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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
November, 2001, Vol. 01, Issue 11
The Real Purpose of Insurance
By Ralph Stephens, BS, LMT, NCTMB
Many things are not as they appear. To many, health insurance appears to be a great opportunity for massage therapists. It appears to be an opportunity to make more money and to reach more people with our services.The collective ego of our profession has been inflated lately because insurance networks and insurance companies have suddenly taken an interest in us. It appears that this is because patients are demanding it. I dispute that this is the reason for the sudden interest in alternative providers by the traditional medical profession and its banker, the insurance industry. Many things are not as they appear.
During the last 20 years, there has been an ever-growing movement by the public away from allopathic care. Allopathic care is the "traditional medicine" practiced by MDs, most DOs and PTs, etc. Allopathic care is based on the suppression of symptoms and on heroic intervention. It is a sickness-based, crisis-management-oriented system. Thank God for it if you are ever sick or injured. We have the best such system in the world. Hopefully, we can keep it, but in its place. However, it makes no significant money from healthy people, or from keeping people healthy. It only makes significant money from sick people. Have you ever gone to a hospital when you were feeling great and checked in for a few days of rest and great food? Of course not! Hospitals have nothing to do with wellness and health; they have to do with sickness and trauma. If everyone was well and injury free, hospitals would go out of business. They have no reason to promote health, so they don't. They require a constant flow of sick people. Therefore, they manage crises, send the people home, and wait for their return with a relapse or a different crisis. Patients get better. Patients get back to work. Patients seldom get healthy. This system is documented as the third-leading cause of death in this country.
The public is running away from it as fast as they can, looking for an alternative. The public found this alternative in massage therapists, chiropractors, acupuncturists, herbalists, homeopaths and other practitioners the allopathic system publicly denounces as "quacks." Much to the horror of the allopathic cartel, the Eisenburg studies documented that millions of people were stepping out of the allopathic system for all or part of their health care needs. Billions of dollars were being lost to alternative practitioners; worse, many people going to them were achieving levels of wellness impossible with allopathic treatment. The loss of money is bad enough for the allopathic industry, but the loss of control is totally unacceptable.
Shortly after the second Eisenburg study, funded in part by our own associations, the allopaths suddenly developed an interest in wellness. Hospitals are opening up "wellness centers" as fast as they can. Insurance companies suddenly are interested in accepting alternative providers. Wow, isn't this great? They have finally seen the light. The tide has turned. They are accepting us. Sickness care is becoming health care. They love us now. All we have to do is lower our rates and fill in a bunch of forms, and they will promote us in their networks. Yes! Free advertising, we're legitimate, this is so cool.
Hey, it gets better. If we work by prescription from physicians, we can get third-party reimbursement. We have to lower our rates, fill in more forms, wait awhile to get paid, and we can only do what the physician allows, but it's worth it. We're part of the system. They finally respect us. We feel so good.
The only reason all this is happening is to regain control. Insurance is the bait. Once we are firmly ensnared in the insurance system, we will find ourselves in the same position as the DCs. Our rates will continually be reduced, and the freedom we have to provide a full range of wellness services will be curtailed. We will work by prescription only. The allopathic community knows it cannot eliminate us. It must control us. Sadly, it probably will. Our leadership will pave the way and our colleagues will most likely march like lemmings to sign up. Yes, it will most likely happen. History tends to repeat itself. Yes, this has happened before. Many of that group are now struggling to get out of the very situation so many of our colleagues are trying to get into. The group that went before us are now known as PTs.
Insurance, especially as it relates to massage, is about control. Insurance controls the money flow in the sickness industry, It guarantees a steady flow into the allopathic cartel, as it was created to do. It even controls the allopathic cartel. It only pays so much. It only pays for certain things. When the system becomes too demanding, it reduces what it will pay. Now add the government insurance system (Medicare and Medicaid) on top of it, which also act as controls as to what can and cannot be done. The government that controls the health care of its citizens controls its citizens. Watch out when politicians start talking about nationalizing health care. It's never about health, it's only about control -- of you.
Some will be willing to give up control of their practices and go to work for the insurance industry. Some people will give up a lot of their freedom and potential for a small amount of security or prestige. If enough do, alternative health care providers will be successfully brought under control of the sickness industry. The independents will be weeded out through prosecution by the medical boards and persecution by the media.
Want to work for insurance companies and/or the government? You work for whomever pays you. Or do you prefer to work for your patients? The fate of our profession rests on the choice of the majority of our colleagues. More importantly, the fate of true health care and the wellness of our fellow human beings hang in the balance.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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