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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
January, 2010, Vol. 10, Issue 01
Will Health Care Reform Benefit Massage Therapists?
By Vivian Madison-Mahoney, LMT
As the American Medical Association stated in its AMA News: "Your guess is as good as anyone's." Well if they don't know, I'm sure I don't know. However, I am trying to keep you in the loop as much as I can in these early stages of health care reform.
First, I want to thank all of you wonderful readers who have taken the time to correspond with me in reference to my articles. Next I want to thank Massage Today for allowing me to share insurance and other business-building ideas as a columnist since its January 2001 inception. Also, I wish everyone a beautiful, safe, healthy, successful and happy new year.
Reading, studying and watching every health care news article, subscribing to dozens of Web sites and health care reform outlets and sitting in on many conferences to keep up on this health care reform stuff has been overwhelming, and I am ready to pull out my hair. But I love it, what can I say? I love trying to find any and all loopholes we might possibly be able to crawl through. About three of the health care reform bills state that discrimination will be eliminated. This means that all state-licensed or certified health care providers will have to be recognized and reimbursed. The House and Senate bills may ultimately not be our answers, even though some information like this may be extremely helpful. Then again, what would be their definition of "health care provider"?
I will be asking for assistance with some projects from each of you who really want to increase your clientele and your income as you move ahead in the health care arena. It will not be easy. It will be fun, rewarding and time-consuming. Are you willing to help? If so, send me an e-mail at . I will save your e-mail after I read it and will be back to you with any updated news and with information on the help we need to move us forward.
Today, I attended an hour-long health care telephone conference on the federal ERISA Guidelines. ERISA (Employee Retirement Insurance Security Act) is the federal act that governs many issues of employer and employee finances. For us it means that if we are not allowed to be insurance company "in-network" providers who will reimburse for services in employer group plans, we are losing hundreds of thousands of client prospects and income dollars because the majority of those covered by insurance are through their employer group plans. Since ERISA is a federal law, it supersedes state laws that require insurance companies to reimburse massage therapists, such as in Florida and Washington.
In reflecting on the ERISA call, it seems that hour and 10 minutes was much of a waste. The presenter (though obviously extremely knowledgeable on ERISA), was speaking in what seemed to be a foreign language. He also had to present a week's class in an hour. Needless to say, he rushed through it so fast that it was not only impossible to understand him, but it was impossible to keep up with the presentation he zipped through with only one or two seconds per slide. I have downloaded some of that presentation that was sent in advance and try to match my seven pages of written notes to the 165 slides in the presentation.
However, the good news is that he allowed us to ask questions. I and one other gentleman had the only two questions he accepted. My question: Why doesn't the ERISA Self-Insured Employer Group Health Plans directly reimburse health care providers who are state-licensed and/or certified? Meanwhile, ERISA is willing to reimburse other health care providers, often costing more, who in turn hire the state-licensed providers to do the actual work?
His answer, the best I could decipher it at high speed and in a foreign accent was this: "They [ERISA] will pay for the services a state-licensed provider provides, but if you are not a provider in the network, they will send the patient the money. The patient will then most often take the money and run." He then added, "You can get the patient's credit card on file. Then, if the payment is sent to the patient and they don't bring in the check, you can charge their credit card."
The best part of that conference is now I have his e-mail and phone number. He told me to contact him off line and he will discuss it more thoroughly. Time allowing, I will get to that this before my next article.
I want to always be sure that we as a profession can find any loophole to slide through and not be eliminated as practitioners who are directly reimbursed for the services we perform.
Click here for more information about Vivian Madison-Mahoney, LMT.
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