resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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."
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.
November, 2002, Vol. 02, Issue 11
Nutrition Research News
Supplements with Ephedra or Steroid Hormone Are Illegal for Minors, Says California Legislature
By James P. Meschino, DC, MS
In August 2002, the California legislature passed a bill on the sale and labeling of dietary supplements that contain ephedra and steroid hormone precursors.SB 1884 requires specific warning language, the FDA MedWatch phone number, and a notice that the product is not for use by individuals under the age of 18 years, on the label of all dietary supplements containing ephedrine group alkaloids (ephedra) or steroid hormone precursors, such as androstenedione and DHEA (dehydroepiandrosterone).
The bill makes it a misdemeanor for any manufacturer, wholesaler, retailer or other person to sell, transfer or otherwise furnish a dietary supplement containing ephedrine group alkaloids or steroid hormone precursors to persons under 18. This action comes on the heels of a number of deaths and adverse effects attributed to the use of supplements containing ephedra and anabolic steroids. The adverse side-effects of supplements containing ephedra and anabolic steroids account for 17 percent of all adverse events reported from the use of dietary supplements - the highest percentage of any supplements. Ephedra-containing supplements have been associated with sudden death, stroke, seizures, and heart attacks, even in young people. They commonly cause nervousness; anxiety; insomnia; palpitations; arrhythmias; and other troublesome side-effects.
Americans May Soon Claim Dietary Supplement Purchases As a Tax Deduction
Senators Tom Harkin (D-Iowa) and Orrin Hatch (R-Utah) introduced the Dietary Supplement Tax Fairness Act (S.1330) to Congress on August 2, 2001. The bill would put self-care products, such as dietary supplements, on a par with other medical care items, in that it would provide an IRS deduction for consumers who purchase them (when their total medical expenses exceed 7.5 percent of adjusted gross income). Premiums paid for insurance covering supplement purchases would also be deductible. The scientific panel of the Office of Dietary Supplement Research deems the legislation a valuable tool for the public health community by increasing the consumption of "disease-fighting phytochemicals."
Senator Harkin called the bill an effort to "advance sound health care policy." He added: "Our current policy is unfair and is failing to take full advantage of the potential to improve health and hold down health care costs through preventive health care practices available to consumers."
Senators Harkin and Hatch have been highly instrumental throughout the last decade in helping to create awareness of the scientific evidence indicating that nutritional supplementation may be a useful intervention in the prevention and/or management of many chronic degenerative diseases. Through their efforts, the Office of Alternative Medicine was established in 1991 at the National Institutes of Health (now the National Center for Complementary and Alternative Medicine -- NCCAM). The two senators also introduced the Dietary Supplement Health and Education Act, which has greatly improved consumer access to nutritional supplements and to the scientific evidence to support their safe and responsible use. In the words of Sen. Harkin, "Consumers need ready access to high-quality, reliable information. They need it and they are thirsting for it. And if it is done right, it will improve health, extend lives and reduce health care costs by keeping people healthy."
It is also interesting to note that the budget for the NCCAM rose from $3 million to $50 million in four years. For the fiscal year 2000, its budget was $68.3 million; when added to the other research initiatives undertaken by other institutions and centers in the U.S., the total complementary and alternative medicine investment in research and related activities was approximately $161 million for the fiscal year 2001.
Click here for previous articles by James P. Meschino, DC, MS.
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