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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
August, 2003, Vol. 03, Issue 08
Releasing the Energy Cyst
By John Upledger, DO, OMM
Have you ever had a client whose injury seemed to cause problems long after the site had healed? That is not as unusual as one might think. Research I conducted in the late 1970s with a biophysicist named Dr.Zvi Karni led us to discover that the body can retain the imprints of physical trauma in the tissues. These imprints, which can also include intense feelings that occurred at the time of injury, actually leave a residue embedded in the body. I call these areas of restricted or disorganized energy "energy cysts."
The idea behind this is: When an accident occurs, the energy of the accident enters the body. This fits with the laws of thermodynamics, which tell us that energy cannot be created or destroyed. They also tell us that the natural tendency of atoms, molecules and energy is toward disorganization. When this external, disorganized energy - the "energy of injury" - is forced into the body, it penetrates into the tissues to a depth determined by the amount of force versus the density of the tissues. This force is countered only by the density of the tissues it is trying to penetrate.
A blow to the foot or ankle might penetrate through the leg all the way to the pelvis. Once it reaches its depth of maximum penetration, it stops and forms a localized "ball" of energy that doesn't belong there. If your body is vital and able, the "energy of injury" can dissipate and normal healing can occur, but if your body is unable to dissipate this energy, it is compacted into a smaller and smaller ball in order to minimize the area of disruption to tissue function. As it becomes more compressed and localized, the disorganization within this compressed energy increases until it becomes an "energy cyst."
A person can adapt to energy cysts; however, over time, the body needs extra energy to continue performing its day-to-day functions. As years pass and the body becomes more stressed, it can lose its ability to adapt. This is when symptoms and dysfunctions begin to appear and become difficult to suppress or ignore. Fortunately, a technique called "Energy Cyst Release" can help the skilled therapist deal with these particular challenges. It is an effective way of encouraging your client's body to release those areas of blocked energy and accelerate a full recovery.
Energy Cyst Release is a component of CranioSacral Therapy, which addresses restrictions in the craniosacral system that surrounds the brain and spinal cord. Using a light touch, the practitioner monitors the rhythm of the fluid coursing through the craniosacral system to detect potential restrictions and imbalances. Delicate techniques help release those problem areas and relieve undue pressure on the brain and spinal cord.
As part of that process, the body will sometimes spontaneously return to the same position it was in when the injury was first sustained. As this occurs, the therapist can feel the tissues of the body relax as the energy cyst is expelled. Then the body is free to fully return to its optimal levels of functioning.
This is what happened after a woman named Rebecca* was involved in a severe automobile accident. She visited a CranioSacral Therapist to help relieve the constant pain she had experienced for eight months. Though her fractures had healed, she was left with severe headaches that occurred almost daily, and her neck and lower back hurt constantly. The therapist first tried to find a structural reason that would account for the severity of the pain. Restrictions were cleared in her craniosacral system, which helped with her head and neck, yet her back continued to hurt.
During the tenth session, Rebecca was seated on a treatment table with her back to the therapist. He had one hand on her back and the other on her head as he tested the spine for subtle movements. Suddenly, Rebecca began to push hard against the hand on her back. After a few minutes she slumped forward. Rebecca reported that she had suddenly remembered an incident several years earlier when she was hit by a fist in the middle of her back. The resistance she felt from the therapist's fist enabled her to release the energy of the blow and of the accident injury spontaneously. Her life turned around after that session. Within a month, her pain was minimal.
This is a case in which the tissues had been released, but the energy cyst still resided within them. By returning her body to the precise position it was in at the time of injury, the mass of disorganized energy that had been forced into the tissues from the original trauma was suddenly given an escape route, which was also the same route of its entry into the body. It is possible, after you've become experienced practicing these techniques, to release energy cysts without using the client's body position as the facilitating factor, but that approach requires a lot more work on your part, and it is much less natural. It is always better to work with the client's body, than against it.
*Name changed to protect confidentiality.
Click here for previous articles by John Upledger, DO, OMM.
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