resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
December, 2002, Vol. 02, Issue 12
What Is HIPAA, and How Does It Affect You? Part I
By Vivian Madison-Mahoney, LMT
I am asked frequently about the HIPAA rulings regarding electronic transactions and privacy rules. Because of this, I decided to do some research to obtain some answers to common questions I hear, especially regarding rules which might affect us as massage therapists and bodyworkers.
I wrote to "Center for Medicare & Medicaid Services" (CMS) to inquire as to the necessity of alternative medical providers (massage therapists included) having to comply with HIPAA Rules.Their reply is as follows, along with information on HIPAA in general.
With the above response provided to me, I was able to gather a large amount of additional information from a variety of their websites. If you wish to obtain more information than what I have provided within this article, please connect to the websites or call the phone numbers provided herein.
Question: What Is HIPAA?
Answer: HIPAA is the acronym for the Health Insurance Portability and Accountability Act of 1996. The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing various unrelated provisions of HIPAA, therefore HIPAA may mean different things to different people.
The Health Insurance Portability and Accountability Act (HIPAA, Public Law 104-191), signed by President Clinton on August 21, 1996, aims to improve productivity of the American health care system. The law encourages development of information systems based on the exchange of standard management and financial data using Electronic Data Interchange (EDI). It also requires organizations exchanging transactions for health care to follow national implementation guidelines for EDI established for this purpose. For more information, please go to http://aspe.os.dhhs.gov/admnsimp/.
The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) require the Department of Health and Human Services to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addresses the security and privacy of health data. Adopting these standards will improve the efficiency and effectiveness of the nation's health care system by encouraging the widespread use of electronic data interchange in health care.
HIPAA Rules Regarding Providers Who Do Not Submit Claims Electronically
Question: If I am a provider who does not submit any electronic transactions, do I have to comply with the HIPAA Administrative Simplification regulations, or submit an ASCA compliance plan to get an extension?
Answer: No. All of the HIPAA Administrative Simplification regulations apply to all covered entities. Health care providers who transmit health information in electronic form meet the final rule definition for a covered entity. If you do not transmit such information in electronic form, you are not a covered entity and HIPAA does not apply to you. Therefore you do not need to submit a compliance plan to request a compliance extension.
The Administrative Simplification Compliance Act (ASCA) prohibits Health & Human Services, (HHS) from paying Medicare claims that are not submitted electronically after October 16, 2003, unless the Secretary grants a waiver from this requirement. It further provides that the Secretary must grant such a waiver if there is no method available for the submission of claims in electronic form, or if the entity submitting the claim is a small provider of services or supplies.
In this case, small provider of services or supplier means:
Entities that qualify for this waiver do not need to submit a compliance plan and will be allowed to continue to file paper claims for Medicare payment. The Secretary may grant such a waiver in other circumstances. HHS will publish proposed regulations to implement this new authority.
Note: Since we as massage therapists at this time, do not bill for Medicare services, we do not have to be concerned with any of this documentation that pertains to Medicare. However, you may work in an office that does work with Medicare, therefore I have included this information.
Question: Are small providers exempt from HIPAA?
Answer: No. Any provider who transmits any of the designated transactions electronically is subject to the HIPAA Administrative Simplification requirements, regardless of size.
Small providers are exempt from the ASCA provision that excludes paper claims from Medicare coverage effective October 16, 2003. Small providers will be able to continue to submit paper claims.
Note: See ASCA definition of small provider or supplier in paragraphs above.
Question: Does the ASCA extension affect the compliance date for the HIPAA Privacy Standards?
Answer: No. The compliance date for the Privacy Standards is still April 14, 2003 or, for small health plans, April 14, 2004.
Question: What is the HIPAA Administrative Simplification Compliance Act (ASCA)?
Answer: In December 2001, the Administrative Simplification Compliance Act (ASCA) extended the deadline for compliance with the HIPAA Electronic Health Care Transactions and Code Sets standards (codified at 45 C.F.R. Parts 160, 162) one year, to October 16, 2003 for all covered entities, other than small health plans (whose compliance date was already October 16, 2003).
To receive an extension, covered entities must submit their ASCA compliance plans on or before October 15, 2002.
ASCA requires that a sample of the plans be provided to the National Committee on Vital and Health Statistics (NCVHS), an advisory committee to the Secretary of Health and Human Services. The NCVHS will review the sample to identify common problems that are complicating compliance activities, and will periodically publish recommendations for solving the problems.
Under the Freedom of Information Act (FOIA), information held by the federal government is available to the public on request, unless it falls within one of several exemptions. The model form is designed to avoid collection of any information that would be subject to exemption, such as confidential personal or proprietary information. If such information is submitted, both the FOIA and the ASCA require that it be redacted before the files are released either to the NCVHS or to the public.
Question: Do all covered entities automatically get an ASCA extension?
Answer: No. Covered entities must submit a compliance extension plan to the Department of Health and Human Services (HHS) before October 16, 2002 to get an extension.
Question: Where can I get a copy of the ASCA compliance form?
Answer: The form was released on March 28, 2002 and is available on our website at: www.cms.hhs.gov/hipaa/hipaa2/ASCAForm.asp. The form was published in the Federal Register on April 15, 2002.
Question: Can I file the ASCA compliance extension form electronically?
Answer: Yes, electronic filing of compliance extension plans is encouraged, although plans submitted on paper also will be accepted. To submit a form electronically, go to www.cms.hhs.gov/hipaa/hipaa2/ASCAForm.asp.
Click here for more information about Vivian Madison-Mahoney, LMT.
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