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.
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.
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.
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.
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?'
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.
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).
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
April, 2001, Vol. 01, Issue 04
By Steve Capellini, LMT
Author's Note: The SPA LETTERS column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
Congratulations! You're now officially a part of the spa industry.I understand your excitement and also your trepidation, and I'm not surprised that you have a lot of burning questions to ask. For a moment, though, allow yourself to bask in the accomplishment you've just achieved. It's not always easy to snag a position as a therapist in the fast-growing spa sector.
Let's address your question about pay first. It was probably a good idea not to put too much emphasis on the pay scale when you first applied at the spa, because that can turn interviewers off and make it seem like your self-interest outweighs your desire to do a good job. But now that you've got the job, you have to start thinking about your budget, and of course it's only natural that you want to nail down some realistic numbers.
It's a general assumption (stated or unstated) that the pay scale in spas is not worthy of the talent and training most therapists have achieved. Some people in the massage profession feel that the pay in spas can drag down the overall prestige of massage therapists and make it seem that they're not worth as much as they should be.
In my personal opinion, this assumption is incorrect for two reasons. In the first place, spas have a very large overhead that is not taken into consideration by many people. The cost of running a spa is extremely high, with its management staff salaries, facilities cost, heavy laundry expense, equipment cost, product cost, and other drains on the bottom line. It's often hard for a spa to make a profit. If the spa were to give the therapists 80-90% of the price of a treatment, which therapists sometimes act like they're entitled to, the spa would soon go broke and everyone would be out of a job.
Second, the pay scale in spas over the past few years has been going up quite significantly. Factor in the pluses for the therapist, such as built-in clientele, no marketing costs, no facility cost, with products, oils, laundry, equipment all supplied, and, oftentimes, paid training and benefits. You can see that an hourly wage about half of what you'd expect doing a private outcall massage is not unreasonable.
This wage scale is typical of what you can expect at many spas today. Take the spa where you've just landed a job, for example. Your pay scale of $30 per hour is right about in line with this principle, because I know you've been asking $60 per hour from your private clients since you graduated from massage school last year.
And remember, you live in California, in an area with a pretty high cost of living. Extrapolating this to a less expensive part of the country, a new therapist could conceivably be getting $45-$50 per hour from private clients. Therefore, a $22-$25 per hour pay scale in a local spa would be reasonable.
You point out correctly that you might be losing some precious hours, though, because the spa will not be paying you for hours in which you're not massaging. But keep in mind that they will definitely be trying to book you as many hours during your shift as possible. Why? Because the more you're booked, the more money the spa makes!
There are some spas that pay a certain number of therapists a lower hourly wage when they're not giving a treatment, thus making sure there is always someone available for last-minute bookings. Seeing as you're new to this spa, you can't expect to be put on the schedule all the time right away. That's a seniority issue, which I'll deal with in a future letter. When you achieve this level, the spa will have to provide benefits to you, which can run up to 20% of additional cost to the spa on top of your pay. You're going to have to prove yourself first.
The Best Attitude
I wouldn't worry about this too much, Lou. The spa where you've found a job has a great reputation, and as you know, they're booked for much of the year. So keeping yourself busy shouldn't be too much of a problem. I think my best advice to you at this point is the following:
Treat the space you've found as your very own business.
That's right. Try to avoid the typical mistake: looking at the spa as an us vs. them environment, in which the ownership and management are out to get you and your fellow therapists. Avoid excess gossip, chatter, and complaints about your bosses, because that only separates you from a perceived higher level, actually diminishing your power.
Treat each guest as your own private guest in your own private business. Make sure that everything possible is done to make her experience positive. Treat the whole spa like your spa, keeping it neat and orderly. Whenever you have an opportunity, make things easier for your boss and anyone else in management.
This attitude is sometimes known as being a "team player," but that's a term I'm not too fond of, because it gives the impression that you have to wait to take orders from a coach, instead of proactively taking control of your own situation and being your own boss. Even better than being part of the team, is acting as if you were part of the ownership of the team. If you truly believe this is true, and act accordingly, you'll be amazed at how quickly things will change for you in the spa world, and for the better.
Talk to you again soon,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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