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5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
March, 2007, Vol. 07, Issue 03
2006: A Year in Review
By Vivian Madison-Mahoney, LMT
I hope everyone is optimistic and off to a very happy, healthy and successful 2007!
Because I am receiving so many calls and e-mails about information I previously have written about, I am going to briefly review last year's important issues.This article will only mention those issues, but you can go to www.massagetoday.com and look up each of my articles in the archives for complete information. Here are the important issues of 2006 that could have a bearing on your massage practice in 2007:
NPI: National Provider Identification
Have you registered yet to obtain your NPI? As a massage therapist, you do not have to obtain this number unless you are considered a "covered entity." How do you know if you are a covered entity? If you submit any patient-identifiable information by electronic means, you are considered a covered entity and must be HIPAA compliant.
However, whether or not you are a "covered entity," having your personal National Provider Identification number puts you ahead of the game, so to speak. Having your own number allows you to use it on the CMS 1500 insurance claim forms when submitting bills to insurance companies. Filling in all of the required blanks on a claim form reduces the chances of insurance adjusters denying or delaying your claim. If you do not bill insurance at this time, you can still obtain your personal NPI number, so you'll have it ready if or when you have occasion to submit a claim in the future.
There currently are four ways to contact the NPI enumerator to obtain your own number. Here is the contact info:
If applying online, click on "National Provider Identifier" and then "Apply Online." Most of the registration process is 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 include 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 can still apply to receive an NPI number.
Senate Bill 3963 Introduced
Sen. Craig Thomas introduced the Access to Physical Medicine and Rehabilitation Services Improvement Act of 2006 (S.3963) on Sept. 28, 2006. The Coalition to Preserve Patient Access to Physical Medicine and Rehabilitation Services supports access to quality health care and therapy services for Medicare beneficiaries. It also supports allowing physicians to choose the health care professionals who provide those therapy services to Medicare beneficiaries while under a physician's supervision in their office. These are billing situations know as "incident to." The passage of the Act will ensure that Medicare beneficiaries have better access to quality health care provided by licensed or certified health care professionals.
Go to www.coalitiontopreservepatientaccess.com to get all the information you need to know and to join this all-important coalition. Please help ensure the passage of this bill. The coalition's goals are threefold:
Nine Key Points
For nine key points to use when contacting your legislators regarding this important legislation, please contact me.
The Coalition to Preserve Patient Access to Physical Medicine and Rehabilitation Services
Twenty-four associations, organizations and member groups already are fighting to preserve your rights and the rights of patients. I am happy to say that the Florida State Massage Therapy Association (FSMTA) has joined this coalition. I had proposed that the AMTA join the coalition as well. The proposal was presented by Pat Donohue, president of the Florida chapter of the AMTA, to the 32 House of Delegates members at the AMTA convention in Atlanta. The vote was 28 of 32 in favor of the AMTA joining the coalition.
At this time, we are still awaiting confirmation from the board, as well as the board's position statement to add to the coalition's Web site.
Clarification on S.3963
I asked Bill Finerfrock, lobbyist for the National Athletic Trainers Association (NATA), if he could clarify S.3963 for us in regard to billing Medicare and supervision issues. Here is his reply [edited for clarity/space]:
Contact Cate Brennen Lisak, coalition organizer and external affairs director of NATA, and/or myself for more information on the coalition, or to let us know if you or someone you know is willing to join. There are no costs; only requests to assist with calls, e-mails and letters, when necessary. The only possible future costs might be to send a representative of your group or association to special events.
CMS 1500 Claim Forms
CMS 1500 forms will be changed to reflect the new provider number and to include a space for that number. There will be a few other minor changes as well. These forms will be the only forms available after April 1, 2007, and will be referred to as "1500 Insurance Claim Forms."
CPT Code Changes
There are no CPT code or definition changes for 2007.
Contact me regarding insurance billing or coalition issues at , www.massageinsurancebilling.com, or by phone at (865) 436-3573. Cate Brennen Lisak can be reached at , www.nata.org, or by phone at (800) 879-6282, ext. 148.
Click here for previous articles by Vivian Madison-Mahoney, LMT.
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