ROAD TO PRACTICE:
COLORADO
1. Join State Association
Web page link
https://coloradochiropractic.org/
Application
https://coloradochiropractic.org/CCA-membership/
Membership Fees:
Membership Type | Fee |
Basic Membership | $33.00/ Month |
Primary Membership | $67.00/ Month |
Premium Membership | $97.00/ Month |
Student Membership | Free |
Staff Membership | $99.00/ Year |
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
None
License application checklist: https://drive.google.com/file/d/1EwWm3jWo2QgkYp9P83HfPOwGDD4KjRzm/view
Application Link: https://apps2.colorado.gov/dora/licensing/default.aspx
State Scope of Practice
Contact State for precise definition by state law.
Chiropractic means that branch of the Healing Arts which is based on the premise that disease is attributable to the abnormal functioning of the human nervous system. It includes the diagnosing and analyzing of human ailments and seeks the elimination of the abnormal functioning of the human nervous system by the adjustment or manipulation, by hand, of the articulations and adjacent tissue of the human body, particularly the spinal column, and the usage as indicated of procedures which facilitate and make the adjustment or manipulation more effective, and the use of sanitary hygienic, nutritional, and physical remedial measures necessary to such practice. “Chiropractic” does not include colonic irrigation therapy. “Chiropractic” does include the use of venipuncture for diagnostic purposes; and, treatment by acupuncture when performed by an appropriately trained Chiropractor as determined by the Colorado State Board of Chiropractic Examiners. Electrotherapy means the application of any radiant or current energies of high or low frequency, alternating or direct, except surgical cauterization, electrocoagulation, the use of radium in any form, and X-ray therapy, by a trained Doctor of Chiropractic who has fulfilled the educational and licensing requirements of this state board. (See Rule 7)
Doctors of Chiropractic will need to fulfill the following requirements every 2 years (odd-numbered years)
- Thirty (30) CE hours between November 1, 2023 and October 31, 2025 -of those 30 hours, 4 hours must be documentation
- CE hours may include, but are not limited to, internet education programs, CDs, DVDs, video and audio tapes. To obtain CE credit for distance learning, successful completion of a proficiency testing component is required.
- Must have a valid Healthcare Provider level CPR (can be counted toward 30 hours)
Chiropractors who received their license after November 1, 2023:
If a licensee has been licensed for a period of 12 months or less before the first license renewal period, the licensee is not required to submit CE for license renewal. If a licensee has been licensed for longer than twelve months before the first license renewal period, the licensee is required to submit 15 of the CE credit hours; recordkeeping and documentation CEs are not required to be part of this 15 hours.
Animal Chiropractors:
A licensed chiropractor who is registered to perform animal chiropractic shall complete 20 hours of continuing education per licensing period that is specific to the diagnosis and treatment of animals. All continuing education courses must be in the fields of study listed in subsections (4) and (5) of 12-215-127 of the practice act.
The twenty hours of required continuing education must include a two-hour course on contagious, infectious, and zoonotic diseases, including current information about the incidence rates of rabies virus, West Nile virus, equine herpesvirus myeloencephalopathy, canine brucellosis, plague, and tularemia in Colorado and in other locations that might affect a licensed chiropractor’s animal patients.
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
STATE SPECIFIC INSURANCE CREDENTIALING LINKS:
Aetna: https://www.aetna.com/health-care-professionals/join-the-aetna-network.html
Anthem Blue Cross Blue Shield of Colorado: https://www.anthem.com/provider/credentialing/
Cigna: https://www.cigna.com/health-care-providers/credentialing/join-medical-network
United HealthCare: https://www.uhcprovider.com/en/resource-library/Join-Our-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
Worker’s Compensation
Chiropractors who are NOT Level I Accredited can treat patients if they will not require more than 12 treatments, or treatments over 90 days (whichever comes first), AND the patient does not have more than 3 days of lost time.
Otherwise, Level I Accreditation is mandatory. Level I accreditation can offer several benefits.
- Level I Accreditation is mandatory for chiropractors to treat patients with more than 3 days of lost time, or who may require more than 12 treatments or treatments over a period exceeding 90 days (whichever comes first).
- Chiropractors may benefit from accreditation by expanding their practice and partnering with medical providers or networks.
- Accreditation educates providers of all aspects of the workers’ compensation system.
- Level I accreditation demonstrates to patients, employers, and insurance providers that chiropractors have the necessary skills and knowledge to effectively treat workers’ compensation cases.
All classes are conducted online. For more information go to https://cdle.colorado.gov/level-i-accreditation