Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
September, 2010, Vol. 10, Issue 09
By Ramon G. McLeod, Editor-in-Chief
Will Green, the owner and founder of the International Massage Association (IMA), a business that was once a major insurer for the massage therapy community, said in an interview that depression was behind his failure to pay for more than $600,000 in insurance premium payments, an action that has effectively destroy the business.
During the wide-ranging interview, Green reiterated a number of statements he had made in an e-mail he sent to the association's members that followed the original Massage Today story ("What Became of IMA", August 2010) that went online on July 19. In the e-mail, sent to members on July 21, he told members that he "began to sabotage" the association last year. IMA will go out of business formally at the end of this year, he said.
In the interview and the e-mail, Green said he became deeply depressed last year after he learned from federal agents that insurance brokers he worked with in the early part of this decade were under investigation for insurance fraud.
Green, in the interview, was asked directly why he stopped paying Markel Insurance the premiums owed them for at least six months, he said, "I don't know why, was it right or was it wrong? It was wrong," he said.
"I wasn't acting like me for six or eight months.
"Do I have answers why? No...Am I embarrassed, absolutely," he said.
Green also said he has paid the insurer two months of owed premiums for 2009-2010. And that he plans to pay three more months with the proceeds of the sale of his $2 million building in Warrenton, Va., IMA's headquarters. He said he hoped the sale would be finalized in a few weeks.
He said, in his original e-mail, that when he began to repay the insurance company, "My only option was to terminate our staff of 18 people and do the best I could to sell off assets and pay off my debt. I owe the money!"
He said he sold off vehicles, investments, business equipment and buildings to get the cash and make payments. He said that Markel continued to cover IMA members through the no-payment period and remain covered by their existing policies. "Everyone is covered at this point."
Asked what happened to the $600,000 he did not pay, and is now attempting to repay, Green said, "I spent some on payroll, it was used in the businesses...it got eaten up in costs."
Green has said several times that the fraud case was the trigger for depression and failure to pay premiums. That case involved Rodney R. Ayer, former president of Phoenix Underwriting Managers Inc. of New Jersey, who pleaded guilty to insurance fraud on July 2.
Ayer, and an unnamed company, only referred to as "Insurance Broker A-1" worked with two massage associations, IMA and Hands-On Trade Association, according to federal documents.
Bret VanLeeuven, owner of Green's former long-time insurance brokerage firm, Utah-based Stratus Insurance, Inc. insisted in an interview that his company, which works with massage associations, was not the "Insurance Broker A-1" named in the federal records.
VanLeeuven stated that was in partnership with Ayer at that time, "But there are other individuals involved in this case," he said. "They (the federal authorities) are talking to me, Green, and a lot of others. Everyone down the line."
The fraud case stems from a scheme uncovered in 2006. Federal records say that Ayer and the unnamed second broker pretended to have acquired coverage from Hannover Re, a multinational insurance carrier. Instead, according to court records, they took in premiums from the associations, paid out claims and expenses, while retaining underwriting profits that normally go to the insurance carrier.
Ayer faces a $500,000 fine, two years in jail, and has agreed to setup a $500,000 escrow account for any claims left over from the period when this all occurred.
Green says he first learned about this scheme last year from the FBI.
VanLeeuven, who ended his business relationship with Green in April 2010 over Green's failure to pay him the premiums for the Markel policy, scoffed at Green's explanation that depression caused him to get so deeply in arrears.
"For Green to say that depression caused him not to pay his bills ignores that this was all self-induced," VanLeeuven said. "The fact is that what Ayer did had no financial impact on Green. He can say it hurt him that his company's name was involved with this," he said. "But this (current situation) involves $800,000 of his members money."
"Maybe I should say I'm depressed and stop paying my bills," he said.
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