago! Salem Lakes and Kenosha County, Wisconsin, offer a rare combination of small-town charm and big-city access that continues to attract families and professionals from across the region.

Please contact Dr. Jeff Hamill at 262-328-4678 for additional information.

This well-established practice has demonstrated remarkable financial performance, with a three-year collection average of $934,000, a favorable payor mix of 70% cash and 30% insurance, and consistent growth throughout that period.

Associate Wanted - Pewaukee, WI North Point Chiropractic is seeking a passionate Associate Chiropractor to join our growing family-focused practice in Pewaukee, Wisconsin. We are a purpose-driven, cash-based chiropractic office committed to helping individuals and families experience long-term health through corrective chiropractic care and ongoing wellness plans. Our practice emphasizes patient education, structured care plans, and building meaningful relationships with the families we serve.

The techniques utilized include Diversified, Drop Table, and Impulse IQ, with 65% of revenue derived from chiropractic care and 30% from rehabilitation services. The practice's profitability is exceptional, with owner income ranking in the top 10% of all DCs nationwide — achieved while working only 25 hours per week — a testament to the strength of the patient base, operational efficiency, and the loyalty this practice has built within its community. Buy with as little as $53,000 down!

This position is ideal for a chiropractor who is motivated to grow professionally with an established practice, enjoys serving others, and wants to practice in an environment focused on principled chiropractic care and long-term patient relationships.

For more info, see: https://www.strategicdc.com/26402 or email info@strategicdc.com.

Pewaukee offers a wonderful community for families and professionals, located just outside Milwaukee and near beautiful lakes, parks, and outdoor recreation.

Equipment for Sale - Green Bay, WI

Compensation: $70,000 - $100,000 per year (Base Salary + Performance Bonus)

Various pieces of equipment for sale. Please call for Pricing: 715-496-1204. • Zenith Hylo (Vertilift) • Zenith Hylo II • Multiple braces for wrists, elbows, ankles, etc. • Pelvic Benches Gonstead (2 sets) • Therapy Benches (2 sets) • Intertron 4500 Interferential/Bipolar (Serial #534) • Excel Multi II Interferential (Model MST-7) • Scoliosis upright table - analysis • 14x36ft Film Cabinets (holds 1000 films) • Plastic spine model • Dynamometer, reflex hammer, pinwheels, etc. • Bulletin board - 2x3 ft • 6 Swivel chairs • 20 Office chairs (fabric with wooden arms/legs) • 10 Office chairs (green fabric with metal arms/legs)

Benefits include: • Professional malpractice insurance coverage • Continuing education stipend ($1,200 every 2 years) • Paid time off after six months of employment • Paid holidays • Chiropractic care within the practice • Wholesale access to supplements To Apply: • Send us an email introducing yourself along with your resume to: drtori@npchiropractic.com • Phone: 414-482-5282

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Great deals on tables and therapy equipment! - Green Bay, WI

Equipment for Sale - Madison, WI *Thuli Sport – Portable adjusting table. Like-new condition, asking $550.

Must be able to pick up July 25-26 or July 28-29. Cash only! If interested, or needing more details/pictures, please email me at:

*Kalecope Q60 low-intensity radial shockwave therapy device. Like-new condition, asking $700

• ErgoBasic Chiropractic Adjusting Table - $500 - Hessco current list price is $3695 online. - Marine blue vinyl. Tilting headpiece, pelvic drop, and firm foam. • Matching medium blue fabric Gonstead bench and chair - $400 • Dynatron 300 Ultrasound Unit - $150 - 3 different therapy heads - small wand, medium, and large heads. - Capable of being used with the e-stim unit being sold for combo therapy. • Dynatron 550 E Stim Unit - $250 - 2-channel unit capable of IFC, premod, Russian, and biphasic stim as well as microcurrent. • HON 5-drawer lateral file cabinet - $300

*Thumper maxi pro (10007D) x 2. Used but in great condition, asking $200 each. *RICH-MAR IFV 1000 Interferential (1993). Well-used but in functional condition, Best Offer Call 608-233-3766 for details.

Associate Wanted - Greater Milwaukee Area Chiropractic Company is a rapidly expanding group of clinics in the greater Milwaukee area, and we are currently looking for associate doctors. We are unique in the profession in that doctors have the opportunity to advance from associate to clinic director, to shareholder in the corporation all based on their personal performance.

Chiropractic Office for Sale - Wausau, WI Heart of Wisconsin Chiropractic Office for Sale. This chiropractic practice is small, and a new owner will make immediate income. Low overhead and net profits are at 50% of all revenues.

In addition to a salary and bonus structure we also offer health insurance, short term and long-term disability insurance, and a matching 401k plan. Continuing education, chiropractic coaching, 50% off a gym membership, license, CPR training, and malpractice insurance are also covered benefits of working with the Chiropractic Company.

Practice offers spinal decompression, low level laser, flexion distraction, electronic health records and much more. Great location with high visibility. Solid patient base and reputation in the community. Accepts all insurances, steady new patient flow and great place to raise a family and enjoy the beautiful outdoors. Selling due to aging parent.

For more information go to: www.chiropracticco.com/ careers OR Contact Dr. Kent McLeod.

For more information go to: www.wausauchiro.com OR Call Dr. Amy Dahlke: 715-270-2211

Clinic Wanted for Purchase - Greater Milwaukee Area Chiropractic Company is currently looking to purchase a clinic in the Greater Milwaukee area. If you have interest in selling, a merger or are contemplating retirement and need an exit strategy: Please email Dr. Kent McLeod or call 414-213-4808 or visit chiropracticbuyers. com for additional information.

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Wisconsin Practices For Sale Janesville area. Solid family referral practice. Established 30 yrs. Gross $495,883. 419 pv/mo. Green Bay. Established 1991. $206,870 gross. Active patient referral base. 3 part-time staff. 50% self-pay at time of service. Asking $140,000. Financing available. Menasha/Appleton. Solid family practice. $399,117 gross. Excellent lease or option to buy free-standing prof bldg.. Skilled staff. Balanced insurance/self pay mix. Fully equipped. Stevens Point/Plover. Consistent, solid family referral practice. Div/Instr/Drop, also therapies. 530 patient visits/month. Experienced staff and favorable lease. Doctor retiring, will provide smooth transition. Milwaukee. Howell Ave prime corner. $347,335 gross. Sale includes attractive prof building 1,484 sq ft office on main floor with apartment up and 2 car garage. Stillwater, MN near Hudson. Prime center location. Fully equipped. Balanced payor mix. $388,288 gross. Asking $160,000. Financing available.

Contact Loren Martin, Practice Opportunities, Inc. WCA Member Phone: (952) 322-1177 Email: martin@practiceop.com Website: www.practiceop.com All inquiries kept in confidence.

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Chiropractic Grizzly Bear (Oficinum Inspector Generalis Youretoastum)

“Here’s

looking

Doc.” at you...

Meet Oficinum Inspector Generalis Youretoastum; nature’s reminder that in chiropractic, growth goes to the practices that protect their profits.

If your pricing strategy is weak, you’re not the predator. You’re lunch. Dial in your strategy so more patients stay, revenue grows, and bears keep walking. Fix it before they feast. Download The Free Guide:

6 Strategies for Profitable Discounting Classified Notes from Oficinum Inspector Generalis Youretoastum

1-888-719-9990

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