Spring 2026_The Wisconsin Chiropractor by Wisconsin Chiropractic Association

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Adjusting Patients Isn’t Enough: Why So Many Chiropractic Practices are Still Leaving Money on the Table

by Dr. Ray Foxworth, DC, FICC

Let me say something I see every day.

Î Most chiropractors don’t have a patient problem. They have a revenue structure problem. I talk to doctors who are doing everything right:

• They’re investing in marketing.

• They’re upgrading systems.

• They’re building teams.

• They’re trying to scale.

• And yet… margins are tight.

• Cash flow feels unpredictable.

• Growth feels stressful instead of strategic.

Here’s why.

Î You cannot build a sustainable practice on outdated fees and broken financial policies. No amount of new patients fixes that.

The Silent Leak in Most Practices

Most chiropractors are undercharging, often without realizing it. They’re:

• Accepting insurance allowances at face value.

• Hesitant to raise fees because they’re worried about patient pushback.

• Struggling to serve cash or high-deductible patients without creating compliance risk.

The result? High volume. Low margins. Burnout.

And when doctors try to grow by hiring another associate, adding another location, or increasing marketing spend, that leak grows. Seeing more patients don’t solve margin problems. It magnifies them.

Affordable Care Shouldn’t Mean Undervaluing Yourself

There’s a misconception in healthcare that being “affordable” means charging less. It doesn’t.

Affordable care is about structure. It’s about having systems that allow you to:

• Charge appropriately when insurance is available.

• Serve cash and limited-benefit patients confidently.

• Align your financial policies across your practice.

• Reduce risk while increasing predictability.

When those pieces are missing, practices end up reacting instead of leading.

• They chase volume.

• They avoid fee conversations.

• They guess at compliance.

That’s not growth. That’s survival mode.

Growth Without Protection Is Risky

Here’s the part many doctors don’t see until it’s too late. Scaling amplifies risk with:

• Dual fee schedules.

• Improper discounting.

• Inducement violations.

• Inconsistent policies between locations.

One wrong move can put years of work at risk. If you’re building something long-term, you don’t just need growth. You need protection.

Adjusting Patients

- Continued from page 6

Practices that have lasted for decades aren’t just busy.

• They’re intentional.

• They know their numbers.

• They understand their fee structures.

• They have aligned systems.

• And they’ve built compliance into their business model.

That’s what creates freedom.

Adjusting Patients Isn’t Enough

If you’re adjusting patients but not adjusting your revenue model, you’re leaving opportunity behind. When fees are current, and systems are aligned:

• Growth feels intentional, not stressful.

• Revenue becomes more predictable.

• Doctors stop chasing volume.

• Teams gain clarity.

• Patients stay under care longer. You can stop guessing and start building a practice designed for longevity.

Ready to Stop Leaving Money on the Table?

If you’re serious about building a profitable, compliant, and sustainable chiropractic practice, it starts with understanding where your revenue is leaking and how to fix it.

That’s exactly what ChiroHealthUSA helps chiropractors do. They provide a compliant way to charge appropriately, serve cash and underinsured patients, and improve margins, helping practices increase revenue (often by 15–20%) without adding more visits. Same patients. Better margins. More freedom.

If that sounds like the direction you want your practice to go, it’s worth learning more. Download our Refresh Your Fees in 2026 whitepaper. Your practice doesn’t just deserve to survive; it deserves to thrive

Dr. Ray Foxworth, DC, FICC, is the visionary behind ChiroHealthUSA, serving as its esteemed 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 rich experience includes roles as the former Staff Chiropractor at the G.V. Sonny Montgomery VA Medical Center and past chairman of the Chiropractic Summit and Mississippi Department of Health. Dr. Foxworth is deeply committed to advancing the chiropractic profession, which is evident through his leadership roles. 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.

Editor's Note

by John Murray, Wisconsin Chiropractic Association Executive Director and CEO

When Will We See Real Reforms to Preauthorization Abuses?

I am using this Editor’s note as an Executive Director’s message to talk about the issue of insurance company abuses, specifically the ridiculous practice of requiring preauthorization for chiropractic care.

The issue of how insurance companies use preauthorizations to restrict or deny care is an important issue that warrants considerable discussion.

Remember in spring of 2025 when Governor Evers introduced his biennial budget to the Wisconsin Legislature?

We featured his budget provisions that addressed the issue of health insurance preauthorizations and thanked him for drawing attention to this important issue.

The Wisconsin Legislature, controlled by Republicans in both houses, promptly removed all of his “policy” provisions including the preauthorization language and began working on their own budget.

That was pretty much the end of the discussion of preauthorization reforms, at least in the context of the state budget.

Commissioner of Insurance Complaints

Much of what he proposed, in my opinion, could have been accomplished by directing his Commissioner of Insurance (WI OCI) to use the tools at their disposal to more aggressively hold health insurance companies more accountable to patients and providers.

The current process of patients and providers having to file complaints with WI OCI is frustrating and in most cases fruitless. WI OCI sends the complaint to the company who takes a cursory look at it and sends a letter back saying essentially “no harm, no foul.” Maybe providers and patients have been able to use the current WI OCI process to resolve their complaints, but it does not appear to lend itself to a high level of success.

One thing that I do recommend is to send a copy of your WI OCI complaint to your State Senator and State Representative to see if they will put some weight behind it as your elected representatives.

I give the Governor credit for proposing reforms to the current process, but there is no doubt that WI OCI could use their current tools more aggressively if directed so by the East Wing.

The WCA has met with WI OCI numerous times over the years to ask them to be more aggressive with documented health insurance company abuses but they continue to defer to the current complaint process.

Engaging the Candidates for Wisconsin's Next Governor

So lets take another tack on this issue.

In meetings with candidates for Governor (yes, we will have a new one in 2027 as Evers is not running for reelection), I bring up reforms to the law governing health care preauthorizations and how empowering the next WI OCI Commissioner to be more aggressive in enforcing the law would be a good first step.

This is where we have some influence as an association.

“We will be looking to see which candidates for Governor are willing to commit to meaningful reforms to the holding health insurance companies accountable for their use of pre authorizations (and other tactics that deny or restrict patient care and reimbursement)."

As voters, you will be asked to vote for and contribute to candidates for Governor from both political parties. I ask you to factor this into your political decision making.

Supporting Pro-Chiropractic Candidates through ChiroStrong

The WCA will be directing the political resources of our ChiroStrong conduit to candidates who have a record of supporting legislation addressing preauthorization and other insurance company abuses.

I already have members asking me about the candidates and where they stand on our issues.

If you have a question about where a candidate stands on chiropractic issues, including preauthorization reforms, email me at jmurray@wichiro.org.

Legislative Update: WCA Opposes Proposed Changes to Medicaid Visit Limit

The Wisconsin Medicaid program is considering a change in policy that would require prior authorization for patient visits that exceed 20 per calendar year, instead of the current 20 per spell of illness (SOI) limit.

The WCA opposes this change and is strongly advocating against it. We are working with the Wisconsin Medicaid Office, the Governor’s Office, and key allies in the Wisconsin Legislature, including Rep. Clint Moses (R - Menomonie), the only chiropractor in the Legislature.

“Our number one priority is protecting patients’ access to effective chiropractic care in Wisconsin. This proposed change makes it more difficult for Medicaid patients to access the care they need,” ~ WCA Executive Director John Murray.

The Wisconsin Medicaid Office is pointing to a recent rule from the Centers for Medicare and Medicaid Services (CMS) related to interoperability of Medicaid payment systems. It is unclear why Wisconsin Medicaid is using this rule as an excuse to make major policy changes that affect access to chiropractic care.

Watch for more updates on this important issue, including a possible member call to action.

Questions? Email WCA Executive Director, John Murray at jmurray@wichiro.org

This fall, WCA members, Rebecca Lahman (Lahman Chiropractic) and Dr. Jason Mackey (LSM Chiropractic), testified on behalf of the Wisconsin Chiropractic Association on SB373 -- legislation that would curb pre authorization abuses by insurance companies.

Sports Chiropractic In Practice

How Dr. Bryan Henslin Works with Athletes Locally and Internationally.

In 2022, Dr. Bryan Henslin traveled to Birmingham, Alabama to serve as part of the healthcare team for The World Games 2022. The international competition brought together athletes from around the world across a variety of sports, including canoeing, kayaking, wakeboarding, and water skiing.

As a sports chiropractor, Henslin worked alongside physicians, athletic trainers, and other healthcare providers to help evaluate and manage musculoskeletal injuries during the event. The experience provided an opportunity to work within a multidisciplinary medical team supporting athletes competing at a high level.

Experiences like this represent one part of Henslin’s work in sports chiropractic, which also includes caring for athletes throughout the Fond du Lac community.

Dr. Henslin treats athletes both locally and internationally, demonstrating how chiropractors can contribute to sports medicine in a variety of settings.

An Interest in Movement and Performance

Like many professionals in sports medicine, Dr. Bryan Henslin’s interest in healthcare began with athletics.

Growing up active in sports, he experienced injuries and the recovery process firsthand. Those experiences sparked an early curiosity about how the body heals and moves.

“I had injuries and interactions with healthcare providers that made me curious about how the body works and how it recovers,” Henslin says. “That curiosity led me toward healthcare.”

That interest continued during his undergraduate studies at the University of Wisconsin-Madison, where he studied biology.

Dr. Bryan Henslin pictured at The World Games - the second most important international sport competition behind the Olympics.

Sports Chiropractic In Practice

- Continued from page 11

While in college, Henslin worked in a biomedical research laboratory studying coronary thrombosis and atherosclerosis prevention. Although the research experience was valuable, he realized he was more drawn to a career that involved working directly with patients.

As he explored healthcare careers, chiropractic stood out because of its focus on biomechanics and human movement - concepts that aligned closely with his background in athletics. He later attended Logan University, where he earned his Doctor of Chiropractic degree and pursued coursework related to rehabilitation and sports science. Those experiences, along with his lifelong interest in sports, helped shape his path toward working with athletes and active patients.

“I’ve always been interested in how the body moves and how we can help people function better.”

Building Experience in Sports Chiropractic

After graduating, Henslin continued to pursue training related to sports chiropractic. He earned the Certified Chiropractic Sports Physician (CCSP) credential and became involved with the International Federation of Sports Chiropractic.

Through FICS, chiropractors can pursue additional training that prepares them to work at national and international sporting events. That pathway eventually led to his involvement with The World Games.

Working in those settings requires collaboration with other healthcare professionals and an understanding of how chiropractic care fits within broader sports medicine teams.

“You’re working with providers from different disciplines and trying to help athletes continue competing safely,” Henslin says.

From Private Practice to Integrated Healthcare

Henslin’s career path in Fond du Lac began in private practice before eventually leading to an opportunity within an integrated healthcare system.

In 2012, Dr. Henslin moved to Fond du Lac and opened a private practice located across the street from the local hospital. Like many chiropractors starting a practice, the early years focused on building relationships within the community and establishing a patient base.

During that time, he began conversations with hospital leaders about the possibility of integrating chiropractic services within the healthcare system.

Continued on page 13 →

Dr. Henslin is a member of the International Federation of Sports Chiropractic (FICS) and values the professional and personal relationships.

Sports Chiropractic In Practice

- Continued from page 12

Several years later, those discussions led to an opportunity to bring chiropractic care into what is now part of the SSM Health network.

Today, Henslin works within the SSM Health system alongside orthopedic surgeons, physical therapists, pediatricians, and primary care physicians.

He emphasized that practicing in an integrated healthcare setting allows providers to collaborate more easily when managing musculoskeletal conditions. He also appreciates the shared access to the Epic healthcare platform that allows providers to review notes, coordinate referrals, and communicate about patient care.

In many cases, patients are referred between providers depending on their needs, allowing chiropractors to work alongside physicians and therapists as part of a coordinated approach to care.

“Recognizing what your scope of practice is, and where your limitations are, is important,” he says. “That’s how you build trust with other providers.”

Supporting Athletes in the Community

In Fond du Lac, he works with athletes across the community, including players from the Fond du Lac Dock Spiders, part of the Northwoods Baseball League.

Working with athletes throughout their season allows him to monitor movement patterns, manage injuries, and help athletes maintain performance.

“You get to see athletes regularly and track how they’re moving

whether

it’s injury management or helping them maintain function so they can stay on the field.”

Many of those opportunities developed through relationships with local sports leaders such as Craig Peltonen, Drake Diener, and Jim Misudek, who helped connect healthcare providers with athletic programs in the Fond du Lac area.

Henslin continues to pursue education related to sports performance and biomechanics. He has completed training through the Titleist Performance Institute, which focuses on evaluating movement patterns that affect athletic performance.

Henslin’s career reflects how chiropractors can pursue a variety of opportunities within sports medicine, from local athletic programs to international competitions.

Those opportunities often grow through professional relationships, community involvement, and a willingness to explore new experiences.

“You’re never going to know if something works unless you try,” Henslin says.

Volunteering at national and international sporting events has allowed me to work alongside some of the best sports chiropractors from around the world, and helped to broaden my clinic knowledge and skill set back home."

THE NEED FOR CHIROPRACTIC CARE IS GROWING. ARE YOU?

COACHING DPF DPF DPF DPF DPF DPF

The Wellness Way clinic model offers branding, systems, onboarding, marketing and operational support, and the power of a national movement.

SCHEDULE A CALL WITH OUR TEAM

SCHEDULE A CALL WITH OUR TEAM LIVE WEBINAR! APRIL 25TH 11am

DPF Coaching provides private-practice chiropractors with the same signature clinical and business training and case support while allowing you to grow under your own brand.

The 'Back to Basics' Podcasts Series

Hosted by WCA President Dr. Chris Resch

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

Episode 15 featuring Dr. Bryan Henslin

Today’s episode is about possibility. It’s about how chiropractic continues to earn its place on the world stage of athletics— and how sports chiropractors can intentionally build a path into high-level, integrated sports care.

Our guest today is Dr. Bryan Henslin, and his story is a powerful reminder that these opportunities don’t happen by accident. They’re built through education, consistency, service, and a commitment to excellence. Dr. Henslin shares how he stepped into the sports world, what that journey really looked like, and how he now practices within a major healthcare system while continuing to serve competitive athletes.

If you’re a sports chiropractor—or a doctor who wants to move deeper into athletics—this episode offers real insight and a clear roadmap. This is what it looks like when preparation meets opportunity. Enjoy our conversation!

Don't Miss an Episode!

Follow Our Podcast Channel on Youtube @wisconsinchiropractic/podcasts

WCA Continuing Education

Murray, WCA Education & Convention Director |

CE that Moves Your Practice Forward

Healthcare is constantly evolving, and so are your patients’ needs. Continuing education ensures you stay at the forefront of evidence-based care, expand your skill set, and deliver superior outcomes.

For chiropractors and clinic staff, advanced training means more than knowledge, it’s about compliance, confidence, and competitive advantage. Investing in education isn’t optional—it’s the key to growing your practice and staying relevant in a rapidly changing healthcare landscape.

WCA classes provide hands-on experience, practical protocols, and certifications that open new service opportunities, increase revenue, and improve patient satisfaction.

Watch Your Mailbox!

Our team has been busy planning a full schedule of continuing education seminars and webinars to help you meet your license renewal requirements.

Watch your mailboxes and inboxes in April for the WCA CE Course Guide!

NEW! The new Wisconsin Chiropractic Board of Examiners rule Chir 5.01 (1) (i) requires Wisconsin chiropractors to complete 2 continuing education hours on the topic of professional boundaries during each licensing biennium. The WCA has multiple opportunities for DCs to meet this new requirement for license renewal.

2026 Professional Boundaries Webinars - 2 CE DC

Meet the NEW professional boundaries requirement for license renewal with this course by Dr. Jeff Wilder.

Choose a date:

• Mar 25 | 12-2 PM | Online Webinar

• June 11 | 12-2 PM | Online Webinar

• Oct 13 | 6-8 PM | Online Webinar

• Dec 10 | 12-2 PM | Online Webinar

2026 is a License Renewal Year

Every two years, ALL licensed DCs, CTs and CRTs must renew their license. The license renewal deadline for the current biennium is Monday, December 14. DSPS typically opens the renewal window in October.

License Renewal FAQs

Are you Recently Licensed?

If you received your license after December 15, 2024,

• You must still renew your license.

• NO CE hours needed this biennium

• Sign in to LicensE to confirm your renewal date.

Renewing Both CT & CRT Licenses Together

If you are both a CT and a CRT, you may satisfy the CE requirement for both licenses at the same time if the course you take is approved for both credentials.

Using a Combined

Course

• A 12-hour CT/CRT-approved course will fully satisfy the renewal requirements for both licenses.

Mixing Online and In-Person Hours

• You may take up to 2 hours online.

• You will still need 10 hours of in-person CE from a course approved for both CT and CRT.

Wisconsin CE Requirements

License Renewal Quick Links

DOT Medical Exams & Workplace Medical Exams

Employers in your community need reliable DOT exams and occupational health services. You can be their go-to provider.

Expand your services, increase patient flow, and strengthen your role as a portal-of-entry provider with this practical, career-building training.

Register for our 11-hour training program to learn how to add DOT medical exams and occupational medicine to your practice - confidently and profitably. This seminar is split into two sessions. Register for one - or both!

Speaker: Dr. Christopher Murray

May 2 | 8 AM - 4 PM | Fond du Lac

DOT Medical Exams

- 8 CE DC

Learn the full DOT exam process, understand FMCSA medical standards, and gain the confidence to integrate DOT physicals into your practice. This course prepares DCs to sit for the National Registry of Certified Medical Examiners (NRCME) Exam, the credential required to perform DOT physicals in your clinic. Participants receive a Certificate of Completion, plus guidance on NRCME exam locations and scheduling.

May 2 | 4-8 PM | Fond du Lac

Workplace Medical Exams & Testing

- 3 CE DC

The course explores the wide range of occupational medicine services that can be offered in a chiropractic physician’s clinic—from medical examinations and drug testing to respiratory assessments and paternity testing.

Inside the Student Experience at ACA Engage

by Amanda Lamatina, NWHSU Student American Chiropractic Association Vice President

In January, 15 students from Northwestern Health Sciences University in Bloomington, Minnesota, attended the ACA Engage Conference.

Two of the 15 students, Addy Bengtson and myself, Amanda Lamatina, represented Wisconsin and the WCA.

We were lucky to spend a day on Capitol Hill with Dr. Gene Yellen-Shiring and Dr. Brenda Holland from the WCA.

During our lobbying for the Chiropractic Medicare Coverage Modernization Act, we were able to meet with staffers for Representative Scott Fitzgerald, Senator Ron Johnson, and Congressman Mark Pocan, and briefly chatting with the congressman as well.

While Rep. Fitzgerald and Congressman Pocan have already co-sponsored the bill, we spent our time reiterating the importance of this bill and sharing our thanks for their continuous support.

Meeting with Senator Ron Johnson’s staffer was a great opportunity to display the research supporting the advantages of this bill, not only for patients, but for healthcare overall.

Reflecting on the trip, I find my cup filled with passion and joy for the future of our profession. Seeing such a large group of students and doctors work together towards a common goal is an inspiring sight, and I could not be more grateful to be representing Wisconsin and the ACA.

On behalf of Northwestern Health Sciences University's Student American Chiropractic Association, we greatly appreciate your generous donation to sponsor Addy and I on this educational and inspiring trip!

It was such a pleasure to advocate alongside Dr. Gene Yellen-Shiring and Dr. Brenda Holland. NWHSU's Student American Chiropractic Association looks forward to working with the WCA in the future.

Seeing such a large group of students and doctors work together towards a common goal is an inspiring sight, and I could not be more grateful to be representing Wisconsin and the ACA."

Amanda Lamatina

SACA Vice President

Dr. Eugene Yellen-Shiring, Adeline Bengtson, Yoska Munyon (staffer), Amanda Lamatina (NWHSU), and Dr. Brenda Holland pictured outside Representative Scott Fitzgerald's office.

Dr. Brenda Holland, Dr. Eugene Yellen-Shiring, Adeline Bengtson, and Amanda Lamatina pictured outside of Senator Ron Johnson's office.

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The Inevitable Records Request

by Colleen G. Auchenbach, DC, CPCO, CPMA

How are you and your office handling records requests? What is your office policy and procedure for when a request is received?

If you are not prepared or ignoring them and hoping that they will never come or go away, you are putting yourself and your practice at risk.

Receiving a records request does not automatically mean that you are doing anything wrong.

There are types of requests that are simply to gather information and may be generated randomly. Always slow down and read the request letter for details of why they are requesting records and when the submission is due.

Whether the records request you receive is random or targeted, just about the worst thing you can do is not respond.

In fact, non-response is the biggest reason for claims denials and can automatically result in a recoupment, as well as little to lean on during an appeals process.

When you do not respond by sending in the requested documentation, the assumption is usually that it’s because you don’t have any. Not only does this draw attention to you, but it could lead to additional financial penalties and review.

If all your documentation is written and organized promptly, you will be ready to review it for accuracy and completeness, make copies, and send it off.

For the best possible outcome, keep the following steps in mind:

1. Read the letter and then read it again.

2. Verify that the request is legit.

3. Reach out for help if you are uncertain what the letter is requesting.

4. When you are ready to submit the requested material, be sure to follow the instructions in the letter.

Records Request -

Continued from page 24

As a rule, the following tips apply:

Î Records should be legible.

Handwritten records loaded with abbreviations are hard to read. If a reviewer cannot read your records, the claims will be denied. If your records are difficult to read, take the time to transcribe and translate the records (without altering them) before submitting them. If you must use abbreviations, attach a key to define each one.

Î Include everything that is asked for.

A records request usually contains the patient’s name, a date range for the visits, and a list of the items for review. If the start date for the request is in the middle of a patient’s treatment plan, it may make sense to send the preceding exam to show any significant findings that pertain to the treatment the patient received.

Î Be able to support the medical necessity for the services provided.

Most third-party payers (Medicare in particular) use functional improvement as proof of medical necessity. Everything in the patient’s chart should tell the ongoing story of the patient’s condition and progress through care. If the doctor feels that additional explanations are required, a narrative report may be written to include additional information.

Î Keep the records organized.

Records should be assembled in chronological order to reflect the treatment as it occurred.

Î The doctor should review the documentation before it is submitted.

While staff members can prepare the bulk of the information, it is vitally important that the doctor reviews the information before it is submitted. The doctor is ultimately responsible for all documentation. They must make sure that all amendments and clarifications have been included in the file before it is sent.

Î Better yet…have a professional review before you send.

If you don’t know what you don’t know, such as why you got that request, consider having a professional review before you send the records.

Many doctors believe that nothing bad will happen if records are not sent. This is not the case!

The number one reason claims are denied is that the “provided documentation does not support medical necessity.”

Sometimes those findings are because the records were never provided. Even poor documentation is better than nothing. It is important to send the records to prove a service was provided and that billing was not fraudulent.

Be sure to put into place an office policy regarding records requests with clear steps so that all team members know how to correctly handle any records request to protect you and your practice.

Don't miss Dr. Colleen Auchenbach's seminar "OIG Compliance Rules: Why Should I Care?" on Saturday, April 18 at the WCA Spring Convention in Elkhart Lake. Register now at wichiro.org

WCA Seminar Spotlight

The Silent Hormone Crisis + Pregnancy & Chiropractic

Tools to support patients through hormonal transitions, pregnancy, and beyond. Together, these seminars deliver a comprehensive look at whole-person health, expanding a provider’s understanding of both hormonal dysregulation and the unique demands of pregnancy, while offering actionable tools that can be immediately applied in clinical practice. Attend one or both sessions – it’s up to you!

The

Silent Hormone Crisis in Men & Women

6 CE DC/CT/CRT

This session offers a deep dive into the hormonal and neuroendocrine factors driving many of today’s most common chronic complaints—including stress, anxiety, insomnia, brain fog, fatigue, and stubborn weight gain. Attendees will learn natural, integrative approaches to help patients achieve faster, more meaningful clinical outcomes.

May 2 | 8 AM-11 AM | Fond du Lac

Speaker: Dr. Paul Ling Tai

Sponsored by: American Indian Nation Health Outreach

Pregnancy & Chiropractic 101

6 CE DC/CT/CRT

This session shifts to the pregnancy continuum. Providers will receive targeted training in best practices for caring for pregnant patients—from pre-conception through each trimester and into the postpartum stage. This session covers female pelvic anatomy, symptom patterns, nutritional and exercise considerations, and effective chiropractic management across the pregnancy lifecycle.

May 2 | 11 AM-2 PM | Fond du Lac

Speaker: Dr. Brenda Holland

The 3 Most Common Issues When Reporting CPT Codes

by, John Davila, DC, FICC

One of the most misunderstood tasks chiropractors face daily is how to correctly report the segments adjusted during a patient encounter and the use of the appropriate CPT code on a 1500 form for reimbursement.

The issue at the heart of the matter is the confusion that surrounds the use of the different 9894X series codes (Chiropractic Manipulative Therapy/Adjustment) and how they should be reported to the insurance company versus how they relate to the exact service that was performed. There are three major issues to tackle in order to report these codes correctly.

1. Transitional Areas

First, we must understand where transitional areas belong in this whole process. When these areas or regions are adjusted, they must fall into the following classifications that are written in the CPT Manual:

• The cervical spine includes the atlanto-occipital area.

• Meanwhile, the thoracic spine includes the costovetebral and costotransverse areas (rib heads).

• And, the sacral region includes the coccyx. Neither of these areas are considered an extra spinal and if adjusted, don’t qualify as a 98943 or extra spinal adjustment.

2. Reporting Corrections

Second, when choosing a CMT code, we must properly report the correct number of areas. Compliant coding of the CMT code would follow these guidelines;

• 98940 one—two areas or regions,

• 98941 three-four areas or regions,

• 98942 five areas or regions.

Because of the use of regions or areas, one of the main points of confusion is when the doctor reports the number of “segments or vertebra” adjusted versus the correct number of areas.

For example, the doctor adjusted C1, C3, C5, C7 and T4. This patient encounter would be properly reported as a 98940 because the five spinal adjustments would have taken place in only two regions.

The most common of all coding mistakes takes place when the doctor reports this patient encounter as a 98942. This is because the 98942 code requires at least one adjustment to take place in each of the five areas or regions of cervical, thoracic, lumbar, sacrum and pelvis.

3. Increased Scrutiny by Auditors

Third, we must be aware that the way chiropractors report an adjustment to the sacral-iliac joint has been under increased scrutiny by auditors over the last few years.

Continued on page 29 →

To make it easy, remember this rule when an adjustment is given in the low back area:

• If the joint surfaces between the sacrum and 5th lumbar are moved → it’s to be considered a sacral region adjustment for CPT reporting purposes.

• If the joint surface between sacrum and illium are moved → it’s a pelvic region adjustment for CPT reporting purposes.

Therefore, the SI joint adjustment does not qualify as a two area or region adjustment because only one joint surface has been put into motion.

In the end, why do these 3 issues matter? Because the most common reason a practice gets audited is the frequency with which you use certain codes. If you don’t know exactly how to use each code, you run the risk of

finding yourself in a very costly and problematic situation — for you and your practice.

This article should not be construed as legal or medical advice and should not be construed as rules or establishing a standard of care. 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 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.

Don't miss Dr. John Divila's seminar "Using Medical Necessity to Make Your Notes More Effective" on Friday, April 17 at the WCA Spring Convention in Elkhart Lake. Register now at wichiro.org

Welcome Jacqlyn Weisensel!

WCA Help Desk Manager, wcahelp@wichiro.org

The WCA would like to welcome Jacqlyn Weisensel as the new WCA Help Desk Manager.

She brings over 11 years of experience working in a Wisconsin chiropractic clinic. She was hired as a receptionist at a chiropractic clinic in Janesville, WI and worked her way to a CT and a CRT and in 2022 became the office manager.

She is a wife, mom of 6 and a grandma. When she is relaxing, she likes to spend time with her family, read FBI thrillers, and put together Legos. Welcome Jacqlyn!

Advocacy in Action WCA Meets with WPS

The WCA team met with WPS representatives in March and had a constructive meeting. The key takeaways:

• The updated policy on non-covered services applies to ALL healthcare providers, not just DCs.

• Upcoming meetings with WPS Clinical Guidance team to counter their consensus rationale regarding e-stim, ultrasound, 98943 extraspinal adjustments, and other non-covered services as they classified these services as Experimental, Investigative, and Unproven (E/I/U). A classification that the WCA vehemently disagrees with and will be providing support for.

• WCA is obtaining clear & concise claim submission information as well as denial appeal instructions.

• WPS open to proactive changes to help avoid unnecessary medical necessity reviews.

• WPS data suggests 80-90% of denials due to a missing AT modifier.

wcahelp@wichiro.org | 608-292-1804

WPS Policy Updates

Sometimes insurance companies can be difficult to work with and are not always particularly transparent. These updates apply to both their commercial and supplemental plans. The last time that the WCA sent out guidance in regard to upcoming WPS Policy changes for 2026 (Fall 2025), we knew that:

• WPS had started implementing an automatic review of claims after the 8th visit.

• Several changes to their Prior Authorization list, both added and removed services.

The latest updates derived from WPS Medical Policy:

• Policy effective date changed from 12/1/25 to 1/1/26.

• While an automatic review is triggered after 8 chiropractic visits, a review of medical necessity can be conducted at any time prior as well. No prior authorization required.

• Specific documentation expectations to appeal medical necessity reviews. See pages 1-2 and 32-34 here.

WPS has updated their Policy article, “Spinal Manipulation Treatments & Chiropractic services Medical Policy”

For the astute observer, the article (A250-0021) appears to be the same but some of the language has been edited. This document specifically lays out the documentation expectations to avoid early medical necessity denials along with subsequent audits. Check it out here.

WCA Help Desk

2026 Dean Advantage Plan Update

For those of you who have recently noticed a significant change in behavior regarding Dean Advantage and Dean Gold plan claim submissions this article is for you. This topic had been brought to our attention via several member clinics who first noticed a 2 visit “met max” denial as well as other irregularities in stark contrast to 2025 billing norms. Initially, this led us to believe that there had been a significant shift in plan chiropractic benefits, so here at Help Desk we got to work.

Dean Gold Plans

According to the Dean provider network consultant, for some reason when Dean plans transitioned to a new payer ID in 2026, the system started to view CMT codes as exams and not adjustments. The system thought it was seeing two exam codes billed in quick succession, yielding a 2 visit “met max” denial.

For those of you participating in capitated plans, if you continue receiving a CO45 denial for claims instead of the proper CO24 on your EOBs – the instruction is to reach out to your provider network consultant with the specific claim example to get it rectified as that is occurring in error.

Dean Advantage Plans

When referencing the 2026 Dean Advantage plan member guide, the 2026 Provider manual, as well as the 2026 Dean Advantage summary of benefits - no significant changes had been identified. See the excerpt from the summary of benefits below (p. 18).

Clinics had been getting denials despite having the correct modifier (GA) for maintenance visits.

Upon consulting between our member clinics as well as the provider network consultant, here are the recommendations and actions that will be occurring soon:

• For maintenance visits, GA has been reconfirmed as correct. These denials will be rectified.

• Recommended to continue billing and NOT withhold claims as the network consultant is pushing for submitted claims to be reprocessed. This will remedy any timely filling concerns.

• Clarifying provider communication will be sent out soon according to Network consultant.

• Network consultant agreed to reach out to the member services team to communicate that chiropractic clinics ARE filing claims correctly.

Professional Growth Starts Here

2026 is a License Renewal Year. The WCA team is gearing up to provide you with a robust offering of continuing education opportunities including three statewide events approved for CE in Wisconsin and Minnesota!

SPRING CONVENTION

APRIL 16-19, 2026

The Osthoff Resort, Elkhart Lake Spring is the perfect opportunity for doctors and staff to complete their renewal hours early in a relaxed, resort-style setting that encourages focus and renewal. Earn up to:

• 28 CE DC

• 28 CE Nutrition

• 4 CE Professional Boundaries

• 16 CE CT, CRT, Clinic Staff

FALL CONVENTION

SEPT. 24-27, 2026

KI Convention Center, Green Bay Don't miss our biggest event of the year! Registration opens this summer

Hyatt Regency Room Block Details September 23-26, 2026

• 1 Bedroom Suite, 2 Doubles: $162 (or $187 for 3-4 people)

• 1 Bedroom Suite, King: $172 (or $197 for 3-4 people)

WOMEN'S HEALTH & WELLNESS FORUM

NOVEMBER 7, 2026

Wilderness Resort Glacier Canyon, Wisconsin Dells

Event registration opens this summer

Wilderness Room Block Details November 6-7, 2026

• Friday Rate: $149 (Double Queen)

• Saturday Rate: $169 (Double Queen Sofa)

• 1 Bedroom Suite, King: $172

Call 1-800-867-9453 and state you are with Leader #B39165.

Kasun, WCA Membership Director | zkasun@wichiro.org

The WCA Has Your Back.

Whether you are early in your practice, or well-established, the WCA has your back.

Build your chiropractic success with a WCA membership in 2026!

• Discounted pricing on CE courses

• Reliable Help Desk support that you can trust

• Discounts on products and services for your practice

• Your advocate at the State Capitol protecting your practice rights

• A statewide professional community

• and discounted Spring Convention pricing

New! Small Clinic Membership Option

We’re excited to introduce the Small Clinic Membership, designed to make WCA membership more accessible for multi-doctor clinics. This new option provides full membership benefits for every doctor in your clinic—at a lower total cost.

In a renewal year, many clinics find that the savings alone offset the price of membership. Discounted CE rates, access to help desk support, and exclusive member-only resources all help keep your clinic’s operational costs down.

There’s never been a better time to join the WCA!

BEGIN YOUR MEMBERSHIP

Preceptor Resources

Earlier this year, the WCA membership committee surveyed a small group of chiropractors about preceptor resources and whether this information would be helpful to chiropractic professionals.

The results told us that most of the DCs surveyed said this information would be impactful to members.

Now

on the Member Website: Preceptor Resources

Knowing who to contact and what you need to do can be half the battle. Now on the WCA member website, you can access a comprehensive list of Chiropractic Preceptorship resources. Think of it like a checklist.

In addition to the required form needed, we have also listed resources by school including the specific program liaison. This resource will help you get into contact with the right people in a timely manner.

Not seeing a school you’d like resources for? Send a request to add information: membership@wichiro.org

WCA Members!

Cells, Protect Your Mind

•

Practitioner

Fast

Family

Jake

jake@nutri-dyn.com 414-801-6399

Sarah Cady

sarah@nut-dyn.com

ron@nut-dyn.com 414-405-7345

Government Affairs Update

by John Murray, Wisconsin Chiropractic Association Executive Director and CEO

Medicaid Expansion to Therapies & Extremities

The WCA worked with legislators and the Governor to secure state funding for this important expansion of access to chiropractic care.

The WCA is closely monitoring the State Medicaid plan amendment request submitted by the Wisconsin Medicaid Office to the Centers for Medicare and Medicaid (CMS) that would allow chiropractors to treat extremities and use therapies when treating Medicaid patients. It is unknown how long CMS will take to make a decision on this request.

AB 368/SB 373

Would prohibit prior authorization for the first 12 visits of chiropractic, physical therapy and occupational therapy.

AB 368 passed Assembly Health Committee 11-0 but was never scheduled for a vote in the full State Assembly. SB 373 passed the Senate Committee on Insurance 5-0 and is waiting for a vote in the full State Senate. The State Assembly has adjourned their regular session so this legislation is dead until the next legislative session in 2027

AB 564/SB 561

Would allow chiropractors to perform school employee examinations.

AB 564 passed the Wisconsin State Assembly on 1/20/26 (voice vote) and was sent to the Senate Committee on Health. SB 561, which is in the same committee, had a public hearing on 11/5/25. WCA registered in favor of SB 561 and testified in favor of AB 564. It does not appear that the Senate Committee on Health is going to hold a vote on AB 564 or SB 561 before the legislative session concludes.

SB 367/AB 351

Virtual credit card payments on health insurance policies.

Requires health insurance companies to offer providers options for payments and disclose any fees associated with those options. Passed both houses and is headed to the Governor for his consideration. WCA supported this bill.

Clearinghouse Rule 25-066

Changes to online continuing education.

The rule allows 4 of the 8 online credits to be taken through asynchronous continuing education courses. This new rule will be effective with the next license renewal period that begins December 15, 2026.

SB 1066

Relating to the use of artificial intelligence to deny prior authorization for medical necessity or experimental status.

WCA testified in favor of this legislation when it had a public hearing the Senate Committee on Utilities, Technology and Tourism and submitted written testify from Rebecca Lahman, CT with Monroe Chiropractic. No vote has been take by the Committee since the public hearing.

(L-R) WCA Board member Dr. Tom Edwards, WI ACA Delegate Dr. Gene Yellen Shiring, Congressman Scott Fitzgerald (WI-05) and WCA Membership Director Zach Kasun.

Clinical Nutrition Certification for Chiropractors

Enhance patient outcomes with evidence-based nutrition strategies.

This comprehensive program is designed for all Doctors of Chiropractic (DCs)—whether you’re pursuing certification or simply want to integrate nutrition into your practice.

Why Take this Certification Course?

• Boost Patient Care: Learn how nutrition impacts healing, pain management, and overall health.

• Expand Your Services: Gain the ability to counsel patients on supplements, vitamins, and herbs.

• Practical & Flexible: Each module is self-contained—take them in any order.

• Certification Available: Gain credentials to counsel and recommend supplements.

• Open to All DCs: Valuable whether you seek certification or just want to elevate patient care.

Brought to you in collaboration with valued Corporate Partners, Numedica and Nutri Dyn

Spring Nutrition Series

Featuring Dr. Ron Grabowski & Dr. Victor Carsrud

12 CE Hours/12 Nutrition per module

Comprehensive Dry Needling Course

Approved for CE for Chiropractors & Physical Therapists

Transform your practice. Elevate patient outcomes. Expand your market. Join the growing number of DCs and PTs who rave about better results, new revenue streams, and waiting lists of patients after adding dry needling to their services.

Why Take this Certification Course?

• Immediate Implementation: Leave with a starter kit of dry needling supplies.

• Meet State Requirements: This course fulfills training standards and is approved for CE hours for DCs and PTs.

• Hands-On Expertise: 40 hours of in-class, practical instruction across two levels.

• Boost Patient Care: Address pain, musculoskeletal issues, and recovery with evidence-based techniques.

• Approved CE Hours for DCs and PTs

• Hands-On Training with real clinical scenarios. Starter kit included!

Level 1: Foundations & Clinical Application, 20 CE

• May 16-17 | Green Bay

• Oct 17-18 | Oconomowoc

Level 2: Advanced Techniques, 20 CE

• Jun 27-28 | Oconomowoc

• Dec 12-13 | Grafton

Abyde

American Indian Nation Health Outreach

Apex Energetics

Biotics Research

BTL Industries

Cash Practice Systems

ChiroHealthUSA

Chiro One Wellness Centers

ChiroPreferred

ChiroTouch

DNA Vibe, LLC

Doc For A Day, LLC

Doctible Online Marketing

Dr. Ty the Compliance Guy

Erchonia Corporation

EuroMedica

Foot Levelers

International Orthopedics

Jane App

KBMO Diagnostics

Legally Mine

LSM Chiropractic

MH Imaging, LLC

NCMIC Insurance

NuMedica

NutriDyn

PowerMedic US, Inc.

Practice Opportunities, Inc.

Protocol for Life Balance

Radiographic Services, Inc.

RAYUS Radiology

Regenx Naturals

RYZO Commercial Realty

Shockwave Centers of America

Standard Process

The Wellness Way

Turowski Healthcare Products, LLC

Zimmer Medizinsystems

Thirty Years. Still Defining The Standard.

A Legacy of Light. A Gift to Those Wh d d

For 30 years, Erchonia has pioneered what la but precise, elegant, and clinically proven.

Long before laser therapy was a buzzword, Erchonia was building FDA-cleared technologies grounded in research, refinement, and respect for the body’s natural ability to heal. That commitment hasn’t changed—it’s only deepened.

Today, thousands of doctors across chiropractic, medical, dental, veterinar y, and aesthetic practices trust Erchonia as their foundational laser platform.

This anniversary isn’t just about looking back. It’s about continuing the education, leadership, and innovation that built this brand.

OUR THANK YOU

One Free Event. Your Choice.

To celebrate 30 years of Erchonia, we’re giving you access to one FREE event of your choosing on us

That includes:

• Any Erchonia live seminar

• Any livestream CE event

• Erchonia’s 2026 Laser Expo

(Our largest, most anticipated event of the year)

HOW TO REDEEM Coupon Code: ERC30

• Use at registration

• Valid for one free event

• Choose the event that best suppor ts your growth and practice goals.

Scan QR code and pick your event!

*Must use by 12/1/26 Valid for ONLY one entry per person.

Deepest Sympathies OUR

Neil E. Olson

Dr. Neil E. Olson, age 91, of Siren, Wisconsin, passed away on March 2, 2026, in Grantsburg, WI. Dr. Olson was born on January 13, 1935, in Bricelyn, Minnesota, to Gustave and Mildred (Ingalls) Olson. He attended and graduated from Clear Lake High School in 1953, at Clear Lake, Wisconsin.

Dr. Olson went on to attend Logan Chiropractic University in St. Louis for 6 years. He obtained the degree of Doctor of Chiropractic. He practiced in Amery, Rice Lake, and Siren for 41 years.

Dr. Olson was united in marriage to Jeanette Sweitzer on April 12, 1958. Together. They raised three sons in Siren. He was very active in the community and involved with the Red Cross, First Aid instructor, Fishbowl Sportsmen's Club, Siren Chamber of Commerce, Lions Club, Orange Cemetery Association, Church Council, Snowmobile Club, and several chiropractic associations, career teacher, county coroner, Cub Scout leader, intern teacher, Salvation Army, and singing in 3 choirs and in the U.S. Army. He was an avid hunter, fisherman, gardener, and motorcyclist. He and his wife traveled halfway around the world.

He was preceded in death by his wife, Jeanette, of 51 years; son, Larye; and parents, Gustave and Mildred Olson. He is survived by his two sons, Jamie (Gayle) and Gary Olson, and a special friend, Gwen. Four grandchildren, Jason and Nicholas Olson, Danielle Eckstrom, and Cassie Hulleman, and 7 great-grandchildren, and 1 great-great-grandchild.

Arrangements were entrusted to Swedberg-Taylor Funeral Home in Webster, Wisconsin.

Age well with MethylAction

WCA Seminar Spotlight

Shout out Dr. Trevor Berry and Dr. Robert Silverman for an excellent seminar in Brookfield this March! In their 12-hour seminar, "Rewire & Revitalize: Neuroplasticity to Longevity." In their seminar, attendees explored how neuroplasticity, functional medicine, and advanced laser therapy can transform patient outcomes. Congratulations to our seminar attendees who won copies of books featuring several of our esteemed speakers and chiropractic professionals!

Wisconsin Practices For Sale

Eau Claire. Long established, solid practice. Div/Tho/Flex Dist. Payor profile mix 31% cash, balance innetwork insurance. $725,947 gross. Fully equipped. Very attractive 3,180 sq ft prof bldg. Financing avail.

Green Bay. Ideally located in desirable Green Bay suburb. $206,870 gross. 413 patient visits per month, 8 new patients per mo. avg. 50% self pay. Option to buy professional bldg..

1/2 Hour NW of Milwaukee. Fully equipped office with excellent lease. All cash practice, Skilled staff.

Wausau Well established chiropractic and Functional Medicine practice. Diversified, cold lasers and patient centered nutritional therapies. Cash practice with $176,000 net operating income.

Milwaukee. Practice and building for sale in high-demand location. Attractive apartment upstairs. $338,000 gross. Low overhead. Doctor retiring and will provide assistance for smooth transition. Financing available.

Stevens Point/Plover. Consistent, solid family referral practice. Ideally located. 530 patient visits per month. Experienced staff and favorable lease. Doctor retiring, will provide smooth transition.

Milwaukee. Solid practice ideally located south on Howell Ave. Gross $339,222. Net $157,022. 30 new patients per month avg. Lease or option to buy prof bldg. with attractive 4 bedrm apartment.

We also have opportunities in Iowa, Illinois, and Minnesota.

patients!

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.

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.

Step In. Adjust Lives. Stay Flexible.

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.

Flexible scheduling.

Extra income opportunities.

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: 847-3679641 or Email: info@docforaday.com

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.

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."

Chiro One: Attention Wisconsin Chiropractors!!

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!

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. 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!! This robust team allows our doctors to focus on great patient care. Contact: claudia. wright@medullallc.com or Call: 708-595-5227

Wisconsin Practices For Sale and Associate Wanted

Eau Claire. Long established, solid practice. $725,947 gross. Div/ Tho/Flex Dist. Payor profile mix 31% cash balance in-network. Very attractive 3,180 sq ft professional building.

Green Bay. Practice for sale in desirable Green Bay suburb. $206,870 gross. 413 patient visits per month/8 new patients per mo avg. 50% self pay. Asking $140,000. Financing available. Option to buy prof bldg.

1/2 Hour NW of Milwaukee. Fully equipped office with excellent lease. All cash practice, collected at time of service! Gross $474,105. Skilled staff. Doctor retiring. Financing available.

Menasha/Appleton. Long established practice for sale with well-known solid reputation. Located in highly desirable suburb of Appleton/Menasha. 643 patient visits/month with steady new patients. Skilled staff. Balanced cash/insurance mix. Palmer Package/ Activator adjusting. Well equipped. Sale includes very attractive free-standing prof bldg. in prime location. Financing available.

Stevens Point/Plover. Consistent, solid family referral practice. Ideally located. 530 patient visits per month. $508,269 gross. Experienced staff and favorable lease. Doctor retiring.

Wausau. Interested in learning Functional Medicine? Dr will provide training. Learn techniques to complement your adjusting skills. This is a cash practice with $176,000 net operating income.

Associate Wanted - La Crosse, WI. Looking for a motivated associate to join high volume family referral practice. Staff of doctors and upbeat supportive members provide a welcoming environment for employees and patients. Credentialled on most insurance plans. Generous compensation commensurate with ability.

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

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

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.

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

X-Ray Support you need

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 offer a complete roundup of services including:

• Equipment decommissioning / disposal or even cash offers

• Financing/Leasing available

• Maintenance

• New/Used equipment

• Upgrades

Peter Howard - Sales Manager

Phone: 608-622-5716, Email: peter@rsixray.com

Radiographic Services Inc. | PO Box 64, Lodi WI 53555

Associate Wanted - Chilton, WI

Calumet County Chiropractic in Chilton, WI is seeking a passionate associate chiropractor to join our growing neurologically based family practice. We focus on pediatric, perinatal, and wellness care. We are looking for someone who loves working with kids and families. The right candidate is high-energy, grounded, coachable, and committed to continual learning.

We offer a strong base salary (DOE), generous bonus structure, ongoing training, team travel opportunities, and 401k options. Enjoy practicing in a supportive, vibrant culture while maintaining balance with a 30–35 hour work week and time for life outside the office. Wisconsin license required or ability to obtain. Contact us to learn more! drcody@calumetcountychiropractic.com

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

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

Compensation:

$70,000 – $100,000 per year (Base Salary + Performance Bonus)

Benefits include:

• Professional malpractice insurance coverage

• Continuing education stipend ($1,200 every two years)

• Paid time off after six months of employment

• Paid holidays

• Chiropractic care within the practice

• Wholesale access to supplements

To Apply: Send an email introducing yourself along with your resume to Drtori@npchiropractic.com

Associate Wanted - Central WI

A well-established family-oriented practice looking for an associate to join our team. We are results driven, utilizing spinal decompression, high intensity laser, dry needling and digital x-ray. The associate must possess diversified adjusting skills. Other techniques utilized include flexion-distraction, drop table and instrument adjusting. We are looking for a Chiropractor that is a great communicator and is motivated and excited to treat patients of all ages with excellent patient care. What we offer:

• Starting salary $50,000-$60,000 with the potential to make upwards of $100,000+ with monthly bonus structure and commission.

• Malpractice insurance covered.

• Continuing Education (CE) allowance

• 2 weeks paid PTO

• 401k matching

Interested in this great opportunity?

Email resume to: drpat@stoiberchiropractic.com

Associate Wanted - Own Your Future in Jefferson, WI!

Join our vibrant, 40-year rural practice in charming Jefferson, WI! Seeking a motivated DC eager to experience Chiropractic care at its best and serve patients. Potential ownership within 3 years. Earn a $50k-$75k base salary + collection bonuses, with mentorship to run a thriving clinic. Enjoy a family-friendly, "Mr. Roger's Neighborhood" community, 4-day workweek, and paid malpractice.

Please email resume to: southcentralwichiro@gmail.com to shape lives and your legacy!

Chiropractic Supply Business for Sale

40-year family-owned chiropractic supply business for sale. Please contact Pam Barge at: 608-780-7923. Located in the Midwest.

Chiropractic Practice for Sale in Central Wisconsin

It’s a turnkey opportunity. Well-established, profitable chiropractic office with high visibility. The clinic features a loyal patient base, consistent monthly collections, and strong growth potential under an energetic new owner. Fully equipped treatment rooms with modern adjusting tables and therapy equipment, also includes spinal decompression, low level laser and flexion distraction. Includes: practice management software, which is certified EHR. Accepts all insurance, with time of service options for patients. Steady new patients flow and strong reputation in the community. Great place to raise a family and enjoy the outdoors. For more information on practice details, email twos2222@gmail.com

Chiropractor Available For Relief Coverage

I have 27 years of experience treating patients as a Chiropractor in Wisconsin. I was self-employed for 10 years from 1999-2009. 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.

Please contact Dr. Jeff Hamill, 262-328-4678 or email hamillchiropractic@yahoo.com

Now Hiring Multiple Associate PositionsNortheast Wisconsin

Associate DC position(s) available in an award-winning practice based out of Northeast Wisconsin. Ability to potentially run your own practice someday if you are the right candidate. Starting pay range is $70,000 - $120,000, company paid malpractice insurance and continuing education after 2 years, $5000 Student Loan forgiveness every 5 years, IRA match, health insurance reimbursement, PTO, and paid maternity/paternity leave.

• Job Type: Full-time

• Pay: $70,000 - $120,000 per year

• Benefits: Employee Discount, Health Insurance, PTO, Professional Development assistance, Retirement Plan, and Tuition Reimbursement.

If you're someone motivated and willing to grow with a passion for chiropractic; please apply! Email drbuss@ thechiroadvantage.com or view our website

Associate WantedGreater 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.

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.

For more information: www.chiropracticco.com/careers OR Email: drmcleod@chiropracticco.com

Associate Chiropractor - Back In Action

Chiropractic I Baraboo, WI

Let's be honest: you went to chiropractic school to help people move, feel, heal, and live better... Not to spend your days worrying about marketing funnels, screening booths at health fairs, payroll spreadsheets, Yelp reviews, or whatever the heck SEO is this week.

So, what if your job could be exactly what you love?

• Adjusting.

• Connecting.

• Caring.

• Going home satisfied and actually done for the day.

Welcome to Back In Action Chiropractic in Baraboo, WI. We're a thriving, community-rooted practice in southcentral WI, and we have structured our clinic that you don't have to touch the business stuff - unless you want to, in which case, we'll gladly mentor you. No cold starts. No lectures. No spinal screenings at county fairs. No hiring, firing, sales pitches, or high-pressure care plans. Just Chiropractic.

Ready to actually love going to work again? Apply by emailing your resume + a short note introducing yourself. Email: DrJason@BackInActionBaraboo.com

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 contact Kent McLeod at 414-213-4808 or drmcleod@ chiropracticco.com or visit chiropracticbuyers.com for additional information.