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.
August 13, 2004
Two Give Meaning to Life
By Judith Kohn, MS, LMT, NCTMB
I was a little apprehensive driving to the hospital because I didn't know where in the Bronx it was, and I was sure it wasn't in a great neighborhood. I had read about its wonderful mission on its Web site and knew it would be a very special place.I found it with ease, right off the highway and drove into it's parking lot.
What a luxury in the Bronx! A hospital with a parking lot! I had packed a little shopping bag in hopes of giving Sandy a massage. It had some lotion, hand sanitizer, and baby wipes -- just in case she was up to it.
I wasn't sure what to expect. I had seen her a few weeks back when Deb and I had taken her out for a soda. A life and lady once so vibrant and full was suddenly frail and weak. I had called in advance and knew there were no other visitors expected. I was secretly happy that I would have Sandy to myself to talk and "bond," and to let her know that she was special to me.
In my mind, I had rehearsed what I wanted to tell her; it was very important for me to convey my feelings. I had no intention of staying more than an hour or so, but three hours later, I found myself leaving, emotional and fuzzy in my head. I didn't understand the impact of what had transpired between us until days later, for what I experienced was by far one of the most meaningful days of my life.
We started the visit by talking and catching up. From my studies, to work, to my oh-so-horrible dates. She kept telling me it'll happen; I kept telling her I was losing hope. But somehow, looking at her on the bed so pale and sick gave me a little hope -- like she was willing it to me.
We quickly moved to more serious topics of spirits, of dad, of life after death, of the spirit world and its beauty, and, of course, of dying. We both got choked up as I shared my intimate thoughts and told her how happy I was that she had never tried to be my mother but had just been my friend.
We talked about how she had tried with dad because I didn't like him very much; she said she had tried to soften him and she hated how he treated me. She cried, took my hand and told me she loved me. She had never told me that before. I told her I loved her back, and at that moment, I really understood what she had come to mean to me.
We reminisced about my 30th birthday party, talked about my 40th approaching, and how she had just started dating dad. Then we listed all of the boyfriends she had met since that day and laughed. Of course, I can laugh about it now.
Sandy had been my advocate all along when I decided to go to massage therapy school. I had hoped that dad would approve (even though it wasn't medical school), but somehow I know that Sandy would have made him see it if he didn't on his own.
After about an hour she asked for a massage; she was glad that I brought my "tools." I had learned about massage for specific conditions and knew that cancer was contraindicated in some cases; however, Sandy was terminal. There was nothing I or anyone could do except try to make her feel better.
I worked mostly on her hands and arms, but then we both got more comfortable and I was able to do work on each side of her neck and shoulders with her laying on her side. She wanted her feet worked on, so I asked the doctor for permission to work on her soles. When I got the green light, I worked gently on her feet; she was so relaxed and calm. She was very grateful both for the human contact and for the few minutes of escaping the hell of knowing the end was near. To experience a few minutes of joy, sensation and relaxation from the anxious thoughts was my gift to her. What I didn't expect was the gift I received in return: A feeling of tremendous healing and meaning to know that what I was doing, as little as that was, was being transformed to someone so ill and so happy in that moment. The feeling was indescrible.
This feeling inside me was one of fullness, though bittersweet, in its intensity and sadness, yet combined with awe at what doctors who help cure must feel many times throughout their careers. It brought me out of my head with my own problems. Sandy was even concerned about how long I had worked on her feet; she asked if my hands had grown tired. But I didn't even feel the slightest fatigue. The muscles I had built up in massage school made me feel guilty looking at her thin bones through her skin. I made up my mind in those few hours to visit at least once a week to give her a massage while she is able to receive it.
Sandy passed away on October 27, 2003, two months after entering the hospice. My massages were the highlight of her days, and she looked forward to my evening visits after work one or two times a week. We grew closer during those two months as friends and shared a special connection during the massage experience. I am comforted to know that I helped give her some enjoyment in her remaining days on earth. What she taught me I will always carry in my heart.
My heart is full now. I have both assisted and been taught by the dying; it has given meaning to me, and for that lesson I am grateful. Thank you Sandy. I love you and miss you.
Judith Kohn lives in Westchester County, outside of New York City. She is a full-time human resources director and part-time licensed massage therapist. Judith also holds a master's degree in counseling and bachelor's in psychology. She went to massage therapy school after to embrace wellness and do something holistic and different from office work. She believes massage helps to bring meaning and purpose to her life as she brings healing to others; it also helps keep her grounded and centered.
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