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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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
October, 2009, Vol. 9, Issue 10
Light-Touch Therapy Eases Pregnancy and Delivery of Twins
By Ken Piercy, MTI, CST-D; guest author for John Upledger, DO, OMM
Twins! The doctor said TWINS! You might think a mother-to-be would be delighted to hear that news. But Carly's first pregnancy had been difficult. Would carrying two be twice as hard? Or worse? If someone had told Carly, a Texas mom, she'd deliver two healthy babies with none of the problems she had with her first pregnancy, she wouldn't have believed them.But then she began receiving CranioSacral Therapy (CST) and Lymph Drainage Therapy (LDT) and everything changed for her and her newborns.
In the first pregnancy, Carly lost 15 pounds in her first trimester. She was stunned by her extreme food aversions, cravings and heightened sense of smell. An uncomfortable, hypersensitive gag reflex was triggered whenever her toothbrush even came close to her mouth.
The second trimester hadn't been much better. Carly had expected mild morning sickness, but the nonstop heartburn had been hard to accept. A diagnosis of mild hemorrhoids left her thinking, "Sure, they're mild if they're not yours." She watched sadly as her legs swelled, leaving no noticeable difference between her knees and her ankles.
The third trimester brought on severely elevated blood pressure and problems with her gall bladder, requiring four trips to the emergency room. Bed rest was recommended until her high blood pressure finally warranted an emergency C-section. Fortunately, those challenges had produced Conner. Other than chronic ear infections, he was a joy.
Then Carly's postpartum mood swings became so severe that she "hit the wall" before she even left the hospital. Whenever anyone even asked her how she was doing, she would break down in tears. "I felt like a failure," she said. "I felt defensive and worried that everyone was taking over because I was so bad at being a mom."
Two weeks after the C-section, Carly's gall bladder was removed due to gallstones. The doctor prescribed medication for depression and she remained on it for nearly a year. To top it off, Conner had chronic ear infections by the time he was six months old. That's when a friend recommended my services. CranioSacral Therapy releases tissue restrictions so the central nervous system can return to optimal performance and the other body systems can self-correct. Lymph Drainage Therapy helps move healthy fluids through the body to deliver nutrients and flush out toxins. Both therapies complement each other to strengthen the body's self-healing mechanism.
Light-Touch Therapies Started Early the Second Time Around
I found Conner's neck to be tight and his immune system sluggish. With only a few 30-minute sessions, his symptoms were gone and he was sleeping soundly through the night. That's when Carly realized these therapies might help her, too. So in the first trimester of her second pregnancy, she began coming for monthly sessions to keep her soft tissue relaxed and her internal fluids flowing well. With less tension in her body, Carly had no food issues, no elevated sense of smell and no gag reflex. She did report some minor heartburn, but nothing close to what she had in the previous pregnancy.
In her second trimester, Carly failed her one-hour glucose tolerance test, and her doctor told her she might have to go on insulin. One session of light-touch therapy seemed to help. The next week, she passed her glucose-tolerance test.
Coming Down the Home Stretch
By her third trimester, Carly was healthy and happy. When her legs began swelling in the eighth month, LDT increased her fluid flow so her ankles could return to their normal size and shape. Keeping her lower back flexible and her pelvis relaxed also made a tremendous difference to mother and babies. The improved fluid flow throughout her body and digestive system, noted by the absence of hemorrhoids, kept the soft tissue relaxed and working well.
However, twins are a heavy load to carry. At 34 weeks, the sonogram showed two healthy babies: one 4 lbs. 10 oz., and the other 4 lbs. 8 oz. Carly opted for weekly CST sessions to help her body adjust to the growing weight.
At 35 weeks, her doctor estimated the twins were 5 lbs., 15 oz. each, and Carly was still doing fine. No swelling, no hemorrhoids, no problems. His usual goal for twins was 35 weeks, but Carly had exceeded his expectations and he felt comfortable scheduling her for delivery at 37 weeks. She was "perfect on paper," he said.
By this time, Carly was having a little difficulty getting around carrying 12 lbs. of babies, but had no real issues to report. At 38 weeks, Carly's twins were delivered by C-section. Max was 6 lbs. 1 oz. and Madeline was 5 lbs. 13 oz.
No Problems Postpartum
Two weeks later, Carly and the twins all came in for sessions. Max was having a bit of trouble with reflux and eating slowly, but after four sessions he was able to feed well. Madeline had no problems and Carly had no postpartum issues.
Relaxing her soft tissues and improving her fluid flow gave Carly good health during gestation and the twins a great start in life. She says light-touch therapy made all the difference. Who would have thought carrying two would be so much easier than carrying one?
Click here for previous articles by John Upledger, DO, OMM.
Ken Piercy, MTI, CST-D is a diplomate-certified CranioSacral therapist with a thriving private practice in Dallas. To learn more visit www.kenpiercy.com.
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