resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
February, 2009, Vol. 09, Issue 02
Are Your Clients Trained?
By Jenn Sommermann, LCMT
Many of my students have been asking me about the economy and how it has affected my practice. I understand their concern and value their questions. I am also pleased that they feel comfortable enough to ask and are considering the future of the industry and how the changed economy is going to affect the bottom line. That's head-ups thinking and shows me my teaching efforts are paying off.
We have a candid conversation about the economy, where I think it is headed (not that President Obama asked me) and how my business is doing in these tough times. I am pleased to admit that my private practice has not suffered one bit. The reason is simple. My clients are trained.
There are two sides to the massage industry. There is the health care side of the industry and the personal care side. "Health care" encompasses medical massage, treatment of injuries and specific conditions, and massage for general well-being. This is by no means an exhaustive list. The "personal care" side of massage typically happens in spas and salons, on cruises or at resorts. The clients are not "regulars" and often schedule as a result of a gift certificate or special occasion. Both are necessary and valid models of care, and many massage therapists have their hands in both camps.
One of the most appealing aspects of being a massage therapist is variety and flexibility. The typical therapist has two or more jobs, so you often find an MT who works in both the health care and personal care setting. Other MTs have a preference and focus more in one area. Both are fine and acceptable; no judgment here.
The interesting point to make is that in these tough economic times, one of these camps has taken a "hit" and one has stayed constant. Can you guess? Americans, and people all over the world, have cut back on excessive spending. Much of that excessive spending falls into the personal care category. Getting your nails done or having highlights put in your hair can wait an extra week or two, or be tabled altogether. When the choice is between a good manicure or food, the right decision seems clear.
Health care, however, is an area that people have not skimped on. The dollars spent on getting well and staying well has remained constant and unchanged, and I believe that is the key to being recession proof. Taken to another level, the trend has been to spend extra money to stay well in the first place.
Training Your Clients
Here's where the training comes in. My clients are "trained" that the care I provide is health care. Now more than ever, it is important to stay healthy, not get sick and miss work, not throw out your back, and keep your musculature strong. This is not the time to skimp on massage dollars. You've heard the saying, "penny wise and pound foolish"? That applies directly to paying for regular massage as part of health care and preventing sickness or injury in the first place. The average client will save time away from work and money if they consider and use massage as part of health care.
The easiest way to "train" your clients that massage and what you provide is health care is to decline tips. Turn away money? Yep. Something as simple as declining a tip sends a message to your client that you are not a personal care provider. Just today, I was given a $10 tip. I kindly gave it back to the client, thanked her for the compliment and told her the best compliment is the referral of family and friends. She had a puzzled look on her face and I further informed her that I consider myself an allied health care professional. "Just like you don't tip your doctor or psychotherapist, I don't accept tips either. If I considered myself a personal care provider like your nail technician or stylist, I would happily accept the tip." She was blown away, but understood. Within minutes, she booked another appointment for two weeks later.
There is no doubt about it: Tough economic times are here for a while. People will continue to cut their budget and personal spending. However, I think you can recession proof your practice by positioning yourself on the side of health care. "Train" your clients by educating them about what you do, how you do it and how it can help them.
Click here for previous articles by Jenn Sommermann, LCMT.
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