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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.
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."
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.
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.
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.
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."
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
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.
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.
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.
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.
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.
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.
November, 2011, Vol. 11, Issue 11
Take the Fear Our of Billing Insurance
By Vivian Madison-Mahoney, LMT
Have you been finding, as I have, that the days, weeks and months just keep going by faster and faster? All while each of us are trying to figure how to make a living and keep it going from one day to the next?
When it came to the money, it was always tough for me, day-by-day, wondering where the next dollar would come from, how to feed my daughters, put gas in my car, how to survive the holidays, even sometimes how to buy the next tube of toothpaste or roll of toilet paper. I know this is not new, so many of you have gone through, or may right now be going through the same thing and I certainly empathize with you.
December 17th 1984, I received my massage therapy license. After only three months in the business, I was able to repay the doctor who purchased my first massage table for me to get started. I was able to keep the clients I had obtained by hiring another therapist to provide their service while I was on vacation and I learned then how to begin to build a business, not just "do massage."
Shortly thereafter, my business began to grow as doctors began to hear of my good work and that I accepted some insurance for payment. By 1997, I counted 172 different doctors who had referred patients to me and my massage establishment. Over the years, it grew to right at 500 client/patient visits a month. Yes a MONTH! We were treating (with full hour or more sessions), 28 to 32 patients/clients a day. Like birds of a feather, they flock together. Patients tell doctors, doctors tell other doctors and attorneys, attorneys tell attorneys, insurance companies refer policyholders, and so on.
The Secret to Success
Build a great reputation and your business builds itself! I had a tremendous cash-based, outcall business. However, it was during the second week of receiving my license in hand that I received my very first insurance case. I tried this on a whim and a prayer. I took on this case knowing NOTHING about insurance billing and at that time no one to my knowledge in the country was actually accepting, billing for and being paid by insurance for massage therapy services. I had to learn it step-by-step, the hard way. Doctors from all specialties began to refer their patients to us. (Us, being myself, 8 to 14 of my on-call therapists and my office staff, consisting of an office assistant who did all of our insurance billing and collections.)
So, why am I telling you all of this? Because I KNOW what it is like to scrape with the chickens, while your heart and mind want to soar with the eagles. I know what it's like to work hard, doing 8-hour or more massage sessions in a day, from one house call to the next, each from one to two hours, bumping your butt on door knobs, squeezing you and your table in the tightest places, walking up flights of stairs, standing on hard marble floors, putting up with the weirdo's, working until 10 p.m. or 11 p.m., trying to raise three daughters and sometimes my granddaughter. I know what it's like to cry yourself to sleep because your hands ache so bad you wish you could cut them off. I know what it is like to do a massage to put gas in the car, the next massage was to feed the kids, the next massage was to buy more massage equipment or supplies, and so forth. But when the insurance checks began to arrive, it was like heaven had smiled down upon us. Life turned around on a dime for us.
This is what accepting and being paid by insurance is all about. Accepting and billing insurance is not about hard work, paperwork, how much time you spend on the phone or dealing with doctors and attorneys. It is about the good you get from it; the income, the helping of others who would otherwise never know what massage even was, or who could have never afforded it on their own. It's the freedom from wondering what will happen from one day to the next or to just get by, squeezing it out of life, as life has squeezed it out of you. When done accurately, ethically, timely and when you are ready, it can be your life changer, too!
An Example You Can Relate To
Pretend you are out in a desert, walking for hours, dying of thirst. Suddenly, you see ahead of you 10 water wells with eight of them having a notice on them of "empty." The other two assured you that you were in luck. Which of the 10 wells would you go to? Common sense, a desire for success, the fulfillment of needs and desires, for life sustaining support all are there before you just for the taking and accepting insurance is no different. You do not have to walk in the sand and heat and worry if it is out there for you. You may have to do some minor investing in time and money to get the knowledge, but then when you have it, the money is just a matter of following the procedures, guidelines, laws and rules. If you are not accepting insurance at this time, if you have tried it and for whatever reason have not been successful, If you wanted to try it but listen to the naysayers, those who did not do it or did not do it right, I urge you to take a chance again, accepting only those cases (wells) which have the money (water) for you to enjoy and survive on!
Click here for more information about Vivian Madison-Mahoney, LMT.
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