Idaho State Board of Chiropractic Physicians
Bureau of Occupational Licenses
1109 Main Street, Suite 220
Boise, Idaho 83702-5642
(208) 334-3233

Conference Call Meeting Minutes of May 14, 2003

   

Roll Call:              Dr. Dennis Harper, Chair

                            Dr. Zane Sterling, Vice-Chair

                            Dr. Patrick Mayo

                            Dr. James Hollingsworth

  Sandra Averill

 

Others present:    Rayola Jacobsen, Bureau Chief

                    Roger Hales, Administrative Attorney

                    Sandee Hitesman, Secretary

 

Meeting was called to order at 12:05 p.m. by Chair, Dr. Dennis Harper.  

Dr. Mayo was present at 12:15 p.m. 

Minutes from March 05, 2003 board meeting were reviewed.  Motion was made by Dr. Hollingsworth to change paragraph #2 from stating “Scope of Practice” to “If a specialist or provider is required to perform a test or come to a definitive diagnosis.”  Seconded by Ms. Averill, carried. 

The board discussed a request from the NBCE.  Motion was made by Dr. Hollingsworth to have Mr. Hales pursue research for NBCE’s request.  Seconded by Dr. Mayo, carried. 

Motion was made by Dr. Hollingsworth to approve reimbursement for the Documentation Committee meetings held on October 2002 and March 08, 2003.  Seconded by Dr. Mayo, carried. 

Board reviewed requests for approval of continuing education credits to change a license status from inactive to active.  Motion was made by Dr. Hollingsworth to send a letter approving the continuing education seminars submitted based on the documentation sent to the board.  Seconded by Ms. Averill, carried. 

Board reviewed a continuing education request for a Nutrition Seminar.  Motion was made by Dr. Mayo to send a letter stating the Idaho Chiropractic Law and to please send documentation showing the seminar meets the requirements of the law.  Seconded by Dr. Hollingsworth, carried.   

Board reviewed the Chiropractic Laws and Rules regarding continuing education approval.  Rule 350.01.c. was discussed.  This rule notes that subject material must be “Germane to the practice of chiropractic” as referenced in Section 54-704(1), Idaho Code. This rule was put into effect on 3-15-2002.  The board may need to review continuing education requests more thoroughly.  The board noted that CE meeting the requirements of either rule 350.01.a. or b. must fall within the scope of 350.01.c.   

The board reviewed a request for approval of continuing education credits for a teleseminar.  The board discussed that teleseminars are becoming more popular.  It was suggested that the board might want to contact the ACA and ICA for information to see if other states were accepting teleseminars for continuing education.  Motion was made by Dr. Hollingsworth to put on the next agenda to discuss setting up a committee to look into teleseminars.  Seconded by Ms. Averill, carried.  The board asked the Bureau to send a letter to the persons requesting approval and let them know that although our law does not allow approval at this time, the board will research telesimars and consider appropriate changes. 

The board discussed suggestions submitted by the Documentation Committee for 98940 visits.  The board reviewed the seven bullet points that were submitted.  It was decided that it should state 9894X visits, instead of 98940.  The first bullet point was discussed.  Dr. Sterling noted that the current wording could suggest to doctors that all notes be typed.  The board decided to change the wording to state: “Handwritten notes must be legible.  Otherwise, they must be typed.”   

The board discussed bullet point #2.  Dr. Harper stated he had pulled several abbreviations and symbol lists from schools.  The board agreed that the list should consist of common medical terminology.    The board noted that there is an AMA list of abbreviations that the board may want to look at.  It was decided to change the wording for bullet point #2 to: “Abbreviations and symbols may be used from a standardized list, (that complies with medical records standards), to be approved by the board. 

The board discussed bullet point #3.  The board agreed to change the wording for bullet point #3 to: “Findings will be supported by documentation.” 

The board agreed on keeping the current wording for bullet point #4.  Bullet point #5 was discussed.  It was noted that Subjective IME’s and QME’s are not always expected at every visit in some states.  It was decided to change the wording for bullet point #5 to: “Subjective and objective findings and treatment will correlate with a diagnosis.” 

The board agreed on keeping the current wording for bullet point #6.   

Bullet point #7 was changed to state: “Each entry will have initials or signature by the treating physician or health care attendant.” 

The board discussed Medicare coding.  It was noted that Medicare coding consists of two codes, treatment and limited exam.  Dr. Price noted minimum standards for an office visit by a Medicare patient.  Dr. Harper stated he would contact Dr. Price and bring back information to the board. 

Motion was made by Dr. Hollingsworth to send a letter to the Documentation Committee commending them for a job very well done.  Seconded by Ms. Averill, carried.  The board asked the Bureau to draft this letter and have it signed by the Bureau Chief and the Chairman of the board.   

Mr. Hales noted to the board that they would need to add the documentation standards to their Idaho rules, if they intended for all Chiropractors to follow these standards.   

Motion was made by Dr. Hollingsworth to have the Bureau send out a copy of the rules for documentation as defined by the board as a work in progress, to all licensed Chiropractors in the State of Idaho, and seek comments from field doctors to be sent to the board by June 15, 2003 for consideration at the June 20th Board Meeting.  Seconded by Dr. Mayo, carried. 

Ms. Jacobsen discussed with the board the new telephone conference device now being used for conference calls.  It was noted by the board that it was working very well.  Ms. Jacobsen explained to the board that meeting by conference call every other meeting date, would save the board money.  It was decided to put this on the agenda for the next board meeting, to discuss doing this.   

Motion was made by Dr. Hollingsworth at 1:30 p.m. to adjourn.  Seconded by Dr. Mayo, carried.  


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Last Modified - May 09, 2006