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Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
July, 2007, Vol. 07, Issue 07
Accept Insurance for Reimbursement: Should I or Shouldn’t I?
By Vivian Madison-Mahoney, LMT
We often have a tendency to look at only the surface of things. We jump to conclusions and immediately affirm that we don't want to deal with or get involved in whatever the problem is, before we really take the time to analyze the situation.
An example of this is when clients or others ask a therapist if they accept insurance for payment.Therapists immediately answer, "I'm not interested." Then often add either, "I know it won't work," or "I have heard others say it's not worth the hassle." Other statements include, "because there's too much time consumed in phone calls, paperwork, waiting for money, possible losses, preparation time, etc."
Let me ask you three questions:
Sounds silly, doesn't it? Not really, the money is there to collect from insurance cases. However, there are necessary steps to take in order to make it happen.
Insurance Acceptance is an Avenue
Insurance acceptance is not about taking insurance or medical cases. Accepting insurance for payment is an avenue to help more people, to increase your income, to open new doors for yourself and your patients, for doctors to refer, and for our profession as a whole. Insurance and medical referrals can be considered a business within your massage therapy business. Accepting insurance cases is not a means to an end. It's just another door to walk through to increase your clientele and income.
I hear those who say that accepting insurance will be the end for us, that we will have to accept insurance fees, if lower. They say we will end up having to do what insurance companies tell us to do. We are now independent and need to always fight for our right to remain independent, as well as working with individuals with or without injury or illness, and of course, to accept or not to accept insurance for reimbursement, if that is what we wish to do. Working with insurance-related patients, we need a physician's prescription, rightfully so in that we are not allowed to diagnose a medical condition. No one will force you to accept insurance for reimbursement - it is a choice you make.
When you decided to become a massage therapist, you did not have all the answers on how to do it, did you? You had to invest your time, you had to invest your dollars, then you had to be willing to learn the ropes, take the proper courses and tests to even get the first sense of direction. There were no guarantees. The same goes for the business end of accepting medical cases and insurance for payment, there are no guarantees, just open-door opportunities when and while they exist.
Accepting Medical Referrals and Insurance Is a Nine-Step Process
Before we go into the nine steps, let me ask you:
If you have answered yes to even a few of these questions with the exception of number 5, you might just be ready to learn how to take on a few medically referred patients and to accept insurance for payment from those whose insurance companies will reimburse you directly.
Remember, to bill insurance, you should know the ropes by receiving proper training. Know, too, that medical cases are legal cases and must be prescribed by attending physicians, documented properly and billed accurately; using only codes within your scope of practice. Also, you must charge fees that are ethical, customary and payable.
Know that not all kinds of insurance will reimburse you, not all patients have insurance and not all patient conditions are covered. We still are in the baby stages, taking one step at a time. We still are trying to be accepted and recognized in the insurance industry. To bombard the insurance companies with threatening or disrespectful behavior and brazenly overcharging and over-coding is not how we got this far.
Here are the nine steps to accepting insurance for reimbursement:
Good luck and let me know how the process works for you!
Click here for more information about Vivian Madison-Mahoney, LMT.
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