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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.
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."
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
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.
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.
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.
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.
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.
November, 2004, Vol. 04, Issue 11
Survey Shows CAM Popular Among Military Personnel
Massage Therapy Used Most Frequently
By Editorial Staff
In August, Massage Today reported that the National Center for Complementary and Alternative Medicine (NCCAM) released survey results relative to complementary and alternative medicine (CAM) use in the United States.The survey found that 75 percent of respondents had used some form of CAM at some point in their lives, while 62 percent reported using CAM in the previous 12 months (www.massagetoday.com/archives/2004/08/01.html).1
The results of a similar survey published in the May 2004 issue of Military Medicine confirm the results of the NCCAM's survey, with the additional finding that military families are among those that routinely use CAM therapies. Topping the list of most frequently used therapies was massage.2
Researchers distributed 400 surveys to active and retired military personnel and their family members, ages 18 to 83, in four outpatient clinics in the northwest region of the U.S. Surveys were random, anonymous and self-administered, and asked questions related to the frequency of use and effectiveness of 18 CAM therapies: massage therapy, nutritional food supplements, herbal supplements, exercise therapy, chiropractic, music therapy, relaxation therapy, aromatherapy, meditation, magnet therapy, biofeedback, acupuncture, tai chi, yoga, naturopathy, homeopathy, qi gong, and hypnotherapy.
As part of the evaluation, the survey listed several medical conditions and asked respondents to report on whether they used CAM as a method of treatment for any of the ailments. These included lower back pain, stress, weight loss, neck pain, headaches, knee pain, upper back pain, shoulder pain, anxiety, health prevention [preventative medicine], depression, migraines, colds, hip pain, wrist pain, stomach pain, chronic fatigue syndrome, pelvic pain, sinus pain, viral conditions, and fibromyalgia.
Of the 400 surveys distributed, 291 patients responded. The average survey respondent was 39-years-old; 54 percent were men and 46 percent were women. Forty-six percent of the respondents were on active military duty, while 18 percent were retired and 36 percent were family members. Of the total number of respondents, 235 used at least one form of CAM (81 percent). Additionally, CAM users reported they believed treatment was effective between 81 percent and 98 percent of the time, except when treatment included qi gong, magnets and hypnotherapy, which were reported to be effective between 60 percent and 67 percent of the time.
Massage therapy, nutritional supplements and exercise rounded out the top three most frequently used therapies. Table 1 reflects the complete findings.
The study then asked respondents to rate their use of CAM for several conditions; these results appear in Table 2.
When asked whether patients wanted military medical treatment facilities to offer CAM and if they would be willing to pay for CAM services, 69 percent said they would like CAM services offered, but only 24 percent of those would be willing to pay for them. Ten percent of the patients would not want CAM offered, 31 percent of which would not pay for CAM treatment. Lastly, 21 percent and 44 percent of the respondents were undecided as to whether they wanted CAM offered and if they would pay for CAM services, respectively.
The report notes four limitations to the study, including: 1) "the level of past exposure, experience, or influence that each respondent has had with CAM therapies, which may influence their response to the questionnaire"; 2) "... only certain medical conditions were listed on the survey, which limited the patient's choice response"; 3) "... the region in which the survey was taken may have influenced the proportion of CAM use ... there [is] generally a higher use of CAM in the western region of the United States compared with the east, and this survey was conducted in an area that nationally has a higher percentage of CAM providers"; and 4) "CAM users are usually found to be predominantly in higher income brackets, have higher levels of education and are of middle age ... income and education was not measured."2
Study limitations notwithstanding, these survey results clearly show that CAM, especially massage therapy, has made a positive impact on military personnel and their families.
"Active duty soldiers, retirees, and their family members are turning increasingly toward CAM therapies," the authors note. "It is equally clear that in spite of cost (out-of-pocket or subsidized), they would prefer that these services be offered within the military treatment facility...which may clearly reflect a desire by the patient for better continuity of care.
"The need to further investigate CAM therapies and to consider integrating these practices at military treatment facilities should be further evaluated," the report concluded.2
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