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The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
January, 2009, Vol. 09, Issue 01
Insurance Acceptance and the Economy
By Vivian Madison-Mahoney, LMT
Unfortunately for some, the time has come. During these economically difficult times many therapists are expressing to me that they are now more than ever so grateful that they had taken the time and made the investment to learn how to accept, bill and be paid by some insurance for their client's therapy. At the same time, many therapists are now calling to request information about insurance billing, asking how they too can accept insurance because their clientele has dropped considerably due to the current economy.
Here is an example: A physician writes a prescription for a patient who is covered by insurance for an injury case. It doesn't matter that the patient may have lost their job, may have difficulty paying bills, buying groceries or gasoline. If they are legitimately injured, have insurance and their physician writes a prescription for medically necessary treatment, and you are the massage therapist willing to learn to properly accept and bill their insurance for reimbursement, you will be the one getting paid!
I'd like to share a true story with you; many of you will recall Hurricane Andrew. On Aug. 24, 1992, just before dawn, this hurricane nearly wiped Homestead, Fla. off the map, slamming into the entire city of 26,000 people as a Category 5 storm. Winds of up to 155 mph caused the loss of 23 lives, leaving no building untouched with damages costing insurance companies $26.5 billion. During the next recovering year or so, the insurance companies were holding onto their money in the process of deciding how they were going to cover and recover their losses due to this massive storm. Causing devastating financial hardship to several physicians, it was reported that many of them left Florida due to late or nonpayment of claims.
My massage therapy establishment was unbelievably successful. At the time of Hurricane Andrew, we were treating 23 to 27 insurance patients a day. During this time, insurance was slow to pay and we had a very difficult time keeping our heads above water. It was without a doubt a disheartening time. It was even more disheartening when I had to hold a meeting with the massage therapists working for me to inform them that we had two choices: close our doors or pay them $15 a session instead of the $25 to $35 some of them were making. I promised them if they would stay and accept $15 per session while we were going through these hard times, I would pay them the balance owed plus a $5 bonus per session, if and when we pulled through this crisis.
Not one therapist left me, and in about six months I was able to pay every one of the 12 therapists the entire amount I had promised! Not only did I pay the therapists but also my incredible landlord, a chiropractor, who knew my word was my bond and trusted me to pay when I could. As my rent of $3,900 a month began to get several months behind it became a very scary situation. Through it all, I kept my faith that all would work in our favor, and it did! I paid the doctor in full including even the free month he offered me.
Is accepting insurance always easy? Is life always easy? Are there ever any guarantees? No, but as in any situation, you have to do what you have to do. Preparing ahead is always best but if you have not been accepting insurance for your clients, why not start planning now to help in those times where money is tight? In economically hard times, I found that even the Palm Beach residents held on to their money or tried to get the best discount rates when they paid cash for their massage services.
Over and over, I thank God for opening those insurance doors and for physician referrals because it was only through this avenue that we were able to grow. It was only through this avenue that I was able to have several therapists working for me so that I was able to be with my family and by my youngest daughter's side when she was in an accident, spending months in intensive care and years in rehab centers. It was the kindness of not only friends and family but of our wonderful, caring patients and their referring physicians that helped see us through those very trying times.
It was only through this avenue that I was able to help so many injured and disabled patients through their physical, and even some of life's, challenges. When their insurance companies discouraged them, I was able to lift their spirits, show them the way, help them fight for their rights and otherwise, help them through their own trying times. I was able to learn and grow and am now able to help several other therapists to find a new life as I was so fortunate to do through accepting insurance for reimbursement.
I would like to wish everyone a very safe, healthy and prosperous New Year and thanks to all of my readers for your kindness and support in 2008!!
Click here for more information about Vivian Madison-Mahoney, LMT.
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