resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
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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