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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?
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.
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.
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.
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.
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.
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."
"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."
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.
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).
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.
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."
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?
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.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
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.
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.
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.
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.
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.
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 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.
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:
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.
June, 2003, Vol. 03, Issue 06
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 on the hunt for your new spa location, and you're trying to come up with a name that will catch the public's interest and broadcast your spa's true mission at the same time. It's a time of excitement and pandemonium! You haven't been this excited about creating something since your 6th-grade science project.
The more focused and forward-thinking you are at this early stage, the better the finished product will turn out. It's extremely important to take your time, step back, take stock of the overall situation, and formulate your plan of attack.
In the case of a new spa, the plan of attack is also called the "business plan." If you don't have one, you're sunk before your ship of dreams even drifts away from the dock. So, let's begin by talking about that plan of yours.
Care and Feeding for Your Business Plan
In your case, it's true that your partner Barbara has more (much more) capital to invest in your spa project than you do, but that doesn't mean you shouldn't become intimately familiar with every aspect of the business plan, including the financial health of the fledgling enterprise. The $10,000 you've pitched in is no meager sum, especially since it represents over 90 percent of your life savings.
Barbara was fortunate enough to have a corporate lawyer in the family, who drew up a business plan with your help. If you didn't have this family connection to fall back on, it might have been tempting to forego the business-plan idea altogether. I mean, why bother with all that paperwork? You don't need to attract outside investors at this point. You're thinking that what really counts is the logo; color scheme; name; location; and stuff like that. Right, Lou?
There are several good reasons to have a business plan before you take another step toward creating your spa. The plan will solidify what exactly you're attempting to create. Refining the details of capital investment; management structure; client demographics; marketing plans; and expense budgets will allow you to see your business existing in the "real world."
Do yourself a favor: Spend some time getting to know each and every detail of that plan the lawyer created. Although you're a "right-brained" therapist with little interest in such matters, you need to know and care about what it says for the spa to be a success right from the start.
It might be a good idea to get to know the general structure of business plans more intimately; this will help familiarize you with what business is all about - a must for nonbusiness types such as yourself. Go to amazon.com, or any other book-related Web site, and type in "business plans"; you'll find a load of books on the subject. Have you thought about taking a class at the local community college on business management? You are, after all, going into business. I've seen too many spa owners disregard this obvious fact since opening a spa seems more like a healing vision than a nuts-and-bolts reality. Do yourself a favor: Get real and study up.
As you're boning up on business practices, you also are out scouting your spa's perfect location. It's fun and spiritual putting the soul of your idea into the body of a building and giving birth to a being, not just a business.
You've told me about three possibilities that have intrigued you and Barbara so far: an old house downtown; a storefront in a busy mall; and half a floor in a medical office building. As is often the case, there are pros and cons to each option:
You're probably familiar with the saying that the three most important things in business are location, location, location. That's partially true, but what that axiom fails to emphasize is there's more involved than the GPS coordinates of the building you're considering. There's something else going on, too; it's called "energy."
I know it's weird, and some massage therapists are already marginalized for couching things in "new-agey" terms, but I truly believe that below the surface, energy levels are a factor to business locations.
Some locations can't generate successful business, no matter who or what goes in there. Even the best businesses can't succeed in a "jinxed" location. Potential customers just seem to pass it by, as if there were an invisible gate blocking the entrance. You know the spots - those spaces where one business after another has come and gone over and over again. Of course, you're not a native of your new city, and so you don't know about the history of each site; but Barbara does. You can also ask local residents or look up county business records.
In addition to practical considerations such as lease terms, the amount of rent you'll be paying, zoning rules, etc., it would be wise to look into the background "energy" of the structure. Who has been in there? Why did they leave? What is the gestalt of this old home you're considering? What types of clientele frequent the mall in which the storefront is located?
I have a friend and former student who settled on an old home, similar to the one you're considering. It's on the main street in the busy tourist town of Provincetown, Cape Cod. She faced a lot of challenges restoring a 150-year-old building, but she made the right choice. The building had never been used for a business, so she created her own energy there, and it worked. She's now opening a second location.
You can tell I'm leaning toward the old house downtown, can't you? Don't let that influence you too much. You and Barbara need to figure things out gradually, in your own time. The next time I have the chance to write, I'll give you some ideas regarding two other hot topics that are surely burning in your brain about now: your new spa's name and its mission.
Until then, take care.
Click here for previous articles by Steve Capellini, LMT.
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