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We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
February, 2002, Vol. 02, Issue 02
What Will Happen to Insurance in the Future? How Will You Be Affected?
By Vivian Madison-Mahoney, LMT
Have you ever seen (or set up) an extensive domino arrangement? It can take hours, sometimes even days to set them all up in one design. But if someone accidentally touches one, especially at a strategic location, slowly but surely they will all tumble down.
As I read, check, and listen to reports about insurance companies, this sort of "tumbling" event seems an inevitability in the coming months and perhaps years.Don't be surprised if you hear more and more reports of losses from insurance companies and increases in premiums, not just because of the "Attack on America" on September 11, 2001, but also because it is just a "good" time to do so.
I predicted the downfall of the managed care system in the Florida workers'compensation arena the very day we heard it presented at one of the annual Workers' Compensation Educational Conferences. The changes brought outcries from patients, insurance adjusters, physicians and employers alike.
In 2001, the rules were changed to eliminate the mandatory regulations for employers to use the managed care system when seeking medical care for their employees. When people band together, things can change!
The problems and losses insurance companies are facing today will necessitate changes to provide future coverage in all aspects and types of insurance coverage, including auto; home; business; health; disability; and life insurance.
These changes may be beneficial in the long run, as insurance is long overdue for a good overhaul. I feel that you will find insurance companies and employers alike looking for alternative ways to be creative. This will be necessary especially in health insurance for employers to be able to continue in the future to afford to offer coverage for their employees.
However, these kinds of changes also scare me, because it appears from what I have read that the costs will be shifted more to those who are ill, injured or in need of coverage or prescriptions. Within this system, how will those who make little wages ever be able to afford to cover their own medical expenses, when they already have problems meeting the minimal expense of their portion of policy premiums under the current system?
Changes will be necessary for you and I to be able to afford coverage. It will be necessary for those who have no insurance to be able to receive coverage. Somewhere, sometime, someone will come up with the right solution -- and then someone else will find a way to cancel it out!
Remember years ago when Hillary Clinton came upon the scene and tried to make sweeping changes in the insurance industry? Shortly thereafter, managed care ensued, or as some called it, managed cash, for some of the executives and corporate offices of the managed care companies. One of the major insurers even reported that it cost them over a million to save even less than that.
My suggestion is that everyone drop all policies and let the insurance companies chips fall where they may. Then maybe we can get some creative ideas from the insurance companies that work for everyone! Or maybe we'll find that the money we save from insurance premiums will for all of our losses and medical needs! However, that is probably not going to happen, because too many of us are motivated by fear, fear of failure, fear of losses, fear of dying and fear of leaving others to do without.
How Will These Changes Effect You, the Massage Therapist?
That depends, it depends on if we are all willing to band together and insist that we are a part of the health care system, especially when what we do is deemed by diagnosis to be medically necessary and prescribed by physicians.
We are health care providers, in addition to being able to offer or include a variety of diverse services such as spa treatments. This puts us in a wonderfully unique position, unlike other health care providers. It is a position we need to protect and preserve!
It really bothers me that some therapists are content to accept referrals by being listed in insurance company provider directories. This is not health care coverage. This is insurers' getting massage therapists to acknowledge that we are willing to set our fees at a much lower rate, in order to "possibly" obtain a few clients who happen to see us in their provider directory. (Doing this willingly is to reduce our own fees, not the insurance companies reducing them for us, as some fear will happen).
Under the above-mentioned circumstance,s we are not providers in the medical sense of the word. We are basically discounters for our services for those insurance subscribers, whether or not they have a medical condition.
It is just a way to offer our services to a select group, while in turn, the insurance companies eliminate reimbursement for medically necessary, prescribed services that they pay others for, whether or not they are trained or licensed to perform the service.
True medical coverage is when the policy reimburses a provider of services all or a portion of the bill for a medical condition from the insurance policy proceeds, not when the policyholder, subscriber or member pays the full cost, whether or not it is discounted.
Let me leave you with this thought to ponder. Massage Therapy Code 97124 has been a covered procedure listed in the American Medical Association (AMA) Current Procedural Terminology Code Book (CPT) for many, many years. This code was a reimbursable code long before massage therapists' ever contemplated billing for it.
If the procedure of massage therapy is considered a reimbursable, medically necessary treatment for an illness, injury, or other diagnosed medical condition, then please tell me why those of us who are trained, licensed or otherwise qualified to perform massage not be reimbursed for it by insurance?
A final note: Some insurance companies and adjusters do recognize the benefits of massage therapy. For more than 16 years, they have not only been willing to reimburse a massage therapist for this service, but many of them refer patients to massage therapists.
I mention this to emphasize that many years of hard work and major progress will all come to an end if we do not band together for our rights and for the elimination of discrimination against us. Whether massage therapists should accept insurance for reimbursement or receive medical referrals is and should always be a personal choice.
Click here for more information about Vivian Madison-Mahoney, LMT.
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