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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.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
August, 2012, Vol. 12, Issue 08
Extending the Benefits of Massage By Using Aromatherapy
By Shellie Enteen, RA, BA, LMBT
Most massage therapists interested in using essential oils as part of their sessions can easily relate to the idea of the physical properties of each of the oils and how they can be applied for a client's specific needs.Those familiar with the concept of subtle aromatherapy, which I have written about in previous columns, also know that a client can have the specific mental, emotional and spiritual energies that are part of the symptoms being presented directly addressed and assisted by using appropriate essential oils in the massage oil blend. But what happens after the client leaves the office?
On the purely physical level, essential oils can take from 18 to 24 hours to be processed and eliminated by the body. This is one of the reasons it is important to educate yourself and your clients about certain contraindications, such as increased UV impact on skin cells for the expressed citrus oils of lemon (Citrus limon), lime (Citrus aurantifolia) and bergamot (Citrus bergamia). Another example is the heightened intoxicant ability of clary sage (Salvia sclarea) that could easily cause unpleasant affects for a client who might consume alcohol at a dinner or party shortly after their massage. But this long lasting quality of essential oils is also a great benefit when working with clients who have chronic or acute inflammation and pain. It greatly enhances and extends the relief the client gets from the hands on techniques.
Along with delivering the essential oils to the body through application, simple inhalation of lavender (Lavandula angustifolia) has been shown to relieve pain and stress. The question of whether it is the stress relief achieved by inhalation alone that is responsible for the lowered pain experience has not been determined, but that has been suggested as a distinct possibility by research oriented aromatherapists like Robert Tisserand. Other essential oils with anti-anxiety properties, such as Roman chamomile (Anthemis nobilis), geranium (Pelargonium graveolens), sweet marjoram (Origanum majorana), patchouli (Pogostemom cablin), rose (Rosa damascena) and ylang ylang (Cananga odorata) can also demonstrate this stress relieving effect upon inhalation. Certainly, both therapist and client receive these benefits during the use of an aromatic massage oil blend.
Other ways to extend massage benefits with essential oils include giving the remainder of the blend to the client for home use. In a previous article, I mentioned that in order to sell an essential oil or blend, the therapist must have a retail license and collect taxes where required by law. But if the blend involved is part of the client's session, an extra amount can be created and given to the client as part of that session. This would require the massage session to cost more of course, but it does bypass the retail issues.
I would advise that whenever the client is going to leave with an aromatherapy blend for home use, they be given a "directions for use" form with the blend so they will know exactly what to do with it once they are at home. Verbal directions heard when a client is relaxed and focused on check out issues might not be retained as well. If they are given only the remaining massage oil, it can be used as a spot treatment a certain number of times a day and it can also be mixed into bath salts and used in a bath. If a small bottle of the undiluted blend itself is given for some reason, be sure to also include directions for proper dilution before use on the skin. Undiluted essences would be appropriate for room diffusion and inhalation, for dilution into honey, cream or bath salts for bathing, or for being added to an unscented carrier oil to create more for topical use. That could be helpful if the client is not going to be able to return for several weeks and they are dealing with a chronic issue, like arthritis. Essences I might avoid for bath use would be peppermint (Mentha x piperita), as it can be highly irritating to sensitive skin or mucous membranes, lemon (Citrus limon) and pine (Pinus sylvestris), unless it is certain that these are not old oils that have oxidized to become more irritating, and the above mentioned expressed citrus oils of lime and bergamot, due to their phototoxic potentials.
Be sure to keep a record of the exact essential oils and amount of drops to amount of carrier oil that was used for each client and the directions for use given. The good reports received about the extended benefits from using essential oils when the client returns will not only bring satisfaction but could easily result in increased referrals.
General Aromatherapy Bath Directions
Draw a hot tub that is not so hot that it will cause excessive perspiration. While the tub is filling, add all or part of the diluted aromatic massage oil to 2 cups of Epsom salts, mixing well. And undiluted blend can be added by drop to a tablespoon of honey or a cup of heavy cream. Up to 15 drops may be used and let the aroma be your guide. Again, mix well for complete dilution.
Once you are seated in the tub, add the essential oils (salts, honey, cream) to the water and swirl, inhaling deeply. Soak for 10 minutes and enjoy!
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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