resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
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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