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Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
September, 2003, Vol. 03, Issue 09
By Ralph Stephens, BS, LMT, NCTMB
As readers of this column are aware, I am not a big fan of health insurance. I prefer to work for the patient, not an insurance company. I place a high value on the confidentiality of the patient-therapist relationship.I also place a high value on my privacy; therefore, I am very sensitive to the privacy of patients and their records.
Relatively new federal regulations regarding privacy of medical records became effective in April of this year. These regulations are artifacts of the socialized health care system proposed by the Clinton administration early in its first term. Fortunately, their original proposal failed; had it passed, massage therapists would have been restricted to purely relaxation massage, or would have had to work for a physician or hospital - unless they wanted to become felons. It would have been bye-bye to private practice and first-door provider status.
Several concepts of this proposal reemerged as the Kennedy-Kasselbaum Bill, also known as the Health Insurance Portability and Accountability Act (HIPAA) of 1996. This 1,500-page bill was signed by Bill Clinton and implemented by George W. Bush. It is a bipartisan effort to set the stage for socialized medicine and to give the government complete access to all patient records for virtually any reason. This will, if allowed to evolve, give the government control over every aspect of our medical care. Remember, the government that controls the health of its people controls its people.
Its very name is deceiving; the terms "portability" and "accountability" might lead the typical person to assume this bill is to protect their medical privacy and allow them to change jobs and keep insurance coverage. That is a faulty assumption; rather, HIPAA is designed to protect the government's right to privacy as they collect and use your medical records however they see fit. The days of "government for the people, by the people" have become the times of "government for the government, by the government."
HIPAA is now in its data collection phase. All providers that file electronically must comply, according to published schedules. Electronic filing is much more efficient than paper filing, often allowing for higher reimbursement rates and faster claims payments. For these advantages, most providers file electronically, therefore they must comply. So, if you must comply, that compliance means turning over your patients' records - all of them, everything you know about them - to the government's new database.
Interestingly, filing manually or "paper-filing" compliance is not required - yet; therefore, you can legally avoid turning over your patients' privacy to the government for a while by filing manually. Unless you support more government control of your life, you might want to encourage your physicians, providers and colleagues to "paper file." Full enforcement is not scheduled to begin until 2005. There is still time to get this changed!
If you must comply, it is your duty to explain the outrageous intrusion this requirement is on your patients. Inform your patients ("clients," whatever you call them) that you will have no choice but to release their records to government agencies; insurance companies; direct mail marketers; law enforcement agencies; researchers; and other parties. If you don't, the database will. The HIPAA consent form I have seen is nothing more than a "Miranda warning," advising patients that anything they say or put on their forms may be used against them. I am being brief and superficial, but the more you know about HIPAA, the worse it becomes. Isn't this creating a great environment in which to practice health and wellness care?
It gets worse. In the name of patient privacy, offices and clinics are supposed to have separate entrances and exits, so patients don't see each other as they enter and leave. Does your waiting room have separate, private cubicles for each patient so they cannot see each other? Do you call your patients by name? If so, you are "invading their privacy" if anyone else is within hearing distance. You should call your patients by a number or code. How healing.
Isn't it interesting that after all this hype about protecting patients' privacy, the information you submit as part of their insurance claims is made available to anyone who can get into the database to be used against both patients and providers? This is the "double-speak" of today's regulatory environment. If you like this, if you believe in this, then you'll love what's to come. If you don't, you'd better start fighting with both hands to defend your rights and your patients' rights. Educate your patients and get them involved. Once rights are taken, they will not be easily returned.
There is potential help: The Association of American Physicians and Surgeons (AAPS) is fighting HIPAA. They have forms that help providers legally avoid HIPAA and explain it to patients. They are also working to repeal HIPAA with a bill that has been introduced in the House of Representatives. If you care about this, you should help support these efforts. Visit the AAPS Web site at www.aapsonline.org.
Of course, if you are a fan of socialized medicine and believe the government is going to better the lives of alternative providers (like massage therapists) when, in reality, they completely control us, good luck in your compliance efforts. I hope your office remodeling is enjoyable and the payback on your investment is prompt.
Be sure you are also providing the government with a huge amount of information about yourself and your practice by filing your patients' records with the insurance/government database. The information can be used against you, too!
If you do not want to be a government spy by collecting and providing the most private, personal information on your patients to the government (for who knows what purposes), you must join the fight for freedom of choice and privacy in health care, now!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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