There has been a lot of talk over the last many years regarding legalities of setting up a Multidisciplinary Centers also known as MD/DC/PT practices or medical integrated offices. It is ironical however that thousands of practices have integrated all types of healthcare practitioners under one roof for many years. Yet in the last couple decades; integrated chiropractic offices have been highly looked at. One of the reasons is that the offices which have decided to integrate is the inconsistent billing practice. We find that as soon as a clinic integrated it generates thousands of dollars of services for the same patients who have the same diagnosis as before the integration. Obviously the first question is “how is that possible?” Many unscrupulous consultants have been the ones promoting these medical practices. Clients have reported that a certain husband and wife team have been promoting tremendous need to order diagnostics. Another group who actually was run by someone who went to prison promoted unnecessary amount of frivolous allergy testing’s for all their patients. Setting up a successful integrated center must be based on sound philosophy with integrity and honesty. Anything short of this will only create an entity which will indeed collect hundreds of thousands of dollars, only to turn around and have to give it all back.