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Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
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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