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Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
January, 2004, Vol. 04, Issue 01
We Get Letters & E-Mail
By Editorial Staff
Editor's Note: Some letters have been edited for space and clarity.
The State of Massage Education
I must agree with Ralph Stevens that massage education is still failing (November 2003, www.massagetoday.com/archives/2003/11/10.html); however, I do not believe that adding more hours to training programs will automatically result in higher standards.
Many schools with 500-hour programs fail to make the best use of those hours, and tacking on additional hours would simply result in more wasted time for students.I fear the problem runs deeper than hours or even external standards imposed by accreditation agencies. At the heart of the issue, the failing of massage education reflects our society's dreadful "dumbing down" of education, in general. We have shifted the focus of education to coddling students, and making them feel good, regardless of their performance. True education demands excellence!
Instead, we kowtow to slackers, afraid to bruise their fragile egos by pushing them to be accountable to higher standards, work harder, and strive to achieve their best. As a nation, we have forgotten that the only place where success comes before work is in the dictionary! When we spoon-feed "knowledge" to students, we rob them of the joy of true learning. They learn nothing of the struggle to master an idea or skill, and the confidence that is built as a result of that struggle. To quote Michelangelo: "If people knew how hard I have had to work to gain my mastery, it wouldn't seem so wonderful."
Gail Frei, LMT, NCTMB
(Editor's note: Read more about Gail's position on education in her article, "A Quality Education Benefits More Than Students," in this issue. www.massagetoday.com/archives/2004/01/04.html)
There are many massage schools lacking in quality. I have been teaching for three years now, and have seen less than adequate teachers in the massage profession. My [school's] program is one of the most expensive in the state, but we seem not to give the students their money's worth!
Some more comments on Ralph Stephens article: I don't feel that the educational level of practitioners is as much of a threat to our profession as the proliferation of massage parlors. Businesses that represent their work as "massage" when they have only one credentialed therapist are committing acts tantamount to misrepresentation and fraud. The organizations that offer these businesses memberships should also be sanctioned.
Also, after 10 years as a registered nurse in holistic health, I must agree that despite its problems, it may be essential for the U.S. to switch to a national health plan. While Mr. Stephens may not want to help pay for the care of affluent Americans, I hope he understands that he is currently paying for the care of many "noncitizens." Many of my patients "worked the system," getting better health care than was available to me. Yes, it will be a tough fight to limit health care to the basics for all and pay-as-you-go extras, but won't it be worth it to have all Americans covered for basic medical necessities, including post-accident massage?
Suzanne Christy, RN, BSN, CMT
Misgivings About Massage Poll
Massage Today's October 2003 online "Massage Poll" asked: "Do you think the National Certification Examination for Therapeutic Massage and Bodywork (NCE) is a reliable tool to evaluate the knowledge and skill of a massage therapist?"
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) is interested in the perceived value of its exam and national certification. That's why NCBTMB conducted a survey in conjunction with FGI Research (a unit of Yankelovich Research) of nearly 800 practitioners this September. In direct contrast to Massage Today's results, the NCBTMB survey indicated that:
Survey participants were selected randomly from three categories - current nationally certified practitioners; those who had let their certification, lapse; and certificants approaching their renewal period - for the 20-minute phone survey.
The discrepancy between Massage Today's poll and NCBTMB's study lies in the nature of the research. Massage Today indicates that its poll is "nonscientific," but fails to mention that visitors to its Web site may vote on the poll as many times as they wish. Massage Today stated that the survey results represented "responses from 4,166 people" [December issue]. In fact, the survey may not represent the responses of 4,166 people inasmuch as it represents 4,166 votes - not exactly a fair representation of the voice of the profession.
National certification is more than an exam - it's an entire program of requirements developed to ensure competency and standards, including 500 hours of formal in-class education or a portfolio of comparable experience, as well as passage of the NCE and a pledge to uphold NCBTMB's Standards of Practice and Code of Ethics. Certificants must recertify every four years to demonstrate continued competence. Considering these factors, it's difficult to accept the Massage Today poll as a true indicator of practitioners' perceptions of the NCE and national certification.
NCBTMB is committed to maintaining the quality of its certification program and listening to its certificants. We will continue to pursue our mission to foster high standards of ethical and professional practice through a recognized credible credentialing program that assures the competency of practitioners of therapeutic massage and bodywork.
Garnet Adair, NCTMB Chair, NCBTMB
The following letters were not published in this month's print version of Massage Today.
"Canyon Ranch at the Venetian only finds 'acceptable' candidates from the Nevada or Utah Schools of Massage Therapy"
I am writing in response to the featured article "An Interview with Blake Feeney, Director of the Canyon Ranch Spa Club" (Talking Spas, September, www.massagetoday.com/archives/2003/09/15.html); specifically, in regards to a quote in the article pertaining to where Canyon Ranch at the Venetian finds "qualified personnel."
It is well known in the Las Vegas massage community that Canyon Ranch at the Venetian will only accept applicants who have graduated from either the Nevada School of Massage Therapy or Utah School of Massage Therapy (both schools are from the same parent corporation).
Applicants who have "confidence, therapeutic skills and a professional massage," as well as spa experience and local licensing are summarily ignored. Bottom line is: Canyon Ranch at the Venetian will hire a graduate from the Nevada or Utah schools with zero spa experience, zero private practice experience, no licensing, no national certification, and zero continuing education. Other applicants -- no matter how experienced, qualified or credentialed -- are ignored.
Surely, in a resort town with a thriving spa industry and many quality massage schools, there are any number of candidates who possess the skills to land a position at any resort spa. And while some spas are specific in their expectations of applicants (such as having at least one year of spa experience), I find it odd -- bordering on discriminatory -- that Canyon Ranch at the Venetian only finds "acceptable" candidates from the Nevada or Utah Schools.
The glossy corporate spin of the article only pays lip service to the mirage of Canyon Ranch Spa at the Venetian as an equal opportunity employer when it comes to massage therapists.
"I had the same experience with NCBTMB"
Just viewing letter to the editor from Robert Orzel [December 2003, www.massagetoday.com/archives/2003/12/14.html]. I had the same experience with NCBTMB. I went to an AMTA-approved school in Washington, D.C. nine years ago, passed the national certification exam and was licensed by my state. Then I moved to Arizona where they do not recognize national certification. I also think there should be a grandfather clause. I know exactly how Robert feels. Maybe if more of us spoke up, the Board would look into this.
Readers Appreciate Our Writers
I am a Sports Therapist in Gaborone, Botswana, Southern Africa. I really enjoyed [Michael McGillicuddy's] article on post-event sports massage (September, "The Art and Science of Post-Event Massage," www.massagetoday.com/archives/2003/09/09.html). It was straight to the point and made for easy reading.
I was pleased to see [Karen Jones'] iridology article in October's Massage Today (www.massagetoday.com/archives/2003/10/05.html) and was glad to see information on the International Iridology Practitioners Association (IIPA).
It is nice to see a mostly accurate description of iridology in the media, as this has often not been the case. One thing I find helpful as a massage therapist is identifying the presence and amount of contraction furrows. A client with a high quantity of these concentric rings is most likely to have extremely tight muscles and a lot of resultant myalgia. They [tend to] desire the deepest massage work to help unwind those tight muscles. Without significant lifestyle changes (i.e., slowing down, exercising, yoga/stretching, deep-breathing/relaxation practices), they are destined to be long-term massage clients! On the other hand, clients with loose iris stroma cannot tolerate deep work and do best with lighter work.
Dr. Bill Caradonna, Cofounder, IIPA
I'd like to compliment Maria Mathias on her article, "Infant Massage - Everyone Benefits" (November, www.massagetoday.com/archives/2003/11/05.html). The content is excellent, and it is written in a way that is very easy to comprehend. The main points are very well stated. A wonderful summary!
Thank you to Ralph Stephens for providing a clear, true voice for our profession; for your activism; for your wisdom and understanding of our current health system; for demanding accountability and integrity from our massage schools; for a vision of health care that is inclusive; for your independent thinking; and for defending your right to present your "view."
I look forward to more insightful columns and am glad you care so much about our profession. Mahalo nui loa, Ralph Stephens, and Massage Today for publishing a man of conscience.
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