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Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
June, 2001, Vol. 01, Issue 06
Should We or Shouldn't We?
By Cliff Korn, BS, LMT, NCTMB
Regulation and licensing of somatic therapists is again making news. After several years of little or no activity in this area, several states are now considering if licensing, in the form of practice acts or title protection acts, is superior to the "unlicensing" regulations now approved in Minnesota and being considered elsewhere.
I know of precious few issues within the massage therapy and bodywork realm that stimulate such response as the issue of whether or not to regulate the profession.It seems to make otherwise rational people froth at the mouth, and normally caring, sensitive, client-centered individuals stand on their soapboxes and hurl vindictive epithets toward any individual speaking for the "other side"!
I would like to explore a few issues concerning regulation in this column, in the hopes that it stimulates an ongoing discussion among you, the readers. Nothing would please me more than to have Massage Today become a clearinghouse for the ideas and concerns surrounding licensing. This is a big issue affecting us all, so please share your opinions on the subject!
In this column, I'll limit my thoughts to the issue of state licensure. It is my opinion that municipal regulation of somatic therapies isn't worth discussing, as it is (in almost all cases) actually attempting to regulate prostitution instead of whatever the title of the section of the law reads. Municipal regulation, in the absence of state licensing, is in my opinion, detrimental to the profession. It is confusing to practitioners, employers, educators and the public. I am familiar with no other health care profession that deals with municipal as opposed to statewide regulation.
Perhaps that is an element of the problem -- many of us don't see ourselves as part of the greater health care field. A state employee who oversaw many allied health groups once said to a group of massage therapists arguing this point, "Excuse me, you already are part of health care. Get over it!" Coming to grips with what it means to be a part of the overall health care environment may be important in this discussion. In my experience, the municipal regulations don't particularly address health care. The people I know who practice in nonregulated states have stories to tell: doing outcall in five communities and needing business licenses from five different jurisdictions; needing blood testing and fingerprinting in some towns and criminal record checks in others; and some towns requiring CEUs and others not; some requiring work on same-sex clients only, others requiring windows on all treatment-room doors. How ludicrous. How demeaning. Occupational therapists, physical therapists, dental hygienists, psychologists, nurses, opticians, etc, would never put up with such nonsense, but many massage therapists accept this situation as customary and normal.
As I gear up for a rant here, let me also say that I am positively sick to death of those who argue against regulation by demanding "proof" of harm against the public. (Many states require evidence of harm before granting regulation.) They will sit and fill bandwidth on web pages, listservers and publication "letters" sections stating that there is no measurable proof of public harm, and that therefore it is unconscionable to regulate the practice. They choose to define harm in their own terms for their own purposes, and develop tunnel vision that "harm" means only "grievous physical harm." As most who have served on massage regulatory boards know, there is a constant stream of instances of public harm from massage therapists. These are frequently confidential in nature, so they aren't normally used in the conduct of a public discussion. Such instances of harm run the gamut from inappropriate touch to unethical business practices, but certainly they all constitute harm to the public. Unfortunately, a somatic practitioner practicing in an unethical or unsanitary fashion can also cause the physical harm the regulation naysayers find so little evidence of.
This certainly begs the question as to whether licensing will do away with those who abuse good practice and ethical behavior. Of course it won't do away with them, but the jury is still out on whether licensing minimizes or lessens the frequency of public harm. What I see as a good argument for licensing is that it frequently provides a peer review process for those against whom complaints are made. Most states already have laws enacted to deal with inappropriate touch and unethical business practice, but require filing of criminal charges to do so. For most matters dealing with unhonored gift certificates, scope-of-practice concerns, etc., I see real benefit to peer investigation and adjudication rather than police and/or court intervention. I'd prefer the police investigate meatier issues.
As I see it, the issue is not whether the profession should be regulated, but by whom, and to what standard! I encourage massage therapists to impact their own destiny by expressing their thoughts and opinions on such issues as who should be included/excluded form massage regulation; what scope of practice entails; what the eligibility criteria should be; and how a therapist demonstrates initial and current competency. Coalitions are usually the best vehicle for determining the answers to these questions and obtaining a semblance of consensus. The Federation of Therapeutic Massage, Bodywork and Somatic Practice Organizations has a very workable model for a coalition at www.adeptsys.com/federation/Legislative_Packet/legislative_packet.html.
I suggest the key point to this discussion should not be whether there is evidence of harm, or whether or not licensing "legitimizes" the profession, but whether consumer access and confidence are enhanced or diminished, and whether it gives practitioners more or fewer professional career choices.
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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