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:
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.
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.
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.
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.
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.
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?
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.
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.
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.
#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.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
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.
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.
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.
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.
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.
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).
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?
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
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.
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.
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.
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
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.
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.
Updated: CA Massage Board Votes to Send "Roving Ambassadors" to San Diego Convention
Board Members attending convention now have specific responsibilities, but reimbursement policy remains unclear to some board members.
By Kathryn Feather, Senior Associate Editor
A majority of the California Massage Therapy Council Board (CAMTC) voted at their Tuesday, April 10, 2012 meeting to reimburse themselves for travel expenses to next week's American Massage Conference (AMC), just days before the conference is set to take place. The invitation to attend the AMC and to claim reimbursement from the CAMTC was made to all current board members with no cap on how many could request reimbursement.Seven board members submitted their expenses for attending the event prior to the Board meeting.
CAMTC is also sending six staffers to the event, primarily to man the organization's booth, but at the time of the vote, no specific duties or responsibilities were given to the board members who have indicated that they plan on attending. However, after this article appeared on MassageToday.com, CAMTC CEO Ahmos Netanel submitted a list of duties board members will now be expected to perform. These duties include helping staff answer questions at the booth, manning a separate table from 11:30 a.m. to 4:30 p.m. Friday in the student area during "Career Day," being available to answer questions during a free presentation to AMC attendees and being available throughout the convention hall and at the Saturday evening Gala to meet certificate holders and answer any questions.
"The main strategy here is not to be a static vendor that just sits at a booth," Netanel said. "Our outreach approach is to be dynamic and interactive by literally reaching out well beyond the confines of our booth, to optimize the impact of our participation."
The topic of reimbursement was introduced at the board's regular meeting on April 10. The agenda item, brought up during the boards teleconference meeting, was titled: "Board member's attendance at the American Massage Conference." Netanel introduced the item by suggesting that while there was ample staff to provide support at the CAMTC booth, there were expected to be a large number of attendees and he was "concerned there will not be enough help." However, critics on the board contended that specific responsibilities were not discussed or defined in Netanel's introduction of this item. Board member Joe Bob Smith then made a motion to reimburse those who assist with CAMTC activities and outreach at the American Massage Conference. The motion was seconded by CAMTC board member Roberta Rolnick who cited the necessity of "accessibility to the stakeholders and helping to improve the reputation of the CAMTC" as reasons for attendance and justification for reimbursement.
When asked about reimbursement policy and if this would be apply to other conferences, Netanel referenced first a 2009 and then a 2010 reimbursement policy passed by the board, which states in part, "Directors may receive such reimbursement of expenses as the Board may determine by resolution to be fair and reasonable at the time that the resolution is adopted." However, some board members didn't think the policy applied to conferences and conventions, only board meetings. "The motion that was passed does not incorporate any caps or guidelines at all. It does not limit the number of directors who can go or what they can request for reimbursement," said board member Mike Schroeder. "For example, the motion provides for full per diem even though the banquet is free and even though nothing is occurring on Thursday other than a golf tournament."
Three board members voted against the motion, including two board members who spoke publicly in opposition to the motion, Bob Benson of ABMP and Mike Schroeder of the American Massage Council. "I am against this motion as I think it is a bad idea and could be viewed from the outside as a boondoggle. I don't believe it is appropriate to bring this up before the board at the last minute, right before the AMC. The Board doesn't represent CAMTC, only the Chair and the CEO can speak for CAMTC. This will cost between $600 and $1100 per board member with no cap on the number of board members who can attend or cap on the size of the reimbursement that a board member can request. I don't think having a group of ‘roving ambassadors' is the best use of our funds. I think we should discuss this at the next board meeting and put a policy in place so there can be no appearance of a misuse of funds," said CAMTC board member Mike Schroeder.
"When I heard that Ahmos Netanel planned to have four CAMTC staff members present at the conference plus at least seven board members, I suggested that felt like overkill, said CAMTC Board Member and ABMP Chairman Bob Benson. "ABMP, for example, a major sponsor of the Conference, plans to have four individuals present to lead educational sessions and to host our booth. I support CAMTC taking advantage of a good opportunity at the American Massage Conference to interact with California massage practitioners and educate them about the benefits of CAMTC certification. CAMTC's approved outreach/marketing budget for 2012 includes sufficient funds to support staff attendance at the conference. I voted ‘No' on the resolution because I felt allocating additional funds to permit seven board members to supplement CAMTC staff at the conference was excessive and not reasonably justifiable."
"The American Massage Council is very opposed to this unwarranted expenditure of CAMTC funds. Our members worked very hard to pay their dues and the money shouldn't be spent sending board members to conferences where they have no responsibilities," said Schroeder, also owner and co-founder of the American Massage Council.
While efforts were made to contact each of the board members who voted in favor of the motion, only two board members spoke in favor of their attendance and reimbursement. "I'm attending the AMC conference at the request of Ahmos Netanel and to network on behalf of CAMTC," said Board member Keith Grant. "In short, I believe it behooves CAMTC to be seen as accessible and not remote--almost literally ‘in touch' with those regulated, particularly given several factors in the start up of CAMTC: a much greater response that was envisioned for the first six months; having to create procedure to handle schools and transcripts that weren't as claimed; and having to fight back against the California Police Chief's Association's initial attempt to dismantle CAMTC. Again, in short, it was a rough start and I believe there are still some people out that need a chance to vent and be listened to face-to-face."
The venue provides a valuable opportunity to network with influential individuals from around the country who have expressed a strong interest in California's unique massage regulation; in short, a chance to learn, teach and network in a setting that rarely comes to our state," said Board member Mark Dixon. "As the first meeting of this type attended by the CAMTC, I believe the small investment is a sound one that will place experienced, knowledgeable professionals before an important audience. Even so, as a volunteer, I stand to lose considerably more in income than the reimbursement. Moreover, I attended last month's AMTA-CA Chapter Educational Conference, representing CAMTC in continuous meetings throughout the weekend. I received zero reimbursement."
The seven board members requesting reimbursement were: Mark Dixon ( ), Deborah Tuck ( ), Roberta Rolnick ( ), Judi Calvert (Calvert did not participate in the teleconference and did not vote), Keith Grant ( ), Elna Leonardo ( ) and Christian Pezza ( ). "I was not surprised that the motion passed despite a few ‘No' votes and at least one abstention. I was surprised that several board members for whom Mr. Netanel was requesting expense reimbursement voted in favor of the resolution instead of abstaining," said Benson.
According to Netanel, at this point not all board members who expressed a willingness to volunteer and help with the conference have managed to clear their schedules and confirm their attendance. If all seven members do attend, in addition to the six staff and Chair of the CAMTC Dixie Wall, there will be a total of 14 people associated with CAMTC at the event.
Editor's Note: To see Publisher Don Petersen's opinion on this topic, see "The CAMTC Money Grab."
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