resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
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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