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What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
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 more information about Vivian Madison-Mahoney, LMT.
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