The Division of Professional Licensure and the Board of Registration of Chiropractors ("Board") recently issued disciplinary action against four licensees.
- Ellen M. Bokina of Northampton: The Board entered into a consent agreement with Bokina, suspending her license to practice as a chiropractor for four years, commencing on May 5, 2005. Bokina violated the rules and regulations of the Board in numerous respects including: submitting billing statements that utilized codes for services for which there was no documentation; submitting upcoded bills; submitting bills for supplies that were not clinically warranted or justified; submitting bills for treatments unrelated to the areas of injury; immediately referring patients without clinical justification; failing to document objective evidence of treatment effectiveness; continuing treatment after maximum medical improvement had been reached; and failing to explain or document 300 treatments Bokina received from her own office. She also failed to abide by an appropriate course of conduct in aiding her own recovery after a 1997 car accident. Bokina's suspension will be immediately stayed until October 1, 2005 during which time the license will be suspended. Upon successful completion of eighteen months of the suspension, Bokina will be on probation for the remainder of the period. She will be monitored by another chiropractor who is willing to serve as her consultant during the probationary period. The monitor will conduct a comprehensive clinical and administrative review of Bokina's practice once every ninety days. Within sixty days from the Board's receipt of the monitor's report, Bokina must submit a detailed written report identifying the steps she is taking to correct the deficiencies cited in the report. Bokina must also reimburse the monitor for all time spent performing reviews. Bokina will be eligible for full reinstatement of her license after successfully completing the four years.
- Joseph A. Guzaj of Chelmsford: The Board entered into a consent agreement with Guzaj, suspending his license for three years, effective June 29, 2005. Guzaj invited one of his patients to a party at his house, violating Board regulation. The suspension will immediately be stayed, allowing Guzaj to continue work as a chiropractor. A psychiatric evaluation will also be performed on Guzaj reporting the likelihood of Guzaj engaging in harmful behavior to a patient, willingness and ability to maintain appropriate professional boundaries in the future, and the evaluator's recommendations for Guzaj's ongoing psychological and/or professional support, monitoring, supervision, and restrictions or limitations of his practice.
- Andrew Kulick of Waltham: The Board entered into a consent agreement with Kulick, suspending his license for two years, effective July 18, 2005. Kulick failed to keep adequate records of patients including notes for a three-year old patient stating that he instructed the patient on the "proper biomechanics of daily living" as well as notes for a three-year old and nine-year old stating that they "may return to work on a reduced schedule." If Kulick complies with the terms of his agreement while serving the first three months of his suspension, the remaining twenty-one months will be stayed. Kulick must also complete sixty hours of continuing education within the two year period.
- Eric Warren of Springfield: The Board entered into a consent agreement with Warren, placing his license on probation for twenty-four months, effective June 28, 2005. His license will be suspended for thirty days beginning August 1, 2005, during which time the probation period will cease to run. Upon completion of the thirty day suspension period, Warren's license will be placed back on probation for the remaining 23 months. Warren provided an eleven year old and fourteen year old patient with electrical stimulation treatments. He also failed to adequately document five patients' treatments. During the twenty-four month probation period, Warren must successfully complete thirty-six hours of Board approved continuing education.
The Board of Registration of Chiropractors licenses approximately 1,977 chiropractors throughout the Commonwealth. In Fiscal Year 2005, the Board received 46 complaints and resolved 62 complaints from this and previous fiscal years. The Board held five investigative conferences and four formal hearings. The Board entered into 25 consent agreements, accepted the voluntary surrender of one license, revoked two licenses, placed 21 licenses on suspension, and placed 13 licenses on probation.
Consumers are urged to visit the Division of Professional Licensure's website and select the "check a license" option to determine whether a professional they are considering doing business with is licensed and in good standing.
The Division of Professional Licensure ("DPL") is a regulatory agency within the Office of Consumer Affairs and Business Regulation. The agency is responsible for ensuring regulatory compliance and the integrity of the licensing process for approximately 330,000 licensees across 43 trades and professions under the jurisdiction of 29 boards of registration.
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