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Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
October, 2002, Vol. 02, Issue 10
The Ninth Element: Social Contribution
By Robin Zill, LMT
The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the 10th article in a 12-part series and focuses on the ninth of the 10 elements: Social Contribution.
Social Contribution concerns how we exchange and value goods and services, in our economy and in our profession. For me, social contribution, quite simply, explores the dynamic of giving and receiving in our lives. It explores the purpose and intention behind our work; how we and others value it. The two excerpts above from Robert Rabbin's Invisible Leadership describe the paradox of the American Dream.
Originally, we created this element to embrace the need for integrated and "generalist" management skills among spa employees. However, as discussions evolved, we discovered that the essence of "social contribution" was exchange and communication. Spas were and still are highly compartmentalized. Often the right hand does not know what the left hand is doing. Integrating leisure, fitness, massage, aesthetics and retail can be difficult, as there is no common language that speaks to these issues and how they relate to each other. Hence, it is difficult to provide or even explain the "essence of the spa experience" to the consumer.
I must confess that this element is more complex than it may seem at first. On the one hand, business survives on the measurement and management of money and profit. On the other hand, the spa industry is service-oriented and needs to meet the new elusive demands of the discerning consumer, who is craving personal fulfillment and social connection. To complicate matters, we are playing the new business limbo, "how fast can you go," which seems to be changing by the minute. "Show me the money" is now a common theme at every level of business, from corporate CEO to massage therapist. Certainly, the days of bartering goods and services, when people were more connected to nature and a simpler lifestyle, are long gone.
Like you, I try to balance my idealistic self with the rigors of everyday business. It is obvious that money will probably continue to be the common medium of exchange. But our financial world has gone virtual; money is not a physical exchange anymore. The gold standard is out; greenbacks are out. Debit and credit cards are in. Perhaps this transient way of exchanging money through computer clouds is somehow a reflection of our changing consciousness. Is this a metaphor for why people are craving physical touch? The exchange of energy and heart is hard to value in dollars. Can we put a value on the exchange of "chi"?
Just as receiving completes the circle of giving, the 10 elements of the spa experience form an interdependent circle. The 10 elements help to create a career path that supports lifestyle choices and a mechanism for increasing monetary compensation as skills and scope of practice increase. The circle format for a career path also works for the next century professional, just as in nature, the circle reflects a pattern of dynamic living. If you think about it, the sun, the moon, and the horizon all are circular. There are very few, if any, truly straight lines in nature.
Take for example the career path for a massage therapist. Is there one? How does a spa owner or consumer determine who is a master therapist, and who is right out of school? Similar to Maslow's hierarchy of needs, we must recognize it is difficult to contemplate ideals, values, missions and visions if we do not have adequate food or shelter and struggle to pay the bills. We also must be compensated fairly in the scope of, and in relation to, the business environment. Compensation plans must be commensurate with other team members, and they should be long term in focus. That is why determining fair compensation for the massage therapist is such a vital topic in the industry. After all, massage is the most popular spa service in the industry right now.
There are a myriad of compensation plans in the spa industry now: salary, hourly, commission, sub-contractor, etc. For the most part, spa owners recognize the intangible gifts massage therapists bring to the spa experience. They are interested in finding a fair and rewarding plan for everyone. But remember, the spa director or owner must answer to investors and others. A recent article by Brian Coughlan in Massage Therapy Journal summarizes some of the latest hiring trends for massage therapists working in spas. I believe the most significant is the shift from being an independent, self-employed therapist to an employee with perks and a salary.
For the most part, at least historically, most spa professionals believe that the spa industry is a cultural renewal industry, one poised to create new lifestyle values that synergize with global preservation. Anita Roddick, founder of The BodyShop and author of Business as Unusual says, "The business of business is not just about money, it is about responsibility. It is about public good, not private greed." Do you agree? I do, but let's be practical. If the workers with vision are not compensated fairly, will their voices be heard? Are they powerful enough to make change happen? I don't think so. Growing older and perhaps a bit wiser, with the help of my visionary friends and mentors, I know there is cause for concern. More than ever, they are saying with remorse, "Robin it is about money, it is all about money."
In the very beginning, we started out giving free massages. It was understood that we needed to educate people about the power of touch. While becoming more mainstream, has the massage industry gone extreme? I'd like to see the industry bounce back to a position of balance: giving touch back to the elderly, children, disabled and others in need. I believe this is happening somewhat, we just need to see more of it. I believe the healthier you get, the better you can give back to others. The best massage therapists are the ones who have learned to give and receive. We have to explore what this means on a deeper level. Anita Roddick brings this point home again and again in Business as Unusual. She envisions a future in which business leaders come to see their industries as incubators of the human spirit, rather than factories for the production of more material goods and services. If companies truly have a global or community vision, they will find themselves far ahead of their competitors in the long run.
Click here for previous articles by Robin Zill, LMT.
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