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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.
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."
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.
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.
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.
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.
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.
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.
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."
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.
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.
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!
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.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
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.
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.
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.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
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.
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."
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.
December, 2007, Vol. 07, Issue 12
A Letter to the Presidential Candidates
By Vivian Madison-Mahoney, LMT
Author's note: The following letter is directed to all candidates, from both parties, running for the office of President of the United States. I encourage you to forward this letter to your congressperson or senator, or directly to the candidates themselves. www.massageinsurancebilling.com.If you have any comments or questions, please contact me via my Web site,
Dear Presidential Candidates,
I could request more than 100,000 licensed and certified massage therapists write to each of you individually and bombard your offices, or we can choose to send each of you this one letter, which represents a good majority of us.
As insurance committee chair for the Florida State Massage Therapy Association and the insurance liaison for two of our major massage associations, I have fielded all insurance related questions over the past few years. I have had more than 20 years experience in the profession and as many years working with physician referrals and insurance-related cases. I ask on behalf of those in my profession, our patients, those who are unable financially to receive our care, and the physician's who refer cases to us that, as you put together your insurance or medical plans, make sure that all providers who are qualified by state licensure and/or national certification be directly reimbursed. Physicians have the right to select a qualified provider of their choice to provide medical services to their patients.
The reasoning behind this is the following: Physicians specifically refer their patients to those who specialize in the type of care they feel their patients need for improvement, and improvement should be the name of the game. They should be able to refer to physical therapists for that which they are proficient at, occupational therapists for the services that an OT specializes in, and the same for speech and language services being provided by a speech language pathologist.
Let me ask you this:. You would not want to go to a veterinarian to have your teeth cleaned, would you? Sound crazy? But make no mistake about it, many of the insurers will not reimburse a trained, licensed or certified massage therapy professional (in some states even considered health care practitioners under their licensing boards), but they will reimburse another health care professional to provide services they do not do, do not want to do, do not have time to do and are not trained to do. Does this make sense to you?
All massage therapists may not agree here because they are afraid their independence and freedom to make decisions and to charge their own fees may be taken away, as well as their freedom to choose not to accept medically referred cases and insurance for reimbursement. In other words, they are afraid we will lose the control of our profession as we have known it.
However, I am speaking for those who do believe they can help so many more patients: patients who need the therapy more than ever, such as hospice patients, lymphedema patients, veterans, those in nursing facilities, and those with injuries where they are unable to return to work, as well as other disability cases. We know that your help on this issue will open doors to many more opportunities for all involved. It's therapy that works, a therapy that most people love rather than regret having to receive. This, in itself, is healing.
I am asking on behalf of thousands from our professional field that you make sure all who specialize in their particular fields, when prescribed by a treating physician, be directly reimbursed by insurance plans.
This also must go for Medicare and self-insured ERISA-qualified plans, the reason being is that right now only physical therapists are allowed to be reimbursed for treatment (that a massage therapist best provides) when it's billed to Medicare as "incident to" physician services." Physical therapists are not all qualified with training in specific massage/manual and soft-tissue manipulation. They do not want to or cannot afford the time restraints, so patients are suffering in pain without quality care that is available.
We need not only for Medicare, but also for self-insured employer plans to allow services to be provided by and reimbursed to licensed and/or certified massage therapists. When a patient is seen by the most qualified provider for medical services prescribed by their physician, the employer can realize a considerable savings by not being required to pay a middle man to have their employees medically treated.
For further information on this subject, please do not hesitate to contact me. I will be delighted to work with you on this issue.
Click here for previous articles by Vivian Madison-Mahoney, LMT.
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