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.
May, 2012, Vol. 12, Issue 05
NCBTMB Announces New Credential
By Kathryn Feather, Senior Associate Editor
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) recently announced the creation of a new board certification credential, as well as a 12-month plan to improve its overall product offerings and communication tools and support."We are totally changing everything we do," said Mike Williams, NCBTMB CEO. "In the past, we have over promised and under delivered. With these improvements, at every point where NCB and the profession intersect there will be significant upgrades."
According to the NCB, the massage industry is at an interesting crossroads. There are therapists practicing under stringent standards similar to other health care providers, and then there is illegal and fraudulent activity undermining the profession’s efforts. Williams believes the best way to establish greater credibility for therapists is by raising standards. Over the course of the next 12 months, NCB will launch a board certification credential, an online career management system, a new continuing education program and an online education resource.
Of each of these new endeavors, the new board certification credential has produced the most questions for therapists. According to NCB, beginning with the first quarter of 2013, the new credential will go into effect, thus phasing out the current National Certification credential. This change has prompted many therapists to question just how this impacts them, whether they are up for recertification or in the process of being initially certified by NCBTMB. To determine how this change effects you, see the chart below:
Board Certification Criteria
The requirements for obtaining the new NCB board certification credential include passing the Board Certification Exam, 750 hours of education, 250 hours of hands-on work experience (25 hours of community service may be credited toward this requirement), successful completion of a criminal background check and a commitment to adhere to the NCB Code of Ethics and Standards of Practice. According to the NCB, additional qualifications for this credential will be determined based on feedback from the profession.
For those therapists that graduated from a program with fewer than 750 hours of education, they will be required to complete continuing education for make up for the difference. These continuing education courses must meet NCB’s definition of continuing education and be taken from an NCB assigned school, an NCB approved provider or an accredited college or university. For currently nationally certified massage therapists to achieve board certification, they must meet the board certification eligibility criteria as of their next recertification date and passing the board certification exam will not be required.
Once board certification is achieved, recertification will need to be completed every two years and must be completed within 90 days of the expiration of a therapists certification. According to NCB, in order to retain an active board certification status, therapists must complete 24 hours of continuing education every two years and 100 hours of hands-on work experience or massage-related volunteerism, administration, teaching, curriculum development or writing and publishing of research. For therapists who are unable to meet the recertification requirements due to extenuating circumstances, inactive status is available for up to four years. While in an inactive status, therapists may not identify themselves as a Board Certified Therapist.
In instituting this change, NCB believes that the new credential - by including additional education, hands-on experience and a background check - will ensure that therapists achieving this credential will have the proper foundation to better serve their clients. NCB will also determine additional qualifications for this credential based on feedback from the profession.
The NCB also announced some additional changes that will go into effect throughout the year. In the summer of 2012, they will launch what they are calling a new career management system, a new online portal where all interaction with NCB can be accomplished, as well as a new website to showcase this new technology. Once complete, applications for all exams, recertification, approved providers, school reviews and payment for all NCB services and products can be done through the new portal. Also in the summer of 2012, all continuing education courses will be vetted for approval, based on feedback obtained through the Massage Approved Provider Panel (MAPP). Instructors will be required to submit their qualifications to teach each course.
NCB also announced that effective immediately, they are discontinuing the online practice exam and they will launch a new online educational resource offering thousands of questions to help candidates test their knowledge of many specific practice areas. The NCETM and NCETMB, currently accepted for licensure in 39 states will be retained, according to NCB. According to the press release, "the exam may now be taken at any time prior to graduation; however, formal notification will be released only upon proof of graduation from a minimum 500-hour massage therapy program. State licensing requirements are dictated by the individual states."
"All of the programmatic and operational enhancements that NCBTMB is making have the full support of the Board of Directors," said Alexa Zaledonis, NCBTMB Board Chair. "This is exactly what the massage profession needs to elevate practitioners to a higher level in order to earn the respect and trust of the health care community. The bottom line is that certification needed advancement and we listened to the public and we learned a lot."
CEO Mike Williams summed up the new offerings by saying, "we are committed to creating a career path for massage therapists by delivering the highest quality programs possible."
Massage therapists who are currently Nationally Certified are already on the pathway to Board Certification and can transition to the new credential beginning in 2013 by meeting the eligibility requirements. They will be exempt from taking the Board Certification exam as long as their National Certification credential is active. It is important to note that the National Certification credential is valid through the expiration date printed on each individual s certificate. This chart illustrates the necessary steps to achieve Board Certification based on the year of recertification.
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