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Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
December, 2010, Vol. 10, Issue 12
Making the Leap
By Jenn Sommermann, LCMT
How do you know when the right time to jump from employment to private practice is? I have been asked that question a lot lately. Often I consult with massage therapists who have enjoyed the benefits of employment at a variety of venues but somehow think they are missing out on the opportunity to run their own show.They ask me, "When and how do you know you are ready to make the leap?" It is a question that is not easily answered but I will address some key points to consider before making any moves.
Let me start by saying that not everyone is cut out for self-employment. It seems desirable and in this day and age when any employment situation feels less than secure, being in business for yourself has an allure of self-sufficiency and security. Not so fast. Small businesses are closing at alarming rates for the simple reason of not making it, not being able to pay the bills and not generating enough business. That being said, I am not discouraging you but want to pose a few questions first.
Look Before You Leap: Questions to Consider
There are many other factors that bode well for self-employment but in my mind, those are the top four. If the answers to those four questions are less than favorable, do not despair. It might mean that you are better suited for part-time private practice and part-time employment. I would suggest that you not rely 100 percent on self-employment and mix it up with working for someone else.
Is There More Money in Private Practice?
Many people think that private practice means more money. I hate to burst your bubble but not really. If you are one person working in private practice, the amount of money you stand to make is usually close to, if not equal to, what you would make if you worked for someone else. For example, I have a travel business. I charge $100 per hour. Sounds like a lot of money, right? But it takes me almost two hours for every one hour client, with travel time and set-up time. Right away I am down to $50 per hour. Take out expenses and I am knocking on the door of $40 per hour. Gee... I could work for a chiropractor and not have to do any marketing, not have to do any laundry, not make any phone calls, and make about $35 per hour. Why don't I do it then? For me, it's simple. It's about control and the need to be in command of my schedule. So ask yourself, why do you want to be self-employed? If it is for more money, think again. If it is because you want more control, freedom and flexibility, read on.
Knowing When the Time is Right
So when is the right time to make the leap? My suggestion to students is to do both at the same time. If you really know you want private practice and that is the "big" dream, start right out of school, in addition to working for someone else. After all, private practice can mean one client. But that one client turns into two and four and so on. Once you have established a solid base of 10-15 private clients per week and consistently can count on those numbers, it would be safe to consider leaving your employment situation. The problem with those numbers is that often an employment situation means 10-20 clients per week as well. That seems like too much work for the average therapist. The trick is to find the balance.
If you are currently working at Main Street Spa and see 20 clients per week over five days, consider reducing your days to four and taking private clients on two days. That may mean you work six days a week but that is what it takes to build a business. As your two private practice days fill, give up another day at the spa. As your three private practice days fill, give up another day. At this point the spa may catch on that you are working privately and unless you have signed a non-compete agreement, there is no problem. But as a former business owner, I looked for consistency of care for clients and once you are no longer "available", you may want to consider leaving the spa altogether and running with your private practice. If I have the numbers figured right, at this point you are working three days privately and three days at the spa. Your private numbers should be around 12 or so per week, seemingly enough to rely on so that if you quit the spa, you are not destitute. You now have created space for new private clients as well. Remember the universe hates a void and space must be created in order for abundance to fill it.
The bottom line is that I cannot tell you when to make the leap from employment to private practice. Every situation is different. It also depends on how much money you need to make and who else is able to support you, if anyone. This is a case-by-case situation and a large part of my consulting revolves around this very issue. Check your motives, ask yourself the tough questions and be realistic about expectations. Businesses fail every day. The latest statistics suggest it takes two years to build a self-supporting private practice. Having built two massage businesses of my own in two states, I concur with those findings. However, if you do your homework beforehand and don't rush the process, you can enjoy the fruits of self-employment.
Click here for previous articles by Jenn Sommermann, LCMT.
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