resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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."
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
March, 2003, Vol. 03, Issue 03
Colorado Coalition Formed to Fight Proposed Auto Insurance Bill
Current Language Excludes Massage as Personal Injury Protection Benefit
By Editorial Staff
An insurance bill introduced in the Colorado legislature1 has the state's massage therapy community up in arms, and for good reason: the bill excludes massage as a benefit of motor-vehicle-injury insurance coverage.
The bill, HB 1225, was introduced after Colorado Gov.Bill Owens decided sweeping changes were needed in the state's no-fault auto insurance system.22,3
The current insurance law, on the books in Colorado since 1974, includes a benefit for "medically reasonable" massage for auto accident-related injuries, but Gov. Owens has said he won't extend the law, which expires July 1. His decision may have been spurred by a 20-percent increase in Colorado premiums in the past year, compared with a 9-percent increase nationwide.
As currently written, HB 1225 would establish three types of policy coverage - basic, managed care and direct - but appears to make no mention of massage therapy as a covered personal injury protection (PIP) benefit. Specifically, the bill language allows an insurer to limit coverage "... to only licensed, registered, or certified health care providers." As Colorado currently lacks statewide massage or bodywork licensure, registration or certification, this stipulation means that auto-accident patients must pay out of pocket for massage and bodywork services - a requirement that would undoubtedly limit patient access to the benefits of massage therapy severely. The bill also notes that a "primary care physician may refer only to nurse practitioner, physical therapist or occupational therapist according to treatment protocols given"; again, there is no mention of referral to massage therapists or bodyworkers.
Following Gov. Owens' decision and the introduction of HB 1225, the Colorado Coalition of Massage Therapists and Bodyworkers (CCMTB) was formed. The coalition's stated mission is "To be a responsible voice for the massage therapy profession, and to educated a united community to protect Colorado citizens' informed choice about therapeutic treatments." Colorado massage therapists, bodyworkers, schools and organizations have been invited to become members of the coalition, which currently lists the American Manual Medicine Association (AMMA); American Massage Therapy Association (AMTA); Associated Bodywork and Massage Professionals (ABMP); Colorado Massage Network (CMN); other massage therapy and bodywork professionals; patients; and other interested persons as members.4
The CCMTB is in the process of drafting an amendment to HB 1225, which will stipulate that medical massage be made available for all levels of care, and as a matter of choice for all Colorado consumers. The coalition also coordinated Massage Therapy Awareness Day at the state capitol on Jan. 20. The event, which received substantial local media coverage, was intended to raise public and legislative awareness of the benefits of massage therapy, and voice opposition to the proposed bill as written.5,6
The coalition's efforts at Massage Therapy Awareness Day, and in the weeks preceding the event, appeared to pay off, at least in the short-term: On Feb. 11, the House Business Affairs and Labor Committee held a hearing in the Supreme Court chambers of the state capitol to discuss issues relating to HB 1225.6,7 Kathryn Stewart, a member of the CCMTB, presented testimony clarifying the coalition's opposition to the bill.
Excerpts from Ms. Stewart's testimony follow:
Following the Feb. 11 committee hearing, the bill was "tabled," suggesting it would not proceed to a vote, pending consideration of potential bill text changes. However, on Feb. 13, after the bill was amended to include chiropractic treatment, the committee passed HB 1225 by an 8-5 vote. 7 As we go to press, the bill has moved to the House floor, still lacking specific reference to or inclusion of massage or bodywork as a covered benefit.
Massage Today will report on the progress of HB 1225, and the coalition's efforts to change the bill's proposed language, as more details become available. For more information, visit the CCMTB Web site: www.ccmtb.org.
* Photos courtesy of Joshua Lawton
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