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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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
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.
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.
October, 2003, Vol. 03, Issue 10
By Cliff Korn, BS, LMT, NCTMB
I was recently read an online newsletter with the following statement: "Jared Adair, Director of the Office of HIPAA Standards at the Centers for Medicare and Medicaid Services, has written 'Alternative Link' to clarify the status of participants in the ABC codes demonstration project.'His letter essentially says that all contractual trading partners of registrants for the federally authorized demonstration program are eligible to use ABC codes commercially in HIPAA transactions with those registrants,' says Synthia Molina, Alternative Link CEO."*
Jargon, in general, is confusing to those not schooled in "the code." There are so many acronyms and terms we use that were developed to increase understanding and provide specificity of meaning; unfortunately, many do just the opposite. I came up with the following incomplete list that applies to our profession. Many rolled off the tip of my tongue in a heartbeat.
If this were in a quiz, could you define these?
ABC ~ ABMP ~ AMTA ~ CAM ~ CEU ~ CMT ~ CPT ~ CST ~ HIPPA ~ IMA ~ LDT ~ LMP ~ LMT ~ MFR ~ NCBTMB ~ NCETMB ~ NCTMB ~ NMT
The following are the 'unofficial' definitions, some from the owners' Web sites!
ABC is the Advanced Billing Concepts code set developed by Alternative Link, Inc., for use in alternative and integrative medicine. It's a group of five-character alphabetic codes, with two-character practitioner modifiers (and a topic for a future column!).
ABMP (Associated Bodywork and Massage Professionals) is a membership organization serving the massage, bodywork, somatic and esthetic professions.
AMTA (American Massage Therapy Association) is a 60-year-old professional association representing the field of massage therapy.
CAM (Complementary and Alternative Medicine), as defined by the National Center for Complimentary and Alternative Medicine (NCCAM), is a group of diverse medical and health care systems, practices and products that are not presently considered part of conventional medicine (also referred to as allopathy; Western; mainstream; orthodox; regular and bio medicine). Although some scientific evidence exists regarding some CAM therapies, key questions have yet to be answered as to whether CAM practices are safe and whether they work for the diseases or medical conditions for which they are used.
CEU is Continuing Education Unit. Frequently used synonymously with contact hour, this actually falls under the International Association for Continuing Education and Training's (IACET) continuing education terminology and definition for credit hours. According to the IACET, one CEU is awarded for each 10 contact hours of organized approved continuing education experience.
CMT (Certified Massage Therapist) is a title sometimes awarded and/or allowed by a state, county or municipal regulating entity.
CPT is a billing code system owned by the American Medical Association. It stands for Physician's Current Procedural Terminology.
CST stands for CranioSacral Therapy, a gentle, noninvasive method of evaluating and enhancing the function of the membranes and cerebrospinal fluid that surround and protect the brain and spinal cord. Developed by Massage Today columnist John E. Upledger, DO, OMM, this therapy enhances the body's natural healing processes and has proven effective in treating a wide range of medical problems associated with pain and dysfunction.
HIPAA is the Health Insurance Portability and Accountability Act (see www.massagetoday.com/archives/2002/12/10.html; www.massagetoday.com/archives/2003/02/09.html; www.massagetoday.com/archives/2003/01/05.html).
IMA is the International Massage Association, which provides insurance services for massage, complementary and healing arts, and health and beauty.
LDT (Lymph Drainage Therapy) is an original hands-on method of lymph drainage developed by French physician Bruno Chikly. It offers a highly efficient approach to working with the lymphatic and other fluid systems. While its concepts are based on traditional procedures, LDT is the first modality to teach practitioners how to manually attune the specific rhythm, pressure, quality and direction of the lymph flow by using a combination of precise anatomical science and distinct manual techniques.
LMP (Licensed Massage Practitioner) and LMT (Licensed Massage Therapist) are titles sometimes awarded and/or allowed by a state, county or municipal regulating entity.
MFR (Myofascial Release) is a gentle and effective hands-on manual therapy technique that uses sustained pressure into restrictions in the fascial system to eliminate pain, and restore motion and function to the body.
NCBTMB is National Certification Board for Therapeutic Massage and Bodywork (the organization!); NCETMB is National Certification Examination for Therapeutic Massage and Bodywork (the test!); NCTMB is Nationally Certified in Therapeutic Massage and Bodywork (the credential!).
NMT, (Neuromuscular Therapy or Technique) is a program of soft tissue manipulation and recovery from acute and chronic pain syndromes which uses specific massage therapy, flexibility stretching and home care in an effort to eliminate the causes of neuromuscular pain patterns. It is designed to bring about balance between the musculoskeletal system and the nervous system. NMT enhances the function of joints, muscles and biomechanics (movement), and it releases endorphins, the body's own natural pain killers.
I hope this list has been helpful. I find that we frequently use and misuse these terms, and that misuse can undermine communication greatly!
Thanks for listening!
*CHRF NEWS FILE #52, August 18, 2003; The CHRF News Files is a product of the Collaboration for the Healthcare Renewal Foundation.
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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