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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.
August, 2003, Vol. 03, Issue 08
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.
The spa that was in your dreams a few months ago is now just weeks away from opening! Things are happening awfully fast, aren't they? I bet you never thought you'd have such a huge number of items on your "to-do" list.Brace yourself; it doesn't slow down for quite some time now.
You've laid the groundwork for a successful business by coming up with a mission for your new spa, something you and your partner, Barbara, believe in and hammered out as a team. You've incorporated your spa as a legal entity, and you've got a new name. It wasn't that hard was it?
It's like having a whole new identity, isn't it? You've got a new checkbook, new business cards, new stationary and a new logo. I'm glad my suggestion to try "automatic writing" worked for you in finding a name for your new spa. You and Barbara had some shared ideas on what you wanted to include in the overall spa concept, but you couldn't come up with a way to synthesize them into one simple name.
Let's examine them: First, you wanted to capitalize on the location-a beautifully renovated Victorian house right in the middle of the downtown-shopping district. Next, you wanted the spa's name and look to say something about your belief in natural, organic products and treatments. Finally, you wanted your spa's identity to reflect your personal journey, the way you and Barbara moved up through the spa ranks and put this unique vision together. So, you took this jumble of words and phrases, tossed them around, and started writing without stopping or censoring your thoughts until something clicked:
And voila, there it was. Even though you and Barbara continued to fill in a full 100 entries on your list, there it was - number 6: "The Spa House." Sweet and simple: A home away from home where people can go to enjoy all-natural treatments. You settled on a Southwestern color scheme of sandstone, terra cotta and umber to reflect the earthy and organic properties of your chosen ingredients. Your logo is a simple child's drawing of a house with two figures in front holding hands - a symbol of the friendship between you Barbara.
I like it, Lou. Some of the graduates of my spa certification class have inspired me in a similar way with the creative and unique names they've come up with for their new spas. One woman wanted a place where spa guests could bring their pets to get groomed in an adjacent facility; she called it the "Doggy Day Spa." Another man, who was a paramedic prior to becoming a massage therapist and opening his mobile spa-on-wheels, named his "Back Savers to the Rescue." The cutest one was the couple that plans on opening a joint dude ranch and spa. They specialize in those wanting to ride horses and relax. The proposed name is "Just Horsin' Around"; their logo is a horse in a hot tub.
Out of Identity, a Mission
You've naturally found your mission within your new identity as The Spa House, Inc. It's a short phrase you can post on your wall and include in your literature and on your Web site. I like this mission statement as much as I like your new name: "The Spa House uses top-quality natural ingredients and world-class service to make each visitor feel at ease and at home, improving the health and well-being of the entire community."
It's good; you've gone beyond the narrow view and broadened your stated mission to help everyone in the community, not just your target audience. Of course, those of us in the spa industry are aware that when we treat an individual, we're also making an impact on his or her family. In turn, that family impacts other families, and the whole community. You can also - as do many spas - dedicate some of your efforts (and profits) to the community and chosen charities.
Remember, the more you connect with the underlying reason for building your spa and starting this new venture, the more successful you'll be, in the truest sense of the word. To get lost in profit-making alone may leave you stranded in a place you do not want to be. Look to your mission statement often as a life preserver in future months; while navigating treacherous waters.
The Unique Selling Proposition
That said, let's be real, here, too. You can't save the world if you go out of business! You also need to have a good handle on what you're offering to people so they'll want to buy it.
One of the quickest and easiest ways I've found to get the word out about a new business is called the "Unique Selling Proposition" (USP). It's also been called the "elevator speech" because it's a short "sell" that can be told during a brief elevator ride. It goes like this: First you start with a problem (you know how _____?); then you offer a solution (well, my business _____). It's that simple. Consider this example for a computer repair business: "You know how your computer freezes sometimes and you have to waste time rebooting or even suffer a loss of valuable data? Well, I come to your location and in just twenty minutes adjust your computer so that never happens again, money-back-guaranteed."
What would your response be to that person? You'd likely ask for his or her card. You might possibly become a customer. You need to think of something similar to get people to visit your spa. Think in terms of problem/solution or need/fulfillment.
Why don't you write down the USP for The Spa House and send it to me in your next letter? (maybe even on your stationary!) I know how busy you must be now, in the midst of a whirlwind of color schemes; decor decisions; furnishings; supplies; equipment; pre-marketing; and another crucial issue: people! That's right; several new people are about to come into your life. They are often called employees, but make no mistake - they have lives of their own and can take up a lot of your time if you don't learn early on how to manage them appropriately. I'll talk a little about them next time I write.
You're already getting a taste of life on the other side of the manager's desk; it's not as simple as you thought it was while you were an employee at the resort spa, right Lou?
Until next time,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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