ROAD TO PRACTICE:
ALASKA
1. Join State Association
Web page link
https://alaskachiropracticsociety.com/
Application
https://akchiro.ce21.com/search/membershiptypeslist
Membership Fees:
Membership Type | Fee |
Student | $0.00 |
Retired | $100.00 |
New Practice 1st Year | $0.00 |
New Practice 2nd Year | $375.00 |
Spouse Membership | $600.00 (Joint Membership (Spouses and Domestic Partners) |
General Membership | $750.00 |
Enhanced Membership | $3,000.00 |
Member benefits
The Alaska Chiropractic Society works to provide value to your ACS Membership by providing the following member benefits:
- Radiology/Clinical Excellence complementary license renewal credit classes
- Quality Education, Certifications, & Staff Training Opportunities
- Access to current & historical Fee Schedules for Medicare, Medicaid, VA, and other insurance
- Legislative & Political Advocacy
- ACS Ready Room Series
- Free Referral listing on our website through our FIND A DOC page.
- Valuable Corporate Partnership Benefits – with a wide variety of valuable services and discounts only ACS members can access.
- Billing Management & Coding Help Desk
- Basic Membership with Foundation for Chiropractic Progress – Advertising and Practice Promotion
- Basic Membership with Clinical Compass – Access to the most current Evidence Based science to support your documentation and coding.
- Live support with your on-task ACS Support Staff.
- Discounts for educational events and at conventions…..and so much more.
2. License Requirements
NBCE requirements
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Parts I*, II*, III* and IV*: Required – PASSING SCORE IS 375
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Physiotherapy*: Required – PASSING SCORE IS 375
The Alaska State Chiropractic examination is administered by the Alaska Board of Chiropractic Examiners four times a year. Applications to sit for the examination, fees, and all supporting documents must be submitted at least 45 days before the scheduled examination date. Incomplete applications will be processed for the subsequent examination – no exceptions.
Information regarding exam dates and deadlines is available on the division’s website: www.commerce.alaska.gov/web/cbpl/
The Alaska State Chiropractic Examination consist of a written exam covering information in the statutes and regulations booklet published by the Division of Corporations, Business and Professional Licensing. It is available on the Division’s website: www.commerce.alaska.gov/web/Portals/5/pub/ChiropracticStatutes.pdf
In addition, the exam may cover any other subjects that are deemed necessary to demonstrate knowledge of chiropractic as defined in AS 08.20.230. A score of 75 percent or higher is required to receive a passing score on the examination.
Fee: $200
Application Process
The following must be submitted before an applicant will be considered for licensure by examination:
Fees payable to the State of Alaska as follows:
- $250 application fee (nonrefundable)
- $200 Alaska State Chiropractic Examination fee
- Complete notarized application, including the Authorization and Release of Records form (08-672b).
- Certified transcripts from a college of liberal arts or sciences verifying at least two academic years of study sent directly to the Division of Corporations, Business and Professional Licensing by the college. The board will accept in lieu of a liberal arts education, verification of active licensed practice of chiropractic for three of the four years preceding the date of application.
- Certified transcripts showing degree granted from a school or college of chiropractic that is accredited by or a candidate for accreditation by the Council on Chiropractic Education sent directly to the Division of Corporations, Business and Professional Licensing by the college.
The board may allow a college senior applicant to sit for the Alaska State Chiropractic examination with a confirmation letter from the registrar of the chiropractic college verifying the applicant is currently enrolled in a chiropractic college, is pursuing completion of a chiropractic curriculum, and is working on the clinical portion of the curriculum sent directly from the college to the Division of Corporations, Business and Professional Licensing.
- Official sealed copy of the National Board of Chiropractic Examiners (NBCE) scores indicating passage of Parts I, II, III, IV, and physiotherapy examinations (with a minimum score of 375), sent directly to the Division of Corporations, Business and Professional Licensing by NBCE. An applicant who has been in the active practice of chiropractic for the past five continuous years may substitute passage of the Special Purposes Examination of Chiropractic (SPEC) for Parts III and IV of the national examination.
- Verification of all licenses ever held in any other state or jurisdiction, sent directly to the Division of Corporations, Business and Professional Licensing by the issuing state or licensing agency. All applicants will also be subject to a check of the national licensee database maintained by the Federation of Chiropractic Licensing Boards (FCLB) to verify any action(s) that may have been reported by other licensing agencies.
License Application Link: https://www.commerce.alaska.gov/web/Portals/5/pub/chi0672.pdf
State Scope of Practice
1) addresses ramifications of health and disease with a special emphasis on biomechanical analysis, interpretation and treatment of the structural and functional integrity of skeletal joint structures, and the physiological efficiency of the nervous system as these matters relate to subluxation complex; and
(2) involves the diagnosis, analysis, or formulation of a chiropractic diagnostic impression regarding the chiropractic conditions of the patient to determine the appropriate method of chiropractic treatment.
More information can be found at https://www.commerce.alaska.gov/web/Portals/5/pub/ChiropracticStatutes.pdf
You are required to complete 32 continuing education credits in order to renew your license and there are some unique subject matter requirements. You are required to have a minimum of:
- 2 hours in Ethics/Boundaries.
- 2 hours in Coding/Documentation.
- 2 hours in Cardiopulmonary Resuscitation (CPR) training.
- 8 hours in Radiographic safety; radiographic techniques and interpretation; or diagnostic imaging.
All courses must be approved for continuing education by the Alaska Board of Chiropractic Examiners or by the Providers of Approved Continuing Education (PACE) through the Federation of Chiropractic Licensing Boards.
Not more than 16 credit hours of the 32 credit hours required for a renewal of a chiropractic license may be obtained over the Internet or by distance learning.
3. Getting Your NPI Number
(New Practioner Identification) Number
Step by step instructions
https://www.nata.org/sites/default/files/apply_npi_instructions.pdf
4. Obtaining an EIN
Step by step instructions
Note: This is your tax ID number as a practitioner
TYPE OF BUSINESS BREAKDOWN
Business Structure |
Ownership |
Liability |
Taxes |
Sole Proprietorship |
One person |
Unlimited personal liability |
Personal tax only |
Partnership |
Two or more persons |
Unlimited personal liability unless structured as a limited partnership |
Self-employment tax (except for limited partnership), Personal tax |
Limited Liability Company (LLC) |
Two or more persons |
Owners are not personally liable |
Self-employment tax, Personal tax or Corporate tax |
Professional Limited Liability Company (PLLC) |
Two or more persons |
Owners are not personally liable |
Self-employment tax, Personal tax or Corporate tax |
Corporation – C Corp |
One or more persons |
Owners are not personally liable |
Corporate tax |
Corporation – S Corp |
One or more persons, but no more than 100 and all must be US citizens |
Owners are not personally liable |
Personal tax |
Corporation – B Corp |
One or more persons |
Owners are not personally liable |
Corporate tax |
Corporation – Nonprofit |
One or more persons |
Owners are not personally liable |
Tax-exempt, but corporate can’t be distributed |
Note: The difference between an LLC and a PLLC is that all members of PLLC are required to be designated professionals.
What is an Associate?
An associate receives pay from the office by which they are employed. If you are an associate who will be dealing with vendors for selling goods, you should consider getting an EIN.
What is an independent Contractor?
An independent contractor receives pay from their patients and insurance companies directly. If you are an independent contractor, you need an EIN.
5. Obtaining Malpractice Insurance
Malpractice Insurance Providers
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NCMIC – https://www.ncmic.com/malpractice-insurance/how-to-apply-online/
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ChiroSecure – https://www.chirosecure.com
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General Liability Insurance – https://generalliabilityinsure.com/small-business/chiropractic-insurance.html
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ChiroFuture – https://chirofutures.org/online-quote/
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SDN Insurance – http://sdnins.com/chiropractor.html
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CoverMD – http://www.covermd.com/chiropractor-malpractice-insurance.aspx
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Insureon – https://alliedhealth.insureon.com/resources/cost/chiropractic
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MBS Insurance Services – https://www.mbsinsure.com/solutions/malpractice-insurance/
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USA Business Insurance – https://www.businessinsuranceusa.com/chiropractor-professional-liability-insurance
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CM&F – https://www.cmfgroup.com/professional-liability-insurance/chiropractic-assistant-insurance/
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MACARIO Insurance Group – https://www.macarioinsurance.com/who-we-cover/all-classes-of-business/
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Chiroprefered – https://chiropreferred.com/find-the-right-coverage
Claims Made
A policy providing coverage that is triggered when a claim is made against the insured during the policy period, regardless of when the wrongful act that gave rise to the claim took place. (The one exception is when a retroactive date is applicable to a claims-made policy.)
Occurrence
An occurrence policy covers claims resulting from an injury or another event that occurs during the policy term. Coverage depends on the timing of the event. A claims-made policy covers claims that are made during the policy period.
Tail Coverage
An addition to a claims-made policy. It extends coverage for incidents that happened during the time you had your policy, but a claim was not filed until after your policy expired or was canceled. Tail coverage is another name for an extended reporting period.
Note: $1 Million/$3 Million is the minimum plan required in order to participate with some Insurance Companies.
6. Participating with Insurance Providers
Premera Blue Cross Blue Shield of Alaska: https://www.premera.com/ak/provider/reference/medical-manuals/credentialing-contracting/
United HealthCare: https://www.uhcprovider.com/en/resource-library/Join-Our-Network.html
Aetna: https://www.aetna.com/health-care-professionals/join-the-aetna-network.html
Medicare Enrollment:
https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855i.pdf
Medicare Revalidation: PECOS:
https://www.youtube.com/embed/PaLEWx0JGPw?rel=0&autoplay=0
Tips For Medicare Audit/Record Request Tips
https://www.acatoday.org/Practice-Resources/Medicare/Medicare-Audit-Record-Request-Tips
Type Of Audit And Record Requests
https://www.acatoday.org/practice-resources/medicare/medicaretpe/
Targeted Probe And Education (TPE)
http://www.acatoday.org/MedicareTPE
Medicare Training For The Chiropractic Office
https://learn.acatoday.org/products/medicare-training-for-the-chiropractic-office
How To Bill Secondary Insurance Plans
https://www.medicare.gov/supplements-other-insurance/how-medicare-works-with-other-insurance
Which Insurance Pays First
https://www.medicare.gov/supplements-other-insurance/how-medicare-works-with-other-insurance/which-insurance-pays-first
Medicaid Participation
Covered chiropractic services are identified in the CPT Fee Schedule for Chiropractic Services table adopted by reference in regulation. The Alaska Medicaid Program allows manual manipulation to correct a subluxation of the spine, and x-rays necessary for diagnosis, if the subluxation of the spine resulted in a neuromusculoskeletal condition for which manual manipulation is the appropriate treatment. If there is no x-ray to support that a subluxation exists, the recipient’s record must contain complete documentation of the examination results justifying manual manipulation for the subluxation of the spine.
https://alaskachiropracticsociety.com/alaska-workers-compensation/
See: “Workers Compensation” section for various links on state specific options including limitations on claims, medical providers, and the Alaska Workers Compensation Commission
This is only accessible as an ACS member.