resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
August, 2010, Vol. 10, Issue 08
What Became of IMA?
By Ramon G. McLeod, Editor-in-Chief
In early March of this year, calls went out from Will Green, owner and founder of the International Massage Association (IMA), to at least two major players in the massage insurance industry.Green wanted to know whether there was any interest in buying the liability insurance business that IMA had begun in 1994.
Once a major insurer for the massage community, IMA at its peak boasted more than 30,000 members. But, by early 2010 the association had shrunk to no more than 15,000 members, sources familiar with the discussions said. Nevertheless, the company still appeared to be a viable business, these sources said.
But, these sources said, something was wrong.
While their stories varied on some of the details, all said that Green allegedly made a number of statements in meetings that pointed to a troubling issue: IMA was in financial straits. Both of the established companies would eventually pull out of the sales talks with Green. A third company, new to the insurance business at that time, also ended talks.
Green, despite repeated attempts and interview requests, has refused to discuss publicly what has happened to his company.
According to one of the sources, "The big question was 'why' come to us? ...Then I was told that (IMA's) insurance broker had resigned from the risk group."
An interview with the owner of the brokerage firm, Utah-based Stratus Insurance, Inc., confirmed that the relationship between the two businesses had been severed. Central to the breakup was a dispute over more than $500,000 that involved premiums for policies underwritten by Markel Insurance Company.
IMA members got their first inklings of serious problems on April 8, when a posting on the IMA Web site said that it could no longer offer new policies to members. Then, on June 21, an e-mail was sent to past and present members stating that the company had ceased selling insurance on April 22 because its insurance agent had resigned.
Earlier that month, the registration for a "risk purchasing group" called Health and Beauty Purchasing Group, was cancelled. Federal law requires registration in the states where such a group is expected to do business under those laws. The Health and Beauty Purchasing Group was formed to purchase insurance for IMA.
In an interview, Chicago-based attorney Daniel V. O'Leary said he cancelled the registration in June. He said he was brought in by Green and Stratus in 2009 to finish getting the group registered in all 50 states and Washington, D.C. When Stratus resigned as IMA's broker, that left the association without a broker to represent it. Green was unable to find a new broker quickly, O'Leary said, and without one, the purchasing group could not continue.
While unfamiliar with the financial situation at IMA, he said that a serious dispute had erupted between Green and Stratus. "There was a lot of 'he said, she said' going on at the time, and we decided to cancel the group," O'Leary said.
By late June, IMA had ceased selling insurance and members were told that the business had been turned over to the National Association of Massage Therapists, a non-profit company located in Virginia. Sources present at the meetings where Green discussed the sale of the business have said that Green told them he needed to sell as a direct result of more than $500,000 in member premiums that is central to a dispute with his former insurance broker.
Meanwhile, properties that Green owns in Warrenton, Va., including IMA headquarters, are currently $7,800 in arrears on property taxes, public records show. The headquarters building is also up for sale for $2 million.
While Green has refused to publicly describe the situation, the owner of the insurance brokerage firm, Bret VanLeeuven, said in an interview that his company, Stratus, "cancelled him, not the the other way around...He owes us close to seven figures." Sources have said that Stratus believes it is owed at least $800,000 from Green and IMA.
The relationship between Green and VanLeeuven began around 2004, VanLeeuven said. Stratus, like other insurance brokers of its type, acquires the policies that insure the premium payers from liability claims.
Two of the sources who were solicited by Green to buy IMA said that statements were made at their meetings that suggested that Stratus had failed to properly acquire policies in several of the years since 2004, an allegation that VanLeeuven strongly denies. "Every premium that was collected was passed on to the appropriate parties," he said. "Our business has been audited many times, we held up our part of the contract," he said.
"And the bottomline is that as far as Stratus is concerned, every claim that was made was paid. There have been no complaints about unpaid valid claims. Every state has some kind of insurance commission and I defy anyone to find a complaint made against us," he said.
Green has not responded to numerous requests for an interview about IMA's financial status. Written questions were sent as well and questions posed to him were these:
Editor's Note: If you have had issues with either of IMA's insurance operations, please contact .
Associate Editor Christie Bondurant contributed to this report.
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.