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Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
September, 2010, Vol. 10, Issue 09
By Ramon G. McLeod, Editor-in-Chief
Will Green, the owner and founder of the International Massage Association (IMA), a business that was once a major insurer for the massage therapy community, said in an interview that depression was behind his failure to pay for more than $600,000 in insurance premium payments, an action that has effectively destroy the business.
During the wide-ranging interview, Green reiterated a number of statements he had made in an e-mail he sent to the association's members that followed the original Massage Today story ("What Became of IMA", August 2010) that went online on July 19. In the e-mail, sent to members on July 21, he told members that he "began to sabotage" the association last year. IMA will go out of business formally at the end of this year, he said.
In the interview and the e-mail, Green said he became deeply depressed last year after he learned from federal agents that insurance brokers he worked with in the early part of this decade were under investigation for insurance fraud.
Green, in the interview, was asked directly why he stopped paying Markel Insurance the premiums owed them for at least six months, he said, "I don't know why, was it right or was it wrong? It was wrong," he said.
"I wasn't acting like me for six or eight months.
"Do I have answers why? No...Am I embarrassed, absolutely," he said.
Green also said he has paid the insurer two months of owed premiums for 2009-2010. And that he plans to pay three more months with the proceeds of the sale of his $2 million building in Warrenton, Va., IMA's headquarters. He said he hoped the sale would be finalized in a few weeks.
He said, in his original e-mail, that when he began to repay the insurance company, "My only option was to terminate our staff of 18 people and do the best I could to sell off assets and pay off my debt. I owe the money!"
He said he sold off vehicles, investments, business equipment and buildings to get the cash and make payments. He said that Markel continued to cover IMA members through the no-payment period and remain covered by their existing policies. "Everyone is covered at this point."
Asked what happened to the $600,000 he did not pay, and is now attempting to repay, Green said, "I spent some on payroll, it was used in the businesses...it got eaten up in costs."
Green has said several times that the fraud case was the trigger for depression and failure to pay premiums. That case involved Rodney R. Ayer, former president of Phoenix Underwriting Managers Inc. of New Jersey, who pleaded guilty to insurance fraud on July 2.
Ayer, and an unnamed company, only referred to as "Insurance Broker A-1" worked with two massage associations, IMA and Hands-On Trade Association, according to federal documents.
Bret VanLeeuven, owner of Green's former long-time insurance brokerage firm, Utah-based Stratus Insurance, Inc. insisted in an interview that his company, which works with massage associations, was not the "Insurance Broker A-1" named in the federal records.
VanLeeuven stated that was in partnership with Ayer at that time, "But there are other individuals involved in this case," he said. "They (the federal authorities) are talking to me, Green, and a lot of others. Everyone down the line."
The fraud case stems from a scheme uncovered in 2006. Federal records say that Ayer and the unnamed second broker pretended to have acquired coverage from Hannover Re, a multinational insurance carrier. Instead, according to court records, they took in premiums from the associations, paid out claims and expenses, while retaining underwriting profits that normally go to the insurance carrier.
Ayer faces a $500,000 fine, two years in jail, and has agreed to setup a $500,000 escrow account for any claims left over from the period when this all occurred.
Green says he first learned about this scheme last year from the FBI.
VanLeeuven, who ended his business relationship with Green in April 2010 over Green's failure to pay him the premiums for the Markel policy, scoffed at Green's explanation that depression caused him to get so deeply in arrears.
"For Green to say that depression caused him not to pay his bills ignores that this was all self-induced," VanLeeuven said. "The fact is that what Ayer did had no financial impact on Green. He can say it hurt him that his company's name was involved with this," he said. "But this (current situation) involves $800,000 of his members money."
"Maybe I should say I'm depressed and stop paying my bills," he said.
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