Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
August, 2002, Vol. 02, Issue 08
Hey, Doctor Wanna-Be's
By Ralph Stephens, BS, LMT, NCTMB
Want to be just like doctors? Here's your chance! At least once a week, I get something in the mail urging me to sign up in a managed care network. One network went so far as to threaten me by giving me a deadline that I had to have its forms completed and filed so it could meet some regulation.
These are usually followed by phone calls: "Mr.Stephens, did you get our application form in the mail?" The incredible opportunity offered to me is: 1) to do more paperwork, and 2) to charge patients less money who belong to the network's "group." My response to these offers is to send back their postage-paid envelopes empty. I do not believe in discrimination -- for example, charging one rate for purple people and another rate for green people. People in an insurance group are "purples"; they get the good rate. People not in the insurance group are the "greens"; they pay extra.
I can justify rate adjustments based on real need. However, these approved-provider, managed-care and insurance discounts are not based on needs. In reality, the affluent belong to the plans and the poor do not. Why give the rich a better deal? Participation in the discrimination created by these plans is immoral and unethical.
This unethical behavior ultimately comes home to roost in lower moral and job satisfaction, as documented by a recent study by the Kaiser Family Foundation. Doctors have been involved in these unethical schemes far longer than massage therapists have. Here's what we have to look forward to as we become more and more entangled in the allopathic insurance web. We will be just like doctors in this way. Won't that be great?
Physicians Report Declining Morale, Cite Dissatisfaction with Managed Care
Ninety percent of physicians who participated in the Kaiser study said that the overall morale of their colleagues has decreased in the last five years. A smaller percentage, although still a majority (58 percent), said that their own enthusiasm for practicing medicine has lessened during that time. Among the factors cited for the decline in morale are the number of work hours physicians spend on administrative activities; the lack of professional autonomy; their potential income over the next five years; and the amount of time they have for nonprofessional interests, family and friends.
The survey also indicated that managed care is a major source of doctors' woes. Three-quarters of the physicians surveyed said that managed care has had a negative impact on the way they practice medicine. Specifically, 95 percent said that managed care has increased their paperwork, and 88 percent said it has decreased the amount of time they can spend with patients. Although the physicians surveyed did credit managed care with increasing the use of practice guidelines and disease management protocols (these are currently being developed for massage... sigh), 73 percent said that managed care has decreased health care quality overall.
For more results from this survey, go to: www.kff.org/content/2002/20020426c/.
So, doctors are getting bummed out having to do all the paperwork, being told what they can do and how much of it they can do, and having to work more and more for less and less. See what happens when you let insurance companies and the government get between you and your patients? You lose. Ultimately, so do the patients. Third-party reimbursement (insurance) is like a drug to both the patient and the practitioner. The best response to the temptation is to "Just Say No!"
For those of you who care about health freedom, which should be all of you, it is time for an update on the Model State Emergency Health Powers Act (MSEHPA). I mentioned this act earlier in the year. This sinister legislation was developed by power-hungry public health bureaucrats and is being pushed onto every state. These opportunists have been planning this for a long time and are using the current crisis/panic state of people to fulfill their dream of complete state control over your health. After all, they believe they know what is best for you. MSEHPA will severely infringe on citizens' medical privacy and freedom to choose their health care. If you believe in mandatory vaccination, this bill is for you. If you like martial law, ruled by public health officials, you will love this bill. If you believe in freedom of choice in health care, this bill will be terrifying to you. Are you in a licensed state? If this bill passes in your state, you and all health-care facilities, doctors, and health-care providers will have to agree to abide by the MSEHPA during declared public-health emergencies to maintain licenses to practice or run a health-care business. This means you!
This bill will, by careful design, greatly diminish Americans' health freedoms -- including the freedom of doctors and other health care providers. Under the MSEHPA, doctors could be required to administer treatments to which they object. This legislation clearly would infringe on doctors' and other health care providers' freedom of conscience. Moreover, the draft legislation does not state clearly that it will uphold existing state laws that provide for exemptions to vaccination. However, it does state that individuals who refuse medical examination and treatment (including vaccination) could be quarantined or isolated. For the sake of your patients and your practice, you had better get out and work against this bill. In states that have already enacted this legislation (Maryland, New Mexico, South Dakota and Utah), it is too late for you. In states that have introduced MSEHPA (Arizona; California; Delaware; Florida; Georgia; Hawaii; Illinois; Kansas; Kentucky; Maine; Massachusetts; Minnesota; Mississippi; Missouri; Nebraska; Nevada; New Hampshire; New York; Oklahoma; Pennsylvania; Rhode Island; Tennessee; Vermont; and Virginia) - you folks better get to work! You still have a chance to save yourselves.
This legislation won't make any headlines. You will never know it passed, until one day they pull it out and stick it to you. MSEHPA is inactive or has been defeated in Idaho, Washington, Wisconsin and Wyoming. Congratulations -- you saved yourselves! Stay alert, they will bring it back again if more states pass it.
Your responses to my columns on massage education have been immense and positive. Hopefully, many of you are organizing to enact improvements in your state. Next month, I will present a vision of massage education. Stand by for "Beyond the Rub."
Hope you have had wonderful summer. Have a great Labor Day.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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