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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
February, 2005, Vol. 05, Issue 02
What Does a Spa Director Look for in Professional Massage Therapists?
By Jeannie Jarnot
"What does a spa director look for in professional massage therapists?" This is a question I get frequently from therapists seeking careers in a spa environment. With the growth of our industry, there are so many types of spas, massages, and establishments and therapists that it can be hard to know what we look for in a massage therapist, especially if you are new to the field.I would like to share what I look for when I interview a massage therapist to be a part of my team.
In every spa I have ever worked in, our most popular treatment has always been a full body massage. Whether we call it Swedish, therapeutic or full body massage, this service has always been at the top of the list. Let's face it: We can offer the most amazing aromatherapy treatment, decadent body wrap or healing energy treatment, but there's just nothing quite like a good massage. And our clients are getting more and more educated about massage. They often ask us over the phone during the reservation process where the therapist studied, how long he/she has practiced or what styles he/she practices. This is a relatively new line of questioning, so it has become increasingly important for me to have a consistent level of bodyworkers on my team that have qualities in common.
First, I expect a massage therapist to have a resume, even if they do not have work experience as a massage therapist. I want to see that the candidate can organize him/herself on paper and create a professional impression. Next, I look to see what type of education the therapist has. What types of schools and modalities has the therapist chosen? An education in massage therapy is often an eclectic collection of classes, workshops and training sessions.
My preference is for a therapist to have a basic massage education from an accredited massage school, and then maybe added classes or workshops that the therapist found interesting. I look to see if the therapist has learned a balance of Eastern and Western modalities, as I feel it is important to understand both approaches to bodywork. Then, of course, I look to see what kind of work experience the therapist has. Oftentimes, it is helpful for a therapist to have experience in a professional spa environment prior to coming to work for me, but I have had many successful therapists who have come to me without any spa experience and sometimes without any work experience at all.
Next, I schedule a sit down interview with the therapist. During the interview, I notice if the candidate is punctual and dressed professionally. I don't think I have ever met a therapist who wore a suit to an interview, but I check to see if their clothing and shoes are clean, whether he is clean shaven or her hair is neat and professional, which is not to be confused with conservative.
In the spoken interview I like to hear about how and why the therapist decided to pursue a career in massage therapy. I love stories about what inspired them to help people. I also ask about how they made their decision to educate themselves and to give me a description of their style of bodywork. That is often hard for the therapist, but it is important to me. I want to understand the therapist's philosophy of bodywork in his/her own words. Because there are so many therapists out there, I tend to seek people who are passionate about helping people through massage.
During the spoken interview, I ask myself if I would want to experience their work. Do I feel comfortable enough with them to get on the table and receive a massage? This might not seem like it is relevant, but I always ask therapists how they take care of themselves in order to maintain their ability to do massage. My best therapists have been those who can answer this easily, as it is their priority. Lastly, I try to sense if the massage therapist is fulfilled by massage. Is the therapist excited about his/her career; does the therapist think it is fun? By the middle of the spoken interview, I can usually tell if the therapist is someone I want to continue interviewing.
If we proceed to the practical interview, I always schedule it on another day. I want to confirm that this candidate can arrive to an interview creating a professional impression. I usually tell them that I would like to experience a full body massage comprised of their best work. I tell them they can use whatever techniques they choose and that they must conduct themselves as if I am a first-time client in a spa.
During the practical interview I expect the therapist to conduct a verbal intake, gathering information about my body, my experiences with massage and my preferences. I listen to their directions to see if they clearly direct me on how to position myself on the table and any other instructions, such as removing my jewelry, etc. I find that this is where a lot of therapists don't perform during the interview. They assume that because I am a spa director, I know what to do, or they're nervous or they don't know how essential this part of the massage experience really is. A therapist in a spa environment usually has between two and four minutes to make his/her first-time client feel comfortable. I definitely look to see if the therapist is confident during this part of the massage.
During the hands-on massage, I notice how the therapist introduces him/herself and gets in tune with the client, either through breath, energy or body reading. No one way is best; I just notice if it happens or not. Once the massage has begun, I look for the variety of strokes and stretches the therapist uses. I notice if there is variety or if the massage is one-dimensional.
Variety is preferred. I try to notice body mechanics, which is hard to do while on the table, but I have become pretty good at being able to feel if the therapist is properly using body weight, protecting his/her thumbs and using good posture (This is what I had the most trouble with when I was in massage school.) The therapist may not have ideal body mechanics but that there is due attention to them is what is important. A therapist who takes care of him/herself will be better at taking care of others.
Then, I observe the flow of the massage. Is the massage making sense? Is the therapist responding to what I communicated during the verbal intake? Does the therapist make sure that I am comfortable through careful draping and verbal check-ins? Finally, how is the massage session closed? Does it leave me with a sense of completion and relaxation?
Usually, but not always, therapists are nervous during their massage interview. I always take that into account. I have had my most confident and accomplished therapists tell me later that they were terrified during our interview, which always amazes me because they would have no reason to be nervous about their excellent work.
No matter how the interview turns out, it is a gift to receive a massage from someone whose intention is to help others. I always tell the therapist exactly what I thought the strong points of the massage were and then explain where he/she needs to grow. Once that is done, I let the therapist know that I will contact him/her the following day. I want time to reflect on the massage and feel the benefits of the bodywork. I want this therapist to be someone who will benefit by working with me, who will be challenged and who will challenge me. If all the pieces fit, then there is the potential for a long and prosperous career in the spa for everyone.
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