A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
CBD for Athletes: The Advantages of Cannibidiol
For athletes, pain is often part of their sport or activity. And to a certain extent, it is to be expected. However, after pushing themselves to the limit, soreness and fatigue set in, hampering their ability to perform and recover.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
August, 2001, Vol. 01, Issue 08
New Florida Legislation Expands Definition of Massage
By Editorial Staff
Florida Governor Jeb Bush signed Senate Bill 1558 into law on July 19, 2001. The 800-page health care bill includes a small-but-significant section relating to massage, one that officially changes the definition of massage from manipulation of superficial tissues to that of soft tissues.This is a distinction that many believe will provide greater validation of, and access to, the benefits of massage.
With this language change, insurance companies and other professions cannot claim that Florida massage therapists do not have the right to treat deeper tissue (as was, unfortunately, too often the case in the past), based on any contention that it was not stated as such in the definition of massage. Essentially, massaging "soft tissue" includes superficial tissue massage, whereas massaging "superficial tissue" does not by definition include soft tissue work.
Officially, the change is written as follows in the text of the bill:
The language change was urged by the Florida State Massage Therapy Association (FSMTA) and the Florida Chapter of the American Massage Therapy Association (AMTA-FL), in conjunction with FSMTA lawyers and lobbyists. The change was then proposed to Florida Representative Frank Farkas, a longtime supporter of massage therapy, who fought to incorporate the new language into the text of the bill in the House.
Providing further insight into the significance of the bill, and the legislative process in general, is Michael McGillicuddy , LMT, NCTMB, first vice president of the Florida State Massage Therapy Association (FSMTA). The following article first appeared in the July/August 2001 issue of Massage Message, the bimonthly publication of the FSMTA. (Editor's note: The text of the original article has been amended slightly to reflect developments that occurred following publication.)
Florida State Massage Therapy Representatives Witness the Last Days of Legislative SessionBy Michael McGillicuddy, LMT, NCTMB, FSMTA First Vice President
At the last minute, an end-of-legislative-session trip was arranged for Lynda Solien-Wolfe and myself to attend the closing session of the Florida State Legislature. (Editor's note: Lynda is professional relations chair for the FSMTA, and a Massage Today columnist.)
The first stop on the trip was the governor's office. The request was such that we went straight to his office for the first appointment of the day. When we visited with him, you could tell the session had been stressful. He was very polite, and even shared some stories with us on some of the things that had been going on at the Capitol. He really loves massage and stated: "This is a great idea, having massage at our most stressful time. I'm sure you will be very popular the next two days." [Editor's note: Members of the FSMTA provided complimentary massage at the final days of the Florida legislative session.]
The second stop on our trip was to visit Representative Frank Farkas' office. A great deal of thanks should be extended to Rep. Farkas. He is the person who added the amendment to the bill in the house that will change the definition of massage from "the manipulation of superficial tissue" to "the manipulation of soft tissue of the human body." (Senator Burt Saunders was the sponsor of the language change in the senate version of the bill.)
The bill passed both the House and Senate and was signed into law by Governor Bush on July 19th. We feel that this language more accurately describes what our profession really does. It may even make insurance reimbursement a little easier for massage therapists. It clearly shows that massage has an effect on more than the superficial tissue, especially from a legal standpoint.
The whole time we were in Rep. Farkas' office, both he and his legislative assistant, Chris Davis, made us feel welcome and supported. I cannot tell you how nice it is to have that kind of friendship in Tallahassee. As our presence was soon discovered, we were soon visiting with Senator Sullivan, Senator Bronson, Senator Posey, Representative Heyman and Representative Trovillion.
We had a special mission to visit with Senator Jim King on this trip. For those of you who were at Legislative Awareness Days, Senator King arranged for us to visit the senate chambers while we were there. He had us take seats in the chambers, then talked to us about the importance of being involved in the political process. Senator King is also the man responsible for helping us get the massage language changed in the senate. A special thanks goes to Sen. King's legislative assistant, Kay Rousseau, for her help in inviting Sen. King to our convention. The senator spoke at the annual convention banquet. (Editor's note: For more information on the FSMTA 2001 convention, please see "Great Times in Orlando at FSMTA's Annual Convention" at www.massagetoday.com/archives/2001/08/03.html.)
The final moments of the legislative session were very tense. Our lobbyists, Janet Mabry and Allison Sellars-Carvajal, and our lawyer, Paul Lambert, were working to see that the bill our language was attached to did not get sabotaged. The House of Representatives' session was due to end at 9:00 p.m.; however, the House voted to continue until all bills on the floor had been voted on.
Representative Farkas did not get to the final reading of the bill containing our language until 10:30 p.m. If he had not done so, the bill would have died in the final minutes of the session!
The FSMTA Board of Directors voted to recognize both Senator King and Represenative Farkas for their outstanding support of the massage profession. It was an incredible experience watching the last-minute positioning strategies of lawmakers and lobbyists. Either their bills squeaked through at the last minute, or all their efforts were lost for the year.
What I enjoyed most about the trip was being a part of the process whereby a bill goes through the legislature from start to finish. It was an honor to be among the legislators to celebrate at the end of the session.Reprinted with permission from Massage Message, July/August 2001:16(4), pg 15.
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