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.
The Road to Recovery: Beating an Injury With Gyrotonic Movement
Over the last year and a half, I experienced severe atrophy in my legs as a result of an injury. I could barely walk up a flight of stairs without feeling exhausted. My legs and feet would cramp when I laid down at night, keeping me awake for several hours. I tried strength exercises, swimming, Pilates, massage, and structural integration. I worked with a nutritionist and tried magnesium injections. Nothing helped.
Since nothing else worked I decided to try the Gyrotonic method, which I had heard about for years. After doing two or three sessions a week for a month, my cramps disappeared and I began feeling stronger. Within two months, I had regained enough strength to walk upstairs without being exhausted I began to feel like himself again. The most surprising part of this process for me was that I enjoyed it. Gyrotonic movement is fun, playful and feels natural.
The Gyrotonic method of exercise was created about 40 years ago by Juliu Horvath, a Hungarian ballet dancer, to address his own severe injuries. He had a congenital abnormality in his lower spine, which made him vulnerable to severe low back pain. After being a principal dancer for the Houston Ballet Company, he spent 7 years in the Virgin Islands developing spinal motions and full body movement, that he found healing. He moved to New York City and began teaching and refining this system over the next 20 years, including designing and building a series of unique exercise machines that allow your body to experience almost every conceivable type — and direction — of movement.
Since Juliu developed Gyrotonic movement in the late 70's, the practice has spread far and wide, and has developed into a codified learning system with over 14,000 certified instructors in 72 countries.
What is Gyrotonic Movement?
The Gyrotonic Expansion System is unique in its ability to harmoniously address the entire person through specialized breathing patterns and rhythmic, circular and spiraling movement sequences. Gyrotonic exercises resemble a combination of swimming, Tai Chi, dance, and yoga. However, unlike yoga, which builds strength through poses, and Pilates, which is linear exercise, Gyrotonic movement increases strength and range of motion without strain or discomfort using a specific sequence of repetitive, undulating, and spiraling motions. I feel that it enhances the way the body functions in real life. I can now use my body more safely and efficiently, even in unusual positions such as crouching to find a lost sock under the bed. Previously, I would be afraid I'd hurt myself if I was put in such an awkward position.
This video (https://youtu.be/CMzD8c3Hvwg) shows one of the basic Gyrotonic motions — the "Arch and Curl." Arching occurs when you lengthen your spine and arch your back. This is followed by curling, which rounds the spine into the opposite position. To return to an upright position, start at the sacrum and gradually straighten the spine up to the neck while the abdomen is drawn in.
Notice how the spine moves sequentially — one vertebra at a time — through all different directions, producing a stretching sensation through movement. As a result, the body feels lighter, looser, and freer.
Shoulders and hips benefit from the circularity of these exercises. Joints which may be limited by scar tissue find greater circulation, freedom, and strength. Emphasis is placed on correct, yet sophisticated movement patterns, similar to dance. Here is another video example (https://youtu.be/zKEBOShHrP8).
Touch and hands-on assistance are key components in teaching Gyrotonic movement. When I'm done with my private lesson I feel like I've had a bodywork session. The Gyrotonic instructor is constantly guiding your breathing pattern, and both supporting and physically guiding your movement. Their hands (https://youtu.be/0Tcjzg60aGo) help to show your body a new, freer way to move.
As in massage therapy training Gyrotonic instructors go through extensive training and can attain various levels of expertise. Even before they start training they are required to be a client for a substantial period of time to understand the method in their own bodies. In level 1 alone, there are four courses totaling 188 hours. After the first level of training, students are required to apprentice for one year, including a 6-day supervised apprentice review course with a master trainer.
Benefits of Gyrotonic Movement
I think that Gyrotonic movement increases the range of motion (ROM) and functional strength of muscles, joints, tendons, and ligaments. It is popular among athletes and people dealing with the wear and tear of aging. The movement is thought to stimulate the lymphatic, nervous, and circulatory systems, as well as the fascial body. Other benefits of Gyrotonic movement may include decreased pain, increased flexibility, renewed energy, and a general sense of calm and wellbeing. This has been true for me and several of my clients. As the body learns to move safely and freely again, this can also have an emotional impact.
Why MTs Should know about Gyrotonics
It may serve as a complement for your clients who would like to be stronger and more flexible, or who are in the process of rehabilitating an injury. For massage therapists, this approach to movement may also help to counteract the physical effects of treating clients on a daily basis.
You can see me and others here (https://youtu.be/iXc1rL9XaZ4), having an enjoyable time freeing their spines and working on their balance!
To learn more about this type of exercise please visit www.gyrotonic.com.