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.
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.
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.
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.
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 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 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?
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.
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).
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).
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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:
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.
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?
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
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.
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.
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.
#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.
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.
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.
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.
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.
"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.
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.
July, 2009, Vol. 09, Issue 07
Upsetting the Health Care Pyramid
By Ralph Stephens, BS, LMT, NCBTMB
Just to set the record straight, I want to clearly state that I am not anti-government. I do not believe in or desire anarchy, or an every-person-for-themselves mentality. I do not think everything the government does is bad or wrong.Government of some form and to some degree is necessary in a civilized society. The debate becomes, what type and how much. My issue is freedom of choice in health care. There is nothing more important to me than health. So if I may make one disclaimer when reading my columns: Try to remember I truly have the well-being and health of humanity as my primary goal.
The current "health care system" in the United States has nothing to do with health. It is strictly a sickness care system, a crisis management industry. We need it. There will always be sickness and accidents. We have the best crisis medicine system in the world. People from all over the world come here to receive treatments, especially from countries that have government run systems. Hmmm. However, the system is totally funded by human suffering. There is no economic incentive for our current system to get people well and keep them well. Has the overall health of the public improved recently? The lip service the current system pays to wellness is token at best and maliciously flawed at worst. Plumbers and engineers have done more to improve health in civilized countries than allopathic (conventional) medicine.
You have to set aside your emotions and become objective in viewing the system. When you can do that it becomes very clear that the medical-pharmaceutical-government cartel abhors health and does everything possible to prevent you from acquiring it, justifying human suffering in the name of profit for the allopathic drug cartel and population control for the government.
I know it seems a bit radical to say this, but if you observe their actions it is blatantly obvious. Actions do speak louder than words, especially from politicians and propagandists.
There is zero incentive in the current system to get you healthy much less keep you there. Are there any bonuses paid when a patient doesn't ever get cancer or doesn't have a stroke or heart attack? No. Money is only made when people are sick. The more sickness, the more profit. The system's ideas of wellness are tests and vaccines. I am not against tests and if you want to inject a live virus pickled in mercury into your arm or your fanny, you should be allowed to. However, I should be able to say "no thanks" and not be made a criminal. It is called freedom of choice in health care. What a concept. However, healthy people are not profitable for the industry and the government cannot have people living in good health into old age as politicians have already spent their social security taxes paying back their political contributors.
So where am I going with this, other than the educational value? We are at a sea change in health care in America. A new system is going to be put into place. There is a window of opportunity now open to include a wellness paradigm into the national system.
Economically and morally, alternative providers should be at the top of the health care pyramid. We should be the first door providers and gatekeepers. Health and wellness should be taught and practiced, from childhood on. Correct posture and movement, breathing, nutrition, exercise, and natural health/healing should be integral in education and health care. Of course when there is a crisis, patients would go directly to the allopaths for their specialty. When something borderline is beyond the scope or skills of alternative providers it should be referred to the allopaths. DCs, LMTs, acupuncturists and OMDs should be at the top of the system, allopaths at the bottom. The incentive should be for wellness and a job well done through safe, cost-effective, natural therapeutics. What a concept! Only a few, if any people have died from natural methods (herbs, supplements, homeopathy, massage, chiropractic, acupuncture, etc.) in the past 5 years.
Currently, our health care system and our government rewards ineptitude, inefficiency, and failure. In health care this results in sickness and suffering. (250,000 people killed by mistakes and "safe" prescription drugs every year, plus the ones irreparably damaged by side effects and non-lethal errors.) No one seems to care; after all, medical deities have a license to kill. Additionally, this very expensive system makes people very dependent on the government, and politicians love that.
However, we have a new president. There is Hope and Change we can believe in. Maybe with some education and persuasion, the re-make of our health care system could bring about a true change that would help humanity and save tons of money from being printed. This will only happen if our elected representatives are constantly approached and reminded to include alternative providers in any new legislation as first door providers, and also allow us to exist outside the system legally. If only we could put freedom of choice, open competition, accountability, and rewards for personal responsibility, into the new system, we could actually have a health care system that saves money and improves people's health. There is always hope! Sadly, it is a fairly poor strategy as it lacks any effective tactics, but that is what most of us voted for, so let's get with it.
The question is, who is going to represent us, the alternative providers, as the new system is created? It appears it is going to have to be a grass roots lobbying effort of providers and patients, as our professional organizations are being slow on the uptake and not working together.
Yes, this would mean that our profession would have to improve our quality and consistency of entry-level practitioners. Most of our schools won't like that but it is time we had a serious upgrade in our educational system. I am trying to stay positive and optimistic here. For humanities sake, we need to make this change. All the alternative provider associations (chiropractic, massage, acupuncture, etc.) need to get together and start working very hard to take advantage of this window of opportunity, not for the profession's sake, but for the sake of the public.
I was hoping to provide more information on the Integrated Health Care Policy Consortium. However, they did not get back to me in time.
Happy Birthday America! From every mountainside, let Freedom Ring. Enjoy the fireworks. Think about what freedom means to you and what you would do to protect and preserve it.
July is my favorite column because I get to say, "See you in September!"
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
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