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.
Long Term Solutions for Ganglion Cysts
Jenna, a 42 year old concert violinist, was developing significant pain in her fingers and knuckles in the palm of her hand while playing during an extremely stressful season. A physician diagnosed her condition as ganglion cysts and recommended surgery on the tendons of two fingers. Since this would end her season of playing and consequently her employment, she was looking for an alternative to the proposed surgery.
Charles, a professional baseball catcher, had developed a ganglion cyst on the back of his glove hand. He had it aspirated twice but it kept returning and was increasing in size. He was facing season ending surgery so he began looking for an alternative treatment that would allow him to continue playing for the rest of the season.
These are two examples of lives that were significantly impacted by ganglion cysts. Fortunately, appropriate structural myofascial therapy can solve issues of ganglion cysts.
What are ganglion cysts? How and why do they form? According to Taber's Cyclopedic Medical Dictionary a ganglion cyst is "a cystic tumor developing on a tendon or aponeurosis that sometimes occurs on the back of the wrist." They can occur on or along any tendon or aponeurosis of the body where the tendons are irritated or stressed.
If we liken them to a blister they are easy to understand. A blister forms when there is an irritation or rubbing on the skin that causes the body to produce fluid underneath the skin as a cushion to protect the deeper tissues. Like the blister, repetitive stress along a tendon or aponeurosis causes the body to produce fluid or a thickening to protect the deeper fibers of the tendon resulting in a ganglion cyst. Stress on a tendon or aponeurosis is the number one cause for the body to produce ganglion cyst.
Causes for Ganglion Cysts
Generally there are four types of stress involved with ganglion cysts.
Thus, structural imbalance and misalignment are frequent causes for the development of ganglion cysts. To effectively treat ganglion cysts and prevent them from returning it is necessary to achieve structural balance and alignment. This will not only eliminate the strain patterns in the soft tissue but also reduce the protrusion of the bony prominence irritating the soft tissue resulting in long term improvement. One of the quickest ways to achieve structural alignment and balance is to apply Cranial/Structural techniques that bring the body into alignment eliminating strain patterns by releasing the imbalances in the cranial mechanism followed by applying myofascial soft tissue therapy.
Treating the Ganglion Cyst
The longer a ganglion cyst exists, the more fibrous it becomes making it more difficult to treat. If these cysts are addressed when they first occur, generally they are more fluid and less fibrous, and can usually be treated more easily and successfully in less time. Both Jenna and Charles had ganglion cysts caused by the muscles of the arms pulling tightly on the tendons that crossed bony prominences in the wrist or hand. The most effective soft tissue treatment for both was to treat the soft tissue from the pectoralis muscles down through the fingers. This included releasing fluid / inflammation / ischemia, myofascial holding patterns holding stress and structural imbalances in the tissue, and individual fiber strokes to release tension on connective tissue, adhesions and the ganglion cyst.
Jenna experienced immediate relief following the myofascial soft tissue work. When the ganglion cysts were treated she felt the release of pressure and fluid from the cysts along with the stretching of tissue that had built up around them, and the cysts could no longer be found. She came for one follow up treatment to make sure she maintained the structural balance and alignment and there was no return of the irritation or formation of the cysts.
Charles' ganglion cyst felt more like a hard nodule, not a bubble of fluid. It had been there longer and there was more fibrous buildup and an accumulation of hardened gelatinous material. Following the Cranial/Structural Core Distortion Releases (CSCDR) two myofascial soft tissue sessions released ischemia, inflammation, and fluid from the muscles, myofascial holding patterns of the structure, adhesions and individual fibers creating tension on the tendon where the cyst was located. Specific fiber strokes on the ganglion cyst spreading the fibrous aspects of the cyst outward reduced its size resulting in fluid returning to the cyst liquefying the gelatinous tissue. At his 3rd session the ganglion cyst was a bubble of fluid that was inflamed and irritated. Myofascial soft tissue therapy was applied to the whole arm. When specific strokes were applied to the ganglion cyst the bubble of fluid released and the remaining fibers that had held the fluid were then able to be released and softened. Charles returned for one more session and the cyst had not returned. Myofascial soft tissue therapy was again applied to the whole arm working through the location of the cyst to maintain his improvements.
Both of these cases responded so well because the structural alignment and balance in the body was achieved first which eliminated the original cause of the ganglion cyst, and was followed by effective myofascial soft tissue therapy.