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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
March, 2003, Vol. 03, Issue 03
Testing of Alternative Medicine ABC Codes Authorized
By Editorial Staff
The U.S. Department of Health and Human Services (HHS) has approved a demonstration project to test a new series of codes for billing complementary and alternative medicine and nursing services.The project allows for the testing of advanced billing concept ("ABC") codes in transactions related to the Health Insurance Portability and Accountability Act. If approved, the new codes will fill a variety of gaps in the current health care coding system, and may ultimately lead to improvements in the management and delivery of health care in the U.S.1
The ABC codes were first developed in 1996 as a joint venture between the Foundation for Integrative Health Care (FIHC), an organization that "identifies and advocates the health-promoting and cost-effective practices of alternative medicine, nursing and other integrative healthcare professionals"; and Alternative Link, a health care information and consulting organization. The codes provide representations of alternative medicine, nursing and other integrative health care practices, consisting of a five-alphabetic-character field that describes particular health care services and supplies, followed by an optional two-character alphanumeric modifier that describes the type of licensed health care practitioner(s) who delivers that particular service or supply.
The ABC codes, approximately 4,200 of which have been developed to date, have gained the support of a diverse group of health care organizations, including the American Massage Therapy Association (AMTA) and the Associated Bodywork and Massage Professionals (ABMP). The codes are designed to fill the gaps in the American Medical Association's Current Procedural Terminology (CPT) codes and other areas of the Healthcare Common Procedure Coding System (HCPCS), by describing certain integrative health care practices and practitioners more accurately. Currently, many services offered by CAM practitioners are not listed in the CPT codes, or do not conform with descriptions of those services. This is particularly true for massage therapists. However, this situation may be resolved independently of the ABC codes, with the approval of new CPT codes by the AMA's CPT Editorial Panel.2
In the demonstration project, the ABC codes will be used as a supplement to the existing health care coding system, and will be evaluated in relation to 10 objectives Congress originally mandated for the HIPAA code sets.
In a statement on its Web site, Alternative Link notes that the ABC codes "offer design, development and oversight improvements that deliver superior functionality and support areas of healthcare subject to widely varying state laws - improvements not available in the HIPAA code sets but essential to assuring the legality and appropriate representation of integrative healthcare practices."3
Testing will be conducted in three-month increments for up to two years. Testing will continue until the occurrence of one of the following events, whichever comes first: proof of a widespread and favorable (or unfavorable) cost-benefit ratio for ABC codes; the Department of Health and Human Services naming (or rejecting) ABC codes as a HIPAA standard; or a project deadline of Oct. 14, 2005.
Synthia Molina, chief executive officer of Alternative Link, cautioned that the demonstration project will test the viability of ABC codes in HIPAA transactions only, and that there is no definitive timetable for when - or even if - the codes will gain the support of the insurance industry. Nevertheless, she asserted that testing the codes would lead to "major improvements in the national health information infrastructure."1
To determine the effectiveness of the ABC codes, all HIPAA-covered entities, trading partners and their business associates are invited to participate in the demonstration project. To take part in the project, Alternative Link has created an online application at www.alternativelink.com/ali/DemoPro/DemoPro.asp. The Centers for Medicare and Medicaid Services has requested that all parties wishing to use ABC codes for HIPAA transactions sign up before March 16, 2003. For more information, contact Alternative Link at 505-875-0001, or the Foundation for Integrative Healthcare at 505-710-7390.
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