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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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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."
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
November, 2004, Vol. 04, Issue 11
Increase Your Income by Reducing "No Shows"
By Colleen (Steigerwald) Holloway, LMT
It's five in the afternoon and you are awaiting your fourth client of the day. So far it has been a productive day, but it's now 10 minutes after five and your client is late. You begin to question whether your client is on her way or if she has forgotten her appointment.You pick up the phone and call her - no answer...hmm. Your mind begins to recall the three clients you could have seen today that you had to turn away. It's now 5:30 p.m. and it's apparent your client has forgotten her appointment. Does this scenario sound familiar to you?
From time to time a client will miss a scheduled appointment. This can throw off your entire day, if you let it. More importantly, it can alter your annual income thousands of dollars. Just one "no show" per week can cost you $3,000 per year! Using these guidelines can eliminate the frustration you experience.
Create a Missed Appointment Policy - A missed appointment policy will fall within the guidelines you set for your cancellation policy. The allotted time you choose as notice to cancel an appointment will depend on how quickly you can refill the appointment. Typically, 24-hours' notice is requested to cancel an appointment, unless there is a valid emergency, such as an illness or vehicle breakdown. Some therapists can refill an appointment slot within six hours. You decide what length of time will work best for your business.
Reduce No Shows - Once the policy is in place, you'll need to let your clients know about it. There are various ways to convey your policy that will reduce missed appointments. I recommend using as many of these as possible:
Collect for No Shows - Collecting your fee for missed appointments isn't always easy. After all, no one wants to pay for services they did not receive. Respectfully, though, they should. If you prepare a missed appointment form letter in advance, all you will need to do is fill in the blanks, print it on your letterhead and mail it. Here is a sample letter:
You will be surprised how many clients will just send in a check - but what about those that don't? Only you can determine how valuable your time is. If you don't have a problem with clients missing appointments, then you probably won't feel the need for a cancellation policy. If, however, your time is of value and your income is dependent on your appointments, I suggest you rid yourself of those clients and spend your energy replacing them with new clients.
By the way, as a general rule I do not charge a client for the first missed appointment. Instead, I inform them again of the policy and tell them that I will charge my full fee should it occur a second time. This courtesy rule works well for me.
Ultimately, the decision to establish and enforce a missed appointment policy is yours. When making this decision, keep in mind that your time is valuable; without a policy your income will be affected.
Click here for previous articles by Colleen (Steigerwald) Holloway, LMT.
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