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.
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.
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?
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).
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.
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.
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.
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.
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.
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.
#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).
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
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
April, 2014, Vol. 14, Issue 04
Entry-Level Analysis Project Publishes Report
By Kathryn Feather, Senior Associate Editor
In March 2012, the Coalition of Natioanl Massage Therapy Organizations initiated the Entry-Level Analysis Project (ELAP) with the goals of "defining the knowledge and skill components of entry-level education and recommend the minimum number of hours schools schould teach to prepare graducates for safe and competent practice in the massage profession."
After 21 months of collaboration and more than 500 pages later, the ELAP working group has issued two reports: "The Core: Entry-Level Analysis Project Report" (Final Report) and "The Core: Entry-Level Massage Education Blueprint" (The Blueprint).Member organizations who are part of the Coalition include: the Alliance for Massage Therapy Education, the American Massage Therapy Association, Associated Bodywork & Massage Professionals, the Commission on Massage Therapy Accreditation, the Federation of State Massage Therapy Boards, the Massage Therapy Foundation and the National Certification Board for Therapeutuitic Massage and Bodywork.
In a statement released after publication of these reports, the Coalition explained that two concerns were at the top of the list in the early stages of the ELAP process, which they cited as "inconsistent quality, depth and focus of entry-level massage therapy education and a lack of licensure portability (professional mobility)." The initial objective of the group was to "identify and gain agreement on what should be core elements of entry-level massage therapy instructional programs - the knowledge and skills an entrant to the profession should possess to be ready to work safely and competently with clients."
And so a seven person working group was formed to address these concerns. Group members included Pat Archer, Clint Chandler, Rick Garbowski, Tom Lochhaas, Jim O'Hara, Cynthia Ribeiro and Ann Williams. According to the Coalition statement, "the ELAP process illuminated some predictable strengths in massage education, but also some wide ranging knowledge and skill gaps." The statement also says that "neither the Coalition nor its constituent organizations endorse every specific recommended sub-topic, activity or propsed weighting in the report." The group found that approximately 625 classroom hours of "capable instruction" would be necessary for students to acquire the core skills.
That number of 625 falls close to the average for most massage regulated states. Most regulated states now require 500 total educational hours, while others require more than the 625 recommended. The Coaltiion does "encourage interested parties to focus less upon the total hours and more on recommended subject matter and sub topics. It is vital to understand what The Core is not - it is not a complete massage school curriculum. The contents of this report are seen as the core - the foundational knowledge and skills every beginning massage therapist should possess - that should be part of every entry-level massage instructional program, but not the entirety."
The Coalition hopes this report will influence several professional groups within the massage profession. For the Federation of State Massage Therapy Boards, the Coalition hopes they will "use The Core as it builds guidelines for a model practice act." They also hope state licensing boards will use "The Core in setting education requirements for licensees.
The Coalition hopes the Alliance for Massage Therapy Education will "refer to The Core in creating teacher training standards and curricula and that the National Certification Board for Therapeutic Massage and Bodywork will use "The Core as it identifies beginning vs. advanced knowledge and skills for its Board Certified credential."
The Coalition believes that the Commission on Massage Therapy Accreditation can use "The Core in evaluating massage and bodywork curricula for programmatic accreditation" and that "schools owners, admimninistrators and faculty can use The Core to strengthen or validate curricula and to adopt consistent learning outcomes."
"We believe that the efforts of work group members have resulted in an extraordinary, ground breaking body of work. Their Blueprint, and the underlying process described in the report, gains strength from its intellectual integrity and independence."
Both reports are available for download at www.elapmassage.org.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.