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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
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.
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.
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.
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.
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.
April, 2013, Vol. 13, Issue 04
Six Steps to Help You Establish a Six Figure Practice
By Sharon Desjarlais, CC and Michele McGrew
Does the idea of making $100,000 a year or better feel like a pipe dream? Or does the thought of it leave you feeling exhausted? Then you're probably making the mistake of thinking your individual healing sessions should be your highest-priced offer.Even if you charge a healthy fee, tying yourself to individual sessions limits your income to the number of clients you can see in any given week. When your client load is low, your income suffers. And when it's high, you're making more money, but you're also working too hard. And you're not modeling the kind of self-care you want your clients to commit to.
So, how do you grow a healthy six-figure practice? By changing your business model. Instead of offering individual sessions, offer high-end private programs that attract clients who are willing to make a generous investment in their health. After teaching practitioners how to design and sell private programs for years, we promise you this: right now you have clients who would gladly step into a high-end program ... if only you offered one.
A high-end program is designed around four specific features:
Ready to design your first high-end program? Follow these six simple steps and you'll be well on your way.
Step 1: Your Signature System
The key to crafting your first high-end program is to start with the topic we shared in our last Massage Today column called, "How to Clear the Path to a Wealth of Loyal Clients" A comprehensive high-end program is designed to walk a client through each step of your system to achieve the outcome they want.
Step 2: The Program Structure
Once you've got your signature system, how long do you think it would take to walk a client through every step? Answer that question and you'll know how long your high-end program should last. Of course, radiant health is a lifelong process. But that doesn't mean your high-end program has to last a lifetime. Most practitioners get excellent results delivering their programs over a period of six months. Some programs are longer and others are shorter, but six months is a great place to start.
Once you have your program time frame, you're ready to create your monthly structure. Here's one format that works very well for many practitioners.
Start with a 1-day private retreat that covers the first couple steps in your program and includes one or two hands-on sessions. This kind of immersion experience gives your clients the big breakthrough they'll build on through the rest of the program. And it jump starts their transformation, giving them the speed they're looking for. Follow up the retreat with a telephone check-in and healing session within two weeks.
Months 2 through 6
Do a hands-on or distance healing session two times each month. Conduct a simple telephone check-in once a month between healing sessions. Give your clients exercises, tips and assignments between sessions to continue their progress through each step of your signature system. Add in priority e-mail access to you with a reasonable 48-hour turnaround during weekdays.
Final Healing Session
Celebrate with a half-day wrap-up retreat. This gives your clients room to reflect on all their improvements. And fully embody their accomplishments.
Step 3: Your Core Components
Once you've got your signature system and basic program structure laid out, the next step is to choose your core program components. What services do you already offer that you'd incorporate into the program? And what other tools and modalities would you love to bring in to facilitate each step of your system? A private program gives you plenty of time to blend in even self-healing techniques that complement your bodywork. Consider adding components like guided meditations, creative journaling and nutritional tips.
As you see in the program format above, you always want to give your clients exercises, tips and assignments between sessions to maintain their healing momentum and prevent backsliding. But whatever you do, don't call it homework. Work sounds like pain and no one wants more of that. Clients who don't feel well also don't want to be overwhelmed with information. They want a connection. They want to feel witnessed. And they want a transformation. So resist the urge to throw every one of your therapeutic tools into your program. Instead, carve a few of them away and offer them as bonuses.
Step 4: Attractive Bonuses
One of the most delicious aspects of a high-end program is having the opportunity to give your clients a rich and indulgent experience that makes them feel as treasured as they are. That's where the benefit of extra bonuses comes in. It's like adding a great big gift on top of all your other core components. To make this easy, include some of the self-healing tools you carved away from your core components. Especially tools that don't take any more of your time or energy, like home-study systems, home-healing products, even products that other healers offer. As long as they complement your system, your program and your clients, it's a win-win.
Step 5: A Compelling Title
The title of your program is often the first detail people see when they're deciding whether to sign up. And like anywhere else in life, first impressions count. That's why you want to give your program a name that makes an instant connection. What's the biggest outcome or result clients want from your therapy? Name your program after that and you'll have a magnetic title.
Step 6: A Healthy Price Point
Here's where you might be inclined to backslide and devalue the rich program you've created. We understand; you're probably stepping into a level of investment you've never offered before. So before you decide on a final price, take some time to track the ripple effects of your therapy in your client's life.
When your favorite client is feeling fit and fabulous, how does that impact her job performance and income? When she's feeling well-rested and patient, how is she responding to her kids, her friends or her spouse? When she's finally feeling free of the pain and stress that have been her constant companion for too many years, what is she able to see in her future that wasn't even possible before? That's where you'll find the value of your program. And only then will you be able to price it for what it's truly worth.
For a typical 6-month program, our clients find $4,000 to $6,000 a great place to start. That means, instead of having to work with 17 to 25 clients a week, you only need 17 to 25 clients a year to break the six-figure barrier. And when you have that kind of breathing room, you're being as generous to yourself as you are to your clients. And you're offering a healing gift that takes your clients – and your practice – to the next level.
Click here for more information about Sharon Desjarlais, CC.
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