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Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your 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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