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Northern Sights Newsletter
Vol. 28 Issue 1 January/February 2016
Inside This Issue
5 Takeways for PQRS in 2016
Employment Seekers
NDOA Continuing Education
Conference & UND Hockey Agenda and Registration Form
Farewell . . . Not Goodbye. . .
ND Medicaid AVRS Update
Friendly Audit Services
Nominations for the ND State Board
Of Optometry
Congratulations
Negotiating Contracts
G reetings
NDOA members!
It’s hard to
believe that 2015
is almost over.
Where does the
time go? Since
beginning my
service to the Board in 2011 my
family has expanded by two, which
has given the word, “time”, an
entirely new meaning to me. Like
many of you, I am looking forward to
spending time with my family over
the holidays.
At our last Board meeting in October,
we were introduced to Jim Kasper,
who is the President of Asset
Management Group, Inc. of Fargo
and also the ND State Representative
from District 45. We discussed the
potential for considering a self-
funded health insurance plan, as a
benefit to our NDOA members and
their employees. There seemed to be
many merits of a self-funded
insurance plan, which included the
likelihood of premium savings and
the flexibility to design a plan for you
and your employees.
The Board will be sending out
information regarding our meeting
with Jim Kasper, which will include
highlights of a self-funded health
insurance plan. We will also send
out a brief survey to gauge the level
of interest our membership has, in
pursing this as a member benefit.
Thank you in advance for taking the
time to complete this survey. We
want to know any thoughts or
concerns our membership has.
Our Board meeting also allowed us
the opportunity to personally meet
with Ron Benner, O.D., who was
elected to American Optometric
Association Board of Trustees in
June 2015. In meeting with him, it
reminded me of how fortunate we
are to have great leaders and
advocates nationally and locally,
that donate their time and lives to
protect our great profession.
Nancy, Dr. Amy DuBois and I will
be heading to Albuquerque, NM for
Presidents’ Council, January 14-16th
(weather permitting). The agenda
President’s Message ~ Dr. Blaine Burdick
North Dakota Optometric Association
921 South 9th Street, Ste. 120 Bismarck, ND 58504
Phone: 701-258-6766 Fax: 701-258-9005
E-mail: [email protected] Website: www.ndeyecare.com
2016 NDOA OFFICERS
Dr. Blaine Burdick President
PO Box 888 Devils Lake, ND 58301
701-662-2817 [email protected]
Dr. Amy DuBois President Elect
3232 13th Ave. South Fargo, ND 58103
701-280-3000 [email protected]
Dr. Darin Johnson Vice President
1525 31st Ave. SW, Ste. E Minot, ND 58701
701-857-6050 [email protected]
Dr. Nathaniel Shilman
Secretary/Treasurer 2273 3rd Ave West
Dr. Paul Dunderland Past President
PO Box 169 Bottineau, ND 58318
701-228-2219 [email protected]
Nancy Kopp Executive Director
Northern Sights January/February 2016 Page 2
Northern Sights January/February 2016 Page 3
President’s Message—Continued . . .
for this meeting has not been released. I am sure that
online or kiosk type eye exams, will be a topic of
concern. We will also communicate with other state
leaders that currently offer a self-funded insurance plan
and ask them to share their thoughts.
Be sure to mark your calendar for our Spring
Conference at the Canad Inn in Grand Forks on
February 18-20th. This is great way to obtain some CE
hours and watch the North Dakota Fighting Hawks
(formerly known as the Fighting Sioux). Merry
Christmas and have a safe and happy holiday season!
5 Takeaways For PQRS in 2016
T he AOA is helping members start the New Year
on the right foot with a comprehensive look at the
nuances of the 2016 Physician Quality Reporting
System (PQRS) and how to avoid future penalties.
Like last year, there are no bonuses for doctors'
successful PQRS participation, but there remains an
incentive. Satisfactory PQRS participation in 2016 is
vital because it prevents a 2% loss in doctors' total
Medicare payments in 2018.
The Centers for Medicare & Medicaid Services (CMS)
notes this 2018 PQRS payment adjustment will be the
last adjustment issued under PQRS as the new Merit-
Based Incentive Payment System (MIPS) will then
take effect, as required by the Medicare Access and
CHIP Reauthorization Act of 2015 (MACRA).
To aid in successful PQRS participation, Rebecca
Wartman, O.D., AOA Third Party Center committee
member and AOA Coding Expert, offers five tips and
reminders to help doctors in 2016:
1. Use only one diagnosis for any PQRS measure,
even though more than one diagnosis on a claim
may be applicable;
2. Be aware that doctors' decision to participate in
PQRS has a greater impact on their reimbursement
because lack of PQRS participation is linked to the
Value-based Modifier (VBM) and could result in a
4 percent reduction in Medicare reimbursement;
3. Report at least nine PQRS measures in 2016 to
avoid a PQRS penalty and an additional VBM
reduction;
4. Pay attention to the proper diagnosis code linked to
any measures as well as other factors, such as age
and examination codes; and,
5. Doctors should not file PQRS codes if they do not
have an E&M code or a General Ophthalmological
Code. If doctors are only performing a procedure,
do not use PQRS codes.
In 2016, a 2% PQRS negative payment adjustment will
be assessed on doctors who did not meet the criteria for
satisfactorily reporting in the 2014 PQRS.
AOA has heard from members who received notice
from CMS about the penalty, and recommends doctors
who tried to report measures for PQRS, to obtain their
2014 PQRS Feedback Reports to determine what might
have gone wrong. For future deadlines and milestones
related to PQRS, members should review the 2015-
2017 PQRS Timeline.
New Graduates Seeking Employment
Marc Harrie
NSU Oklahoma College of Optometry, 2016
701-388-2386
(Eastern Part of ND Preferred)
Sierra Unruh, O.D.
ICO, 2015
701-426-7499
(Residency in TN—Available in July 2016)
Thursday, February 18, 2016
4:00—7:00 P.M. NDOA Board of Directors Meeting
7:00—9:00 P.M.
Brainstorm with the NDOA Board—Social
Friday, February 19, 2016
7:30 A.M.
Registration
8:00—9:00 A.M. Breakfast
Sponsored By: Alcon Vision Care
9:00—10:00 A.M.
COPE # 40867-SD
“Diabetes & Its Ocular Manifestations”
Speaker: Dr. Blair Lonsberry
10:00 A.M. —12:00 Noon
COPE # 40819-PS “Legends of the Posterior Segment”
Speaker: Dr. Blair Lonsberry
10:50—11:00 A.M.
Break
12:00 —1:30 P.M.
Lunch/Membership Meeting
1:30—2:30 P.M.
COPE # 47105-GO
“Increase Practice Profitability With Refractive
Systems & Wavefront Technology”
Speaker: Dr. Dori Carlson
Sponsored By: Marco
2:30—4:30 P.M.
COPE # 39075-AS “Anterior Segment Grand Rounds”
Speaker: Dr. Blair Lonsberry
3:20—3:30 P.M.
Break
5:00—5:30 P.M.
Tailgate Warm Up
5:30—6:00 P.M.
Complimentary Shuttle Departure to
Ralph Engelstad Arena
NDOA Continuing Education Conference Agenda February 18-20, 2016
Canad Inn ~ Grand Forks, ND
COPE Event ID #110354
VS.
Friday, February 19, 2016 (Cont.)
6:00—7:15 P.M. Tailgate Party At The Engelstad Arena
Co-Sponsored By: Essilor Laboratories
7:30 P.M.
University of ND vs.
University of MN-Duluth
~ Ralph Engelstad Arena ~
Saturday, February 20, 2016
8:00—9:00 A.M. Breakfast
9:00—10:00 A.M.
COPE # 43871-AS “Eyelid Lumps & Bumps”
Speaker: Dr. Blair Lonsberry
10:00—11:00 A.M.
COPE # 38676-PD “Imaging Interpretation for the
Comprehensive Eye Care Professional”
Speaker: Dr. Blair Lonsberry
10:50—11:00 A.M.
Break
11:00 A.M.—12:00 Noon
COPE # 44079-SD “Uveitis: Systemic & Ocular
Approaches to Management”
Speaker: Dr. Blair Lonsberry
12:00 P.M.
Conference Concludes
MAKE YOUR ROOM
RESERVATIONS EARLY! Reservations can be made by calling the
Canad Inn at 701-772-8404 Ext. 0 or
Toll Free at 1-888-332-2623.
When making your reservations, please
reference ND Optometric Spring CE
Conference #380975 for contracted rates of:
Thursday—$99.00
Friday—$149.00
OD Name ___________________________________________________E-mail: ___________________________________________ (Please Print Clearly!)
Address: _________________________________________ Phone: ____________________ OE Tracker #: _________________
O.D. Registration Form
NDOA 2016 Continuing Education Conference February 18-20, 2016
Canad Inn—1000 South 42nd Street—Grand Forks, ND Phone: 701-772-8404
OD REGISTRATION FEE (Includes Above Meal Functions & Breaks) EARLY BIRD AFTER 2/4/15 AMOUNT
NDOA/AOA Member
$60.00
$75.00
Non-NDOA/AOA Member
$120.00
$150.00
OD CONTINUING EDUCATION
NDOA/AOA
MEMBER
NON-NDOA/AOA
MEMBER AMOUNT
2/19 “Diabetes & Its Ocular Manifestations” 1 Hour Dr. Blair Lonsberry
1 @ $20.00 = $20.00
1 @ $60.00 = $60.00
2/19 “Legends of the Posterior Segment” 2 Hours Dr. Blair Lonsberry
2 @ $20.00 = $40.00
2 @ $60.00 = $120.00
2/19 “Increase Practice Profitability With Refractive Systems . . . ”
1 Hour Dr. Dori Carlson
1 @ $20.00 = $20.00
1 @ $60.00 = $60.00
2/19 “Anterior Segment Grand Rounds” 2 Hours Dr. Blair Lonsberry
2 @ $20.00 = $40.00
2 @ $60.00 = $120.00
2/20 “Eyelid Lumps & Bumps” 1 Hour Dr. Blair Lonsberry
1 @ $20.00 = $20.00
1 @ $60.00 = $60.00
2/20 “Imaging Interpretation for the Comprehensive . . . ” 1 Hour Dr. Blair Lonsberry
1 @ $20.00 = $20.00
1 @ $60.00 = $60.00
2/20 “Uveitis: Systemic & Ocular Approaches to Management” 1 Hour Dr. Blair Lonsberry
1 @ $20.00 = $20.00
1 @ $60.00 = $60.00
Registration Fee Total: _________
Continuing Education Fee Total: _________
# Hockey Game Packages: ________ @ $100.00 Per Person: _________
______________
**For planning purposes, PLEASE CHECK which meal functions you will be attending!
Thursday - Brainstorm with the NDOA Board/Social Friday - Lunch/Membership Meeting
Friday - Breakfast Saturday - Breakfast
Total Enclosed
VISA MASTERCARD
Credit Card #: __________________________________________________
Exp. Date: _________ CVV:_________ $ Amount to Charge_________
Billing Address: ________________________________________________
City/State/Zip: _________________________________________________
Cardholder Signature: ___________________________________________
EARLY BIRD DEADLINE IS FEBRUARY 4, 2016
Fax or Mail Registration Form with Payment to:
NDOA 921 South 9th Street, Ste. 120 Bismarck, ND 58504
Phone: 701-258-6766 Fax: 701-258-9005 Email: [email protected]
FRIDAY, FEBRUARY 19, 2016 at 7:30 P.M.
UNIVERSITY OF ND
vs.
UNIVERSITY OF MN-DULUTH
GAME PACKAGE
LIMITED Number (50) of Packages
Available at $100.00 Per Person
FIRST COME FIRST SERVE!
GAME PACKAGE INCLUDES 1 Hockey Game Ticket
w/Seating in Corporate Section
1 Tailgater Dinner in the Green Room
2 Drink Tickets
VIP Credential and Gift
Bus Shuttle to & from Engelstad Arena
I t doesn’t seem possible, but the calendar doesn’t lie.
My birthdate, October 20, 1946, was indeed 69 years
ago. Reaching that age is permitting me to step away
from some of my activities related to this beloved
profession, optometry. When I was 35 years old, I
planned to retire by age 55, so I’m really only 14 years
behind schedule…Pretty good for a procrastinator like
me. With twenty years in private practice, many years
as an optometric volunteer, twenty-five years as the
executive director of the Wisconsin Optometric
Association, eighteen years as a consultant in medical
records issues, and thirty-one years as manager/owner
of PMI, LLC, it’s time to turn the reins over to other
folks. Peter Theo is doing a great job of managing the
WOA, along with the excellent support of Joleen
Breunig and David Bobka, and Dr. Ryan Ames and
Angie Patterson are continuing the missions of PMI,
LLC through a new company, ForeSight, LLC.
(You’ve already been introduced to Dr. Ames through
recent articles in your association’s newsletter.)
I’ll be stepping back from day to day involvement in
answering your questions, writing articles, etc., but the
execs in several of the states we serve have given me
an opportunity to offer some ‘parting shots’, or
‘farewell words’. Talking and writing are two of my
favorite activities, so here goes:
Please Always Keep Your Eyes on the Prize!
Of course the ‘prize’ I refer to is not income or
personal satisfaction…The ‘prize’ is excellent patient
care. The key to excellent patient care is not extra
equipment, excellent education of doctors and staff,
good professional judgment, compliance with insurers’
rules, etc., though all of those are important to your
success.
The key to excellent patient care is paying special
attention in every encounter to the needs of the patient,
that day. The reason for visit has to ‘drive the bus’.
Everything that happens in every patient encounter
must be related to what the patient needs that day and
what you need in order to provide the appropriate care
for that patient; no more, no less.
My plea to every doctor and every staff person is that
you stay totally focused on the needs of the patient as
you record the reason for visit (chief complaint), as you
decide which questions to ask in the case history, as
you decide which tests to do in the examination, as you
decide which diagnoses are germane to the visit and are
thus recorded, as you write orders for care resulting
Farewell…Not Goodbye. . . Submitted By: Charles B. Brownlow, OD
from your findings during the visit, and as you
carefully record everything that happens during each
visit.
What you do and what you record should always be
based on the needs of the patient and your needs in
managing the case. Don’t add elements of case
history/examination/medical decision making in order
to reach a certain CPT code. Don’t avoid doing tests
because the insurer may not pay for them, and certainly
don’t do tests simply because you know insurers will
pay for them. The only ‘tail’ wagging the ‘dog’ of the
health care you provide should be your total
commitment to delivering the care each patient needs,
no more, no less.
From my experience in counseling doctors and staff
since 1997, it’s clear that permitting ‘needs’ and
‘appropriateness to needs’ to drive all care provided
yields tremendous benefits to a practice. Sure, ICD-10
is a pain in the neck and HIPAA is a constant concern
and decreasing reimbursements and crazy requirements
from insurers cause angst constantly. But much more
important, focusing on the needs of each patient will
enhance your professional and personal satisfaction,
inspire better patient care, yield more loyal, devoted
patients, and result in enhanced income and decreased
concern about audits by Medicare and other insurers.
That’s my farewell message, hope and wish for all of
you, but don’t be surprised if you haven’t heard (or
seen) the last of me. I’m not going anywhere. I’m
healthy and I’ll always be devoted to the profession’s
docs and staff. The only change is that my personal
emphasis and time will be more heavily weighted
toward my family, my friends, and concerns and
opportunities outside optometry.
Please be well, do good work, and, above all, always
focus on ‘Prize’; the needs of each patient.
Thank you.
Northern Sights January/February 2016 Page 6
From The Desk
Of Your
Executive Director
~ Nancy Kopp ~
H appy New Year!
As I reflect on what type of year
2015 was, I would consider it, as a
busy one for your NDOA.
January thru April, the NDOA
fared pretty well, with the 64th
Legislative Assembly. No surprise
attacks and with others, fortunate for an increase in
available state resources. Then, leading up to the
October implementation of ICD-10, implementing the
new Medicaid Management System and going live, as
well as NDOA’s Annual Congress in Fargo, my days
were spent all over the map!
During this holiday season, on many occasions, I have
paused to think how grateful I am to be surrounded by
the dedicated NDOA Board of Directors and you, the
supportive members, who have contributed to the
successes of NDOA, on a state and national level.
Only, together can we make progress!
It is my belief that the Medicaid billing enrollment and
reimbursement problems have been resolved, for the
most part. If not, please let me know. See the most
recent update we received from Medicaid, as well as
emailed to all members and staff. Since the MMIS
went live on October 5th, 11 payment cycles have
taken place. So far, $178.3 million has been paid to
various providers, as well as $43.4 million paid for
regular Medicaid Expansion premium payments. The
Department thanks you for your patience during this
major transition. The Medicaid Expansion Program in
North Dakota, as it stands, does not provide for adult
preventative or routine vision and dental benefits and is
a subject for discussion, again soon.
Going into a new year gives us all, not to necessarily
resolve, but to rejuvenate! I’m looking forward to
tackling a few re-organizational projects.
Don’t keep me on pins and needles . . . Signup now, for
our NDOA CE Conference in Grand Forks, February
19-20, 2016!
Northern Sights January/February 2016 Page 7
To: Medicaid Providers
From: ND Department of Human Services
Information Technology Services
Date: December 2016
Dear Providers,
We want to update you on some changes that have
been made to the AVRS. In the past, when a provider
logged into the AVRS and entered in a member’s ID to
find Vision information, such as when the last exam or
lenses and frames were received, and the information
was over 24 months old, the system would report back
that no date was found. The system will only look
through 2 years of claims to find this information. This
was proving to be somewhat confusing for some
providers. There were some providers that knew the
member had these services, but were not sure if the
system should return a date that was out of the 2 year
period. So to help with this issue the following changes
have been made to the AVRS:
1. ‘No date was found for the last vision exam.’
Has Been Changed To:
‘No date was found in the past 24 months for the
last vision exam.’
2. ‘No date was found for when lenses were last
received.’
Has Been Changed To: ‘No date was found in the past 24 months for when
lenses were last received.’
3. ‘No date was found for when frames were last
received’
Has Been Changed To:
‘No date was found in the past 24 months for when
frames were last received.’
We hope these changes will make it easier for
providers.
We have also received phone calls from providers
saying they can’t find the last time a members frames or
lenses were received, or the last exam date on the web
portal. The only way this information can be obtained is
through the AVRS. The web portal does NOT provide
this information for a provider. You can check
eligibility through the web portal, but not dates of
lenses, frames or exams. However, providers can search
for a claim on a member and manually go through the
claims to find the one they need, though the information
may not be truly accurate. If the member went to a
different provider for services, the current provider
would not have access to past claims. Checking the
AVRS for this information will be the most accurate.
ND Medicaid AVRS Update
Northern Sights January/February 2016 Page 8
Congratulations NDOA members,
Drs. Adam Motacek & Ashley
Motacek on the arrival of
their first child, Aubrey Mae.
Aubrey, was born at
4:24 P.M. on November 15.
She weighed 7 lbs. 7 oz.
and was 20.5 inches long.
Congratulations
T he NDOA is asked by the Governor’s Office, to
make recommendations, as to candidates to serve on
the ND State Board of Optometry. The current State
Board OD members are: Dr. Jeffery Yunker of
Grand Forks, Dr. Jill Martinson-Redekopp of Minot,
Dr. Tamera Mathison of Jamestown, Dr. Brian
Beattie of Bismarck and Dr. Taya Patzman of
Bismarck. Dr. Alan King of Dickinson, serves as
Executive Director.
Traditionally, the NDOA has forwarded at least two
names to the Governor. Dr. Taya Patzman’s term
expires on June 30, 2016. Dr. Patzman has indicated
she is interested in serving another 5 year term.
If any NDOA member is interested for nomination
to serve, please contact the NDOA office by
February 8, 2016. The members in attendance at the
Membership Meeting, February 19, at our
Continuing Education Conference in Grand Forks,
will vote on the recommendations to the Governor.
A s we end the year with 3 months of ICD-10 under
our belts, we can all (mostly) agree that the “Y2K of
coding” was not all that bad. Sure, there were bumps,
but all in all, we faired it pretty well. We will continue
to find situations when we just don’t know what dx
code to use, but that happened with ICD-9 too.
Although there are many conditions that we are now
able to code more accurately, there are still many that
we can’t…I’m looking at you MGD! But progress is
progress, and the information we should be able to
gleam from this more accurate system has the potential
to improve the outcomes of our patients. And we all
agree, that is our ultimate purpose.
So what is the action plan for 2016? First I would
suggest that we are coding as accurately has we can
when it comes to our patients with systemic disease.
Are you using the same diabetes code, or multiple
sclerosis code that their treating physician is using?
There are literally pages of different subsets for many
of these conditions. If we are going to play in the same
sandbox as the rest of their healthcare team; we need to
ND State Board of
Optometry Appointment
Optometric Documentation & Coding Consultants
Friendly Audit Services Submitted By: Ryan P. Ames, O.D., MBA
be on the same page. Although it is a logistical
nightmare, we should be communicating with these
patients’ primary care providers and asking what ICD-
10 code they have chosen for the patient. Then our
records should match. Once everyone is using an EHR,
and they all communicate, this will be much easier.
The integration of a patient’s record across providers is
the ultimate reward of the difficult path we are all on.
Just think of the efficiencies we (the providers), and
our patients will experience when all members of the
patient’s healthcare team have easy access to their
entire health record.
On ForeSight’s website, under “Links,” there is a
Diagnosis Code Request template for you to customize
with your own clinic’s information. Feel free to
download it and begin using it to more accurately
document your patient’s systemic medical conditions.
Use of this document will be one more way for you to
help spread the word of optometry’s role in our
patient’s systemic medical care.
One final thought, as we look forward to the next year,
spend some time to review your fee schedule. The time
of giving away professional services in an attempt to
profit from material sales is eroding. Look to make
sure your professional fees are in-line with your cost of
providing that service. If you are a provider for a plan
that grossly undervalues your services, look for ways
to eliminate them. If a plan accounts for 10% of your
schedule, but only 5% of your revenue, there is a
mismatch that needs to be corrected. Look for non-
covered services you can offer to your patients that
have real clinical benefit and that may also help your
business. Doing the same things you did last year will
not propel your practice into the future.
O ne more unfunded Mandate! (add
it to the list...HIPAA, ICD10,
Meaningful Use). But wait! That’s another reason to
renegotiate your insurance contracts. We are working
harder and not getting a dime more! Did you know that
the CEO of a typical insurance company makes
$15.5M a year + stock options? And you can bet he/she
also gets a raise every single year. Insurance Premiums
under Obamacare are set to jump to double digit
increases, this year. And with the new requirement to
have health insurance, the insurance companies are
making a LOT more money. When was the last time
you got a raise from an insurance company? Don’t be
afraid to ask for more than they are offering, and
there’s no reason to feel bad about it.
Here are some things to think about:
With ICD10, Optometrists now have 2400+ codes
to go through, why are we still getting paid the
same?
VA was paying 90% of Medicare allowables, but
when they switched carriers they only offered 60%,
unless you asked for more.
Shouldn’t we be getting the same pay for Medicaid
patients as we do for Medicare?
When companies merge they will try to lower the
reimbursement to whichever company had the
lowest. We are already seeing this happen. Don’t
accept it.
Always get a contract with the vision and medical
side of an insurance company, so that you have
options when billing a patient’s exam.
Look at your hospital’s website to see who the
primary insurance companies are in your market
and start having discussions with each one of them.
Call the Director of Network Management or the
VP; don’t try to negotiate with your Provider Rep
or the person who answers the 1-800 number. That
will just be a waste of your time.
If you are getting 100% of what is billed, you are
not billing enough $.
Gather your practice data before you call, so you
are ready to present your arguments. Know your
Employer Identification Number; Have copies of
the Contracts; Know their current Fee Schedule for
ICD10 and CPT.
Know how many patients you have in your practice
with each insurance company and start with those
Northern Sights January/February 2016 Page 9
who have your highest numbers.
Use arguments such as: “Our Malpractice
Premiums have gone up”, “Our rent goes up
yearly”, “We give our staff annual cost of living
raises”, and “our own health insurance premiums
go up every year”, however, I haven’t asked for a
raise from you in 10 years!
You can let them know things such as: “I have seen
X number of your patients this year”. or, “We are
located across the street from the school, which
houses X number of employees with your
insurance”.
You have to tell them how much you want.
If you’re a multi-doctor practice, set your
participation agreements up as a Group. If each
Doctor has their own contract, you are all getting
paid different amounts.
Don’t ever agree on an initial term of 2 years, it
should begin with 90 days, then if they are
following the contract you can increase.
Be sure any “Material Change Notices” require 90
days and a written agreement.
Once you agree on a rate, then ask for an annual
escalator. And remember to write the annual
renewal date on your calendar.
Be sure to get the Counter Agreement sent back to
you after they sign it. They are famous for not
following through with their signing after you sign.
Also be sure that you see the actual rate increase on
your payments.
It takes a commitment for sure to look through all of
your contracts with a fine-toothed comb and to call
each of the companies, but you will be making more
money in the end and it will all be worth it.
Negotiating Contracts Author: Nicole Rush, O.D.
MARK YOUR CALENDARS!
OCTOBER 2-4, 2016
NDOA’s 113th
Annual Congress & Exhibition
Baymont Inn & Suites
2611 Old Red Trail
Mandan, ND
Northern Sights January/February 2016 Page 10
Time Sensitive Information! NDOA’s Continuing Education Conference Agenda & Registration Enclosed
