Application page link

• https://wyochiroassociation.com/
  Select the membership tab.
• Student: Free Membership
• First Year: Free Membership
• Second Year: $200
• Annual Membership: $400
  Platinum membership is available at a higher rate to include annual conference registration for 1 doctor and 1 staff member.

Member benefits summary

• Legislative and regulatory representation (state and federal)
• Directory listing
• Member-only marketing (WCA tag)
• Emails and newsletters on changes to practice.
• Foundations for Chiropractic Progress membership
• Complimentary classified ads

NBCE requirements: Parts 1-4 required with a passing score (375)

• SPEC for those who graduated prior to 1996
• PT required for those who would like to perform physiotherapy services
• Reciprocity: Accepted for states by letter of endorsement and jurisprudence exam passed
• Temporary license options as well (up to 10 days) | Application fee: $150
• Acupuncture: 100 hours of education, certification from IAMA, NCCAOM, or other boards, NBCE exam passed

Jurisprudence Exam

• 80% score is a passing rate
• Link to rules
• Exam covers rules and regulations of the state, and general guidelines on professionalism.

Application Process

• Step by step list with application form.
• Proof of lawful presence (Documentation for legal employment in US)
• Official transcripts
• Jurisprudence exam to be taken after your application has been deemed complete.
• Fees:
  • $500 for initial license or by endorsement
  • There is a 1-year application timeline including fee payment
  • Annual renewal $200

• “Chiropractic is the system of specific adjustment or manipulation of the joints and tissues of the body and the treatment of the human body by the application of manipulative, manual, mechanical, physiotherapeutic or clinical nutritional methods for which those persons licensed under this chapter are trained and may include venipuncture, acupuncture and the use of diagnostic x-rays with rights for referral for advanced diagnostic imaging. A chiropractor may examine, diagnose and treat patients provided, however, chiropractors shall not perform surgery, direct the use of or administer drugs required by law to be dispensed on prescription only, practice obstetrics or prescribe or administer x-ray therapy. For purposes of this act, “venipuncture” means the puncture of the vein for the withdrawal of blood.”
• Dry needling: “diagnose and treat neuromuscular pain and functional movement deficits.” (24 hours of education in-person required)
• Intern opportunities/preceptor trainings through the board may be approved for completing clinical education. Under supervision of licensee, intern may engage in practice of chiropractic.
• Telehealth is within the scope with criteria of verifying identification, location, and consent, similar to in-person healthcare.
• Records must be maintained for 7 years.
• Advertising about scope may be deceptive to the public, this includes social media.
• Pre-paid care plans are acceptable if they are greater than $500 for any 12-month period.

CEU

• 12 hours per year (8 hours must be in-person conferences or hands-on training)
• Renewal period: September 1 to August 31 annually
• Must be ICA, ACA, PACE or CCE supported

Further regulatory information can be found at: https://chiropractic.wyo.gov/

1. Wyoming practice guidelines
2. This guide includes many additional topics that you may have questions about if you can or cannot do in practice such as CBD oil use, chiropractic assistants, and animal chiropractic care.

Step by step instructions

https://www.nata.org/sites/default/files/apply_npi_instructions.pdf

Step by step instructions

https://sa.www4.irs.gov/modiein/individual/index.jsp

State specific rules

• Link to state specific starting a business: https://sos.wyo.gov/business/startabusiness.aspx 

• Entity type

• Company name (searchable)

• Registered agent

• Forms

• Filing fees: $100 for most business types, including LLCs

• Business types (Taken from NYRTP)

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.

Things to be aware of related to taxes

Learn more about local tax variations and pay state/local taxes: https://taxfoundation.org/location/wyoming/

• NCMIC – https://www.ncmic.com/malpractice-insurance/how-to-apply-online/

• OUM – https://www.oumchiropractor.com/quote/apply

• ChiroSecure – https://www.chirosecure.com

• PRI – https://www.pri.com/who-we-serve/chiropractors

• General Liability Insurance – https://generalliabilityinsure.com/small-business/chiropractic-insurance.html

• ChiroFuture – https://chirofutures.org/online-quote/

• SDN Insurance – http://sdnins.com/chiropractor.html

• CoverMD – http://www.covermd.com/chiropractor-malpractice-insurance.aspx

• Insureon – https://alliedhealth.insureon.com/resources/cost/chiropractic

• MBS Insurance Services – https://www.mbsinsure.com/solutions/malpractice-insurance/

• USA Business Insurance – https://www.businessinsuranceusa.com/chiropractor-professional-liability-insurance

• CM&F – https://www.cmfgroup.com/professional-liability-insurance/chiropractic-assistant-insurance/

• MACARIO Insurance Group – https://www.macarioinsurance.com/who-we-cover/all-classes-of-business/

• 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.

• Common private insurance companies are United Health Care, Anthem (BCBS), Aetna, and Cigna. Cigna and BCBS are the “more common” as of this writing, as well as Mountain Health CO-OP
• Links to state specific credentialing
• Cigna: https://www.cigna.com/health-care-providers/credentialing/join-medical-network
• Anthem: https://www.anthem.com/provider/credentialing/
• Aetna: https://www.aetna.com/health-care-professionals/join-the-aetna-network.html
• UHC: https://www.uhcprovider.com/en/resource-library/Join-Our-Network/Credentialing-for-Care-Providers.html
• Mountain Health CO-OP
1. Do note that co-ops work a little different than traditional private insurances. The “insured” will usually pay out of pocket and collect a reimbursement from the company. For companies such as this, patients will need proof of services to be submitted for their coverage.
2. Proof of service: A document that shows services received, date of service, address of provider, and patient’s information. Patients may need to have forms that show CPT codes and ICD10 codes; superbill options are encouraged.
3. Provider portal: https://mountainhealth.coop/providers/

• As of this writing, most private insurance companies rely on CAQH to verify your credentials. You will also need CAQH credentialing for some of the government supplemented participations. Others will use Availity for your credentialing. Keep in mind, you only need one account on either of these, and then will give permissions to each insurance company you are working to participate with to be verified.
• https://www.availity.com/essentials
• CAQH: information needed https://proview.caqh.org/Login/
  1.  NUCC Grouping: Chiropractic Providers
  2. Provider type: Doctor of Chiropractic
  3. Select your state
  4. Social security number
  5. Demographics and contact information
  6. License number(s) and state(s)
  7. Educational information (about your chiropractic school and degree)
  8. Board certified: No (chiropractors are not board certified, and do not need to be)
  9. You may select directory listings and other searchable tags
  10.  Practice locations including TIN
  11. You may add credentialing contact information if you are using a third party
  12. Malpractice insurance information: company, expiration dates, and policy numbers.
  13. 10 year work history, dates, addresses, etc.
  14. Professional disclosures
  15. Documents to upload:
      • • • Standard authorization release; updated every 120 days
          • Professional liability insurance verification (proof of insurance)
          • State license (copy)
          • W9

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

• Due to budget restrictions, chiropractic services have been eliminated from Medicaid coverage as of April 1, 2021.
• Medicaid will cover services if medicare is the primary.
• https://wyomingmedicaid.com/

State site on how to report injuries, benefits, and other program services:
https://dws.wyo.gov/dws-division/workers-compensation/

1. There are reciprocal situations for workers in/from Montana, Nevada, North Dakota, and Washington
2. Contact info for bills, appeals, denials, letters of agreement, or fee schedules: dws-providerrelations@wyo.gov
3. Treatment guidelines can be found here as well with a compilation of links for cervical or lumbar disc checklists, oswesteries, and surgeon qualifications among other tools.
   • • Chiropractic utilization guidelines for care
     • https://dws.wyo.gov/wp-content/uploads/2021/06/Chiropractic-Guidelines.pdf
     • Coding guidelines are here as well as forms to file reports for claims