resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
August, 2001, Vol. 01, Issue 08
Insurance Billing & Reimbursement Issues
By Vivian Madison-Mahoney, LMT
Here are a few pointers regarding insurance billing and reimbursement. Follow some of the guidelines below, take it slow and easy, and advance your way to success!
If you need phone numbers for the Divisions of Insurance or Workers' Comp in your state, call me at: 865-436-3573 or email at: and I will get back to you as soon as possible.
Regarding Discounted Fees for Services
Since so many of you ask my opinion on the subject of discounted fees for alternative care services to insurance companies, I will offer just that: my opinion, for what it's worth.
There is a lot of talk, both positive and negative, about CAM and insurance companies wanting to contract with massage therapists to give discounts for their services. There is much I could say on this topic, but briefly, let me tell you what I think. Insurance companies wish to have therapists give discounts for their subscribers, which in turn helps them sell policies or compete with other carriers to sell policies to employer groups, etc. This discount is given by providers most often in turn for the promise of the subscribers finding massage therapists or other alternative care providers in their directory of providers.
Just because you are in the directory is not a sign that you are a "provider" in the network in the usual sense. It is an agreement to be placed in the provider network booklet, directory or policy to inform the subscriber that you are willing to provide services at a discounted rate for a nonmedical, non-insurance related case.
I personally feel that therapists should be allowed to make their own decision as to if they desire to provide discounts in exchange for the listing -- just as it should be the decision of each massage therapist whether to accept medically referred cases and insurance reimbursement for such services.
I do not feel that anyone should be making the decisions or rules as to who should accept these types of cases. If the physician prescribes the treatment or therapy as medically necessary; if the therapy prescribed is within the therapist's scope of practice/licensure and/or certification; if the insurance companies are willing to reimburse you for your services; if the patient wishes to receive the therapy; and if the physician and the therapist decide that it is in the best interest of the patient, themselves, and their office, then it should then be the therapist's decision and only theirs.
For anyone else to make rules and regulations to limit ones income potential is unmerited. The same goes if rules were put into effect requiring a therapist to have to accept insurance cases. I feel it should be each individual's personal decision.
Here are some questions I would like you to ask insurance carriers and/or credentialing companies who submit applications to you, offering discounted fees to their subscribers for your services:
There are many more questions to consider, but these should serve as food for thought for now.
Click here for previous articles by Vivian Madison-Mahoney, LMT.
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