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Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
March, 2013, Vol. 13, Issue 03
Curbing Label Overwhelm
By Jaclyn Chasse, ND
For the average consumer, reading a food package can be overwhelming; natural, organic, non-GMO, gluten free, free-range ... you get the picture. Massage therapists can serve as the healthy living experts for their clients, so having a good understanding of what a "healthy" food looks like can allow you to provide your clients with information that adds even more value to their visit with you. Here are some of the most important terms used on labels and what they really tell you about the food you eat.
Let's begin with the most sought-after term on a label. Many consumers are switching to organic food and for good reason. Organic foods are free of antibiotics, hormones, genetic engineering and genetic modification, radiation, synthetic pesticides and synthetic fertilizers. Many of these food additives and practices have demonstrated harm at high levels, and avoidance is by far the safest option for the health conscious consumer. In 2000, after 10 years of development, the U.S. Department of Agriculture implemented its rules surrounding the use of the term "organic" and the USDA organic seal. You will see a few versions of "organic" on a label.
The first, and best, is "100% Organic." This means, as you would expect, that the product contains only organic ingredients. The second is "Organic." Now, you may expect that this would be the same as 100% organic, but in fact, it only requires 95% of the products ingredients to be organic. The remaining 5% can be non-organic as long as they are on the USDA's approved list. These two categories may display the USDA logo. You may also see "Made with Organic Ingredients" on a label. This is the third regulated term by the USDA and requires that at least 70% of ingredients be organic. The package must label at least three of the organic foods on the label as organic so the consumer can know which ingredients are organic.
All-Natural & Natural
According to the USDA, foods labeled "natural" do not contain any artificial ingredients or preservatives and the ingredients are only minimally processed. However, these foods might contain antibiotics, growth hormones and other natural (yet often undesirable) additives. You also might see "all-natural" on a label. This is an unregulated term, so while it usually follows the same guidelines mentioned for "natural," it doesn't technically have to.
Free-range & Cage-free
In order for a product to be labeled with "free range" or "cage free," the animals must have some access to the outside and not be contained. Unfortunately, this term is not well-regulated. There are some food producers who will keep animals very closely confined, but without cages, and still use the term "cage free." Ideally, this label should mean that the animals cannot be contained in any way and have access to freely roam and forage on open land. That's what they show us in the label's picture, right?
With California's vote this year on Prop 37, to label genetically modified foods, there has been a growing awareness on what genetic modification is and the risk it may pose to your health. According to the Non-GMO Project, genetically modified organisms, or GMOs, are plants or animals created through gene splicing techniques or biotechnology that merges DNA from different species, creating combinations of plant, animal, bacterial and viral genes that cannot occur in nature or in traditional crossbreeding. While GMO food producers tout the equivalence and safety of genetically modified (GM) foods, little published research is available to demonstrate safety, and so conscientious consumers are left questioning whether they should be consuming these foods and the majority of consumers don't even know they are consuming them.
You are probably seeing more foods labeled GMO-free. This is currently an unregulated term; however, some non-profit groups, including the well-known Non-GMO Project are certifying and labeling foods that can be verified as GM-free.
The most common GMOs are soy, corn, cotton, canola, sugar beets and Hawaiian papaya, with around 90% of the U.S. crop being genetically modified. Alfalfa and squash (zucchini and summer squash) are also frequently genetically modified. The non-GMO label on products can assure consumers that the product does not contain any genetically modified organisms. Organic foods also can not contain GMOs, although they are not required to test for the presence of GMOs to be labeled organic.
Gluten Free And Other Allergens
Gluten is a protein contained in wheat, barley, rye, spelt and kamut. It is one of the more common food proteins triggering allergy and sensitivity in humans. Foods labeled "gluten free" must be below 20 parts per million (ppm) of gluten. To put this in perspective, if you were to eat a 1 oz slice of gluten free bread, it could contain up to 0.57 milligrams of gluten, which will not cause symptoms in most people with a sensitivity. I commonly see gluten free patients come to me with questions about whether a product labeled "wheat free" is also "gluten free." The answer is no, it does not have to be. It could still contain spelt or another gluten containing grain. So, be sure to read labels carefully.
Regulations around declaring allergens is taken very seriously in this country, and food companies are required by law to declare if a food contains a major food allergen including wheat, milk, egg, fish, Crustacean shellfish, tree nuts, peanuts or soybeans. Labels are clearly marked, in bold at the end of the ingredient list, with allergens that they contain. Failure to disclose allergenic ingredients could leave a manufacturer subject to an immediate mandatory recall.
In today's day and age, it can be difficult to be an educated food consumer. There are so many food choices available and slick marketing can easily fool a consumer into thinking that a food is healthier or more natural than it really is. Even educated consumers can be fooled. The best way to ensure you're eating healthfully is to choose foods with only one ingredient-usually, these are things without a nutritional label at all (like apples). But, if you are choosing processed foods, hopefully this guide will allow you to more easily understand what it is that you are buying. Make sure you choose wisely!
Dr. Jaclyn Chasse, ND, is a practicing naturopathic physician in New Hampshire and is the Medical Director at Emerson Ecologics. She also holds an adjunct faculty position at Bastyr University, teaching courses on reproductive endocrinology. Dr. Chasse is a graduate of Bastyr University and has an undergraduate degree in Biochemistry and Molecular Biology. For additional information, visit www.emersonecologics.com.
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