resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
November, 2013, Vol. 13, Issue 11
The Evolution of Massage: PRN Massage
By Velvete Womack, PhD, LMT, CE, MI
In the past few articles, we've been discussing how to take massage therapy to the next level of professionalism, which also included a technique to use to ensure that YOU were ready to accept yourself as a full-blown professional.
There are many different reasons individuals become massage therapists, but no matter what your reason for becoming a therapist may be, you are still responsible for maintaining the integrity of the profession. And,it is also our responsibility to be "the light" and hold ourselves to a higher standard of practice to help inspire and motivate other therapist to do the same.
But how do we take our profession to the next level of professionalism as a team; as trusted and cooperative therapists? If you've been exposed to the medical world or studied medical terminology, then you are aware of the abbreviation PRN [Latin: pro re nata], which means whenever necessary or needed. As a therapist, we are missing out on this valuable practice that will evolve our practices and FREEDOM.
Operating a PRN massage practice has so much potential and endless possibilities that you are absolutely limitless in creative ideas and energy. One of my greatest adventures was the day I opened my very own PRN massage practice. My mind was blown by the number of physicians, therapists, chiropractors and even businesses that offered massage and that called for my services on a regular basis. There is no greater feeling in the world than when you fill your schedule book and are turning down three to four clients a day. That's when you realize just how you can be of service to mankind. So you find another therapist and offer them the same possibilities you have.
I have enjoyed all the therapists who have worked for (no, with) me! Together, we have promoted and built an even bigger and stronger foundation for the profession. Some moved on to do the same as I did and hired therapists that now work with them, paying it forward.
In most states, massage therapy has its own governing body and it is a must that you contact yours before you start so you can learn the rules and regulations that will be important to running a successful PRN practice. In texas, as it might be in your state, if you are a solo practitioner without an establishment license, then NO ONE can substitute for you. If you are not an establishment in Texas, you are not welcomed to even offer a room to another therapist to rent or have someone come in on the weekends. This rule might seem a bit harsh at first, but once you realize the importance of the paperwork, the responsibility of protecting your clients and their privacy, you get it. We are professionals, folks!
In Texas, you are able to hire or work for another as a PRN therapist if they hold a medical or professional license that is medically related, such as chiropractors or physical therapists; or if the person you are working for holds an establishment license. This does not mean you can hold an establishment license and run a PRN practice and work for another therapist while they are on vacation; they must hold the establishment license. However, if you have multiply therapists working for you in your PRN practice in Texas, you are required to have an establishment license for your business.
Records are extremely important in any profession and massage therapy is no different. It's upsetting when a therapist knows they need to do SOAP notes, but refuses on the premise relaxation isn't something that needs to be documented. It's extremely important to understand many therapists are the only folks witnessing changes that occur on their clients' backs, necks, head, feet, skin and a whole list of others areas. Such events and occurrences are extremely important, and the therapist needs to be aware and make sure it's well-documented.
Regarding records, it's also important to understand who is responsible for client records. If you are working PRN, then it needs to be within your contract that you are making sure the owner or the business you are working for is responsible for the client records, and that you are released of any liability for such records, outside of making sure you do your SOAP notes. It needs to be well-documented who owns the client records so there is no confusion in the future.
To establish yourself as a professional offering PRN services, it is a must that you communicate with your local physicians, physical therapists, nurses, other therapists and businesses to let them know you are ready to provide them with relief. At first, you'll just want to make sure people know you are available and build a reputation with them. They'll want to know what kind of work you currently do and will want some kind of references. It helps to have established yourself with a booming chiropractic or rehab businesses; they'll be your best marketers.
In order to better assist you in building your own PRN practice, I provide the following guidelines:
Also be sure to add to the contract that if your pay exceeds $500 in services, they must supply a receipt for services rendered.
If you have multiple therapists working with you, then you'll want to be sure you are also keeping excellent records because the business will only need to provide the "PRN business" with documentation, not each therapist. The contract should be signed and placed in a secure filing system so you will not have to repeat the procedure. Once a therapist or business signs a contract with you then you'll just need to do business with them until the life of the agreement is over or renewed.
If you are contracting with another therapist, you are responsible for all records, payroll and 1099s. Make sure you have a solid contract that clearly covers:
Maintain accurate records for tax purposes; this will be your responsibility because you are contracted with the company. It's important to stress here that all successful therapists must market themselves. If you are not strong in this, then PRN might not be for you. However, if you love working on different people each day and meeting new people every day, then this will be a win/win for you.
When I first started my PRN practice, I was concerned about the money and whether it would really pay the bills. The first thing I discovered was that my expenses only consisted of lotions and auto; they supplied everything else I needed. They were my receptionist, they did the laundry; they were my office manager and took care of all my client records; and they had to bill insurance and pay me the day of service ... no waiting for the money. I quickly discovered I could offer my services at a wonderful win/win rate because I had no expenses, and I wanted to be completely fair and honor that part of the deal as well.
But that's not all. Not only did many of the physicians / chiropractors pay me for what they said they would, but they also tipped me. And this didn't even include the tips the clients/patients would offer me, depending on the situation I was working in. If I worked for the chiropractor, patients were used to tipping; working for the physicians or PT, not so much. These clients were completely medical-based (insurance pays, not me), not service minded (I'm responsible for my own health and wellness).
It is with great joy and happiness that I provide this gift to other therapists to be the success they were born to be. You are all so very important to the evolutionary process of our profession. May life be just as good to you as you are to life.
Dr. Velvete H. Womack, PhD, LMT, CE, MI, is a published author, inventor, licensed massage therapist and wellness coach. With more than 35 years in corporate American, and in the medical and holistic field of health and wellness, Dr. Womack strives to provide individuals tools that will aid in balance and stress reduction. For more information, visit www.massagebyvelvete.com.
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