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Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
June, 2003, Vol. 03, Issue 06
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.
So, you're on the hunt for your new spa location, and you're trying to come up with a name that will catch the public's interest and broadcast your spa's true mission at the same time. It's a time of excitement and pandemonium! You haven't been this excited about creating something since your 6th-grade science project.
The more focused and forward-thinking you are at this early stage, the better the finished product will turn out. It's extremely important to take your time, step back, take stock of the overall situation, and formulate your plan of attack.
In the case of a new spa, the plan of attack is also called the "business plan." If you don't have one, you're sunk before your ship of dreams even drifts away from the dock. So, let's begin by talking about that plan of yours.
Care and Feeding for Your Business Plan
In your case, it's true that your partner Barbara has more (much more) capital to invest in your spa project than you do, but that doesn't mean you shouldn't become intimately familiar with every aspect of the business plan, including the financial health of the fledgling enterprise. The $10,000 you've pitched in is no meager sum, especially since it represents over 90 percent of your life savings.
Barbara was fortunate enough to have a corporate lawyer in the family, who drew up a business plan with your help. If you didn't have this family connection to fall back on, it might have been tempting to forego the business-plan idea altogether. I mean, why bother with all that paperwork? You don't need to attract outside investors at this point. You're thinking that what really counts is the logo; color scheme; name; location; and stuff like that. Right, Lou?
There are several good reasons to have a business plan before you take another step toward creating your spa. The plan will solidify what exactly you're attempting to create. Refining the details of capital investment; management structure; client demographics; marketing plans; and expense budgets will allow you to see your business existing in the "real world."
Do yourself a favor: Spend some time getting to know each and every detail of that plan the lawyer created. Although you're a "right-brained" therapist with little interest in such matters, you need to know and care about what it says for the spa to be a success right from the start.
It might be a good idea to get to know the general structure of business plans more intimately; this will help familiarize you with what business is all about - a must for nonbusiness types such as yourself. Go to amazon.com, or any other book-related Web site, and type in "business plans"; you'll find a load of books on the subject. Have you thought about taking a class at the local community college on business management? You are, after all, going into business. I've seen too many spa owners disregard this obvious fact since opening a spa seems more like a healing vision than a nuts-and-bolts reality. Do yourself a favor: Get real and study up.
As you're boning up on business practices, you also are out scouting your spa's perfect location. It's fun and spiritual putting the soul of your idea into the body of a building and giving birth to a being, not just a business.
You've told me about three possibilities that have intrigued you and Barbara so far: an old house downtown; a storefront in a busy mall; and half a floor in a medical office building. As is often the case, there are pros and cons to each option:
You're probably familiar with the saying that the three most important things in business are location, location, location. That's partially true, but what that axiom fails to emphasize is there's more involved than the GPS coordinates of the building you're considering. There's something else going on, too; it's called "energy."
I know it's weird, and some massage therapists are already marginalized for couching things in "new-agey" terms, but I truly believe that below the surface, energy levels are a factor to business locations.
Some locations can't generate successful business, no matter who or what goes in there. Even the best businesses can't succeed in a "jinxed" location. Potential customers just seem to pass it by, as if there were an invisible gate blocking the entrance. You know the spots - those spaces where one business after another has come and gone over and over again. Of course, you're not a native of your new city, and so you don't know about the history of each site; but Barbara does. You can also ask local residents or look up county business records.
In addition to practical considerations such as lease terms, the amount of rent you'll be paying, zoning rules, etc., it would be wise to look into the background "energy" of the structure. Who has been in there? Why did they leave? What is the gestalt of this old home you're considering? What types of clientele frequent the mall in which the storefront is located?
I have a friend and former student who settled on an old home, similar to the one you're considering. It's on the main street in the busy tourist town of Provincetown, Cape Cod. She faced a lot of challenges restoring a 150-year-old building, but she made the right choice. The building had never been used for a business, so she created her own energy there, and it worked. She's now opening a second location.
You can tell I'm leaning toward the old house downtown, can't you? Don't let that influence you too much. You and Barbara need to figure things out gradually, in your own time. The next time I have the chance to write, I'll give you some ideas regarding two other hot topics that are surely burning in your brain about now: your new spa's name and its mission.
Until then, take care.
Click here for previous articles by Steve Capellini, LMT.
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