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Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
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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