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Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
January, 2003, Vol. 03, Issue 01
By Steve Capellini, LMT
Author's Note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
So, you're in your new city, already hard at work at the medical spa. You probably didn't anticipate that, rather than getting your hands on patients and interfacing with doctors right away, you'd end up doing construction first! I should have warned you about some of the pitfalls of the startup phase in the spa business. Everyone's running around like crazy (even the MDs), and now you're forced to jump into the fray to prove you're a part of the team. That's OK. It's been my experience that when you're part of a startup team, you feel more invested in the project once it's underway. The people you're painting walls and hauling furniture with are going to become your close friends - and remember, they're also your partners. It's great that you were able to work out a profit-sharing deal with the new medical spa, and that stock options are part of your new reality. It must be rough being in a new city, though, with new friends to make, on top of the stress of starting a new job. These first few weeks, as the doors are opened and the customers start to arrive, are going to be exciting, but trying.
Thanks for sharing the vision of the new medical spa's founders. I can tell they have big ideas and want to roll out a large number of facilities rather quickly. However, it's important now to concentrate on first things first, so I'll offer my two cents' worth on what's most relevant in a medical spa environment, and what you can do personally to work toward the success of the entire enterprise.
Your new bosses, the doctor/owners of the spa, talk a lot about branding in their materials. That's all well and good, but there's more to a spa than the brand under which it operates. For instance, consider the strategy of a spa branding company called Stonewater, which held a press luncheon at the International Spa Association (ISPA) conference in October. They're in the process of buying up successful day spas and placing them under the umbrella of the Stonewater brand, but they're leaving the original names, décor, philosophy, and most of the employee team intact. The lesson? Leave a good thing alone, and add just enough recognizable branding to make the place palatable to a wide range of people. For example, what was formerly the Kiva spa in Chicago is now Kiva, A Stonewater Spa.
The folks at Stonewater are pretty smart. They realize that what works in the spa industry is the personal touch. That's why they leave these spas alone and let them continue to operate as they were, to the extent that's possible. If you and the new team you're working with in the medical spa create a successful operation, it too will be built one client at a time, over time, much like in the spas Stonewater is taking under its umbrella. By the time you've created that level of trust, you'll have something so personal and unique, it will be almost impossible to brand it in the way your doctor/owners are talking about. It would be like trying to brand your dog. Sure, chocolate labs are a breed that can be reproduced, but your chocolate lab is irreproducible, completely unique, and what you care about most is that exclusivity and uniqueness. No other dog can be your dog, and over time, you've built up a bank of memories and meaning with him.
Believe it or not, I think this scenario applies to spas, too. While you're creating something one-of-a-kind, the owners are thinking about reproducing it in cities all across the nation. Please know that this will be difficult, if not impossible It's great that you have stock options, but don't start counting your money just yet. This will definitely be a challenge.
Do Your Best, One Day at a Time
I don't mean to discourage you with this type of talk. What I'd really like to do is make things more realistic for you. After all, the primary reason you took this job (not to mention the primary reason you became an LMT in the first place) was to help others and dedicate yourself to useful, meaningful service. All this talk about your potential rewards in the future may have obscured the essential present, and your deeper goals, at least temporarily.
So, let's see, what advice can I give you? I think I would just say, "Do your best, one day at a time." Forget about the stock options. Forget about branding. Forget even about the giddy excitement you've been sharing with your partners over the past few weeks. All that is coming to an end in the next few days, and you're going to open those doors and be faced with people, real people, one at a time in your treatment room. What you do then matters more to the ultimate success of the medical spa, and your career, than anything else. It will be a defining moment.
A Defining Moment
So, what are you going to do in that treatment room that is different than what you did in the treatment rooms at the resort spa you just left? What's going to differentiate "Lou the Spa Therapist" from "Lou the Medical Spa Therapist"?
Of course, you'll still be the same Lou giving substantially the same treatment, but one thing will be different: your intention. You'll be working on clients who have individual problems to address, and reasons for being there beyond relaxation and stress relief. In your new role, your intention will have to be aligned with your partners - the doctors and other health providers who are working as a team to meet the goals of these clients.
Now is the time to bring your advanced skills into practice. Medical spa clients will not expect the same thing from a massage as they do at a resort. They will trust you to provide effective treatment. To accomplish this, follow three simple rules that some friends of mine in the medical spa field have followed successfully.
As always, I'm excited to find out what's going to happen next as your massage career unfolds, and look forward to hearing about the opening of the medical spa. Good luck!
Click here for previous articles by Steve Capellini, LMT.
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