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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
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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