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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.
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.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
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.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
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."
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
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.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
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.
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.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
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.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
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.
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.
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.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
June, 2012, Vol. 12, Issue 06
Getting Better With Age
By Ann Brown, LMT
In the United States today, we can look forward to living longer than ever before. By 2030, projections show that one in five Americans will be over the age of 65. According to the U.S. Census Bureau, there were 50,454 centenarians (people age 100 or over) in the year 2000.By the year 2030, the number of centenarians is expected to reach more than 200,000 people. But why does this matter to you as a massage therapist?
The living-longer baby boomer generation (born between 1946 and 1964) represents a significant, potential source of business for you. Baby boomers aren't just getting older. They are looking for ways to stay active, healthy and vibrant. "Retirement" isn't in their vocabulary. Their focus is on getting better, not older.
Living a Healthy Lifestyle
Baby boomers have a need, not just a desire, for massage therapy in order to live the lifestyle they want and they have the disposable income to support their needs. According to the U.S. Census and Federal Reserve, 78 million Americans who were 50 or older as of 2001, controlled 67% of the country's wealth, or $28 trillion dollars (www.immersionactive.com/resources/50-plus-facts-and-fiction/).
For the baby boomers, massage is more than a luxury. As a spa director, I work to make sure our therapies and services go beyond the treatment table, because I want our spa to go beyond a treatment that they can take or leave. I want clients to understand how the entire spa lifestyle can support their desired way of life and is essential to achieving the activity and wellness they want to enjoy. For baby boomers, a spa treatment is not just a spa treatment – it's a lifestyle choice.
As a massage therapist, you have the opportunity to work with the same mission. Your offerings may be smaller scale compared to a full resort spa, but you can still consider the same spa strategies to make a healthy impression on your clients. Baby boomers are very concerned about their health. As a massage therapist, you can educate them on the benefits of massage to help them understand its potential for their health and quality of life. You know the benefits of massage: increased circulation, lowered blood pressure, pain alleviation, increased joint flexibility, reduced depression and anxiety and more. By educating yourself beyond the basics, with recent research concerning this age group, you can share and educate your baby boomer clients on how massage can impact their changing needs as they age.
For example, in a Brazilian study released in 2011, therapeutic massage was shown to decrease the severity of insomnia and anxiety-depressive symptoms related to menopause. A 2007 study at the University of South Carolina compared the effects of massage among older adults. The study found that adults 60 years of age and older who received massage therapy 50 minutes twice weekly for 4 weeks, experienced significant improvements in mood (decreased anxiety). Massage therapy is proven to enable baby boomers to feel good and do more. As a massage therapist, you have a great opportunity to help your clients realize the importance of massage and improve their quality of life.
Encourage Regular Visits
One of the keys to establishing a strong relationship with your baby boomer clients is to encourage regular massage visits. To help them make it happen, encourage your baby boomer clients to consider using a flexible savings account (FSA), healthcare savings account (HSA) or healthcare reimbursement account (HRA) to set aside funds and pay for their massages with tax-free dollars. Encourage your clients to check with their employer about one of these accounts if they don't already have one.
Your client will need to determine if a doctor's referral is required to use their HSA account for their massage sessions. Even if a doctor's referral is required, qualifying illnesses generally include carpal tunnel syndrome, stress, back pain, arthritis, diabetes, hypertension, fibromyalgia, chronic fatigue, anxiety, depression and pain management – a list that will somehow touch most of your clients in one way or another.
These types of accounts are often set up with employers in the fourth quarter of the year. Consider approaching local businesses at this time to discuss ways you could help set up a special series of offers for their employees, creating a wellness plan for employees to take part in. Structure a 12-month plan with options for one or two massages a month and an annual fee – one that is at a savings from your regular massage rate to incentivize the one-year commitment. Time the offer with the window during which employees can opt in to a FSA or HSA to benefit from the deadlines established by the employer and jump start your new clients' interaction with your business. As an added benefit for the business, you might offer free chair massages on a specific day, giving the company a great morale boost for their staff and creating an introduction for you. The 12-month plan doesn't have to be limited to local businesses, but you should look for ways to personalize your approach. Use such loyalty programs as a strategy to help your clients prioritize massage visits each month.
Ready to start now? Look at ways to bring a more comprehensive health focus to your practice. Search for ways to support the baby boomers' desire for overall wellness. A simple, no-cost, add-on you can implement in your service is a breathing exercise. Lead your client through a guided breathing meditation to begin the massage, increasing their relaxation. Let the breathing exercise start a conversation about how a massage is more than just a rub-down, but part of a greater wellness movement.
Stay proactive in your approach to help your clients find ways to make massage a regular part of their lives. They will physically and mentally benefit from the regular massage treatments, and you benefit from the solid, consistent appointment schedule.
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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