resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
January, 2009, Vol. 09, Issue 01
Raising Fees by Raising Self-Esteem
By Cary Bayer
The easiest way to raise your income as a licensed massage therapist is to raise your fees. You don't need to get any new clients, you don't need to sell existing clients any new packages, and you don't need to sell any new products. The easiest way to raise your fees is to raise your self-esteem. But I'm getting ahead of myself.
The whole issue of raising your fee is a charged topic for many, so let me backtrack and first set the groundwork. Virtually every massage therapist, even those who are self-employed, has some history of being an employee. The same is true for most employers in our country. As a result, most of us have had a history of asking for a raise. For those who are more timid than not, that experience was fraught with butterflies. That's a nice way of saying that they were scared s*#$less.
Those experiences probably taught us two things: (1) Asking for a raise (in other words, increasing your income) is filled with anxiety; and (2) It can be hard to get a raise (easy to think if you were often unsuccessful in your attempts to procure one in the past).
The emotional traumas incurred from asking for raises are stored in your body and mind, even if you're now self-employed. If you're a massage therapist, these old scars will likely surface when it comes time to raise your fees. If you're a timid massage therapist, they might not. That's not because you've healed more quickly than more-confident LMTs, but because you're less likely to attempt to raise your fees in the first place.
Let's assume that it's time to raise the fees that you charge for your massages. The good news is that you no longer have to convince a boss or a committee that you deserve such a raise. Now that you're self-employed, all you have to do is make the decision for yourself. Clients will either accept the raise or they won't. Having raised my own fees many times in the 24 years that I've been self-employed, I'll give you one simple, but highly effective, shortcut to successfully raising your fees: convince yourself first that you deserve the increased rates.
If you succeed in doing this, you'll likely receive little or no resistance from your clients. But if you don't take the time to persuade yourself, if you don't do the inner work that's necessary to make such a transformation, I can guarantee that you will receive resistance from your clients. I don't say this to be negative; I say it because it's true. We're such mirrors for each other. I've seen this play out countless times in countless self-employed professionals from all walks of life and across different industries over the past couple of decades.
Taking the time to accomplish the inner transformation is somewhat analogous to a piece of advice I've received countless times from massage therapists throughout the country. Namely, that as an avid and active tennis player who's on the courts three or four times per week, it's vital for me to stretch before and after matches. When I take the time to follow this wise counsel, my body recovers faster and with less strain from the intense workout. When I arrive late and other players are waiting to get started, I'll sometimes forego the stretches. Or if, after finishing play, I'm late for a meeting, I'll often take a pass on the post-play cooldown. The people giving the advice are always right - my body suffers as a result. As the wise maxim goes, "An ounce of prevention is worth a pound of cure." It's as true for a tennis player stretching muscles as it is for a massage therapist stretching self-esteem.
The reason for the inner change is that our self-worth is intricately linked to our net worth. This is such an important principle - and one that many therapists have not heard stated so succinctly - that I'll take a moment to repeat it so that it sinks in more deeply: Self-worth is linked to net worth. Those with low self-esteem often find themselves in dead-end, low-paying jobs. They usually find it hard to ask for a raise, and if they muster the courage to do so, they're often denied. On the other hand, those with high self-esteem often find themselves in higher-paying positions, with many opportunities for growth and expansion in their careers, along with the higher salaries and bonuses that naturally come along with that.
When you feel poorly about yourself, you wouldn't dare think about asking clients to pay you more money than they've been accustomed to. Conversely, when you feel great about yourself, the prospect of getting paid more for your services doesn't seem as daunting.
Now that you've come to see the relationship between self-worth and net worth, let's take a moment to look at the word discount. When you discount yourself, you don't appreciate yourself. As a result, you don't take in the compliments and praise of others. You shuffle them off as if they meant nothing, because you think you're nothing. Then the idea of changing your fees can mean only one thing: lowering them, rather than raising them. We have a word in English for lowering prices: it's called discounting. And it comes about when you've first discounted yourself. When you do, you discount your fees. When you praise yourself, you raise your fees. You make the choice.
Let's say that you propose to raise your fee from $60 per session to $70. One good affirmation you can use to help create the inner transformation is: "I'm so talented and experienced as a massage therapist that my clients are getting a bargain to pay only $70 for my massages." It's worth a few minutes a day to transform your belief system. As the old Johnny Mercer song goes,
"You've got to accentuate the positive
Click here for previous articles by Cary Bayer.
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