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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
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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