resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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?
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?'
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.
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.
May, 2010, Vol. 10, Issue 05
Opponents Call Backers of Law Targeting Massage "Liars"
Assembly Member Swanson Apologizes to Profession
By Christie Bondurant
Editor's note: This article has been updated since its original online publication on April 29, 2010.
Opponents of a proposed anti-prostitution law that calls for "in-person" police investigations of California massage therapists accuse its author, State Assembly Member SandrSandré Swanson, of slandering "the entire profession" and have called the data used to justify it an "outrageous lie."
And, in a remarkable turn of events, Swanson told Massage Today that the data, originally posited by his office as the reason for urgent passage of his bill, was not what he considered in sponsoring the bill.
"I didn't consider that data in my agreement to sponsor the bill. ... So if anybody represented anything different than that - then they're wrong because that is not what I believe," he said in an interview.
However, a letter from his office calling for urgent passage of Assembly Bill 1822 states, "Justifying the need for this urgency (of passage) is a recent random sampling of CAMTC (California Massage Therapy Council) applicants, which concluded that 57 percent of the applicants were known prostitutes and 32 percent had questionable backgrounds... ." The CAMTC is charged with issuing certifications to therapists under a two-year-old law.
"It is stunning that Assembly Member Swanson would base his entire support for this bill on a complete lie that slanders the profession and when confronted on it, not even pretend that his statement was anything other than 'wrong,'" said Mike Schroeder, a CAMTC board member. "He knows that his claim is false and he should apologize to the entire profession," Schroeder said.
In an interview with Massage Today, Swanson did just that. "I apologize frankly for any misunderstanding," said Swanson. "I have received some personal emails from massage therapists who I've answered personally, clarifying any misunderstanding that this was an assault on the profession. I have nothing but respect for the profession. And I hope that after our efforts we will strengthen the profession, not weaken it."
Effect and Cause
If passed, AB 1822 effectively neuters a two-year-old massage certification law that placed certification in the hands of a state board, the CAMTC.
That law (Senate Bill 731) created the Council and gave it authority to conduct both professional and criminal background checks prior to issuing statewide certifications to work anywhere in California. The Council is required to review an applicant's criminal record based on records from the California Department of Justice (DOJ), the central repository for all criminal records in the state.
Considered a major reform measure, SB 731 was enacted because it was clear that the old system, which required therapists to get work approvals in every jurisdiction where they had clients, was both onerous and ineffective in preventing criminals from operating "massage" facilities.
Swanson voted in favor of the reform.
But the law he is now proposing essentially returns California to the widely-criticized old system that placed primary authority for issuing work permits in the hands of local authorities. The proposed law originally made it mandatory for local jurisdictions to return to the old system. But apparently because of pressure from the massage community, it was softened in mid-April to make it optional for local authorities to handle issuance of work permits.
Nevertheless, it is widely expected that if passed, local jurisdictions would again take over primary issuing authority. That means, for all practical purposes, therapists would again have to go from police department to police department in order to work.
The California Police Chiefs Association (CPCA), who produced the survey data used to justify the bill, urged Swanson to sponsor the bill as a means of reducing prostitution and human trafficking via illicit businesses. In a letter dated Feb. 21, 2010 to Swanson, Susan Manheimer, president of CPCA decried the CAMTC's competency in screening out undesirables. The letter claimed that it would be more efficient if local police handled applicant criminal screening first and then turned applicants over to the CAMTC for further investigation. And, justifying this, was the CPCA's "random/regional" survey of applicants.
Completely absent from the letter, and from Swanson's letter calling for the law, is any data describing the CAMTC's actual performance in approving applicants.
The only public statement alleging that CAMTC has let undesirables obtain authorization to work has come from a lobbyist for the CPCA, John Lovell, who told Massage Today that there have been "several hundred certificants with past convictions."
This contention was strongly denied by CAMTC executive director, Ahmos Netanel, who said that Council data shows that police departments are the ones who have allowed criminals to pass background checks, not the Council.
Under the current state law (SB 731), criminal history checks are conducted at both the state and federal levels prior to the Council issuing certification, Netanel said.
"The CAMTC has never approved anyone who was not already approved through the DOJ (Department of Justice)," said Netanel.
Netanel also stated in a document calling for opposition to the bill: "CAMTC has rejected 3,424 applicants, who had passed background checks by local law enforcement, but when checked through CAMTC's process did not pass muster. In fact, so far 346 of those already approved locally were found to have criminal backgrounds and denied the statewide certification."
Schroeder called the statistics used to support the bill, "An outrageous lie they told about the profession. They knew it was a lie when they said it. And I believe every member should call his (Swanson's) office and demand an explanation as to why they've slandered the profession."
The CAMTC believes that this bill, if passed, will put back in place a system that didn't work. "AB 1822 is bringing back the old broken system," Netanel said.
"The reason why the old system didn't work is because it was run on the local level. If (a criminal doesn't) qualify with one city they'll just go to the next city until they do. California will become the haven for human trafficking."
Some CAMTC board members have called AB 1822 a mere "turf bill" posing as an anti-prostitution law that is based on a thinly sourced survey - leaving many in the massage community questioning its origin and the motives behind it.
Schroeder, who believes the survey was used as a false means to gain support of the bill, said: "This is a pure turf bill where some police chiefs want their turf back"
Claims From a Survey
The key data being cited as justification for the bill is a "random/regional sample" survey of CAMTC applicants in San Mateo city and regions around the city. This survey, compiled by the Police Chiefs Association, claimed that 89 percent of these applicants were prostitutes or had questionable backgrounds.
When Massage Today asked to view this data used to produce this survey, Lovell stated that it was based on a summary of sensitive information that he could not supply.
When asked to see the collected data that was shared with Swanson for the composition of this bill, Lovell stated that it was in a letter sent to Swanson proposing AB 1822, and to contact his office for it.
Lovell went on to say that the Police Chiefs Association requested applicant information from police departments statewide and learned of "... a number of convicted (persons) who were certified."
When asked to provide this data, he stated that he was unable to provide an exact number due to the "secretive" behavior of the CAMTC. Although CAMTC provides a secure law enforcement login to verify certification, Lovell said that the board has been uncooperative in helping them determine the percentage of applicants with criminal backgrounds who have gained certification.
Regardless of this, Lovell stated that from the data compiled so far, they were able to determine "several hundred certificants with past convictions."
When asked to see this data, Lovell stated that the data is incomplete and that not all police departments in the state have submitted their information.
Another Police Perspective
Richard McElroy, CAMTC board member and a former police officer who investigated illegal massage parlors for more than 25 years, states that the CAMTC's review process is superior to all past methods of vetting massage professionals.
McElroy, who also wrote the Los Angeles Police Department's manual that is used to abate massage brothels, stated in documents opposed to the bill:
"The following are the reasons why (CAMTC's) review and investigative process is superior to all past methods of vetting massage professions:
Claims of Uncooperative Behavior
Out of frustration with the CAMTC's "secretive" and "uncooperative" behavior, Lovell, who was also the past lobbyist for SB 731, stated: "The bill is going to pass. SB 731 sunsets in 2016. And if in 2016, we are in the same mess we have now with the exclusionary behavior by the board, we will conclude that this is a failed experiment."
In response to Lovell's claims of the CAMTC behaving uncooperatively, Beverly May, CAMTC chair, shared some of her history in working with the Police Chiefs Association. She stated: "When creating SB 731, I chose Lovell because of his relationship with the Police Chiefs Association."
When May (San Mateo County resident) heard of San Mateo police considering the repeal of SB 731, she contacted Mike Callagy, deputy police chief to set up a meeting to discuss the issue. According to May, Callagy stated to her at their meeting that they were on the same side.
"I felt very comfortable with our meeting until October when I asked to meet with both Mike and John (Lovell) and was denied. I was completely shut out." She went on, "After my attempts, they never contacted me or reached out and went to find an author (for AB 1822) against Oropeza's (author of SB 731) wishes."
AB 1822 passed the Business, Professionals and Consumer Protection Committee on April 20 and was sent to the Assembly Appropriations Committee. It is scheduled to be heard on May 19. For a list of the Appropriations Committees' phone numbers and emails, go to www.assembly.ca.gov.
To contact Assembly Member SandrSandré Swanson's capitol office call (916) 319-2016 or email him at , or contact his legislative consultant Opio Dupree at .
Massage Today will continue to follow this story and provide updates as available. For other Massage Today articles on this issue, read:
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