resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
July, 2003, Vol. 03, Issue 07
The Five Seasons of Spa: Summer
By Robin Zill, LMT
Author's note: This five-part series is designed to explore the language of nature as it relates to the spa experience.
"Summertime...When the Living Is Easy"...NOT!
Summer is the season when life and business are in full bloom.If your business has been well-planned and tended, the garden is thriving: the soil is tilled and nourished; there is plenty of water; the sun-to-shade ratio is perfect; and the bouquet of color bursts forth, ripe with foliage and fruit. The best of what nature has to offer has been given to you because of your vision and hard work. The harvest is around the corner.
In the ousia (oo-see-ahh) philosophy, summer is considered the time of full bloom, the time of flowering. It is the time when things are in full swing and the senses are filled with wonder. You have made it through the long winter season when your planning began, and the spring season when vision took roo,t as you built and finalized your space, treatment menu and staff selection. The season of summer at its best is fun, rewarding and beautiful.
But the hot summer sun can be blistering. It can mean draught, unexpected insect infestations and weeds. Summer can be the season when many new business owners find themselves running on empty. That is why taking a vacation and slowing down just a little can be the best thing for you and your business. But how can you afford to?
How Can You afford Not To?
Any spa owner will tell you that the opening of a spa (or any new business) is a multidimensional feat. It is like a rite of passage. A new spa owner has counted the cost and made many sacrifices - so have those around him or her. Most new spa owners are tested on physical, emotional, intellectual and spiritual levels. By the time the spa opens, they have lived a lifetime. This needs to be acknowledged and honored.
From the spa business perspective, the ousia key word for summer is maintenance: maintenance of the vision, maintenance of the people and maintenance of the systems. This is the time to review planning and profit expectations, and decide if the staff you selected is the team that will take you forward. Are the treatment programs working optimally? Taking time to review, refine and tweak your systems will save you endless hours of frustration and stress down the road.
I know, I know - you don't have time. You are too busy putting out fires. I rest my case. Whether it is reviewing profit margins, coding in the computer, cleaning up protocols and staffing policies, such as dress codes and tardiness, or making simple clarifications and refinements, it needs to be done. It can make all the difference to the bottom line at the end of the year. There is definitely pruning to be done. It is time to hoe and strengthen the growing plants, remove the suckers and pinch the leaves. Poor team morale or treatment programs that do not sell or are not easy to perform need to be revisited. Listening and communicating with staff to refine your business structure is imperative at this point. Neglecting this proper pruning can leave the garden fruitless, with little more than weeds to show for all your hard work and vision.
Summer season maintenance also means maintenance of your own personal health. Maintain your own health and vitality so you can maximize this incredible growth period. Treat yourself to spa services; pay special attention to your diet, exercise and sleep patterns. Review the pace and rhythm of your life schedule. Do you have enough time with your spouse or significant other, children, friends... yourself? Taking time to stop, reflect and balance by dipping into the fifth season of spa - the integrated center - is critical.
Most people I know in the spa industry, at least the harbingers, chose this industry because it offered them more than a job. The spa industry has the opportunity to create a career path that enhances an integrated lifestyle. Many of us have also found that the lessons are never perfectly clear to our deeper path: One often experiences the "chaos" before the "light." Tapping into the fire energy of summer will help to energize your business.
In closing, I share a quote from one of the oldest books ever written, the I-Ching, or "Book of Changes." The I-Ching is based on living in the moment and embracing the constant of change in the universe and our lives. The following trigram, Ch'ien, the Creative, comes to mind when thinking about the season of spa hot summer:
Click here for previous articles by Robin Zill, LMT.
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