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Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
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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