Chiro.org - Chiropractic Resource Organization.     Support Chiropractic Research!

Daily Archives: July 15, 2011

Fundamentals of Initial Case Management Following Trauma

By |July 15, 2011|Education|

Fundamentals of Initial Case Management Following Trauma

The Chiro.Org Blog


By Richard C. Schafer, DC, PhD, FICC

The following materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.


Without a doubt, no other health-care approach equals the efficacy of chiropractic in the general field of conservative neuromusculoskeletal rehabilitation.

For many centuries, therapeutic rehabilitation was a product of personal experience passed on from clinician to clinician. In the last 20 years, however, it has become an applied science. In its application, of course, much empiricism remains that can be called an intuitive art –and this is true for all forms of professional health care.

INTRODUCTION

The word trauma means more than the injuries so common with falls, accidents, and contact sports. Taber1 defines it as “A physical injury or wound often caused by an external force or violence” or “an emotional or psychologic shock that may produce disordered feelings or behavior.” This is an extremely narrow definition for trauma can also be caused by intrinsic forces as seen in common strain. In addition to its cause being extrinsic or intrinsic, with a physical and emotional aspect, it also can be the result of either a strong overt force or repetitive microforces. This latter factor, so important in treating a unique patient’s specific pathophysiology, is too often neglected outside the chiropractic profession.

Taber1 states rehabilitation is “The process of treatment and education that lead the disabled individual to attainment of maximum function, a sense of well being, and a personally satisfying level of independence. The person requiring rehabilitation may be disabled from a birth defect or from an illness. The combined effects of the individual, family, friends, medical, nursing, allied health personnel, and community resources make rehabilitation possible.” It is surprising that Taber excludes trauma as a prerequisite for rehabilitation for it is the most common factor involved.

Other authors define rehabilitation strictly in terms of exercise and restorative therapeutic modalities and regimens. Some limit the term to preventing or reversing the noxious effects of the inactivity or lessened activity associated with the healing process. While it is true that these definitions hold significant components of clinical reconditioning and restoration, the scope of rehabilitation means much more to the chiropractic physician. (more…)

Medicare Electronic Prescribing Program Exemptions: CMS Policy Is Clear

By |July 15, 2011|Announcement|

Medicare Electronic Prescribing Program Exemptions:
CMS Policy Is Clear

The Chiro.Org Blog


A recent misrepresentation of Federal policy related to the Centers for Medicare and Medicaid Services (CMS) Electronic Prescribing Program has recently circulated through the chiropractic profession.

To clarify any confusion this may have caused, ACA would like to direct DCs to this issue of MLN Matters, which provides information directly from CMS (Medicare) regarding the electronic prescribing program exemptions.

In short:   providers who are NOT:   MDs, DOs, podiatrists, nurse practitioners or physician assistants
are exempt from the e-Rx payment adjustment. (more…)