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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
June, 2014, Vol. 14, Issue 06
Till Debt Do Us Part
By H. William Wolfson, DC, FICC, MS
Individuals may view the concept of debt differently. The ability to eliminate debt may prove to be daunting due to the lack of understanding the true and final costs of borrowing and not setting goals on how best to approach the task of its elimination.
When I graduated from chiropractic college in 1981, loan rates at banks were 18% to 21%. However, the need to obtain money was an important and necessary action step to open an office. It is the same goal for you when you finish your massage education and are thinking about opening your own massage practice. Realizing it takes time to establish a practice, the decision to open with bare bone (no pun intended) necessary equipment and making the office as inviting and functional as possible vs. grandiose and opulent was paramount. As earned income became available, better equipment, decorating, more staff, etc. could be added. One's goal is to meet monthly expenses. This entails becoming diligent by keeping expenses low and saving where possible, but without sacrificing quality of service.
A priority after paying all monthly expenses is developing a financial cushion for unexpected expenses by funding a three to six month emergency account. Opening and depositing into separate bank accounts for office, personal, tax and emergency expenses allows for paying and funding specific needs. Reducing debt, i.e., credit card balances or school and office loans can be the next goal. An option is to get rid of smaller amounts of debt, even if it is at a lower interest rate vs. paying down larger debt at higher rates. The ability to reduce debt and the number of loans may serve as a catalyst to help you remain on track and further reduce remaining debt owed. Essentially, beginning the process entails adding an additional payment earmarked specifically to principal thereby reducing the outstanding loan and ultimate payoff period. In addition, make sure to pay the required monthly payments of all outstanding loans.
Ultimately, reducing debt and continuing to save requires staying the course; paying credit cards in full when due, exploring life insurance opportunities by leveraging the premium for necessary coverage and possible cash value, saving for your children's education, contributing to a retirement fund, etc. If you are self employed or have access to a company plan, it is prudent to begin participating in a qualified retirement plan as early as possible. Becoming diligent and aware of income vs. expenses and modifying your plan as needed, allows for being profitable and remaining aware of investing and saving opportunities. Asking for help and guidance from professionals including a Certified Financial Planner, accountant or an estate attorney may prove to be a wise decision. After a thorough review, everyone should understand your needs, goals and risk tolerances for investing, saving, estate planning or charitable giving.
Despite some pundits stating debt is okay to maintain, becoming debt free allows you to share time and thoughts freely without fear of being buried under the burden of debt. Volunteering your time and giving financial assistance to causes which align with your mantra is good for you and the charity. Financial health may be compared to being on a diet. If you spend more than you earn, you develop debt. If you save more than you spend, you have a surplus and possess opportunities to explore and share. Placing yourself on a financial diet takes commitment, diligence, fortitude and goals. The journey begins after you take the time to examine where you are and where you want to be, speaking with professionals who understand your goals, and sticking to your plan!
H. William Wolfson, DC, FICC, MS, obtained his Masters of Science (MS) Personal Financial Planning from The College for Financial Planning and is a candidate for CFP® professional certification. Dr. Wolfson remains active and engaged in chiropractic by volunteering his time as NY Delegate to the American Chiropractic Association and serving on assorted committees. He is also a board member of the New York State Chiropractic Association. Dr. Wolfson participates on assorted committees with the Financial Planning Association LI chapter. Dr. Wolfson retired after twenty seven years of active practice and may be reached at
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