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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.
April, 2006, Vol. 06, Issue 04
What You Need to Know to Select the Right Spa Products for Your Customers
By Stephanie Beck
In past issues, we've covered the basics, selected and written our vision and our intention for the business. Now, what about products? You must consider all the options: wet room or dry room, ingredients, price, and where to begin.
Remember to keep in focus with your intention and vision of the business.If your intention is to cater to mostly male clientele, then consider those products that support that intention. Use unscented items or lighter scents, because chances are they will not want something that smells "pretty." Let's face it, how many men would get excited about a "Rose Blossom Body Wrap?" I am only speaking in general terms, of course, and in my book, there is nothing wrong with a man wanting a rose blossom body wrap. I am just not sure how many times that service would be requested by men if it appeared on your menu. So yes, consider your intention when selecting the proper products. Not only do you have to match your intention, but also your budget, layout, ingredients, scents, etc.
Wet Room or Dry Room?
I've mentioned this before, and I'll say it again: Thanks to our brilliant manufacturers, you have the capability to offer spa services in dry room facilities, and as the old saying goes, "Everyone is doing it!" Whether you select Lotus Touch, Soothing Touch, Amber, Bon Vital, Biotone, Pharmaskincare, or one of the many others, you have scrubs, muds, paraffin, mud paraffin, and polishes that easily can be removed with warm towels, massaged into the skin or peeled off the body. Spa services done in dry room facilities - you've got to love it.
For centuries, the word "spa" has been synonymous with water or baths, usually with mineral or therapeutic values. If your intention is to maintain this concept, then make sure your products can be used in a Vichy shower or hydrotherapy tub. The beauty of today's muds and scrubs is that they are flexible and can be used in either a wet room or dry room, because flexibility is a good thing!
As some of the products listed above (like paraffin) imply, they cannot be used with water. You will need to purchase smaller pieces of equipment like a paraffin heater and rolling cart to put it on so you can have access as you apply the paraffin with a brush or drape sheet around the body. Also keep in mind that if you don't plan on offering shower facilities or wet rooms, you will need to make sure your spa rep equips you with all the tools you will need to perform the treatments. We will talk more about creating relationships and how important it is to be more than "a number" with your supplier in the future. It never hurts to ask your spa rep what accessories you will need, although your spa rep should recommend what items you need to perform the treatments.
Here are some things to keep in mind when thinking about ingredients. Does this match my client's needs? Does it match my spa theme? What are the contraindications? What are the benefits? The main problem when discussing a particular ingredient is the fact that most of the "talk" hasn't been scientifically studied or proven. Unless the manufacturer has paid for the independent study or conducted countless tests, they can only make general statements regarding the ingredients in their products. For instance, we all know the benefits vitamin E has when taken internally, but how many of us know of a study in which it's applied to the skin? I'm not looking to pick on anyone in particular. Just be aware of the limitations the manufacturers have, and make sure you match up the general ingredients with your vision and intention.
This also leads to our next topic: contraindications. Because so many ingredients have not been clinically tested, again, all manufacturers are left with making general statements. For instance, it's not recommended that you use seaweed-based products on a client who has a thyroid condition. Because we know that seaweed contains certain amounts of iodine and that iodine is controlled by the thyroid, and because we also know a certain amount of product is absorbed into the skin, it doesn't take a genius to figure out why it's important to ask the questions. Other clients have a very adverse reaction to nut oils. Therefore, you would want to make sure your spa products do not contain such ingredients, or at the very least, you'd want to have an alternative product available to meet those clients' needs.
Cost per treatment, hidden costs, and complete lines - these are to be considered when deciding on products. It's important that you understand the value of cost per treatment, because it won't matter if one gallon of salt glow is $10 less than the other brand if you have to use three times as much in each treatment. Also, there are some hidden costs if you have to use more water or three extra towels to remove a particular mud. You may have saved the money on the front end (because it was cheaper by the gallon), but you are paying for it on the back end (because your water or linen bill has just increased). Some people think that paraffin wraps are less expensive than mud wraps, but by the time you've added the accessory items, your expenses are about the same. Stay within your budget, and ask your spa rep what you'll need ahead of time so you can create the proper budget.
Complete lines are very important. By "complete lines," I mean having the proper retail or sell-through items. I will go out on a limb here and talk briefly about a subject that makes most people cringe: "retail sales." Before you start telling yourself, "I am NOT a salesperson," consider this: The average amount of retail sales in the spa industry is about 28 percent, and the spa market is about a $12 billion market. That's a lot of extra money, wouldn't you say? Also, people are going to purchase products following a treatment, whether they purchase from you (the practitioner or day spa owner) or go to their local department store to try and duplicate the same feel of their skin. Why any practitioner would want their hard work to continue to line the pockets of the local department store owner is beyond me! Besides, you chose the professional product for a reason: you believe in it. Otherwise, you would be using the cheap mineral-based products from the department store, too! Some practitioners believe the client can't afford the professional product, even though the client has never said they couldn't or wouldn't afford it. Given the opportunity, the customer will purchase, provided you have selected the proper product that meets their needs. Why do hair salons carry high-end shampoos that aren't sold in retail stores? It's the same concept: you go to a professional who carries higher quality products. Not providing them actually lowers your overall value.
Offering product selection makes customers happier and makes your business increase. This holds true whether you are a day spa owner or an individual therapist. Just be careful not to over invest against your budget. At Scrip, we offer several lines that you can retail in your space without all the heavy minimums, so be sure you know the return policies, guarantees, retail support, price structures, etc. when selecting the brand that fits your needs. Again, your spa rep should be able to guide you to the proper product line that meets your needs, which in turn, should meet the needs of your customers.
I have enjoyed e-mails with several of you over the past two months; it's good to know so many of Massage Today's readers are opening new spas or looking to expand their services and are enjoying my articles. Thank you for all the wonderful feedback! I would encourage everyone to keep me posted on your success. If others have any questions, please feel free to contact me at . Keep striving to make your dreams a reality!
Click here for more information about Stephanie Beck.
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