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.
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.
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.
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).
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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?
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?'
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
November, 2003, Vol. 03, Issue 11
COMTA Hit With Lawsuit, AMTA Faces New Allegations
By Rebecca J. Razo
In November 2002, Massage Today reported that The Galen Institute in Wethersfield, Conn., had filed a lawsuit against the Commission on Massage Therapy Accreditation (COMTA) for misconduct during the institute's pursuit of COMTA accreditation (www.massagetoday.com/archives/2002/11/05.html).In a recent development, the institute announced its expansion of the lawsuit to include the American Massage Therapy Association (AMTA) and an unnamed Connecticut massage school as co-defendants, claiming the school conspired with the AMTA and COMTA to form a monopoly in violation of antitrust laws.1
Galen Institute is owned and operated by Jim Lattanzio, who, earlier this year, formed the National Organization for the Advancement of Massage, Schools and Educators (NOAMSE), an organization comprised of massage school owners and educators who do not agree with the accreditation standards set forth by COMTA.
Now, one of NOAMSE's affiliates has come forward and filed a lawsuit against COMTA, naming the AMTA, COMTA and COMTA Executive Director Carole Ostendorf as co-defendants, and alleging the organizations have engaged in illegal business practices. The Council Overseeing Medical and Massage Therapy (COM &MTA) in Olathe, Kan., is a massage school accrediting agency formed earlier this year by Chris Folkers. In the nine-count brief obtained by Massage Today, COM&MTA's allegations include fraud, coercion in an attempt to convert, defamation, violation of antitrust and trade acts, false advertising, interference and conspiracy.2
COM&MTA filed its lawsuit after being contacted by COMTA and AMTA. According to the lawsuit, COM&MTA was informed it had "illegally infringed on the certification marks 'COMTA' and 'Commission on Massage Therapy Accreditation.' " COMTA and AMTA then attempted to force COM&MTA to cease using the name and acronym.
COM&MTA challenged the accusation, demanding proof that COMTA held certification and trademark ownership. According to the brief, however, COMTA "attempted to fraudulently mislead the [COM&MTA] as to a U.S. trademark ownership of certification mark."2
"In June, COM&MTA was legally formed," Folkers said. "A search of the United States Trademark and Patent Office was done, and at that point, there was no application from the AMTA [for COMTA] on file."3
The AMTA and COMTA disagree. "The AMTA name is trademarked and we have also received and/or applied for other trademarks, service marks and certification marks associated with AMTA," stated a letter from the AMTA national board of directors to AMTA chapter presidents. "One of the names we protect is the Commission on Massage Therapy Accreditation."4
According to Lattanzio, the COM&MTA and NOAMSE have been unfairly attacked because of their joint desire to accredit schools that have been excluded by COMTA. "An accrediting agency should be able to evaluate any school [that is] legitimate and has an outcome-based education," Lattanzio said. "COMTA says it assures quality and excellent education, and quality of massage therapists, [but] a quality student cannot be guaranteed by COMTA."1
Folkers agrees. "The establishment of [COM&MTA] was due to a growing need for a more logical and common-sense approach to accreditation. The current assumption that a national standard exists is a fallacy," he said. "One of the primary objectives [of COM&MTA] is to give schools a choice. [Having] only one primary accrediting agency choice could lead to bias, corruption, and destruction of businesses and other overt acts," he added.3
COM&MTA's evaluation of massage schools for accreditation are based on local standards, which allow schools to be evaluated on their own merits, and is logical, as far as Lattanzio is concerned. "There are no industry standards. Everything from 'A to Z' exists as far as massage therapy is concerned; if there are no standards, how can an organization declare a standard? COMTA's standards seek to exclude rather than include," he remarked.1
In a letter mailed to massage school owners and directors, COM&MTA clearly stated its position related to accreditation: "We believe that all legitimate schools, through a reasonable process, should have an opportunity to participate and achieve validation and accreditation. As state, local laws and regulations vary so much and usually establish what schools teach, school owners, directors and educators should not be forced to adopt, in the name of being 'legitimate' any set of artificial standards."5
Lattanzio and Folkers also believe that COMTA is not living up to certain obligations under its U.S. Department of Education (USDOE) recognition agreement. "They do not effectively monitor their member schools, which is one of the requirements under their USDOE recognition," said Folkers. "The COMTA application [to the USDOE] misrepresents their intention," added Lattanzio.1,3
One of the USDOE standards for recognition requires that "the [accrediting] agency must demonstrate that its standards, policies, procedures, and decisions to grant or deny accreditation are widely accepted in the United States by (a) Educators and educational institutions; and (b) Licensing bodies, practitioners, and employers in the professional or vocational fields for which the education institutions or programs within the agency's jurisdiction prepare their students."6
But Lattanzio disputes that AMTA and COMTA standards are widely accepted. "It makes me question how they represented themselves to the U.S. government," he said.1
Lattanzio also noted that two other organizations use the name "COMTA" - the Canadian Orthopractic Manual Therapy Association and a computer furniture manufacturer - neither of which has, to his knowledge, been singled out by the AMTA or COMTA. "Why hasn't Canada been targeted?" he asked.1
Massage Today contacted the AMTA and COMTA Executive Director Carole Ostendorf. "I've been advised by counsel not to respond," Ostendorf said.7
However, AMTA President Brenda L. Griffith issued the following statement:
Folkers sums up his feelings this way: "Presently, many schools out there will never meet and live up to the criteria for accreditation, either due to course hours or financial restraints. This puts these schools at a disadvantage when prospective students read from other agency Web sites that accredited schools are better than nonaccredited schools. The real questions are: Does the school accomplish its objective in training a competent therapist? Is this newly trained individual able to meet the standard for practicing in his or her local jurisdiction? Accreditation is a validation process. The COM&MTA offers schools a more realistic approach to this validation process. It's available to all schools. [COM&MTA] has stated it before: If we cannot accredit your school or program, your funds will be refunded. Tell me, who else offers that?"
If nothing else, this situation proves one thing: The massage profession remains divided on crucial issues relating to education, licensure and the overall direction in which the profession is headed. Look for updates on this situation in future issues of Massage Today.
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