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International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
July, 2008, Vol. 08, Issue 07
Colorado Becomes 39th State to Regulate Massage
Pennsylvania legislature also poised to vote on massage regulation.
By Kathryn Feather, Senior Associate Editor
Colorado became the 39th state to regulate the massage therapy profession when Gov. Bill Ritter signed Senate Bill 08-219 into law on June 2, 2008. The law takes effect July 1, 2008, and requires registration starting April 1, 2009.
S.B.08-219, the Massage Therapy Practice Act, defines "massage" or "massage therapy" as "a system of structured touch, palpation, or movement of the soft tissue of another person's body in order to enhance or restore the general health and well-being of the recipient. Such system includes, but is not limited to, techniques such as effleurage, commonly called stroking or gliding; petrissage, commonly called kneading; tapotement or percussion; friction; vibration; compression; passive and active stretching within the normal anatomical range of movement; hydromassage; and thermal massage. Such techniques may be applied with or without the aid of lubricants, salt or herbal preparations, water, heat or a massage device that mimics or enhances the actions possible by human hands. 'Massage' or 'Massage Therapy' does not include therapeutic exercise, intentional joint mobilization or manipulation, or any of the methods described in section 12-35.5-110(1)(e)."
The bill sets the following requirements for massage registration. Every applicant will:
The law stipulates that only a person registered by the state of Colorado as a massage therapist can use the title "massage therapist," "registered massage therapist," "massage practitioner," masseuse," "the letters MT" or "RMT" or any other generally accepted terms or letters indicating a person is a massage therapist. S.B.08-219 also preempts local ordinances currently in effect.
To view a copy of the legislation, visit www.leg.state.co.us.
Pennsylvania Could Be Next
House Bill 2499 recently made its way through the Pennsylvania legislature and now awaits a vote out of the Committee on Professional Licensure. As of press time, Rep. Stanley Saylor of York raised some concerns and requested some additional information from the American Massage Therapy Association. The committee planned to spend a week reviewing the additional information before voting the bill out of committee and sending it to the state House of Representatives for a final vote.
H.B.2499 defines massage therapy as "the application of a system of structured touch, pressure, movement, holding and treatment of the soft tissue manifestations of the human body in which the primary intent is to enhance health and well-being of the client without limitation, except as provided in this act. The term includes the external application of water, heat, cold, lubricants or other topical preparations, lymphatic techniques, myofascial release techniques and the use of electro-mechanical devices which mimic or enhance the action of the massage technique. The term does not include the diagnosis or treatment of impairment, illness, disease or disability, a medical procedure, a chiropractic manipulation/adjustment, physical therapy mobilization/manual therapy, therapeutic exercise, electrical stimulation, ultrasound or prescription of medicines for which a license to practice medicine, chiropractic, physical therapy, occupational therapy, podiatry or other practice of the healing arts is required."
Somatic practitioners and reflexologists elected not to be represented under the Massage Therapy Board that would be created as a result of this bill and were given exclusionary paragraphs. The requirements for registration are similar to those listed under the Colorado massage bill, although much will be left up to the newly created board to implement. One difference is that the Pennsylvania bill requires 600 education hours as compared to Colorado's 500.
State Representative Keith McCall introduced the bill and, according to the Pennsylvania chapter of the AMTA, has the support of more than 30 House members who have co-sponsored the legislation. In a legislative update posted on the AMTA-PA Web site, chapter president Nancy Porambo said, "Many Senators have expressed support and are waiting for the bill to arrive in the Senate Committee. The physical therapists and chiropractors are in agreement with this language and will not oppose the language. The bill is anticipated to easily pass the House and Senate."
To view H.B.2499, visit www.legis.state.pa.us.
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