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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.
March, 2014, Vol. 14, Issue 03
Sampling Self-Care Southern California Style
By Mia Miller, LMT
I am often in awe of how both built and natural environments stretch our sense of what's enjoyable, desirable and possible. Whether you're suiting up for a winter run in below freezing temperatures, packing up swim gear to hit the gym after a long day of work or perhaps you're disciplined enough to do some restorative yoga at home alone in the wee hours of morning before the day kicks off, we are incredibly adaptable creatures when we allow the places around us to suggest and shape our routines of self-care.I have found two different distinct, new ways to be take care of myself since my move West: long hikes and regular trips to the Korean day spa.
I am a relatively recent transplant to the West Coast, having spent 11 years in Brooklyn prior to my move to Los Angeles in the spring of 2009. The predictable 70 degree temps were a direct invitation to get outside and stay there. My new home was in the foothills against a wall of mountains known as the San Gabriel range, unique to the area as it runs East to West and enjoys various climatic influences. Los Angeles County hosts high dessert, coastal, moutainous and inland valley topography providing great odds for outdoor wandering, as nine times out of ten you'll be in dry conditions with pleasing, moderate temperatures. Southern California really is a unique place to explore hills, valleys, beaches and desserts on foot most days of the year.
Past my initial anxiety, I eventually got my bags packed and headed out to find a trail about 15 mins from my house and began my first hike. Right at the start, I saw a sign that announced "rattlesnakes are a vital part of the ecosystem, don't disturb" and I knew for sure I was on freshh ground and off for a different kind of walk than I was used to. My hike in the San Gabriels was distinct from former walks on busy city streets, where everyone and everything can mingle. In this setting, I was able to sense and commune with non-human existence and open space, possibly discover new life in the dirt and brush.
In case the effects of a slightly challenging hike are easy to overlook, let's review a few physical benefits here. When walking, we nourish our tissues with fresh oxygen and improve the flow of synovial fluids for joint health and lymphatic fluid for smoother, more effecient "plumbing." While hiking here, you hit inclines, some steady, some extreme, thus building stamina, increasing pulmonary and circulatory functions and building bone mass with each step. Back and forth along switchbacks at a nice clip, we have the opportunity to witness a literal widening perspective which always seems fresh when we look. We relax the nervous system promoting a nice calm, even while we are exerting ourselves, a very stabilizing combination of effects, I think.
Its been a few years since this intial sojourn and I have since ventured deeper into the Angeles National Forest for longer hikes, as well as places that required a little more planning and gas in the tank. While driving can be aumtomated and disembodied, once you hit that trail, the contrast is quite acute and the body gains in appreciation with each dusty push off. It's the promise of adventure, new terrain and intimacy with it, that really eases the mind and settles the misfires and chatter inside.
A second ritual of self-care I have discovered for mind/body restoration takes me indoors in Los Angeles. A contrast from trails at 5,000 feet, day spa's are environments in which to unwind and commune with the elements in a more passive fashion, often in a basement of a big office building. Searching Yelp, you'll find more than 6,000 hits for day spa's in Los Angeles. I am eager to share my impressions of Korean Day Spa's in Koreatown, a neighborhood adjacent to downtown. Some are small and for women only, while others are very spacious and filled with families. Others have co-ed saunas with heated jade floors and a communal nap zone with separate gender specific spaces in which to enjoy contrast bathing and unrobing to steam. The locations I've visited are all peaceful, clean, centered on client comfort and incredibly affordable, many with a fee of only $15 for use of the facilities.
Many folks expereince a spa environment for the first time when they are on vacation and decide to splurge on a body wrap or a high priced package deal. Logistically, what I appreciate most about these bi-monthly Korean day spa excursions is you are able to design the day for yourself, but not from that organized sort of place. It's much more casual and free form. You can pack your own supplies, such as a dry brush, home made body scrub and your own clay mask, possibly a bag of goodies you rarely make time to use at home and settle in for a few hours to experience the elements in a less controlled manner. At the spa, you peruse more, feeling how long to stay in each place. While there is no exact protocol you have to follow, there are suggestions for how to use the facilities and your safety in extreme temperatures is obviously important to pay attention to, so know limitations and listen to your body, the point of the day anyway! Drink lots of water throughout as well.
Choice activites and effects:
Heading out, again often paying $15 for my time, I hit the warm air and smile. My drive home is so relaxed and peaceful and whatever comes next is laced with pure joy and contentment.
There are no lack of spas in many towns and the big, bad U.S.A. has tons of trails and places to wander around outside. I am thrilled to incorporate these activities into my life as I call the West Coast home. I often encourage clients and friends to explore these options and they are always happy they did. As we care for others in a very tactile, physical way through bodywork, we too can learn to dial it back and take in the built and natural atmosphere and it's affordable little gems. I invite you to check out what's around you and be well. The world is waiting for you to check it out!
Mia Miller is a specialist in oncology massage and runs her private practice, Somatic Space, in Los Angeles, Calif. She is a passionate proponent of integrative medicine and a therapist at City of Hope and Children's Hospital Los Angeles. Visit her website: www.somaticspace.com.
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