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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.
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.
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.
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.
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."
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
November, 2006, Vol. 06, Issue 11
Get Your National Provider Identifer
By Vivian Madison-Mahoney, LMT
Massage therapists can now obtain a National Provider Identifier (NPI)! My advice is to get it now, while the information is right here in front of you. As a health care provider, the NPI will be your own standard, unique identifier and is yours forever - never to be changed.
The Administrative Simplification Provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for health care providers, a National Plan and Provider Enumeration System (NPPES), as well as the adoption of standard unique identifiers for health plans.The purpose of these provisions is to improve the efficiency and effectiveness of the electronic transmission of health information. This new number is now available and will replace any and all other provider identifier numbers.
This number is not a necessity for those not classified as a "covered entity." However, when it comes to an insurance company denying or delaying a claim, it might use the fact that the claim form is incomplete if some needed blanks are not filled in. This could tie up your claim for another 30 days or more. So, why chance it? Get your NPI now while you have this information. It costs you nothing except a little time to go through the process.
What Is a "Covered Entity"?
HIPAA classifies a "covered entity" as anyone who processes patient-identifiable information by electronic means. If now, or in the future, you decide to process patient-identifiable information by electronic means or hire someone else, such as a clearinghouse, to do it, you will be required to have this NPI number. You also might be considered a "covered entity" if you are a business associate, and possibly in some other circumstances.
At this time, most, if not all, massage therapists do not submit claims or other patient-identifiable information by electronic means. This does not preclude the fact that insurance companies might in the future require that all claims be submitted electronically. We also cannot bill or accept Medicare at this time. However, we might as well apply for and receive this number while there is a taxonomy classification for massage therapists.
There currently are four ways to contact the NPI Enumerator to obtain your own number: online, by phone, by e-mail or by regular mail. Here is the contact info:
When applying online, click on "Apply Online" and then begin the registration process. Most of this will be very straightforward. When you get to "Taxonomy Information," look under 22-Respiratory, Rehabilitative and Restorative Service Provider. Then scroll down to Massage Therapist. Don't forget to add your license number and the state in which it was issued.
Note: If you are in an unlicensed state, you might want to call the toll-free number and ask to speak to someone who can advise you regarding whether you should use your National Certification Number or if you would otherwise be able to apply to receive an NPI number.
New CMS 1500 Claim Forms
The National Uniform Claim Committee has announced approval of revised CMS 1500 claim forms with a few new revisions. One of the revisions will be an available space to input your new NPI number. Don't be investing big in CMS (formerly HCFA) 1500 claim forms right now! New CMS 1500 claim forms with space for new NPI numbers, though not mandatory until late spring, are now available on my Web site: www.massageinsurancebilling.com. You can contact me at that site if you have any additional questions.
Click here for more information about Vivian Madison-Mahoney, LMT.
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