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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.
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.
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."
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2013, Vol. 13, Issue 05
Can There Really Be Too Much of a Good Thing? Never!
By Angie Patrick
Convention and conference season is in full swing! So many incredible events are going on all over the country. There is such tremendous opportunity to learn new modalities, gain skills, brush up on techniques, learn about products and network with your colleagues that it's a bit hard to keep up.When you go to an conference or convention, do you sometimes feel like you're drinking from a fire hose with all of the input you receive in a short time period?
I love "show season" because for me, it's an opportunity to meet new people, see dear old friends and learn as much as I can about what is new and exciting going on our industry. I look forward to finding out more regarding the things pertinent to the profession such as research, legislation, regulations and more. I will admit, when I leave a show or an event, I am energized and want to put everything I have learned into practice or use it all at once, but the magnitude of it all can cause a bit of mental paralysis, as I sometimes have no idea where to begin. Here are some tips on how you can organize the data you collect, the connections you make and the education you receive so it's not only useful, but easily referenced.
To begin, lets first talk about people. We are so fortunate to be a part of a health care industry that is people focused. My experience at an event is that of true face-to-face "community" networking. You gain opportunities to meet those you know from social media sites, blogs and online conferences. Additionally, you get to meet suppliers, educators, authors and vendors. Remembering names may be the gift of some rare souls, but for me it is not a gift that comes readily.
When I accept a business card from someone, I like to take a moment and write down a nugget of information about my interaction with them so when I get home and organize, the nugget will jog my memory and I will have a "face" with the name on the card. For example, if I met someone and I learned in the course of the conversation their hobby was poodle breeding, or perhaps we had a common acquaintance, or even if they had an awesome haircut, I will make this little note on the card to jog my memory when I am filing cards for reference later. You will be surprised how effective this quirky habit can be. Often, the nugget helps me recall far more than just the tidbit I wrote down, but much more of the conversation we shared and the information I learned from them.
I organize these cards in a file alphabetically until I have the time to put the information into a personal contact database. This need not be some expensive elaborate software. Mine is simply an excel spreadsheet. I have a column for notes where I put my nugget and suddenly I have a searchable and organized means to connect with those in my profession from which I can gain knowledge, share experiences, gain advice or kindle a friendship.
Next, let's talk about the trade show floor. This is where the paper and catalog gathering goes into full swing. I like to try to visit each booth, whether or not I may be interested in what they are offering right in this moment. I gather their literature and put it into my registration bag. Because time is valuable and there is only so much time available between classes, I make a point to visit those booths for which I have an immediate interest and spend time learning about the product or service. I try to establish a bit of a relationship with the company by better understanding what they offer and discerning how this may help me in my day to day business.
When you take the time to visit each vendor and gather reference data, you are building your reference library. When you get home, you will have a bag filled with information it would take you months to research. Take an hour, maybe two, and do yourself a favor. Create a ring binder and segment it into categories. Segment however you choose and in any way that helps you manage the data. As an example, mine is segmented into the following:
After so many years attending trade shows, my segments are now their own binders. But this is what allows me to have a strong understanding of the market, its available resources and the people that make it work. Truly, in every sense of the word, we are a community. Whether you enjoy being right in the middle of the action or prefer to stay on the edges and watch, knowledge is power. You cannot remember everything you learn and absorb all the data you gather, but you can take this information and build a repository that will help you as you move along your professional career. You will find yourself referring to these lists and books more often than you ever thought you would.
When you need a new table, you have information at your fingertips, direct from the manufacturer and more in depth than what you find online. When you are looking for a new lubricant, you can compare the ingredients side by side and refer to the notes you made about grip, glide, scent and more. When you need CEU credits, insurance or look to join an association, you will have all the information just sitting there, waiting for you to help you chose what is right for you and you will be glad you have taken the time to take the experience of attending a conference, convention or trade show and building a library of your own to use long after the event has ended.
Click here for more information about Angie Patrick.
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