resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
September, 2012, Vol. 12, Issue 09
Florida Legislative Update
FL Personal Injury Protection (PIP) Auto Accident Law Now In Effect
By Vivian Madison-Mahoney, LMT
In addition to medical groups, health clinics, mobile diagnostic services and chiropractors, I and a few massage therapists have donated approximately $10,000 to the fight to overturn this law that discriminates against massage therapists and acupuncturists.We have formed the Florida PIP Defense Fund and we have engaged the services of a highly qualified, well respected, Constitutional and First Amendment Rights Attorney, Luke Lirot who is putting together a thorough complaint and legal challenge embracing all the constitutional issues of the now current law.
"While Insurance companies might be able to pick and choose medical providers, treatments and so forth, the State cannot," said Lirot. "If, as the Governor alleges, the high costs to insurers is due to fraud in the PIP system, why then eliminate an entire field of medical providers? Why not go specifically to the fraudulent activity and attack the ones perpetrating the fraud? It is totally unreasonable, unjustifiable, arbitrary and overreaching to eliminate a whole profession of medical providers. Was it just because massage therapists and acupuncturists were the easiest to target?"
Because of the passage of HB119, massage therapists have been excluded and denied the right to work and be paid for services they obtained specific training and licensing for. Patients have been denied their rights as well. They have been denied the right to choose medical providers or treatment of choice under the same policy other providers are accepted and reimbursed for. The legislators added physical therapists as providers when in fact they were already reimbursed for such services. In addition; physical therapists have within their scope of practice some of the exact same modalities and procedures that Florida licensed massage therapists have in theirs. Physicians have been denied the right to prescribe medically necessary treatment of choice to patients and they have been denied the right to choose a State Licensed Health Care Practitioner for referral of patients to receive soft tissue treatments for injury related conditions.
By the time this law is fully implemented, thousands of massage therapists jobs will be lost, some massage therapy schools will be closing and unemployment will rise even further. Potential Florida auto accident patients' (including LMT's, their family members and friends) will suffer without medically prescribed manual/soft tissue treatments paid for by their auto insurance, as has been the case for the past 28 years.
When is it in effect?
Many lawyers, doctors, therapists and even insurance adjusters are still in the dark. Some say that the law took place where massage therapists and acupuncturists are excluded as of July 1, 2012. Others say it is when the policyholder's policies renew. Some have renewed on July 1st, and others will renew as the year goes forward. Some say it doesn't go into effect until January 1, 2013, when almost all aspects of the law become effective. I say play it safe, look at the patient's policy, contact the insurance adjuster and document every detail of the conversation. If you work for other providers, try to receive payment at the end of the week and not when provider gets paid or else have a good solid contract in place to protect yourself.
Three versions of the final bill (House, Senate and Engrossed Bill) all state the effective date as July 1, 2012. Because of a major "glitch" in HB119 related to the licensing of AHCA clinics, the Florida Agency for Health Care Administration (AHCA) released a statement basically requesting all insurers reimburse claims until January 1, 2013, but even the agency says it cannot override the law.
Are therapsits totally left out or is there a way to still treat auto accident cases? You will still be allowed to provide services for Time of Service (cash) fees. You can still bill MED-PAY if the patient has purchased that as part of their policy, but only when the $10,000 PIP money is exhausted. You can still accept attorney letters of protection (LOP's) after the $10,000 PIP money is exhausted. As always, a prescription from a treating physician will be necessary.
If you would like more information about the impacts of HB119, please visit www.flpipdefensefund.com.
Click here for previous articles by Vivian Madison-Mahoney, LMT.
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