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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.
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.
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.
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.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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 more information about Vivian Madison-Mahoney, LMT.
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