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?
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.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
#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.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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).
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
July, 2005, Vol. 05, Issue 07
Plastination Reveals the Craniosacral System
By Julie McKay
Author's note: This article is for educational purposes only. I have no financial connection to or other vested interest in the Body Worlds exhibit. I only encourage others to take advantage of the exceptional educational opportunity it offers.
For those of you who would love to attend a dissection class to explore the craniosacral system, this article is for you.If you have already seen the Body Worlds exhibit of perfectly preserved cadavers created by Dr. GŸnter von Hagens, you may have realized that it is even better than a dissection class. If you have yet to see the Body Worlds exhibit, I have three words for you: Go see it! Body Worlds is an exhibit of perfectly preserved human anatomy specimens using a technique called plastination. The exhibit features whole bodies, individual anatomical specimens and transparent slices.
I have been practicing CranioSacral Therapy (CST) since 1998. It's the work that I love. As a CST teacher's assistant and study group leader for the Upledger Institute, anything pertaining to the craniosacral system gets me excited. When my husband, who is also a massage therapist, told me about the Body Worlds exhibit, I had no idea how much I would learn about the anatomy of the craniosacral system by attending.
The exhibit is currently on display at the Chicago Museum of Science and Industry and takes about two hours to go through. I realized within the first five minutes of walking into Body Worlds that something amazing was about to be revealed to me. After seeing the exhibit the first time, I had to tell everyone interested in the craniosacral system or CST to see it. Why? Dr. von Hagens has preserved delicate anatomy that is rarely done justice in anatomy texts or dissection classes. This exhibit displays many wonderful views of exposed cranial bones; intra- and extra-cranial membranes, including dural tubes, dural nerve sleeves, tentoriums and falxs; and lots of cranial nerves.
Around the exhibit entrance is a display of horizontal body preserved by epoxy resin. The item that caught my attention was the sagittal slice of the cranium and neck allowing an unusual view of the orientation of the occiput, atlas and axis. Once in the exhibit area, cases and upright specimens are on display with over 200 specimens in all. The first full plastinate is "Cartilage-Ligament Skeleton." (623)* Walk around to the back and stand on your tiptoes. You will see your first up-close look at the falx cerebri and tentorium of the intracranial membrane system. Also easily viewed are the sagittal and straight sinuses.
In the display case (203) the smallest bones of the body are displayed - those of the ear. Seeing them up close allows you to realize why the mechanisms of hearing are so sensitive - it does not take much to affect them, as they are so tiny and light. Their close proximity to the temporal bones allows us to appreciate how a blow to the head can have a negative impact on hearing and how CST can allow the body to restore balance to this delicate mechanism.
Look at the suboccipital region of "Muscle Man with Skeleton." We can get a good visual of the extensive muscles and connective tissue that need to be softened to have access to the atlas, C1, which is used in an atlanto-occipital or cranial base release. "Torso with Severely Deformed Spinal Column" (205) helps us to understand the effects of Wolfe's Law, how bone grows or changes to accommodate the stresses it is placed under. We see that the ribs, vertebrae, illia, and even the coccyx have accommodated the stress of the body, but still allow the internal organs to be protected.
Have you ever seen a wormian bone? A wormian bone is a small, irregular bone that forms along the cranial sutures. Well, take a good look at the lamdoidal suture of "The Runner" (614). At first glance everything looks normal. But upon closer observation you'll realize that there is an extra bone above the occiput and between the parietals. Usually, wormian bones are small but this one is probably the largest one that most of us will ever view. I'd hypothesize that either the infantile occiput did not fully ossify into one bone or at some point in time the occiput was stressed and a "crack" or additional suture developed. The craniofacial nerves can be viewed around the left temporal region of "The Runner." We can also see a wonderful view of the psoas. By seeing where it attaches we realize that doing respiratory and pelvic diaphragm releases can affect this muscle. The view of the brachial plexus helps us realize how restrictions can be released with a thoracic inlet release.
Spend plenty of time observing the intra- and extra-cranial membranes and cranial nerves of "Poised Plastinate of Nervous System" (604). The posterior view reveals the exterior side of the dura mater and the interior side of the arachnoid mater of the dural tube. Additionally, a rare view of the vomer bone is offered.
In the brain specimen cases, there are wonderful views of the ventricles (252) where cerebral spinal fluid is produced. And check out the brain slice of the cerebral cortex showing black marks due to Alzheimer's disease. Viewing this brain slice we can understand that if the cerebral spinal fluid does not optimally flow around the brain, it does not have the opportunity to chelate, pick up, and remove the deposits, which can lead to Alzheimer's disease.
My favorite display is the "Chess Player" (603). The posterior portions of the vertebrae have been removed to reveal the dural tube and spinal cord. You can view where the brainstem ends and the superior portion of the spinal cord begins, as well as the cauda equina, nerve roots and dural sleeves. Looking closely, you may also be able to identify some denticulate ligaments and the termination of the dural sac. Other nerves of note are the sciatic nerve and the left trigeminal nerve. We can better understand the major impact that facilitated segments can have on the body by being able to observe this complex pathway of nerves. I am absolutely fascinated by how intricate our bodies are.
Moving on to the arterial specimens, "Arterial-Skeletal" (351) shows the carotid artery's entry into the head through the carotid canal. The sphenoid, temporal and occipital bones form the carotid canal. Viewing this gave me a better appreciation for how making sure that these cranial bones are properly moving can help improve the delivery of arterial blood to the brain. "Torchbearer" provides a beautiful view of the hyoid bone, the only floating bone in the body, and its muscular attachments. Viewing this specimen can help those who have difficulty locating the hyoid during CST sessions by giving us a visual to reference.
Hanging is "Representative Series of Slices, Female." We can view in these transparent slices how the tentorium attaches to the temporal bones and how the falx attaches to the parietal bones. This allows us to visualize and realize how temporal ear pulls and parietal lifts, respectively, can engage the intracranial membrane system. Toward the end of the exhibit hangs "3-D Slice Plastinate" (620). Examine both sides of the 3rd and 4th slices in particular. The intracranial membrane is visible, particularly the tentorium's attachment to the temporal bones.
Last, but by no means least, is the "Cyclist," an expanded body that provides space to better view the relationship between the bones, organs, and muscles of our bodies. I often feel how big a cyclist looks after receiving a CST session, when a lot of my restrictions have been released. Afterward, I feel bigger on the inside, as if I have more space available to me.
For anyone interested in the workings of the body and what lies beneath our skin, Body Worlds is a must see exhibit! It is well worth making the effort to see regardless of where you live. I hope you enjoy the exhibit and walk away with a better understanding of what lies beneath your hands when you work with your clients. It certainly has opened my eyes and allowed me to better realize what I am affecting when working with my clients, "craniosacrally" speaking.
For more information on Body Worlds, visit www.bodyworlds.com.
*Parenthetical numbers refer to the audio tour discussion for that specimen. I use these numbers as an additional means of identifying a particular specimen. I recommend the advanced level audio tour.
Body Worlds 2:
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