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What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
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?
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.
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?'
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.
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.
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).
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
February, 2004, Vol. 04, Issue 02
The Hidden Costs of Purchasing Massage Tables
By Linda Riach
There is an inclination among massage therapists, both experienced and inexperienced, to purchase inexpensive equipment. The reflex to save money on the spot is natural, but can cost you dearly in the end.Too often, with cheap massage tables, you get what you pay for. To avoid the hidden costs of tables, here are some issues to think about to ensure that you get the right table to maximize your practice. After all, aside from one's hands and training, the table is the single most important tool upon which the practitioner's whole livelihood hangs.
When purchasing a table, the first question to ask is, "What purpose will the table serve?" Will the table be used only for massages? If so, what type? Or will the table be used to offer other services, as well? If so, you'll want to consider a table with features that support each modality and functionality, such as padding, height adjustability, even a backrest. A less expensive table that is not as accommodating can cause you to incur greater costs, since an unequipped table cannot perform all the functions you will need. The wrong table will create a poor experience for your client and put undue strain on your key business investment - your body. If your table cannot accommodate your usage needs, you will have to purchase a second table, which will add an additional unplanned expense to your practice.
For the practitioner, a good table can mean the difference between a healthy career and a painfully stunted one. In this case, a "good table" means one that reflects your physical attributes and ergonomically supports your body mechanics, including your height, weight, strength and modality. In other words, you want a table that reflects your physical reality and allows you to service a thriving client list without suffering physical burnout. A well-designed table can turn your day-to-day practice into a lifelong career!
If you are not a sole practitioner, poor table choices can cost you one of your most valued assets - your employees. Ergonomically unfriendly tables can take a toll on your practitioners by creating "wear and tear" on their bodies, making the workplace unbearable, shortening their careers and increasing your turnover rate! Poor-quality tables can lead to ongoing frustration for your massage therapists; it sends the message that you don't care about their comfort or longevity. These factors contribute to costly staff turnover. Don't forget, word-of-mouth is an important marketing tool for a massage business. Employees - past and present - talk.
One good massage experience is often enough to keep clients coming back, which generates greater, ongoing revenue for you. All it takes is one bad appointment, and you will probably never see that customer again. Well-made, comfortable tables will enhance the massage experience for the client, helping to take it to a whole new level. Ironically, a great table "disappears"; the ergonomics of a great table go unnoticed during a massage and keep the attention on the treatment-where it belongs. Foam quality; table width; getting on and off the table with ease; and bolsters, all contribute significantly to creating client comfort. In short, a great table is the foundation upon which a great massage is built.
High-quality tables positively influence efficacy. In terms of table features and accessories, the right tool for the job can make the difference between helping or hindering a client's health and well-being. A good table, designed with both you and the client in mind, will enhance your therapy and help the client achieve greater wellness.
While there are reputable companies that manufacture and import tables from overseas, some questionable companies that offer less expensive tables often do so because they have less invested in them: less testing, less design and development, lower-grade materials and lower safety standards. Some of these are manufactured in underdeveloped nations, for low wages, in substandard conditions. Massage therapists that are willing to gamble on safety and table quality are opening themselves up to costly liability, years of potential litigation and a ruined reputation.
Safety is not the place to cut costs for you or your clients! Check with your sales representative about the company's commitment to safety standards, testing and weight-acceptance ratios. Do not underestimate the reputation, customer service and stability of the manufacturer. Who is going to honor a warranty if the table company goes belly-up? You want a table from a company that will answer your questions and be responsive to your needs. A table is a big investment for anyone, and a good one can last you a lifetime. Reputable table companies should back up any claims they make.
The Life of the Equipment
Better equipment lasts longer. Investing in top-quality equipment designed to last for years will go a long way toward creating goodwill among staff and clients, and generate additional cost savings over the life of the products. While it may be easier to buy less expensive equipment in the short run, in the long run, the high-quality tables cost less and actually pay you back in increased return business. Less expensive tables often have shorter life spans. Further, higher quality tables often come with lifetime guarantees, so you don't have to buy a table twice if you do experience any type of table-related defect or failure.
When considering purchasing a table - in essence, finding the right foundation upon which to build your business - consider all the real and hidden costs. Remember that investing in a table that supports its purpose, your employees and your clients will give you a great return over the life of the table. With that in mind, it is a good idea to resist the urge to save money now, rather than invest in the health of your business over the long term.
Click here for previous articles by Linda Riach.
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