resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
December, 2003, Vol. 03, Issue 12
Reimbursement Fees to Ontario Massage Therapists Slashed
By Editorial Staff
Editor's note: The following article was excerpted from "New Regulations Cut Reimbursement Fees to Ontario Chiropractors," which appeared in Nov. 3 issue of Dynamic Chiropractic (www.chiroweb.com/archives/21/23/15.html).
The Ontario government recently introduced a series of measures designed to reform the province's auto insurance system.Included in the reforms are new fee schedules that drastically reduce the maximum amount insurers are required to pay health care providers, including massage therapists, for their services.
Effective Nov. 1, massage therapists, occupational therapists, registered nurses, physiotherapists, podiatrists and other providers will see fee reductions ranging from 30 percent to 50 percent - in some cases, as low as $49 - and chiropractors' hourly fees will be reduced to a maximum of $95 an hour for services rendered to patients injured in automobile accidents.1
The reforms were drafted in response to the province's escalating insurance premiums. According to Statistics Canada, a census and survey information provider, auto insurance rates in Ontario jumped an average of 27.7 percent from April 2002 to April 2003.4
While the insurance industry has blamed the rate increases on a sputtering economy and the aftereffects of the Sept. 11, 2001 terrorist attacks, figures from the Insurance Bureau of Canada show that private property and casualty insurers made $1.1 billion in the first half of 2003, nearly four times the amount made over the same time span the previous year.
According to the Toronto Star, provincial officials estimate the new fee limits will save insurance companies approximately $400 million per year. In an interview with the Star, George Cooke, a past chairman of the Insurance Bureau of Canada, said the fee cuts and other changes would trickle down from the insurance industry and translate to substantial savings to drivers, who would see a reduction in their insurance premiums.5
Some health care providers in the province, however, are worried the cuts are so severe that they may force practitioners to stop serving auto accident victims.
"It is sure hard to follow the logic of their numbers," said Jeff Lear, an official with the Ontario Association of Speech Language Pathologists and Audiologists. Speech language pathologists will see a 30 percent fee reduction under the new regulations.5
Members of the Ontario chiropractic profession have also questioned the reforms, and are concerned about the effect they will have on access to care. "Coming two days after the insurance industry announced profits of over $1 billion in the first half of the year, the announcement is hard to understand," said Dennis Mizel, DC, president of the Ontario Chiropractic Association. "Like all health professionals, I'm worried that the impact of this change will be that people injured in auto accidents have to wait longer to receive the care they need, and in turn, this well mean they're off work longer, and they're more likely to develop chronic injuries. The government should rethink this drastic announcement, in light of the effect it will have on access to care."2
"We would have preferred to see more modest cuts in professional fees and then see what happens in six months," added Carlan Stants, DC, chair of the Coalition of Regulated Health Professional Associations and Allied Organizations. The coalition was formed in October 2001 to represent the interests of the professional health care community on issues related to automobile insurance. Dr. Stants said that while some elements of the bill (such as the preapproved framework for whiplash treatments and an existing ban on payment of cash settlements within a year of an injury claim) will produce substantial savings for insurers, the new fee limits could cause an undue burden on some health care providers. "It is almost like it is too much all at once," he said.3
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