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Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
February, 2001, Vol. 01, Issue 02
By Steve Capellini, LMT
Author's note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
I'm not surprised to hear that you're getting serious about applying for a job in the spa industry.There are more spas each year, and they all need to be staffed by competent, professional therapists. Therapists and estheticians in a spa spend more quality time with the guests than anyone else on staff, managers and directors spend a lot of time looking for the right candidates to make the best impression on their customers.
I'm sure you have a lot of questions about what you might expect as you go for and (I hope!) land your first spa position. Since I've been on the other side of the table, and have interviewed hundreds of therapists applying for positions in spas, maybe I can give you a few pointers of what we're looking for.
Choosing the Best Spa for You
You might think that because you're the one looking for a job, you don't have much say-so in the matter. The truth is, a job interview is two-way street, and even though you might not think so while you're right in the midst of it, you are sizing up the spa, the management, and the position for which you're applying as thoroughly as the spa director is sizing you up.
Your job is to become the best candidate you can be, so that you'll be given the widest range of choices. To become the best candidate, it helps if you receive as much training as you can afford in a variety of modalities. You might even consider training in a field other than massage to become a more valuable employee. I know I've often been impressed by candidates who have esthetician and massage therapist licenses. This makes it much easier to schedule those people and keep them busy. Also, you can take any number of workshops on spa therapies to broaden your knowledge and skills. Bring certificates from such workshops to your interview to demonstrate your eagerness to work in the industry. Even though you'll be trained on the spa's own treatments, techniques and products, spa directors often appreciate a candidate who has gone out of the way to learn as much about the industry as possible.
Quick tip: You can make up for a lack of experience with an abundance of availability. Don't try to impress your interviewer with how tightly your schedule is packed with high-paying private clientele. The spa needs you to be available.
Intuition can be a powerful indicator, helping you decide where you end up working. It's the radar beacon of your soul, zeroing in on where you really belong in this life. I can't tell you exactly what to look for as far as this beacon goes, but I can tell you it's more of an inner knowing than a confluence of any outward signs or signals. The outer shape and look of the spa may be much less important than you think. It's more a matter of how the people there make you feel. So, as you head into a spa for an interview, try to relax your mind and settle your thoughts a little, so you can tune into the subtle messages that you're receiving all the time but usually don't pay much attention to.
Be aware that some of the most seductively beautiful new spas being built today may lack a certain amount of "soul" if they're not run by someone whose heart is thoroughly committed to a vision of caring, compassion and quality. Too many spas sparkle with polished marble, yet lack a certain inner luster. Some of the greatest spas, where some of the best therapists work, are rather "funky" looking at first glance.
Don't be too entranced by the look of a place. Rather, feel while you're there. Does something about the people in the place resonate with your own personality? Do you "click" with certain staff members? Do you feel at home right away? Can you sense a possible part of your future there?
While it might help to present a résumé crowded with highlights from an illustrious spa career, you don't have to worry if you're new to the spa industry, or new to the field of massage. Spa directors know that the character and attitude of their therapists becomes evident to their guests during the hours of close contact that they have together. Therefore, it's important to have a résumé that reflects a high-quality character, regardless of your level of experience.
Make sure to have a couple references ready, preferably with former employers or people in important positions. Judges and CEOs of large corporations will do nicely, but any respectable professional is fine.
It's important to write down what you're looking for, and where you've been. Résumés that start out with a description of a bright individual seeking a challenging position sound better than ones that start by listing the address of your elementary school.
Be sure to include any other character-building experience you've had, such as Outward-Bound, the Peace Corps, etc., and any volunteer work you may have done. Showing a passion and commitment to caring for others is very important because, after all, that's what you'll be asked to do in your new position as a spa therapist.
Like they say, it's more than just a job. It's an adventure in caring.
So, Lou, it's time for me to head out for some exercise. Which reminds me to find work in a spa, it definitely helps if you present yourself as a health-conscious individual. Spas prefer employees who embody the healthy spa image. This doesn't mean you have to hone your body to 6 percent body fat and eat nothing but celery, but if you practice what spas preach (exercise, eating right, lowering stress), you'll be more likely to fit into the workplace.
Next time I have a chance to write, I'll continue with some ideas that might help you on your quest for that spa position you desire, including a description of how to get through the sometimes nerve-wracking experience of giving your first test massage!
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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