Idaho State Board of Chiropractic Physicians
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
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
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,
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.
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.
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
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.
board discussed bullet point #3. The
board agreed to change the wording for bullet point #3 to: “Findings will be
supported by documentation.”
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.”
board agreed on keeping the current wording for bullet point #6.
point #7 was changed to state: “Each entry will have initials or signature by
the treating physician or health care attendant.”
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.
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.
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
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.
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.
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