resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
May, 2001, Vol. 01, Issue 05
Debunking Insurance Myths
By Ralph Stephens, BS, LMT, NCTMB
As the debate surrounding third-party (insurance) payment for massage heats up, there are some myths that need debunking. The first is that if massage is accepted by insurance companies, the credibility of the profession will be enhanced.The parallel myth to this is that individual therapists will somehow be accepted as more professional and more creditable, because they will have the "stamp of approval" of some insurance provider(s). Those who think this way are looking backward. Before insurance will accept massage as a service worth paying for, credibility must already be established. The fact that millions of people are seeking massage therapy proves the credibility of our profession. The fact that the vast majority of these people are willing to pay for massage out of their own pockets shows not only the credibility of the profession and the practitioners, but also the effectiveness of the techniques. People will do about anything if someone else will pay for it, whether it works or not. However, they will not pay for it themselves unless they receive a noticeable benefit. Credibility and professionalism have already been established. Insurance will not enhance either of the two. If insurance does to massage what it has done to other professions, it will decrease massage's credibility and professionalism, and lead to the billing schemes other professions have been forced to develop to survive.
No organization or institution outside of our profession can give us credibility or professionalism. Both must be earned. If the goal is to foster these traits, we must look within and increase the quality our education and our entry-level standards. This will improve the level of service being provided, which will in turn raise demand even further.
Another myth is that we must knuckle under to insurance companies and reduce our rates; that we must give them discounts off our regular fees. This is complete foolishness. Again, insurance companies are not coming to us because they believe in what we do or because they want to be "hip." They are coming to us because their policyholders are demanding it. We control a seller's market. Yes, they dictate terms to all other providers. That is because all other providers have sold out to them and have become dependent on insurance money. The insurance company can do anything to these providers. That is why insurance payments to chiropractors are constantly being reduced. Insurance companies know that there is a 74% demand for alternative care by the public. They need us. We do not need them. To reduce our rates is admitting that we are currently overcharging and that our services are not actually worth our posted fees. One therapist, who is physically limited to about 4 1/2 hours of massage per day, figured that by reducing her rates as demanded by a provider network, her income would drop to the point that she could no longer sustain herself as a therapist.
Why can't the membership and certification organizations of our profession realize that we hold all the cards? They should be protecting their members from the predatory practices of insurance companies by defending our fees. They should be demanding that insurance companies accept us on our terms, without allopathic gatekeepers. Instead, they seem to be bowing down to insurance companies, begging them to take advantage of and enslave our members. Are the associations getting kickbacks from the insurance companies to sell their members down the river? Every wellness-based form of health care has been sold out from the inside by misleadership. Will we be the next victims?
It should be the choice of the individual therapist whether or not to work with insurance companies. There should be nothing preventing therapists from running their business the way they want. However, there should be nothing that requires a therapist to accept insurance and be controlled by the insurance company the way other health professions are. The problem is, there may be enough therapists desperate enough to get insurance dollars that the rest of the us will have to submit to being ruled by allopathic insurance mandates. This is not a scare tactic or false speculation. It is the truth. Want proof? Look at chiropractors: They were originally outside the system - all their patients paid for services. Now, allopathic gatekeeper physicians control what DCs can see and do, and for how long they can do it. DCs are relatively helpless now, as it has become difficult to have a successful practice without accepting insurance. We are at the beginning of this cycle. Will we learn from the past, or will shortsightedness and greed enslave us as it has all other providers?
It is not hard to find a massage therapist anymore. However, it is difficult to find a really good massage therapist. Most of the good ones are really busy, and few are interested in adding another layer of hassle and paperwork to their practice. Therefore, few of them accept insurance assignment. They might give the patient a form and let the patient file (the best procedure if you want to get paid for your services while you can still remember providing them), but few do the filing and receive payment directly from the insurance company. The lesson here, for those of you hoping that insurance will increase your income or your patient load, is to study, train, practice and do what it takes to become really good. Become the best that you can be. Do not settle for mediocrity or for the bare minimum. Become a wellness-oriented holistic health provider and work for your patients, not for insurance companies. Provide wellness care, not sickness care. Practice what you preach: be an example to your patients, a resource for them. Then you will join those who do not need (and seldom want) to deal with insurance.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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