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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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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."
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
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.
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.
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."
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.
January, 2004, Vol. 04, Issue 01
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 now your rooms are being built out, the paint is being applied, and the spa is taking shape.People you didn't know until last week are bustling around, looking to you for guidance. These are called employees, and they must be treated with care. It feels funny to be on the receiving side of all those questioning glances, doesn't it? There is a lot more to being a boss and owner than you realized.
Now that you have your staff assembled - two massage therapists, two estheticians, a receptionist/sales clerk, and a part-time cleaning person - you're ready to rev them up into a customer-pleasing frenzy, but before you do that you've got to give them the tools they're going to need to succeed. You've got to bring them up to speed on the treatments they're going to be performing - the long list of offerings that will make your spa unique and memorable. That's right: It's time to create your menu of spa services.
The Benefits Paradox
As you move forward in putting together your treatment menu, you're going to run into what I call the "benefits paradox." Simply stated, it is this: typical treatments you find on thousands of menus at spas around the world work well and offer people results, but they're boring, boring, boring! New, avant-garde treatments may be more exciting and enticing to your clients, but they might have questionable therapeutic value. What to do?
When you think of spa menus, you might get the feeling that they're all the same: so much seaweed, so much mud, so many massages, so many scrubs. You definitely don't want a cookie-cutter feeling in your spa, and you don't want to bore people. But neither do you want to offer a bunch of "fluff and buff" and "razzmatazz" that will leave your clients asking, "Where's the beef?" What can you offer that is going to excite your clients, create noticeable benefits for them, and keep them coming back?
My suggestion: select judiciously from classic spa treatments and then add your own flourishes and personalizing touches to them. This will maintain therapeutic value and add a little something extra that will charm customers.
One From Column A, One From Column B
Many Chinese restaurants offer choices of food from multiple columns, allowing patrons to select from basics such as beef, pork, or chicken, and adding in spices, sauces, and vegetables to taste. You can do something similar with your menu.
The main categories of what spa clients have come to expect include massage, of course; body scrubs; body masks of some kind (whether seaweed, mud, clay, etc.); facials; hand and foot services; and wraps (herbal, detoxifying, aromatherapy, etc.). I suggest you create a category for each of these on your menu and then customize the offerings within each category in your own unique way. For example, since your spa is called The Spa House, I would suggest breaking down the treatments into these categories: Spa House Wraps, Spa House Body Scrubs, Spa House Massage Specialties, and so on. You could, for example, offer the Spa House Energy Rebalancing Massage, and use your resident shiatsu expert to apply the treatment.
In the descriptions for each of these services you can explain the benefits and backgrounds of each. The unique title will get your clients' attention while the description will put their minds at ease, letting them know these are time-tested treatments, many of which, like shiatsu, have been used for centuries around the world. In this vein, you could offer the Spa House Relaxation Massage for Swedish, and so on. Cap off your menu with the crowning touch of something truly special, something that will enthrall your clientele-the signature service.
Your Spa's John Hancock
The signature service at any spa is what sets it apart from other spas in the area. It's what gets people talking about your place. It does not need to be something that everyone rushes to sign up for, but it should inspire conversation and generate clients by word of mouth. This is the "quality, not quantity" section of your spa menu, something truly unique that could only be offered by you. When people think of The Spa House, they should think of this treatment, and they should think of you. Because the spa is you now, Lou, in a certain sense - it's who you are. You'll want to invest yourself in this special treatment, like the signature dish of a great chef.
What's the special treatment going to be? That, I'm afraid, is up to you. Here are just a few hints to get your started thinking in the right direction:
Once you've gotten clear on what categories you're going to have available, you then run into the question of what products you're going to use, which supply companies you're going to choose and who you're going to give your business to. Use extreme caution here, for a few reasons:
Next time you write, let me know what you've come up with for your signature treatment and what products you're thinking of using. I'll do my best to help you out with any further suggestions, if I can.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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