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Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
February, 2004, Vol. 04, Issue 02
By Steve Capellini, LMT
The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
The treatment menu for your soon-to-open Spa House is coming together, and it was a little trickier to create than you'd imagined, wasn't it? When you walk into a great spa and take a glance at its beautiful brochure and list of services, it all seems so natural and easy, doesn't it? But when you have to do the work yourself, you understand how much goes into it.I think you've made some wise choices as far as the treatments you're going to offer, and I'm not just saying that because you followed my advice on some of them! Nobody could resist the sumptuous Spa House Specials you've created:
You've also added several foot and hand treatments, a scalp treatment, manicures, pedicures and "quickie" chair-massage. This is a great start for a menu, Lou. There is no need to be overly worried about the items you did not include at this stage, as you will inevitably revisit this menu and make amendments in coming years. What you should concentrate on now is training your staff thoroughly on all the treatments and products.
I'm happy to hear that you've chosen products known for their organic properties. Although these products are not generally well known, you will be able to educate the public about their value. Sometimes it's smart to use a less remarkable brand and then pair it with your own Spa House private label products later, rather than go for a famous skin care/body care line now. You're smart to avoid the tendency of "transference" in which you hope to upgrade the image of your spa by associating with famous brands. Sometimes that backfires, and you end up without a clearly recognizable image of your own.
Proudly display, in a conspicuous area in your spa, each of the all-natural lines you will be using in your treatments. These of course will also be available for sale to your clients, but they are there to enhance your spa's image, not take it over. The trick is to get your clients interested in buying your spa's overall image and to have them view products as an adjunct of that.
You've got mud from Hungary, clay from Sedona, fango from Italy, seaweed from France, Ayurvedic oils from India, shampoos from the Hawaiian rainforests, plus several more products on your shelves. My advice is to keep diversifying, as you have already. Then, when it comes time to highlight one brand in the near future (hopefully shortly after you open the spa), it will be your own house brand.
The Signature Service
I absolutely love the signature service you've chosen for the Spa House. Asian treatments are very hot right now in the spa market, so it's great that you're going with that theme and offering the Spa House Balinese Ritual. At 2 1/2 hours long, with a healthy snack and take-home spa sandals included, I think you're going to receive some rave reviews and many repeat customers, even though the price, at $295, seemed high to you at first. Your spa business partner Barbara was wise to price it at that level. After all, your clients will be getting a lot for their money: the dedicated attention of one of your therapists, gifts, and first-class natural products from the exotic South Pacific via Jamuspa.com, the same company you trained with while working at the resort spa a few years back.
It's some kind of destiny that your previous work is coming in handy as you incorporate your training and experience into your new endeavor. Based on the traditional "Lulur" ritual of preparing brides for their weddings, the treatment features my favorite triumvirate of exfoliation, hydrotherapy and massage. It doesn't get any better than this, with rose petals in the bath, a creamy yogurt-based mask application, and a long, flowing Polynesian-style massage session.
Your choice of signature service can even color other, broader choices at the Spa House too, if you want. The room in which you provide the Balinese Ritual can be decorated with wood carvings, silk wall hangings, native statuettes and warm tropical earth tones. This theme, over time, may trickle out into the rest of the spa. Personally, I can't wait to see it!
Now that you have created a menu in your mind, you need to create a physical menu on paper, which means that you're going to have to strike up a relationship with yet another co-creator of your spa vision - a printer. Perhaps you didn't think of a printer as being a core member of your spa-creation team, but stop for a moment and think about collateral materials - brochures, fliers, stationary, letterhead, logos, business cards and so on. Besides the actual spa, collateral is what most impresses clients and potential clients. It's what "shouts out" your spa's image loud and clear; it is your signature and personality sent out far and wide into the world. In fact, when you use electronic collateral on the Internet, you are making this image visible for millions across the globe.
One tip I'd like to offer as you and your collateral design partner begin putting together your materials: Insert a separate price card, sometimes known as a tariff sheet, which you can change at any time easily without having to go back to the printer for another run, wasting hundreds, or even thousands of dollars on existing brochures.
Stop and give your collateral materials some serious thought, Lou. You'll benefit greatly by teaming with a printer and/or designer who shares some of the vision you have for the Spa House. Interview a few people. Find someone who loves spas and would like to get involved hands-on with the project. He or she should receive a few treatments and walk through the spa with you to get an idea about the kind of image you're attempting to create.
I look forward to hearing about the collateral-collaborator you find and seeing some of the art you create together soon. In the meantime, hang in there - you're getting closer and closer to the opening of your new vision, the Spa House!
Until Next Time,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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