resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
February, 2001, Vol. 01, Issue 02
When Massage Meets Managed Care
Rising Inclusion in Health Care Plans Should Spark Debate
By Peter W. Crownfield
The issue of unity vs. separatism is not new to our nation's history, just well-traveled. The most notable example is the Civil War, fueled by the South's desire for economic and political separatism from the Union.
A century-and-a-half later, the issue of unity vs.separatism is still sparking national controversy, and once again, economic and political factors are involved. This time, it is not North vs. South, but massage therapy vs. managed care.
What follows are a few examples of recent agreements between managed care organizations and provider networks. These contracts already impact the practice activities of thousands of massage therapists - and the trend is almost certain to continue, involving even greater numbers of the massage community. (Editor's note: For a more specific discussion on the pros and cons of the debate, read this month's article from the editor's desk: www.massagetoday.com/archives/2001/02/06.html).
Complementary Healthcare Plans recently contracted with HealthNet Oregon, to provide its members with access to credentialed provider networks of alternative care providers, including massage therapists. Coverage under prepaid plans allows for self-referral and direct access to practitioners.
A preferred provider organization (PPO) in Portland, Oregon, Complementary Healthcare Plans provides health care services to 333,000 prepaid members and nearly 600,000 others under contract with managed care organization (MCO) and PPO plans.
Effective January 1, 2001, Blue Cross/Blue Shield Service Benefit Plan members have access to a national network of massage therapists, chiropractors, acupuncturists, and health and wellness products at discounted prices.
The program was instituted as part of an agreement with American Specialty Health Networks (ASHN), a San Diego, California-based organization. Members will receive discounts of up to 25 percent on visits to ASHN's credentialed network of providers and can make appointments directly without physician referral.
Members will also have access to various internet resources, including national online provider directories, educational information on complementary and alternative medicine, and discounted health and wellness products. The Blue Cross/Blue Shield Service Benefit Plan currently covers approximately four million federal employees, retirees and their family members.
ASHN has also contracted with HomeTown Health Network to provide alternative and complementary medicine services to HomeTown's 65,000 members throughout the state of Ohio. HomeTown members can access a credentialed network of massage therapists, chiropractors and acupuncturists.
These services are provided without gatekeepers and with discounts of up to 25 percent.
Additionally, an ASHN affiliate, Healthyroads.com, is providing internet-based services for HomeTown members, including a directory of the network's providers, educational resources, and discounted health and wellness products.
BlueCare Network, the HMO affiliate of Blue Cross/Blue Shield of Michigan, has launched a program called "Naturally Blue" that provides 20 percent discounts for massage therapy, acupuncture and nutritional counseling services. The agreement is with Landmark Healthcare, Inc., a Sacramento, California-based company.
Under terms of the agreement, Blue Care Network members can receive discounted services from any practitioner in Landmark's statewide practitioner network, simply by presenting their identification card.
The extent to which the inclusion of massage therapy in the managed care world will affect the profession remains to be seen. One thing is certain: the issue will generate substantial debate among the massage therapy community. Look for further information in future issues of Massage Today.
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