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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
September, 2013, Vol. 13, Issue 09
Let Food be Thy Medicine: Diet Plans with a Purpose
By Tina Beaudoin, ND
Every person is unique and as such they will have varying needs based on the individual's genetics and current state of health. Some people prefer to accomplish their health goals through diet and lifestyle alone, while others may opt to rely heavily on supplementation or pharmaceutical interventions.Nutrition, exercise and mental health are important predictors of whether or not you enjoy health and vitality versus illness and lethargy. In terms of nutrition, Hippocrates said it best; "Let food be thy medicine and medicine by thy food." Sleep, hydration and environmental exposures also play a considerable role in wellness, but for the purposes of this discussion, we will explore nutrition and diets that target specific elevated cholesterol and diabetes.
Pop media has shone the spotlight on many fad diets like the Atkins Diet and the South Beach Diet, but there are additional options that can help you target specific health conditions that go beyond the goal of losing weight. For example, the Mediterranean Diet supports cardiovascular health using Mediterranean-style cooking that focuses on primarily plant-based foods as well as fish, poultry and olive oil. There is also the anti-candida diet that eliminates intake of foods that contain yeast and high-glycemic foods to help re-balance intestinal flora. The Elimination Diet is the gold standard when your objective is to identify and remove food sensitivities. The DASH Diet has a list of recommendations to help control elevated blood pressure that focuses on limiting sodium intake while emphasizing vegetables, fruits and low-fat dairy products.
Elevated cholesterol and diabetes are prevalent conditions in which a targeted diet plan can offer tremendous benefit. Nearly 71 million Americans have elevated cholesterol and less than half of them seek treatment. The Center for Disease Control and Prevention reported that more than 16 million people are diagnosed with diabetes in our country. In addition, it is estimated that there are 7 million undiagnosed cases and an astounding 79 million people are considered pre-diabetic. The Portfolio Diet and the Low-Glycemic Index Diet are two great examples of how a targeted diet can help individuals "let food be thy medicine."
The Portfolio Diet is a two-fold plan that is designed to help reduce elevations in cholesterol. In a review of clinical studies, the Portfolio Diet was found to reduce LDL cholesterol by 22% to 30% after one month when all food was provided. A community-based study found a 15% reduction in cholesterol after six months. The first part of the recommendations involves following the Formal Step II dietary guidelines devised from the National Cholesterol Education Project which permits total fat calories to account for less than 30% of total dietary intake with less than 7% from saturated fat and less than 200mg per day of cholesterol.
As the name suggests, the second part of the diet relies on a business strategy of utilizing a diverse array of nutritional "investments" to increase returns. Four specific types of foods encompass the second set of recommendations that include:
Sterols are the cholesterol made by plants that block the absorption of cholesterol in the digestive track. Sterols are found in small amounts in legumes, vegetables, grains, nuts and seeds. To achieve the target recommendation of sterols it will likely be necessary to use supplements or consume sterol fortified foods. Eating a handful of unsalted almonds (as well as cashews or walnuts) is an easy way to incorporate the nut recommendation. Reading labels and enjoying a regular intake of soy and colorful vegetables will help you reach the fiber and soy protein goals.
It does not have the catchiest name but the results are fantastic when lowering blood sugar is your goal. Glycemic index refers to the amount of glucose released into your blood within two hours of a meal. As diabetes mellitus is one of the largest and most costly chronic disease facing Americans, learning to identify and incorporate low glycemic foods into your diet is a healthy step on the road to preventing or managing diabetes.
Foods with a high glycemic index release glucose faster into the bloodstream than low glycemic index foods. A quick rush of sugar into the blood stream puts a strain on the pancreatic cells that secrete insulin. Chronic strain on these cells will lead to decreased production and insulin resistance, precursors to diabetes. Balancing your meals and snacks with a combination of low glycemic-index carbohydrates, fats and proteins will help slow the release of glucose into the blood stream and support healthy blood sugar control.
Most people can guess that maple syrup, honey and high fructose corn syrup are at the high end while lentils, beans and nuts are at the low end of the glycemic index. White rice, breads and pasta are also at the high end of the spectrum along with popcorn and corn flakes. Whole vegetables and legumes nearly all have a low glycemic load with exceptions including white potatoes, corn, carrots and parsnips that are higher glycemic index veggies. Melons, pineapples and grapes are higher glycemic index fruits and should be minimized.
At the onset, it be challenging for individuals to remain compliant on a targeted diet plan. This is especially true when foods seem completely foreign. Consider adding the support of a licensed nutritionist to lend expertise in learning new foods and recipes. There are also low glycemic index applications available for smart phones, as well as numerous sites online to help individuals make sure they are purchasing specific low glycemic and low cholesterol foods. Be sure to enjoy the process by seeking support and keeping an open mind, as there are the many delicious options available.
Dr. Beaudoin is a Medical Educator for Emerson Ecologics, a distributor of professional nutritional supplements to healthcare practitioners. She also enjoys maintaining a naturopathic family practice and is the president of the New Hampshire Association of Naturopathic Doctors. She can be reached at
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