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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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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?'
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
August, 2012, Vol. 12, Issue 08
Raise Your Rates and Get More Loyalty From Your Clients
By Irene Diamond, RT
Many experienced therapists are charging the same rates for their services that they've charged since they started their practice. Usually the reason they don't (or won't) increase their rates is not because they don't feel they are worth more, especially after a few years in practice and taking more continuing education,but rather because they are afraid their clients won't pay a higher rate.If you're in need of more business and want to charge higher rates for your services (doesn't everyone?), but are not sure how best to do it, you don't need to be afraid anymore even in this economy. There is a way to increase your income for every session plus get more clients in your door, all while providing excellent customer service.
I have a concept I share with my high-level coaching clients, called "Serve & Sell." The basic premise of "Serve & Sell" is the higher the level of service you provide to your clients, the more you will actually sell of your services. It is simple to raise you rates, but you must do it in a pro-active, client-focused manner. You can't just spring a new rate on them when they walk in the door. You can serve your clients at a higher level, and if done well, you can use it to gain a higher level of loyalty by honoring your current clients with a way to continue paying your lower rates. Here are my six steps to help you raise your rate and retain and regenerate clients.
Decide the exact date your new rate will go into effect for existing and past clients.
Decide what your new rate(s) will be. I usually suggest you base your new rate on the true value you believe you provide to your clients. Think about a rate you feel you are worth AND what I call the OMGTWSWI, which is the rate that the client pays for your service and still walks away saying, "Oh my gosh, that was so worth it!"
Send all inactive and active clients a fun, up-beat letter or newsletter by postal mail. E-mail is too easy to miss and doesn't have the same level of importance attached to it. In your letter explain that your service rates will be increasing on (the date you picked), and also advise them what your new rates will be. Now here is the crucial part: You must justify your new rates in your letter but be careful with how you do it. The hard truth is no one cares about the fact that your rent has increased, your insurance costs have soared and your roommate bailed on you so now you are stuck covering all the expenses yourself. Instead of focusing on the financial elements of your practice that only affect you, explain all the benefits they will get from a session with you now. Remember, they care about what will benefit them and their experience with you. If you can show them what's in it for them and how they can receive a higher level of service from you, they will accept paying a higher rate. They must see you are now providing them more value for higher bucks.
Some examples of benefits you could mention to justify price if they apply: you've acquired X more years of experience; taken X hours of classes and higher education courses; mentored with a specific expert, trainer or educator; purchased a new piece of equipment;re-decorated your therapy space; added on or built-out new areas of your facility; added more staff; added longer hours or weekend appointments; added additional service; or invested in higher levels of infrastructure to support your business like online booking, accepting credit cards, etc.
In the newsletter, give them the opportunity to lock in your current lower rates if they would like, by pre-paying for as many sessions as they would like, at your current rate.
They must make their pre-payment by a date you pick prior to your rate-change date. Give them at least five days from the date they will receive the mailing to make their pre-payment.
Determine what their redeem-by date will be so they know they must redeem their sessions by that date or their prepayment simply becomes a credit on their account rather than a guarantee of a number of sessions. You decide each client's redeem-by date based on the number of sessions they pre-purchase and most importantly, based on the frequency of visits you determine is best for them. For example: Mary only needs to see you once a month for maintenance sessions, so if she pre-pays for six sessions, she needs to redeem them within six months. But, Sam sees you once a week, so if he prepays for six sessions, he will have a six-week redeem-by date. Once their pre-paid sessions are all redeemed, they understand they will then pay your current rate at that time. The understanding is that they themselves have complete control over how long they can continue to see you at your lower rates based on the number of sessions they lock in. Be very clear, though, on when all their sessions must be redeemed or you risk having a client come in years later and you must then honor your old rate.
Start quoting your higher rates immediately for new clients. See how it feels to say it, and see how they respond to it. Be sure to say it with confidence, rather than stumble over it. If you get a ton of push-back, you might have shot too high, but in most cases you will find there is no resistance to your higher rate and actually I've seen most therapists kick themselves for not raising their rates sooner. This system is a win-win! You get a nice cash advance and a guarantee those pre-paid clients will continue to come back and see you. And they are thrilled because they get your lower rates locked in for as long as they want.
Prior to sending the newsletter, make a quick phone call to each of your past clients. Simply let them know you are going to be mailing them your new newsletter which will include a special gift. Verify that their mailing information is current and confirm they would like to receive it from you. This helps you clean up the addresses before mailing so you save on postage returns and more importantly, it peaks their interest and they look forward to receiving your gift. Sometimes, just making the phone call will result in a new appointment or a gift certificate sale right there and then.
Your special gift to them should be simple. Choose one from these ideas or make up your own special gift:
Keep in mind, even if your past clients don't come back in right away or respond to your offer, you have accomplished three important business growth elements:
Irene Diamond, RT, is the founder of the rehabilitation technique, Active Myofascial Therapy ~ The Diamond Method and creator of Successful Massage Therapist.org, the world-wide online resource for massage therapists. Irene is honored to be inducted into the Massage World Hall of Fame in 2013 for recognition of www.theDiamondMethod.com and www.SuccessfulMassageTherapist. Irene's next Active Myofascial Therapy seminar will be held August 2012 and therapists can register at http://TheDiamondMethod.com/Learn-AMT/Certification. You can also find tips from Irene by visiting the Women In Business Blog at www.massagetoday.com/wibb/.
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