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Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
April, 2008, Vol. 08, Issue 04
Office Scents Make Sense
By Shellie Enteen, RA, BA, LMBT
This month's Aromatic Message is appropriate for those who don't use essential oils to enhance bodywork treatments, as well as those who do. Simply introducing essential oils into the air of your office, waiting room and restrooms can clear, uplift, protect, relax and/or invigorate, depending on which oils you choose. Major spas certainly know and practice this subtle method of influencing clients and creating the desire to return. The method is called diffusion. Inhalation is the most immediate way to deliver an aromatherapy experience on all levels, so air diffusion has as powerful an effect as applying essential oils to the body. Although you won't run into issues of skin sensitivity with diffusion, there still are some important things to know and certain safety practices to follow.
Methods of diffusion range from simple to sophisticated and inexpensive to costly. Simple methods include placing drops of a pure essential oil or blend onto a material such as a cotton ball, piece of felt or unscented potpourri ingredients and letting the aroma fill the room. An air-spray can is made using essential oils and distilled water (put essences into a small amount of food-grade alcohol, like vodka, before adding water for greater dilution of essences.) Simply spray an area briefly two or three times a day. Direct the spray onto an air intake vent and it will fragrance the whole space if heat or air-conditioning is being used.
Heat accelerates the mobility of the aromatic molecules. To take advantage of this, a potpourri pot that keeps water hot but not boiling delivers an immediate effect. Simply add drops to the hot water from time to time. Unless you are extremely vigilant, it is best to avoid the "cup over candle" method in an office or waiting room due to the hazards of fire. However, a ceramic light bulb ring to which a small amount of water is added before your essential oils is appropriate. (Turn the light on, of course!) While they seem to be an easy alternative, I have found that the type of diffusers which use a cotton pad enclosed in a device that plugs into an outlet have the tendency to burn the oil and make the aroma less pleasant. Burning also will change the properties. (To avoid the "burn," water is added first to the light bulb ring or cup over a candle.)
More sophisticated and costly methods involve the use of electronic diffusers or "nebulizers." Some of these also come with a time-release setting, which I would suggest using. The aroma of a true essential oil will not be detected once the message of the essence is sent to the brain. However, the molecules remain in the air and will be detected by anyone entering (or re-entering) the area. Constant diffusion overloads the space and leads to negative responses such as headaches, lethargy or agitation. And the amount of essential oils required for continuous diffusion is an unnecessary expense.
Some important ideas to consider when choosing an essence or blend are: Don't choose essential oils known to sedate, such as lavender, marjoram, chamomile or clary sage, which is an "intoxicant" for the waiting room or reception area. Do choose them for the treatment room, unless you are doing aromatherapy blends in your treatment. Ylang ylang causes negative responses more rapidly if diffused on a continuous basis. Be cautious when using major stimulants such as rosemary. Add eucalyptus, thyme or bergamot to blends during cold and flu season. Stay away from those that have a history of allergic response, such as flowers, grasses and pine. Instead, opt for essences that are commonly encountered in life, such as citrus, spice, woods and geranium, which is a balancing, uplifting essence and common ingredient in cosmetics. Create a signature blend or vary your essences with the seasons or your own personal needs.
If you choose quality soap with essential oils, this alone can fragrance a restroom. Drying the peels of organic oranges, limes or grapefruit, and then placing small pieces in a pretty bowl with dried rose petals, lavender buds and pieces of cinnamon, clove or anise, is another attractive, natural way to fragrance an area.
Why should you choose true essential oils instead of fragrance products like plug-ins and scented candles? Recent studies have shown that certain chemicals in plug-ins and synthetic products can cause health problems. Many people are sensitive to the synthetic fragrances in scented candles and will react with sneezing or headache, even if the candle isn't burning. A soy candle with true essences will not have this effect unless the essences are specific allergens for that individual. Your clients may not be aware of these issues or even the reason for a negative response, but they will notice and appreciate an office fragranced with pleasing, natural aromas.
Hidden Hazards of Air Fresheners (NRDC Online Newsletter)
Could the floral scent of your air freshener contain toxic chemicals known to cause birth defects? NRDC recently tested 14 different air fresheners and found that 12 contained chemicals called phthalates (pronounced tha-lāt), which can cause hormonal abnormalities, birth defects and reproductive problems. Even air fresheners marketed as "all-natural" or "unscented" contained the hazardous chemicals.In addition to phthalates, air fresheners might contain allergens, volatile organic compounds (VOCs), as well as cancer-causing chemicals such as benzene and formaldehyde.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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