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First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
July, 2003, Vol. 03, Issue 07
By John Fanuzzi
I just finished reading an article in USA Today about the recent debut of the world's tallest roller coaster. This modern marvel is over 400 feet tall and travels at speeds up to 120 miles per hour.The creation of this spectacular "extreme" machine transformed a once-average theme park in Sandusky, Ohio into a national attraction.
It made me wonder what would constitute today's "ultimate" spa treatment. It would probably involve a lot of water pressure and a combination of hot, warm and cold temperatures. A simple, hot shower may be fine for most people - just as the standard 100-foot high, 50-mph roller coaster might provide a sufficient thrill for most "kids"; but the ultimate spa treatment would involve water, and lots of it.
About eight years ago, I built a wet room with a Vichy shower in a day spa in Bozeman, Mont. I chose the top-of-the-line Reid system because of its high performance nozzles and its Scotts' fire-hose sprayer. It was a little before its time; many spa-goers were unaware of what treatment they'd receive in addition to, or in place of, a relaxing massage. The local therapists and employees were surprised to discover they'd have to don raingear - bathing suits and clogs - just to administer the treatment. It was a spectacular way to finish up after a salt scrub, or mud or algae wrap, and was quite the buzz in a small town.
Back then, the Vichy shower was not very popular because it was a new and relatively unknown concept. It was, however, considered by those in the "know" as the most sensational, invigorating and cleansing experience one could passively experience.
Imagine: Warm water at 10 gallons a minute through seven water jets, as a combination wash-down and hydrotherapy, with an occasional cold squirt from a separate hose as a stimulator (not to mention water splashing all over the client, the shower walls and the operator), while the therapist alternately aims the Scotts' fire hose at the customer.
The installation of an "extreme" water treatment can transform the traditional and mundane water treatment into an exciting, stimulating attraction that will bring more people into your establishment.
Let's get back to reality: From the perspective of a sensual and sensational spa experience, we might consider the Vichy shower ranking at the top. From a practical point of view, however, it may not be financially feasible, unless you have a larger facility (over six treatment rooms) or it is already a widely accepted and sought-after treatment in your area, which would allow you to command a higher ticket price. If you choose to install one, be prepared to spend some big bucks for the room alone; that is, if you don't want to deal with the expense of constructing additional showers and dressing rooms.
"Ultimate Extreme" Vichy shower treatments will generate a stiffer fee than a standard massage; but the cost for each treatment will be correspondingly higher, also. Here's why:
If you want to keep it simple, but still want to qualify as having a "spa treatment," get a containment-wet table with a hand held wash down. You'll still need a drain, but then you can officially be called a spa. If you want to move your clients up to a basic Vichy shower, you can provide a low-pressure system with an optional hood.
If you want to give your clients the exhilaration of an extreme wet room - an exciting journey in the ultimate hydro machine - you must pay the price, including the therapist getting soaked!
Choose the ride you want to give your customer!
Click here for previous articles by John Fanuzzi.
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