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Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
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 more information about Cary Bayer.
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