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Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
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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