ACA Report: December 2015
Written by Editor   
Wednesday, December 10, 2014 01:05 PM

The American Chiropractic Association has been busy improving it ability to serve the profession and its effectiveness to do so.  The following accomplishments are reported by our ACA Representatives.

FY 2014 ACA Fiscal Accomplishments

ACA membership has shown a positive swing of 6%, reversing the 4% membership decline experienced over the past two years.  A 2% growth was reported in 2014.

ACA finished the fiscal year 2014 with its operational budget in the black for first time in a decade.

ACA maintained a comfortable cash flow balance and reserves of approximately 70% of its annual budget, well within association best practices.

ACA completed its new National Office building project on budget with an improved office design that encourages teaming-focused capabilities and technologies that included securing a grant from the Commonwealth of Virginia for implementing a telework environment.


ACA Support Systems Update

Progress on re-aligning the ACA’s support systems is moving progressively forward with the upgrading of our financial management systems and inclusion of a new digitally-integrated accounts payable system.

The ACA’s grassroots advocacy system also has been upgraded and now includes a state advocacy component which will be piloted with state chiropractic associations in early 2015.

While full implementation of these first two phases of the systems re-alignment will continue over the next several months, both are expected to come in under projected budget.


Federal Election Wrap-up

In this 2014 election cycle, 88% of incumbents and candidates supported by ACA-PAC won their races.  

While we say goodbye to great friends such as Sen. Tom Harkin (D-IA), Rep. Mike Michaud (D-ME), Sen. Mark Begich (D-AK), Rep. Bill Enyart (D-IL) and Rep. Bruce Braley (D-IA), we also say hello to several newly elected House members who have demonstrated support for chiropractic, including Mark Takai (D-HI), Tom Emmer (R-MN), David Rouzer (R-NC), and Ryan Costello (R-PA).


VA Rolls Out Greater Off-Site DC Referrals

The Veterans Access, Choice and Accountability Act of 2014 (VACAA) enacted in July is designed to make it easier to access off-site to DCs and other health providers. ACA has been receiving reports that veteran referrals have been increasing to DCs from VA facilities.  To further implement the new law, the Department of Veterans Affairs announced that it is mailing Veterans Choice Cards to veterans waiting more than 30 days from their preferred appointment date or a medically determined date at a VA facility. The card allows veterans to receive health care locally rather than at a VA facility.

ACA would appreciate hearing from DCs who have seen increased referrals from VA facilities or are seeing veterans electing to use the Choice Card.  Please email your practice’s VACAA experiences to John Falardeau, ACA Senior Vice President of Government Relations, at


Joint Commission Includes DC Services in Pain Management Standards

The Joint Commission has revised its pain management standard to include chiropractic services. Clinical experts in pain management who provide input to the Commission's standards affirmed that treatment strategies may consider both pharmacologic and non-pharmacologic approaches. The services of DCs (who were recognized in 2009 as "physicians" by the Joint Commission) and acupuncture are now included in the standard of care for pain management, effective Jan. 1, 2015.

The new standard also advises organizations, when considering the use of medications to treat pain, to weigh both the benefits to the patient, as well as the potential risks of dependency, addiction and abuse of opioids. The change is a first step to enable DCs to help more patients who might not previously have been informed of non-drug approaches to pain management by their health care system.


ACA Releases 2nd Edition ICD-10 Toolkit Featuring Updated Resources

ACA has updated its online ICD-10 resources, featuring a 2nd edition ICD-10 Toolkit with a Mapping Tool that provides a detailed ICD-10 implementation strategy complete with checklists and printable worksheets.  The Mapping Tool simplifies the conversion of diagnosis codes from ICD-9 to ICD-10, and unlike other coding tools, takes you to all the ICD code choices, not simply the GEMs.

If you have previously purchased the Toolkit or the Mapping Tool, you will now receive both as part of this update.  An introductory free training webinar is available and a more comprehensive workshop will soon be available online.  Please visit the FAQs page for more information about the ICD-10 Toolkit or call the ACA at 703-276-8800.


ACA Launches State On-Site ICD-10 Workshop

ACA is now sending its comprehensive ICD-10 workshop on the road.  The much-praised, 6-hour workshop held at NCLC 2014 is now available to state organizations who wish to offer this training as part of their educational offerings.  The training covers the basics, fundamentals and structure guiding attendees to fully coding under ICD-10 with vignettes created by the American Academy of Professional Coders.  

For more information, contact Miguel Rodriguez, ACA Professional Development Manager, at