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Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
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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