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International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
September, 2002, Vol. 02, Issue 09
Step Nine: Initial Training
By John Fanuzzi
The initial marketing discussed in last month's column usually occurs on a parallel timeframe with this month's topic: Initial Training. As the energy and excitement builds toward your grand opening and you see the light at the end of the tunnel, it's time to get physical - hands-on training.Now is the time to cover every aspect of your operation and communicate clearly with your staff. Ideally, you should have a manual prepared with detailed instructions of every phase of your operation. This manual serves as the starting point for all of your initial training. It is also a "work in progress" to be modified and updated as your operations expand and you add new services.
I recommend that every employee and therapist know every job to some degree and be willing to be flexible, especially if you are just starting out. As an owner, I like to have experience in every job, from reception, bookkeeping, computer, and retailing, to the not-so-glamorous jobs such as cleaning the showers, doing the laundry, and sweeping and vacuuming the floors. That way I not only have a feel for the job so I can train the employees, but I can fill in case of an emergency. Loving what you do, no matter what it entails on a particular day, means that everything you do is fun.
As I stated in a previous article, you should allow about two-to-four weeks of training before your grand opening, to get all of the kinks ironed out and have your staff working harmoniously and in sync. Your training should cover all aspects of the operation for all employees. I would make sure to have an internal communication system, so that nothing falls through the cracks. Every employee should have his or her own e-mail addressm so important personal and company wide messages or policy changes can be documented and acknowledged. Each employee should also have his or her own voicemail, so personal calls or specific instructions from management or customers can be directly communicated.
Company-wide standards and expectations should be spelled out clearly. Tell employees what you expect from them, so you can put issues on the table before they become problems. Ethics, client confidentiality, and proper treatment protocol can never be overemphasized.
Employees should be aware of timing and traffic flows. Staggering startup times means less congestion in hallways and dressing areas. Employees should also be trained in the physical plant and have a basic knowledge of electrical, mechanical, water, and HVAC control locations.
It is very important to train every employee to be an ambassador for your business. Everyone should be trained to sell products and services and be knowledgeable of the following:
If your construction is complete, you can train in your new facility and do a soft opening with friends only and with reduced pricing. If your spa is still being built, you may have to train off-premises with portable equipment and floor plans. Some of the training involves operations and protocol, which can be taught anywhere. Ideally, your therapists should be trained on the equipment you purchased and in the rooms they will be using.
After training is complete, you'll be ready for the grand opening! Next month, we'll add some final details to make the perfect presentation - just like your best chef.
Click here for previous articles by John Fanuzzi.
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