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Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
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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