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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
February, 2011, Vol. 11, Issue 02
Giving Your Client Value in a Stressed Economy
By Cary Bayer
Recently, it has come to my attention from quite a number of LMTs in several different parts of the country, all of whom I've just begun to privately coach to increase their business, that their massage numbers are noticeably down this year.Even some therapists, who have historically been extremely busy (e.g. booking a week or even two in advance), are advertising for the first time in a while, or ever for that matter, to get new clients.
Most have cited the strained economy as the major reason for this unusual decline in new clients along with the overall number of massages done.
Let me speak to this issue from experience I had from a recession in the early '90s. At that time, I owned a marketing and PR firm, which I started in 1984 and ran until 2001 when I chose to change careers and become a fulltime life coach. In that slowed down economy, most of my competitors were hurting or going out of business. My firm, however, was actually thriving. The inner work that I had been doing since 1987 to elevate my prosperity consciousness and create success, no doubt, had shielded me from this downturn for quite some time.
Eventually, however, the all-encompassing economy hit my bottom line too; it just took a lot longer. Within a matter of weeks, I started to hear one client after another voice a similar message: "You're doing a great job for us, Cary, but we have to make some cuts to save some money, and marketing and PR are places we can and need to cut."
I tried to get my clients to see that if their competitors were making similar cuts - as they were - that they (my clients) could benefit from a competitive advantage by raising their profile during that time when others were laying low. But when companies get scared, they often react in a panic mode and don't always think so rationally. (Individuals are usually no different.)
Often, these same enterprises, which in good times are ever-alert to see any opportunity that presents itself (no matter how small), fail to see the massive opportunities in front of them when the economy declines. Blame it on survival thinking, but when adrenaline is coursing through your system and red ink is splashed across your accounting books, it's not always easy to think clearly.
In other words, it's hard for businesses to see the long term if they're afraid they won't survive in the short term. And it's often hard for individuals to see how massage can help alleviate the stress they're feeling when part of that stress is their anxious worries that they might not make their mortgage and be foreclosed on their homes.
Communicating With Your Clients
Massage clients can often think the exact same way. With the sub-prime crisis, record home foreclosures, and high credit card interest rates, many people are looking for ways to cut their expenses. Some are cutting back on massage, while others are cutting out massage all-together. Most therapists simply shrug, accept their fate, and say, "I understand."
If you're an LMT, it's better for you to get your clients to understand the importance of massage. To understand, for example, that when the going gets tough, the tough should be getting massaged. In other words, they need more massage, not less. When people are stressed-out because of their finances, they need all the stress management help they can get.
Therapists first need to understand this themselves. They then need to communicate this to every client who goes into panic-mode thinking, and they need to communicate this clearly and regularly.
Peace and Health
These clients also need to recognize that if their dollars have to be carefully spent in a troubled economy, they should do so for products and services that deliver to them as high a return as possible on every dollar they spend.
If you'd like to perform an eye-opening service for your clients (and yourself as well), ask them to write a list of the top 10 things that they did the previous month that gave them their greatest joy, peace or relaxation. I assure you that getting massaged will be on probably every list.
Moreover, chances are quite strong that it's not just in the top 10, but in the top 5. That means that massage may very well be the best thing they experienced in the previous month. Another way of saying it is that the massages you're providing, may be the best thing in their lives. So, at a difficult economic time, why should they eliminate the number one source of their joy or peace?
During the Great Depression, Hollywood nearly saved this country. As Michelle Pautz, writing in "Issues in Political Economy" just a year after the 9/11 tragedies, stated, "During the Depression, cinemas provided an escape from life and the plague of problems that accompanied it in the tough time. A major function of the cinema was a source of entertainment and a way for people to forget their troubles with stories that almost always had happy endings."
Even at the Depression's depths, 60 to 80 million Americans paid to attend the movies each week; and, in the face of doubt and despair, these films helped sustain national morale. No medium contributed more greatly than the motion picture industry to the maintenance of our collective consciousness during the worldwide Depression. (Interesting to note: In other countries, where access to movies wasn't as readily available, revolution, riot and political turmoil resulted.)
Massage therapy provides more than just an escape from the problems of the day for those who take advantage of it. It also helps promote health and peace in a profound way.
And if there's something that people need more than health and peace during the difficult economy that we're in now, please tell me what it is.
Click here for more information about Cary Bayer.
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