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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.
April, 2009, Vol. 09, Issue 04
NCBTMB Responds to AMTA
Calls decision based on "passion."
By Christie Bondurant
The top story in the March issue of MT reported on the American Massage Therapy Association's (AMTA) recent support of the Massage and Bodywork Licensing Examination(MBLEx). Responding to the AMTA's endorsement of the MBLEx as the premier entry-level licensure exam, the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) issued a statement contending that the AMTA's decision was "driven by passion" and alleging that parties advocating use of the exam have financial interests in mind, not the profession's long-term goals.
The AMTA stated in late January that, after thorough research and two months of open discussions with both the NCBTMB and the Federation of State Massage Therapy Boards (FSMTB), "all issues were examined regarding support for the MBLEx exam, as well as its impact on massage therapists and the [NCBTMB]" itself. Even so, the NCBTMB's response to the AMTA's support of the exam stated that the decision lacked judgement and added that the existence of the MBLEx is "redundant" and will threaten the profession at large as any national health program will not likely back a profession that has "abandoned its status as a credible and credentialed profession."
The AMTA gave its reasoning for the support of the MBLEx, also in the January statement: "For many years, the [AMTA] has supported an envisioned future of portability of massage practice, fair and consistent licensing in all states, and uniform standards for the profession. AMTA continues to believe acceptance of one exam for state regulation of massage therapy will give a consistent message to legislators and regulators that can best facilitate the achievement of these goals. ... AMTA believes the [MBLEx], developed by the [FSMTB], is the best choice for a licensing exam that can lead to portability of massage practice." (To read AMTA's full statement visit: www.amtamassage.org/news/012609release.html.)
The following is the NCBTMB's full response, sent to Massage Today on March 6, titled "NCBTMB's Position Regarding AMTA's Endorsement of MBLEx": "NCBTMB feels, respectfully, that AMTA's decision to endorse the MBLEx was driven by passion rather than reason, and does not promote the long-term interests of the profession. The parties that have advocated the MBLEx have economic interests favoring entry into the profession of a higher number of practitioners content to adhere to lower standards.
"Perhaps the most telling evidence of this intent was the decision to produce a redundant examination rather than jointly create a national practitioner data bank to protect the public. These interests are in direct conflict with the interests of over 91,000 nationally certified massage therapists, who benefit from a field comprised of knowledgeable, highly skilled and committed professionals who can best guarantee quality massage experiences for consumers.
"Introduction of the MBLEx threatens the viability of national certification and the profession at large. If massage therapy becomes the first allied health profession to abandon certification, we can only imagine what kind of message that would send to consumers, patients, hospices, workers compensation bureaus, referring health professionals, and to the Medicare program. Congress stands ready to appropriate over $1 billion for comparative effectiveness research, which has potential to demonstrate the ability of massage therapists to produce good outcomes for patients. It seems unlikely to us that any national health program will be inclined to study, let alone decide to cover, treatment in a field that has abandoned its status as a credible and credentialed profession."
The NCB feels that the "most telling evidence" of the parties' (advocating the MBLEx) economic interests is the lack of collaboration to "jointly create a national practitioner databank." However the FSMTB (creator of the MBLEx) initiated collaboration in 2005, when the federation was established because of their interest in creating a new exam. As reported in Massage Today [November 2005;5(11)], "the FSMTB states that they recognize the scope and potential impact of such a choice and have initiated a dialogue with NCBTMB to explore the possibility of the two organizations working in collaboration to improve NCB's existing exam program."
Collaboration did not take place, and thus the MBLEx, created in October 2007, was developed. According to the FSMTB, at the request of state boards, the exam was "created from a job task analysis survey of more than 7,500 professionals in massage, bodywork and somatic practices."
Why Create the MBLEx?
NCB's role in regulation has been questioned due to "the fact that state boards have had no direct input into the design and administration of this examination program, nor any role in the policy making process of NCBTMB," (also reported in MT, November 2005). According to the FSMTB, the MBLEx was created in part to solve this problem. "By having one licensing exam, the states can assist in the process of portability of licensure for massage therapists. With the MBLEx now in place, it is no longer necessary for state regulatory boards to be at the mercy of, or beholden to any party that can dictate or jeopardize the regulatory boards' function, decision making or integrity."
The NCB, in a second statement released to Massage Today on March 6, explained "NCBTMB's Position Regarding Use of its Certification Tests as the National Standard for Entry-Level Licensure Exams": "NCBTMB whole-heartedly supports licensure through our certification program as the best licensing path for the massage professional. Over 30 years of national policy and precedent in the healthcare field, as well as 16 years of successful implementation by the NCBTMB favoring licensure through certification, supports this successful inter-relationship. NCBTMB's exam program has successfully raised the standards for massage therapy and thereby protected the public health, safety and welfare since 1992. Today, in 33 of 39 states that regulate massage, our licensure through certification programs have successfully helped transform massage into the acknowledged, respected profession it has become. NCBTMB's licensing through certification programs have demonstrated their value to students, schools, regulators and businesses, with consumers as the current, and perhaps the most vital, audience. We believe NCBTMB's licensure programs are inextricably tied to the future growth and credibility of the profession in the United States."
The growing acceptance of the MBLEx may cause alarm for the NCB, however the Federation believes there is a place for both certification and licensure. "The [FSMTB] does not wish to compete with NCBTMB over its certification exams or to engage in a 'turf battle' as some observers have described recent events. The FSMTB maintains the factually-based position that licensure is the function of the licensing boards - not the function of certification boards."
In related news, Massage Today conducted a poll asking readers whether or not they preferred one entry-level exam nationwide. The overwhelming response was "yes;" however, the question still remains which exam is or will be preferred. (See the results of the poll on page 22.) Massage Today will continue to follow this story and update as necessary.
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