resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed 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.
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.
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.
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.
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.
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.
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.
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.
August, 2013, Vol. 13, Issue 08
FL PIP Case: Where We Are Now and Where We Are Going
By Vivian Madison-Mahoney, LMT
You carry automobile insurance, don't you? You expect it to pay your accidental medical bills, don't you? Sure, we all expect our insurance policies to pay what they are supposed to pay. We also know that more and more they are finding ways to not provide payment for one reason or another.However, we never, ever expect a state governor to control our medical treatment, do we? We never expect a state Office of Insurance Regulation (OIR) to stand up for insurance companies, the very ones they are there to regulate, all the while totally fighting AGAINST the consumer instead of FOR the consumer. We never thought a few short years ago as we were climbing the ladder in the medical arena, that we would be fighting so hard now to save our reputation and income making opportunities.
Strike 1: Massage Therapists Excluded from Medicare
Do you recall when massage therapists were allowed to perform massage therapy on Medicare patients in a doctors office and the doctor could bill Medicare and pay massage therapists as independent contractors or employees? But, then Medicare changed their "incident to" physician services rules. That left massage therapists, hundreds of them across the nation, without a job in doctors offices, hospitals and other medical settings. Medicare recipients were left without medically necessary and prescribed therapy.
Strike 2: Massage Therapists Excluded from Developmentally Disabled
Then, 118 LMTs in Florida lost their jobs and hundreds of developmentally disabled vulnerable recipients were left to sit daily in wheelchairs, left without therapy that helped their circulation and flexibility.
Strike 3: Therapists and Massage Therapy Excluded from FL Auto PIP
Well, you most likely heard by now (if you have been reading Massage Today) or been involved with FL LMT's, that Governor Rick Scott accused massage therapists of insurance fraud. Rick Scott who himself was accused of the largest Medicare Fraud in history with the hospitals he owned (HCA). Google Rick Scott or Dick Scott & HCA for the complete history including a whistle blowers report.
Was there fraud? Is there ongoing fraud? Will there always be fraud? Were massage therapists along with other health care providers involved in some fraudulent cases? YES to all. However, there are built in statutes to handle fraudulent insurance claims. There are reports of millions of dollars lost to fraud in Medicare each year, but they don't kick all the doctors out of the right to treat patients and file claims because of a few who committed fraud. But a massage therapist? YES, we, who work by a written physician's prescription, we, who normally charge the lower end of the fee scale, we, who put more time and effort in to patient treatment, care and concern, we are the ones kicked to the curb. Hundreds of Florida massage therapists claim they have lost their jobs, lost their hope, are unable to pay student loans and so forth since this PIP law went into place by Governor Scott on May 4, 2012.
Well, I personally decided to not take a back seat to this unfair, discriminating law against us. Will you stand up with me and our attorneys and help us fight this before they continue to errode our rights to practice and be reimbursed equally and fairly across the nation?
Stand up for what's right, keep posted and contribute whatever you possibly can and please share with all. Please visit www.flpipdefensefund.com for United Practitioners Organization, Inc.
There is no way on earth that I can ever thank Constitutional Attorney, Luke Lirot and his partner in this journey, Adam S. Levine, M.D.,J.D, for their faith in me, Kevin Johnson, CEO of Advanced Mobile Diagnostic Group and our Plaintiffs to help them stand up for massage therapy, massage therapists and our profession in general by spreading the word and by collecting contributions to pay their expenses, time and effort to fight for justice for all.
In spite of all other attorneys saying it couldn't be done, they have already won in court three times and are prepared to go before the Appellate Court Judge to once again present their oral arguments in our favor to obtain a permanent injunction while the case proceeds.
In my 29 years of dealing with insurance, legal cases and attorneys, including personal situations, I have never been as completely and timely informed of the step by step legal process as I have been while working with Attorneys Luke Lirot and Adam Levine.
Because I know the value of being kept in the loop, I want you to be as well. So herein are some of the documents that you can read if you care to know what has been going on in this case since the beginning of this lawsuit right up to date where the attorneys have filed their latest answer to the State's motion to have the injunction dismissed once and for all. Included you will find Amicus Curiae Briefs filed on behalf of FL State Massage Therapy Association (FSMTA), FL Chiropractic Association (FCA) the FL Acupuncturist Assoc. and the FL State Oriental Medical Association and the FL Justice Association (FJA) who are filing on our side. Against us are associations or organizations representing hundreds of insurance companies for the State of Florida (OIR). All of these documents are available at the above mentioned website.
In the documents, you will see the chronological order from the first time it was filed in State Court, dismissed, filed in Federal Court, back to State Court, hearing set by different Judge and his ruling for temporary injunction while the case proceeds through legal channels. From there, the State of Florida, OIR was allowed an Automatic Stay (invalidating the injunction) because it is a government entity.
However, because under the law if one party can show more harm than the other side, the Judge could then rule to Vacate that Stay, keeping the injunction in place. Attorneys Luke Lirot and Adam Levine once again presented a witness and oral arguments against the State of Florida OIR, the Judge did rule to Vacate the Stay and we were back in business for a few days. Then the state of Florida OIR filed an appeal with the 1st District Court of Appeals thereby putting us on hold again. But the 1st District Court of Appeals ruled that the Circuit Court Judge's ruling stands. So we are back in business once again. But wait! Not so fast. Insurance companies are stating because they were not sued individually instead of the state office that regulates them, they are not required to follow the court order so some are refusing to pay massage therapists and acupuncturists or follow the rest of the court order. State Farm is following the order.
So the case goes on and we fully expect to win for all Florida consumers whose right to utilize the full benefits they pay for are back in place, until their right to choose medical providers and services is back in place and until massage therapists and acupuncturists are back to work and until chiropractors can once again make emergency medical determinations.
See the documents to get the full picture of what has been and is happening. Know we are here for you. I am personally excited for this opportunity to do all I can for the profession and to thank each and every one of you who come from nearly all 50 states who have already donated to our cause. I ask that you stay posted on all that is happening and ask all your friends, co -workers, family, vendors and consumers to donate to make this one of the most successful adventures this profession has ever seen. Check out the corporation set up specifically to fight this law and collect contributions to assist. United Practitioners Organization, Inc. www.flpipdefensefund.com.
Click here for more information about Vivian Madison-Mahoney, LMT.
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