resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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?
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.
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.
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.
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.
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.
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?'
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.
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.
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.
March, 2001, Vol. 01, Issue 03
An Ethics Addendum
By James "Doc" Clay, MMH, NCTMB
In its recently issued Standards of Practice document, the National Certification Board offers two standards governing our treatment of each other namely, that we should:
These two areas of mutual respect deserve a closer look:
First, we are quite a motley assortment of practitioners, certainly more varied in our beliefs and practices than any other health profession.We might be ridiculed for it from the outside, but the fact is, that is our greatest strength. Our approaches have not yet been so thoroughly researched, documented, codified and standardized that anyone can say that this, that or the other approach is uniform and universal. This state of affairs may make it a bit harder for the consumer to decide which therapy (or therapist) to choose, but it also makes a broad variety of choices available.
One of the problems that this variety presents, however, is a kind of intense denominationalism among therapists, often amounting to cultism. Each developer and teacher of a new approach tends to offer his or her system not as a way to do bodywork, but as the way. It's very reminiscent of the proliferation of psychotherapies with which we were inundated from the '50s through the '80s, and the devotion to these cults has persisted in spite of research showing that no single psychotherapy was significantly more effective than another.
On a broader level, whole categories of bodyworkers turn up their noses at each other: the energy workers see the clinical types as materialistic and reductionist, and the clinicians sneer at the unscientific "woo-woo" approaches of the energy workers.
Lost in this struggle for "truth" is the client. The client wants something, and each of us is bound and determined that our particular approach will fill the bill. We all know very well that we must refer medical conditions to physicians, and mental health problems to counselors, but how many of us think to refer a client to another bodyworker when our approach doesn't seem to fit the client's needs?
I remember putting a lot of time and energy into convincing a client that his applied kinesiology sessions were a bunch of nonsense. All I did, in fact, was to provide him with increasing amusement, because he knew very well that the approach worked for him. And if a client knows that he or she is being helped, who am I to say that the client is wrong? It's all very well to have our beliefs, and to practice within their framework - but we have an ethical obligation, both to each other and to the public, to show respect for each other.
The second aspect of our ethical treatment of each other has to do with gossip. The ninth of the ten commandments tells us that we are not to bear false witness against our neighbor, and it's my guess that, right after the one about not coveting, it's probably the most universally violated.
There is a wonderful story about a man who hated his rabbi so much that he spread false rumors about him. He later regretted this behavior, and went to the rabbi to apologize, and asked him what he might do to correct the results of his actions. Without saying a word, the rabbi picked up a pillow and led the man outside, where a stiff breeze was blowing. He handed the man the pillow and told him to rip it open and scatter the feathers into the wind. The man did so, and the wind carried the feathers far and wide. Then the rabbi said, "Now go and get all the feathers and bring them back to me."
"But that would be impossible!" the man exclaimed. "They are scattered to widely for me ever to find them all!"
"And just as impossible," responded the rabbi, "would it be for you to bring back all the rumors you have spread."
When we believe that another therapist has behaved unethically or illegally, we have various resorts available to us. The NCBTMB has an ethics committee to adjudicate complaints about unethical behavior. In states with licensure, there are boards to receive such complaints. For illegal actions, we have courts of law. There are also civil courts. When we believe a wrong has been done, we obviously have the choice of reporting or not reporting it to the appropriate authority. But one resort to which we are ethically obligated not to turn is rumor and gossip, in the attempt to destroy a therapist's reputation. Such vigilante justice is clearly unethical, because it offers the accused no opportunity to mount a defense.
There are four things to remember when we hear of some unethical behavior:
Our professional organizations can set forth codes of ethics and standards of practice, but these are never the last word. The last word is the code of ethics inside us - one of self-respect and respect for others. That code takes precedence.
Click here for more information about James "Doc" Clay, MMH, NCTMB.
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