resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
Epigenetics: The Western Science Supporting Essence
Since the days of Darwin, western medicine has touted that our genes were set in stone, that our genetics were our destiny. We were told that the diseases that ran in our family were likely coming to us as well.
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
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 more information about Vivian Madison-Mahoney, LMT.
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