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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
March, 2009, Vol. 09, Issue 03
CranioSacral Therapy for a Multitude of Health Problems
By Nancy Westphal, LMT, CST-D; guest author for John Upledger, DO, OMM
It was an unseasonably warm day in October when my plane landed in Montana. I had just flown in from South Florida at the request of fellow craniosacral therapist Cindy Kafka. She had a patient whose injuries, she believed, were beyond her level of skill. A farming accident had left "Bill" (name changed to respect privacy) a quadriplegic; his neck, back and arms had been broken, possibly shattered. When paramedics first got to him, his body temperature was so low that they had to pour warm water onto his forearms (veins) just to keep him alive.
When I reached him he was rehabilitating in a nursing home with little hope of recovery. His sole goal with CranioSacral Therapy was simply to gain enough function to operate his computerized wheelchair. Yet it quickly became clear to us that any improvement would be welcome. So at the approval of the nursing home, I led a "multi-hands" CranioSacral Therapy intensive program. I worked with Bill alongside multiple therapists for 2 weeks: 5 hours a day, 5 days a week. Kafka had arranged for several practitioners to join us; each one had basic craniosacral training and experience. My intention was not only to support Bill in his process, but also to help Cindy and her colleagues strengthen their skills and feel more confident in their ability to work with him on their own, after my departure.
Simple Techniques in Several Hands
At our initial evaluation, Bill's gray complexion indicated very poor circulation; his cranial vault had the sensation of being fused; and there was no palpable craniosacral rhythm. He had a serious infection in his toes. And he told us that for 6 months, doctors had been unable to control his raging bladder infection. He couldn't pass a normal bowel movement without pharmaceutical help. And as you would expect from dealing with a multitude of health problems, he was depressed.
As a therapeutic team, we blended together to support Bill in what would become a transformational journey. We listened deeply to his body, helped release restrictions in his craniosacral and fascial systems, encouraged the whole-body flow of fluid, and supported him in his process in whatever way he needed. Our job was to trust the work, trust our hands, and trust Bill's body to lead us through his unique healing sequence.
"Cranial pumping," a simple technique taught in entry-level CranioSacral Therapy, quickly proved invaluable. Essentially, the therapist tunes into the craniosacral rhythm while using gentle pressure to nudge the end range of flexion and extension. By day three, this technique had helped Bill's coloring change so dramatically that his night nurse, who had no idea what we were doing during the day, insisted on checking his temperature.
Bill's fluid circulation continued to improve every day. As he slowly gained more vitality, he became stronger, his outlook improved, and he began interacting more positively with everyone around him. On the fifth day of therapy, the infection in Bill's toes was gone, and he also reported that he had finally started relieving his bowel independently.
A New Level of Hope
Week two was full of even more encouraging change. Bill's nursing staff and fellow patients began giving him glowing compliments. His friends told him how great he looked, saying he seemed to be "back to his old self" again. Around town, people were even stopping us (his therapists) to mention how terrific Bill looked and how grateful they felt. This man was obviously loved.
Toward the end of his intensive-therapy program, Bill began to exhibit far more mobility, strength and control in one arm than we had expected. He wasn't able to write yet, but he wasn't far off. He also had finally stopped talking about how miserable he felt and started imagining his future again. For the first time in months, he was making plans for a new life.
I flew home deeply gratified to have been a part of such a profound healing and mentoring experience. In all the years I've been working in multi-hands intensive-therapy programs, I've never lost the significance of being blessed to witness the metamorphosis of another human being.
A week later Cindy told me she had checked on Bill. The bladder infection that had plagued him for 6 months was gone. As she left the room, he was sitting in his computerized wheelchair surrounded by friends...and laughing.
Click here for previous articles by John Upledger, DO, OMM.
Nancy Westphal, LMT, CST-D is a diplomate-certified craniosacral therapist with two decades of experience. She is a clinician and mentor for therapists who want to improve their skills and help patients move past their plateaus. To contact Nancy or learn more visit her Web site at www.nancywestphal.com.
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