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Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
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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