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The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
April, 2001, Vol. 01, Issue 04
Insurance Billing and Reimbursement: Have Confidence, Dare to Take Chances, Prevail
By Vivian Madison-Mahoney, LMT
I contemplated for some time on what to write in this issue. As I thought about it, it became even more difficult, because what I really would like to do is sit down with each of you and share my many years of experience.I would love to help each of you obtain success accepting medical referrals while accepting insurance as payment for your services. That being impossible, the next best thing I can do, although I certainly do not know it all, is to let you know I am here for you and I am willing to assist in anyway possible.
It has been a challenging, interesting, and exciting adventure for me the past 16 years, staying on top of insurance issues that could affect massage therapists in general. However, none of it does much good when I see many of you struggling, trying to decide if accepting insurance cases is or is not, the right thing for you to do, (if indeed it is possible within your licensure, certification, area or state). Since it is not possible to know each state's rules and laws, I am counting on you to share with me your roadblocks and/or successes.
I feel there are many ways in which I may be able to help, yet I am at a loss as to the best way to do this. So the only way to accomplish this is to let you know, you may e-mail, write, fax or call me, and I will do all I can to assist you. I don't guarantee that I will be able to answer every question, but I am willing to try!
So you will know where I am coming from and why I am even writing for Massage Today, I need to first say that I am not a professional speaker, teacher, lecturer or writer, I am just like most of you, always doing what I can to earn an income while doing work that is challenging, fun and rewarding.
Our story is not particularly special. When I first began, there were only a couple of massage therapists in Florida who even dared to accept an insurance case. I learned insurance billing through trial and error and asking questions. Taking one case at a time, it wasn't long until my insurance-related business exploded. We began to obtain referrals not only from physicians, but also from attorneys and insurance companies themselves.
In my practice, my staff included as many as 14 massage therapists at a time (one who was with me 11 years), two daughters (one is a massage therapist, one was my executive office manager and insurance billing clerk), and one other lady who was a former patient. This lady begged for a position and soon became my "jack of all trades" person. (She later purchased my practice and still runs it today.)
We were fortunate to have nearly 200 physicians from many specialties regularly referring patients to our office. Our office treated as many as 39 clients/patients a day and billed insurance for up to 500 patient visits a month for many years. We billed out $11,000 to $13,000 a week on a regular basis. The majority of these were auto and workers' compensation injury and disability cases. We accepted very few major medical cases for the first several years.
The keys to our success are the same keys you can use to make your practice successful, namely:
I know most of you massage therapists have the same determination, love and caring for others as we did. If we could do it, anyone can!
Am I suggesting that you shoot for the same level of production? Absolutely not; sometimes bigger is not better. Increased income also increases overhead, including payroll, and stress. It is imperative that you take time for yourself!
What I am suggesting is that you take a chance, see what you can accomplish, and be aware that there are pitfalls. Ask questions of the insurance adjusters, supervisors or others. Take precautions; do it safely, correctly and legally. I wish you success!
Should you accept insurance cases? Why not? If you don't, your competition will!
Click here for more information about Vivian Madison-Mahoney, LMT.
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