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.
March, 2007, Vol. 07, Issue 03
Helping the Brain Drain: How CranioSacral Therapy Aids ADD/ADHD
By John Upledger, DO, OMM and Tad Wanveer, LMT, CST-D
CranioSacral Therapy can have a profoundly positive effect on brain and spinal cord function. It has been used successfully in the treatment of attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD) since 1975.
Our clinical experience suggests that structural restrictions in the body, especially in the bones and membrane layers surrounding the brain and spinal cord, may be the primary factor in a significant number of such cases.These restrictions can interfere with the normal movement of fluids and vital nutrients into and out of the brain, which enable it to function properly.
In a gentle manner, CranioSacral Therapy can help release restrictions to naturally enhance brain function, decrease levels of ADD and ADHD, and in many cases, alleviate the disorders altogether.
Fluid Movement Is Essential to Optimal Brain Function
For each task a person undertakes, multiple sites and integrated pathways within the brain are required to operate in harmony for normal function to occur. Often, in cases of ADD and ADHD, some of these areas actually are performing at abnormally high (hyperactive) and/or low (hypoactive) levels.
What could cause such a dysfunction? It might well be a lack of fluids moving within the brain tissue. It's essential for fluids to move in an unrestricted manner throughout the brain for it to perform optimally. Fluids (blood and cerebrospinal fluid) transport the vital and essential elements required by the cells, while also removing harmful waste products. When the delicate cells are unable to receive what they need, or they are unable to live in an environment free of toxic waste products, dysfunction may occur.
Abnormal Strain Upon Openings and Vessels Can Compromise Normal Fluid Flow Into and Out of the Brain
Traveling through openings in the base of the skull are vessels that supply blood to the brain, and vessels that drain blood and cerebrospinal fluid from the brain. Approximately 85 percent of this drainage occurs through two vessels that pass through two openings (jugular foramina) and become the jugular veins.
Sometimes stressful physical events such as the birth process, trauma or whiplash can cause the base of the skull to jam forward on the top segment of the spine. When this occurs, it places strain on the bones at the base of the skull and the membrane layers within the skull, especially in the area that forms the fluid-drainage openings. The neck muscles also chronically contract to prevent further jamming. This often will maintain the compromised positions of bone and membrane, even for a lifetime.
What happens when such adverse strain patterns are placed on the jugular foramina and the jugular veins? Abnormal vein pressure can occur, which decreases drainage and causes fluid back-pressure to build up in the brain. Such pressure can lead to cell congestion, intracranial toxicity, abnormal pressure on cells and diminished blood flow to the brain. Stress such as this placed on the brain cells may cause them to react by becoming hyperactive in response to the strain, or hypoactive due to the injurious condition; or the same cell or cell groups can be hyperactive at some times and hypoactive at other times. Any of these responses can lead to a myriad of conditions, such as headaches, motor planning issues, speech issues, and one or more of the principal characteristics of ADD and ADHD: inattention, impulsivity and hyperactivity.
CranioSacral Therapy Relieves Strain Patterns and Enhances Fluid Flow
CranioSacral Therapy is a light-touch manual therapy that addresses restrictions in the craniosacral system, which consists of the membranes and fluid that surround and protect the brain and spinal cord. This vital physiological system extends from the bones of the skull, face and mouth, which make up the cranium, down to the sacrum, or tailbone area.
This gentle, hands-on method of care is highly effective in relieving adverse strain patterns and restrictions, thereby enhancing the movement of fluid throughout the brain, spinal cord and the body as a whole. The stronger fluid motion helps brain cells receive normal levels of essential nutrients so they can function efficiently and in synchrony with other cells. It also creates a brain environment that is constantly flushed of waste products and toxic irritants. When the stress of compromised fluid flow is relieved, the areas of the brain that have been overactive and/or underactive can normalize.
The results often are a central nervous system of greater balance and mobility, and a body that is able to return to its peak levels of performance. By helping the body make the biomechanical corrections necessary to allow the brain to function at its best, CranioSacral Therapy can help relieve ADD or ADHD that can cause great difficulty at any age.
Click here for previous articles by John Upledger, DO, OMM.
Tad Wanveer, LMT, CST-D, is a certified instructor for The Upledger Institute, where he was a staff clinician for more than five years. He earned his diploma in massage therapy in 1987 from the Swedish Institute of Massage and Allied Health Sciences in New York City. He currently runs a private practice in North Carolina’s Raleigh-Durham area specializing in CranioSacral Therapy.
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