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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.
June, 2010, Vol. 10, Issue 06
The Heart of Business: Client Relations
By Jenn Sommermann, LCMT
Business does not have to be about accounting and long-winded business plans. Even though that is a valid aspect of professional development, many massage therapists hire accountants and some never write business plans.If you enjoy those pieces of the business side of massage therapy, good for you. However, I feel the most important aspects of business revolve around client relations. Getting the clients scheduled in the first place, performing excellent customer service beyond the "hands-on" work and retaining clients is paramount to success. A successful massage career is much more than a good massage just as a five-star hotel is much more than a comfortable bed.
When you first hear the term client relations, what do you think about? Of course, it means different things to different people but I want to try to put together a list of some of the top things that client relations mean to me. For the purpose of organizing this information, I am going to break it into three categories: before the massage, during the massage and after the massage.
The first time you speak to someone on the phone or meet them in person is critical to the success of the long-term relationship. You have about five seconds to "impress" someone and the average client sizes you up in a short time. How you handle this interaction is very important.
You must be professional, clear, and establish your value in a short amount of time. There is no un-doing the first meeting. You never get a second chance. This is the first step in establishing a good relationship.
The ease with which a client schedules and your promptness in returning phone calls is the next thing to pay attention to. If a client cannot get through to you or if it takes too much effort to book an appointment, they won't be a client for long. Convenience and impeccable phone etiquette is key to client relations.
Once you get the client in the door, excellent service and paying attention to their needs tops the list. If a client likes an abdominal bolster, make sure it is set up before the client comes in for an appointment. Don't make the client ask or worse, have them go without. Client preferences must be noted on their chart and should be adhered to each time.
And speaking of charts, keeping accurate records is a must. You are the keeper of people's lives and there is no excuse for not doing an intake and tracking progress with good notes. Use whatever format you like, although SOAP notes are widely accepted. The point is to understand your notes, be able to defend them if necessary and have a clear picture of what your treatments consist of.
Once the client has left the office, follow-up is imperative. Marketing studies show that the best bang for your buck is follow-up. It costs less money and takes less time to keep an existing client than to bring in a new one. A little time spent keeping your current clients happy will go a long way towards ultimate success. Check in and see how they feel after their first appointment. Whatever they tell you, write it in their chart so that you "remember" it for their next visit. If you read an article that would be good for a certain client, take the initiative and send it to them. Clients love that.
Because you've taken such good treatment notes, the next time they come in for an appointment, you will be able to ask them about their current condition. "Remembering" the details is easy if you write it down and clients will feel cared for. In a world where health care is challenged and medical professionals don't have time to converse, let alone remember details, you will stand out amongst the stars if you do.
Good client relations isn't hard to accomplish, but it takes time, thought and effort. With some practice, these techniques can become second nature and be part of your standard of care. Clients will appreciate it and as a result, will come back. I truly believe if more massage therapists focused on client relations, there would be more success in our industry.
Click here for more information about Jenn Sommermann, LCMT.
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