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.
June 16, 2004
TA'ing: A Therapy of Its Own
By Donna Snow-Spears, LMT, NMT, CST
"All right, partner up!" The familiar words ring out from the Upledger instructor.
The first hours of the CranioSacral Therapy (CST) lecture are over and the hands-on practice begins.Dimming light prepares the room for the 50 practitioners as they begin digitally "listening" for the nearly imperceptible CranioSacral rhythm in their prone partners.
Minutes slide by. A raised hand catches my attention. I ghost over to the face with the furrowed brow that whispers in exasperation, "I can't feel it!"
Ripples of anticipation of helping make someone's learning process easier made my soul dance! I love being here in this incredulous learning environment, and I am helping as I had once received help from priceless, patient and precise teacher assistants, or TAs. Here is a wonderful learning environment for we are all students!
"Imagine that your hands are feathers and weigh no more than a nickel, like this." I lightly place my hands on theirs and follow the rhythm for several cycles. "Very soon you will begin to trust your hands. Feel it?"
"Uh-huh!" An expression of concentration has replaced the furrowed brow.
TAs come from diverse health care backgrounds and arrive from all over the globe. Our desire to perfect the art and skill of CST has led us to help in ways that are positive and reassuring.
A strong base in CST is important, and "TA'ing" is a great way to review classes. Each time I repeat a workshop, I hear information that I missed before and find that I am entering as many notes in my study-guide as I did the previous time. I have a better chance to become savvy in techniques that undergo metamorphoses. In addition, I get to experience various instructors. Even though the information is consistent, each personality offers a different flavor. What better chance is there to catch up on new trends and add polish to the old, reliable ones than assisting in this way?
Old friends, new friends! TA'ing proffers a bountiful way to form invaluable connections that not only help increase my clientele base, but my friend base as well!
I had been shy about traveling; however, I have grown and the fledgling leaves the nest on occasion. There was hardly a better chance to incorporate traveling into my business than becoming a TA. The Upledger Institute is global, so the possibilities are abundant! And I can call the Upledger Institute to see if my favorite spot on the map has a workshop soon. Hmmm...where to? France? Italy? Scotland? Germany? Australia? Hawaii? How about a place in the U.S. I've always wanted to go? Now, I go with a purpose! (Sedona, here I come!)
Most importantly, is the deepening of connection to what I think is my life's path as I work with people in the realm of CST. I sense that teaching might be a part of it. Assisting may bring me a little closer to my life's work but, in the meanwhile, I'm enjoying being a massage therapist.
"I don't feel the rhythm. Can you check me out?" Another student frets.
"Gladly!" I say, as I touch the patient. "Your hands were right! Their rhythm has stopped! Your gentle touch has already allowed your partner to move into still-point (a gentle stop in the CST rhythm).
"Okay!" The instructor's voice rings. "How many need a break?
Hands fly into the air.
"None of us represent a perfect model to work on," the instructor continues. "Because of this, you sense restrictions, injuries, traumas and such in your first few hours as CST practitioners. What's more, even with the gentle 5-gram touch used to conduct a CST evaluation there will already be favorable changes in your bodies.
"How many feel their body has changed?" (Lots of hands!) "Good! Be back in ten minutes!"
I want to be just like the quiet and supportive TAs that took care of me. Intuitively sensing my need, they would always be nearby. Angels!
Review and improve skills! Glean the latest in applications! Reconnect with old friends! Make new friends! Travel! Business expansion! Opportunities of all descript! Could I ask for more? Well, yes! An additional perk -- perhaps, I'll meet Dr. Upledger in person!
There are many rewards for me in TA'ing, but the best part comes at the end of class as I and the other TAs receive gratifying hugs from students (and future friends) for our assistance. It just doesn't get any better.
Oops! Class is starting! Got to go! See you soon?
Donna Snow-Spears is a massage therapist in Ormond Beach, Fla. She specializes in neuromuscular therapy and has been studying CranioSacral Therapy at the Upledger Institute for the past four years. In her spare time, she volunteers as a teaching assistant at the Upledger Institute.
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