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Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
April, 2011, Vol. 11, Issue 04
Your Backup Plan: When Life Interrupts Your Practice
By Jenn Sommermann, LCMT
Being a massage therapist is physical. I don't have to tell you that in order to do this work well, it takes a strong body, a clear mind and endurance. Even if you only practice part time, you must inhabit a high state of health to care for your clients.Of course, there are differences, i.e., you travel with your table, perform sports massage, have to work around a hospital bed with less than optimal ergonomics or have a private practice where clients come to you.
I am not referring to any particular type of practice but am speaking in general. You must have a certain level of fitness to be a massage therapist. I often joke that I am in the best shape of my life and it is because I have been a massage therapist for almost 20 years.
But then life happens. Sometimes you get sick. Sometimes you get injured. Sometimes you have emotional issues that leave you less than grounded and present for your clients. It isn't realistic to think that you can be strong, sound and able, year after year, client after client, without interruption. If you have practiced for any length of time, this issue may have already occurred. The question is what to do about it so that you can maintain your practice, your income and your reputation.
One morning this winter, I woke up injured. The distal joint of my fifth finger on my right hand was bent at 90 degrees. I have come to learn it is called a "mallet finger". There was no injury or trauma; I simply woke up with a crooked finger. As I make a portion of my living with my hands, I panicked and rushed to a hand surgeon. He told me this is a common injury and probably occurred while pulling up the sheets in bed. Really? Didn't I just say I was in the best shape of my life? How on earth could this happen? After consoling me, I was put in a splint to be worn 24/7 for eight weeks.
As of this writing, I am still splinted and hoping for a positive outcome. Surgery is the next option and one I don't care to bring into consciousness. And then the reality sets in: I am impaired. I cannot use one of my fingers and moreover, need to keep it out of the way of the other fingers. How will this affect my work? Can I work? I asked the doctor. He merely stated, "Try it and see how you feel". I hated this answer but realized he couldn't say anything else.
I decided to take the first week off to heal and come up with a plan. There are options when you are sick or injured and it is important to consider them, even before you need them. A backup plan is one you hope you will never need to use but is good to have ready, just in case. A backup plan for a massage therapist may include:
It should be noted that there is always a risk if you stop seeing your clients for a period of time (either because you took a break or referred them elsewhere) that they may not come back to you when you are able to work again. I truly believe there is enough work to go around and chances are if the relationship is well-established, it can survive a hiatus until you return. That being said, the risk is real and must be considered.
Once the options are weighed, implement your decision. Remember if the decision does not work out, you can change your mind. For example, if you find that you cannot work with the injury or illness, inform your clients immediately so they can seek care elsewhere. It really is OK to change the plan. Your health is paramount and if you don't take care of yourself, how are you to take care of others when you are well again?
I am back to work again. My finger is splinted and bandaged. I have also chosen to wear finger cots that are changed between clients. For the most part, I keep my finger out of the way of the other nine but it occasionally comes along for the ride. I have adapted; the first few massages were shaky. Most of my clients have no idea that anything is wrong with my finger. I am not trying to hide it and if they "see" it, I tell them. But I don't want it to be the focus. The care is about them and I want to focus on them.
Whatever ails you, be it physical, emotional or spiritual, your work can be impacted. If it is too much of a burden, you may need to consider options. A backup plan is a good thing to have in place. My wish for you is that you never need to call on a backup plan. But in case you do, you'll be glad you planned ahead.
Click here for previous articles by Jenn Sommermann, LCMT.
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