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Spinal Chat with PCA
The PCA Podcast Each episode brings you insights, conversations, and practical guidance to help chiropractors strengthen their practice, elevate patient care, and thrive in today’s evolving healthcare landscape. Tune in, stay informed, and be part of the movement advancing chiropractic in Pennsylvania.

Welcome to Spinal Chat, the official podcast of the Pennsylvania Chiropractic Association. Each episode brings you insights, conversations, and practical guidance to help chiropractors strengthen their practice, elevate patient care, and thrive in today’s evolving healthcare landscape. Tune in, stay informed, and be part of the movement advancing chiropractic in Pennsylvania.
PCA Strategic BusinessMember Spotlight: North Payment Processing with Ryan Moss
In this PCA Strategic Business Member Spotlight, Mike Barba of the Pennsylvania Chiropractic Association interviews Ryan Moss, Senior Director of Enterprise Sales at North, a payment processing company vetted by PCA to help chiropractors understand and reduce credit card processing costs. North, in payment processing since 1992, specializes in medical merchants, owns its in-house processing platform, and emphasizes dedicated service, integrations with practice management software, and a user-friendly portal for statements, deposits, and transaction visibility. The discussion highlights how hidden “junk fees,” padded interchange, and unclear statements can drive effective rates to 4–5%, while understanding total fees divided by monthly volume helps identify overpaying; North aims for transparent pricing and offers options including traditional pricing and a dual pricing “Edge” program that can pass acceptance costs to patients. Members are encouraged to review agreements, watch for long-term contracts and cancellation fees, and contact Moss for statement-based comparisons; using PCA partners also supports PCA advocacy and education, with a portion of transactions benefiting the association.
00:00 Member Spotlight Intro
00:57 Meet Mike and North
02:09 What North Does
03:11 Why Switch Processors
04:33 Technology and Service
05:49 Hidden Fees Explained
07:18 Reading Your Statement
10:15 Payment Options for Clinics
11:19 Training and Support
12:47 Comparing Providers
15:23 Contracts to Avoid
17:18 How to Get Started
18:21 Partnering Supports PCA
18:54 Final Pitch and Wrap
21:15 Key Takeaways Outro
Contact North, Ryan Moss
Senior Director, Enterprise Sales
P: 818-825-7500
PCA Website: https://pennchiro.org/
PCA Email: pca@pennchiro.org
Created and produced by Mike Barba for the Pennsylvania Chiropractic Association. AI-assisted tools were used in the production of this content. Final content was reviewed and approved by PCA.

Contact Your Director – Get Involved in Your District – Support the PAC
The Directors are here to help you get what you need from your membership. Visit the link to get in direct contact with your Director right away.
The COCSA (Congress of Chiropractic State Associations) called our Scope “the most archaic and restrictive in the entire country”. It’s time to make a change.
PA Chiropractors have been using an outdated scope of practice for more than half of a Century!
PCA at Work
Current News for PA Chiropractors
University of Pittsburgh launches a Doctor of Chiropractic program
The University of Pittsburgh School of Health and Rehabilitation Sciences (SHRS) will begin offering a Doctor of Chiropractic program, the first at a research-intensive public university in the United States and the only one in Pennsylvania, Anthony Delitto, dean of...
Working Group Updates & Info
- Dry Needling Working Group
- UPMC Working Group
- Functional Nutrition Working Group
- Animal & Veterinary Chiropractic Working Group
- Sports Chiropractic Working Group
- Radiology Working Group
- Pediatrics and Pregnancy Working Group
- Neurology Working Group
UPMC Working Group
Co-Chairs Drs. Vic Rizzo and Justin Miller
Functional Nutrition Working Group
Chair Dr. Doug Pfeiffer
FNWG December 2023 Newsletter
FNWG November 2023 Newsletter
FNWG October 2023 Newsletter
FNWG September 2023 Newsletter
FNWG August 2023 Newsletter
FNWG July 2023 Newsletter
FNWG June 2023 Newsletter
FNWG April 2023 Newsletter
FNWG February/March 2023 Newsletter
FNWG January 2023 Newsletter
2022
FNWG December 2022 Newsletter
FNWG November 2022 Newsletter
FNWG October 2022 Newsletter
FNWG September 2022 Newsletter
FNWG August 2022 Newsletter
FNWG July 2022 Newsletter
FNWG June 2022 Newsletter
Animal & Veterinary Chiropractic Working Group
Chair Dr. Gregory Gray, DC
November 2023 Newsletter
October 2023 Newsletter
September 2023 Newsletter
August 2023 Newsletter
July 2023 Newsletter
June 2023 Newsletter
November Newsletter
Please be advised that the PCA X-ray Working Group was successful (as previously mentioned in emails and videos) in petitioning the Department of Environmental Protection (DEP) in 2022 to lower the annual DEP fees chiropractic offices pay per x-ray tube. This endeavor was started in 2015 by myself, Dr Vic Rizzo chairperson of the X-ray working group, in my position as the chiropractic representative to the PA Radiation and Protection Advisory Committee (RPAC).
The video above explains that the recent June1, 2023 letter you received from DEP refers to an upcoming fee increase to the prior category that chiropractors are leaving. It fails to mention that chiropractors will actually see a fee decrease from $400 to $195 per year per x-ray tube beginning of October 1. This was done by moving chiropractors into the dentist, podiatrist and veterinarian category due to our limited use of x-ray versus continuing in the same category as outpatient x-ray imaging centers like hospitals where chiropractors have been since the beginning of this fee. For those who were billed before October 1, 2023 you must pay the current $400 fee. For those billed after October 1, 2023 you will see the new fees.
Had the PCA NOT been able to get chiropractors moved into this new category, and then instead you would have seen a $130 increase in chiropractic office’s annual fees, or $530 per tube. Therefore, through the hard work of the PCA, ALL Pennsylvania Chiropractors will receive a $335 savings per year to chiropractors who take x-rays. Your PCA dues do make a difference. That means that if you have an X-ray machine, the PCA is really only costing you $265 a year, since the PCA saved you a $335 a year! PCA Dues pay for themselves!
Update from PCA Pediatrics and Pregnancy Working Group Co-Chair Dr. Lawrence Bagnell
News Across the Country
Let’s pass the Chiropractic Medicare Coverage Modernization Act this year!
The ACA is aware of, and is attempting to correct the error that is occuring with the original flyer/QR code. IN THE MEANTIME PLEASE USE QR Code: Sign for Your Office (PDF) (updated 4.4.2023) Please print and hang this near the front desk. Your patients can...



























