Wednesday, April 25, 2007

New York Chiropractor, DRX 9000 Manhattan

Call (212) 645-8151 to schedule a Consultation with a Spinal Decompression specialist in New York.

www.drshoshany.com


I just received my completed magazette about spinal decompression.


This a a complete informative description of all Spinal disc related problems and treatment methods. If you or someone you know suffers from Disc herniation, Sciatica, Facet Syndrome or Failed Back Surgery please email me and i will send out the brand new packet of information that contains studies and pre and post MRI's. In the email please include full mailing addresses.


www.drshoshany.com
My latest patient had a spinal laminectomy 3 years ago and recently hasn't been able to out her shoes on due to a flair up and after confirming presence of a herniated disc one level up from where the previous surgery was preformed I started her with Spinal Decompression therapy on the DRX 9000. I was impressed with her outcome because after the first visit she had a 10% reduction in pain and an increase in her ROM.
New York spinal disc decompression treatment.
Call the expert at (212) 645-8151
www.drshoshany.com

Thursday, April 19, 2007

New York Chiropractor, DRX 9000 Manhattan


http://www.drshoshany.com/
DRX, DRX 9000

I received a email from a patient yesterday about the difference between the DTS treatment and the DRX 9000.
The first thing I said to him is look at the price of the tables The DTS is about $ 6,500 and the DRX is $100,000. The quality is not there in the DTS and is not as comfortable.
When I started in Spinal Decompression I started with a low priced table the 3D active trac, I got results but patients complained that it wasn't comfortable and it was difficult to harness patients into the table.
I purchased the DRX 9000 as my second table and it is so much easier to operate and most of my patients fall asleep during treatment, the pull is much more comfortable and the table features a trendelenburg tilting mechanism that has been great for patients that cant get up on their own. http://www.drshoshany.com/
I truly believe you have to invest in quality tools if you are going to provide quality care, you get what you pay for.
Whats even funnier to me is the Anatamotor tables that cost $5,000 is claiming to provide decompression.
True Spinal decompression requires a loarithmic curve and that requires computerized aide.

NYC Decompression is achieved by using a specific combination of spinal positioning and varying the degree and intensity of force. The key to producing this decompression is the gentle pull that is created by a logarithmic curve. When distractive forces are generated on a logarithmic curve the typical proprioceptor response is avoided. Avoiding this response allows decompression to occur at the targeted area.
www.drshoshany.com

Monday, April 16, 2007

New York Chiropractor, DRX 9000 Manhattan


Call (212) 645-8151 to schedule consult with Dr. Shoshany


Manhattan Spinal Decompression
Herniated disc treatment


This article is a reprint from a Chiroweb article that I felt was helpful for doctors that are considering getting into Spinal Decompression.



Spinal Decompression 101


James Edwards, DC, is chairman of the National Chiropractic Legal Action Fund and a former chairman of the board for the American Chiropractic Association. He can be contacted at jamesedwards@jamesedwards.com. For more information, including a brief biography, a printable version of this article and a link to previous articles, please visit his columnist page online: www.chiroweb.com/columnist/edwards


Last March, the American Chiropractic Association (ACA) adopted an official policy on the coding of spinal decompression services. Since so few have had the opportunity to review the ACA’s policy, this column is devoted to the ACA’s position, as well as several other subjects relating to spinal decompression therapy.


If you are confused about the claims being made about spinal decompression and do not know which spinal decompression system you should consider purchasing; if you currently have a spinal decompression table, but don’t know how to market or code your services; or if you do not have any office procedures relative to your spinal decompression therapy service – you are most definitely not alone!
In fact, just one short year ago, my office was in the exact same boat. After purchasing our spinal decompression table, I searched high and low for the answers to those questions, but quickly found that they simply were not available. I didn’t know the best way to market our spinal decompression services; didn’t know how to properly code the services; and didn’t know what practice procedures we should utilize.
Well, that was then and this is now! After a full year of “trial and error” marketing, developing office procedures and researching proper coding, I now have what I consider a vast knowledge of what you should do – and more importantly, what you should not do.
Coding of Spinal Decompression Services
First and foremost, it is extremely important to make sure you code spinal decompression therapy correctly. While many doctors are coding spinal decompression therapy as Therapeutic Exercises (97110), Therapeutic Activities (97530) or Manual Therapy (97140), I strongly recommend against doing that because I believe it would be billing fraud. I also strongly recommend against using surgical codes for the treatment since spinal decompression therapy is not surgery and could definitely subject the provider to prison time.
In my opinion and the opinion of the ACA, the two appropriate codes for spinal decompression therapy are 97012 (Traction), which will result in very limited reimbursement under insurance policies; and S9090 (Vertebral Axial Decompression), which usually will result in no reimbursement.
My office uses the S9090 billing code for two reasons. First, we are telling the insurance company exactly and correctly what the treatment is. While insurers will most likely deny the service, most do not have a prohibition against a doctor, as a PPO provider, collecting for the treatment from the patient. Second, it allows the provider to charge an amount that corresponds with the cost of the spinal decompression system and the staff time spent during each session.
Office Practice Procedures
After taking the patient’s history and then giving an explanation of how spinal decompression works (by stopping the muscle guarding so decompression can occur at the disc level), candidly outline the following four major points to the prospective spinal decompression therapy patient.
Give the patient the basis for the number of treatment sessions (e.g., my office uses a 20-session protocol).
Spinal decompression, if billed correctly, is rarely covered by insurance. Explain why.
The session fee for spinal decompression (all sessions) should be paid in advance. In our office, we explain the rational basis for that requirement.
Should chiropractic adjustments and/or passive therapy and/or active therapy be indicated, explain that those treatments will be governed by the provisions of the insurance contract.
After furnishing that forthright and candid information to the prospective spinal decompression patient, apply no pressure whatsoever. In fact, ask the patient what they would like to do. Some want to think about it or talk to their spouse, while others are eager to be examined so they can begin treatment immediately.
In the final analysis, almost all who come in for a consultation ultimately begin (and complete) the 20-session protocol. To ensure that there is no misunderstanding between the patient and our office about our fees and how the service will be coded and billed, we have the patient sign an acknowledgement of the agreement.





DRX 9000 NYC

Friday, April 13, 2007

New York Chiropractor, DRX 9000 Manhattan





Call (212) 645-8151 to schedule an appointment in New York


The Erector Spinae Muscle group line the back of your spine and keep it aligned as you bend and twist. If your back hurts and feels like a deep pain in your lower back it could be due to spasm of the erector spinae muscle group. If you are reconditioned and stiff or have underdeveloped muscles it can inhibit your ability to sit, stand and walk.


Part of any comprehensive Spinal Decompression program should addresses the need to strenghten these muscles and the rest of the core muscles.




DRX 9000 in Manhattan call (212) 645-8151

Thursday, April 12, 2007

New York Chiropractor, DRX 9000 for herniated discs

www.drshoshany.com
Spinal decompression in New York City.
Call (212) 645-8151

Monday, April 09, 2007

New York Chiropractor, DRX 9000


www.drshoshany.com
Chiropractor in New York City.
Call (212) 645-8151 for a Chiropractic Consult in Manhattan.
Manhattan Chiropractor explains how a cervical vertebrae can misalign and cause arm pain.
Slipped disc.
Call (212) 645-8151
or visit www.drshoshany.com

New York Chiropractor, DRX 9000


www.drshoshany.com
New york City
Call (212) 645-8151

Does Spinal Decompression hurt?

Spinal decompression is a pleasant procedure, it is very comfortable. In my practice I use the DRX 9000 table and I believe that is the most comfortable and user friendly. It has a built in DVD player so patients can watch DVD's or listen to their Ipod while on the table or fall asleep.
www.drshoshany.com
I have included a picture to show patients how I typically put on the pelvic harness above.

Thursday, April 05, 2007

New York Chiropractor, DRX 9000 Manhattan

Call (212) 645-8151

I have a patient that is a professional wrestler that retired due to a back injury that is doing so so much better since starting Spinal Decompression treatment in my Manhattan office.


He hopes to resume wrestling once again this summer, I am optimistic that he can make a successful comeback!

I also plan to have him take a second MRI 3 months after his last decompression visit.

The Disc takes a long time to heal, remember that the blood supply to the disc is very limited.

The idea that decompression creates a negative pressure that helps draw more blood to the disc is how the disc can heal and regenerate.

New York City Disc decompression specialist.

Call (212) 645-8151 to schedule a consult at no charge to review your MRI's or fax to
(603) 584-5825 and have Dr. Shoshany call you back at your convenience to do a phone consult.

Wednesday, April 04, 2007

New York Chiropractor, DRX 9000 Manhattan

Call 212 645-8151

www.drshoshany.com
I wanted to share with some Doctors of Chiropractic on my methods of Spinal Decompression and obtaining a high success rate in helping patients that have pain due to herniated discs.
1.) Treatment must be multi-faceted meaning that treatment should consist of Spinal Decompression treatment in conjunction with bracing, rehab and nutritional support. To learn more about my nutrition support program see my website at www.drshoshany.com

2.) Accept patients that are true candidates for the procedure. Most doctors that get involved in Spinal Decompression in New York and other states usually incur a huge upfront cost so any patient that walks in the door they want to get them on the table.
I only accept patients that I feel will truly benefit from the procedure, I do this because If a patient gives you his or her hard earned money and you can't provide the goods you will feel the pain. In fact I turn down more patients than I accept each month for various reasons.
Most doctors bought into the idea that this will cure everyone and anyone with back pain.
In reality Spinal Decompression treatment is an excellent option for patients suffering with Chronic low back pain or pain from a herniated disc.
www.drshoshany.com
Once a patient start care it is also imperative that patient increase their intake of water and if possible to quit smoking.
Call 212 645 8151 for treatment on the DRX 9000 in NYC