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Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
September, 2007, Vol. 07, Issue 09
Newton’s Second Law: F = M x A
By David Kent, LMT, NCTMB
In previous articles, I have used Newton's Laws of Motion, specifically the first and third laws, as metaphors for how we can create positive change in our personal lives, our respective practices and the massage industry as a whole.During this year's Florida State Massage Therapy Association convention, people asked me when I was going to talk about Newton's second law. Well, as it happens, the timing couldn't be better, because we need to create ripples in our profession and that's what Newton's second law is all about.
To review, the first law states, "Every object [mass] in a state of uniform motion tends to remain in that state of motion unless an external force is applied to it."1 An example I used in a previous article, "The Power of a Minute," states that if there is an area of your life or practice that is like a still pond, then you need to stir it up and create some ripples by throwing some stones in the water. You wish to change and an internal "force" must motivate you to action. Newton's third law of motion states, "For every action there is an equal and opposite reaction."2 This concept I relate to cause and effect with the stones being the cause and the ripples being the effect.
Newton's second law relates to the behavior of an object when existing forces are unbalanced; it states that the acceleration or movement of an object is dependent upon two variables: the mass of the object and the net force acting upon the object.3 Essentially, F = Force; M = Mass; and A = Acceleration, which means F = M x A. Once again, this concept offers a perfect analogy for the massage industry, as it relates to one very important concept: research.
M = Mass
In the massage profession, mass stands for us, the massage therapists, the mass of the profession. And as a profession, our numbers (mass) are large. Just as we comprise a mass, there is an even larger mass of people desperate to learn more about the benefits of massage through research. Preliminary studies indicate that masses of people would benefit from receiving regular massage therapy. In fact, there are plenty of people out there getting massage and not disclosing it to their medical providers because the medical profession still has not fully embraced massage as an adjunct to health care; this is, in part, because research remains in short supply.
We see daily the life-changing results massage has on our patients. But we need more industry research to validate our knowledge and draw even more of the masses to massage. While we're certainly making progress in the field of massage research, we would definitely benefit from additional research. There are many other professions with far fewer people, yet whose research base is more widely encompassing than that of the massage industry. If industries with a smaller number of professionals can produce a steady flow of research, then we in the massage industry - a profession large in number - also should be able to produce a more influential research base.
A = Acceleration
Acceleration equals movement, or action. In this case, we need to accelerate our efforts in the area of research. But acceleration only occurs when we take action. So how can we as therapists help accelerate massage research efforts? To begin, the acceleration of research is funded by the burning of fuel, which we call money. Research requires money - and lots of it. This is where our actions come into play.
Philanthropy - According to the Encarta World English Dictionary, the word philanthropic is defined as: 1) Showing kindness, charitable concern and generosity toward other people; 2) Devoted to helping other people, especially through giving charitable aid.4
You don't have to be a Rockefeller to be a philanthropist. In fact, it doesn't take much more than a creative mind and some ingenuity. Here are some ideas.
At the upcoming American Massage Therapy Association (AMTA) national convention in Cincinnati, I will be encouraging conference attendees and exhibitors to stop by the "Sanctuary," where attendees can pay to receive an energizing massage with the proceeds donated to the Massage Therapy Foundation to promote massage research.
Encourage your patients to purchase a "gift certificate" for research. You will then mail the money to the foundation or any other institution that supports massage research.
Host a massage benefit at your clinic or spa, with proceeds going to support massage research.
Recruit participants through your local massage association chapter or partner with others in the community such as hospitals or community service centers.
Donate personal time and/or resources for the benefit of research. At the upcoming AMTA convention, I will be partnering with Hygenic/ Performance Health and Massage Warehouse, a Scrip company. Together, we are offering 50 packages called "Massage Therapy Research Special." This includes one of my home study programs with a photo manual, a Biofreeze masters package and all proceeds will be donated to the Massage Therapy Foundation. Only 50 packages are available so stop by the Massage Warehouse booth to pick up your package.
Playing on a phrase from President John F. Kennedy, "Ask not what your Massage Therapy Profession can do for you ... Ask what you can do for your Massage Therapy Profession." The more money we raise as philanthropists, the more fuel we have and the more action we take. These efforts produce a greater force for massage industry research so the benefits of massage are understood and delivered to those in need.
F = Force
The action of raising money produces the acceleration of massage research and that is dependent upon our mass as an industry and the amount of force we use to create movement. We need our mass to bring about acceleration - to take action. Massage certainly is a force to be reckoned with because it has the ability to increase one's health and quality of life; it also has the ability to decrease one's dependence on pain killers and prescription drugs, as well as traditional health care in general.
One such force in the industry is Dr. Tiffany Field with the Touch Research Institute at the University of Miami, School of Medicine. Dr. Field has dedicated her career to studying the effects of touch therapy and has subsequently accelerated research in the industry with powerful results. Over the years, Dr. Field's research has discovered that massage "facilitates weight gain in preterm infants, enhances attentiveness, alleviates depressive symptoms, reduces pain, reduces stress hormones and improves immune function."5
But we need even more research and we aren't fueling it with money fast enough; therefore, we need to create a bigger force that influences greater change. Remember, an object in motion can either bounce off of or penetrate another object depending on the forces placed upon it. As a profession, we need to penetrate the greater world of health care through more forceful massage research.
A Little Bit More About Force: The Butterfly Effect
The so-called Butterfly Effect "is the propensity of a system to be sensitive to initial conditions...this idea gave rise to the notion of a butterfly flapping its wings in one area of the world, causing a tornado or some such weather event to occur in another remote area of the world."6 It doesn't take much for a mass to create a force that causes acceleration. Imagine the possibilities of what could happen if every one of us in the profession flapped our wings in an organized fashion with our time, money and resources. We would have a profound effect on generating additional massage therapy research, as well as educating the world-at-large about the wide-reaching benefits of massage.
It's time for us to apply Newton's second law and become a stronger force in health care. The massage industry must Accelerate the funding to create a Mass of research that will validate and generate the powerful Force we already know massage therapy possesses. Then health care will understand, support and encourage the use of massage therapy.
I'd love to hear your ideas for taking action to bring about positive change. Drop me a line at or visit www.kenthealth.com for more ideas.
Click here for more information about David Kent, LMT, NCTMB.
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