resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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?
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.
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).
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.
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.
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.
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.
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?'
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.
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.
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.
August, 2013, Vol. 13, Issue 08
Are You Just Doing Massage? Combine Services for Value-Added Options
By Ann Brown, LMT
Are you just doing massage? I have worked in the resort spa industry since 1994, and the resort-type of "spa-ing" is really all that I know. Sure, I understand the gamut of the spas in the industry – med-spas, day spas, chiropractic, small massage business and more – but my focus is on marketing to a resort/leisure/vacationing client.These clients come to resort spas wanting and needing an escape, a true getaway from their everyday lives and stresses. They seek out resort spas, utilizing their vacations as their excuses and their annual rituals to pamper themselves. Looking at our clientele and how they add on spa services at resort spas, I have to wonder, why don't more small massage businesses add more treatments to the menu that give monthly clients the same feeling as being on vacation?
Our spa-goers today want to feel better. They want to let go, relax and walk away restored. Massage is at the heart of what we do in the resort spa business – still our number one treatment. So, while resort spas capitalize on the same treatment you do every day, I think that today's small massage businesses can also capitalize on what the resort spas do.
The same clientele we see on vacation are the ones that will book monthly for massage treatments closer to home. I know that many of you readers of Massage Today operate small businesses, and many of you work independently trying to secure and fill your books with people in your town/community. Even though I do think the economy is starting to come back, it is still tough to grow your business at the rate we were all growing in 2006. The challenge is to change with the times, to reinvent ourselves and to not look back at historical data, including financials, booking pace, new clients and how quickly existing clients rebook. It's time to come up with some new ways and fresh ideas that allow our guests and clients a respite and a bit of a vacation while they are on the table.
While massage is still the most frequently booked spa treatment, our body treatments are not nearly as readily booked as back in 2006. We decided some time ago to become a bit more creative with how we package items together and call them "specials." One of things we look for in a profitable "special" is how to add something to our existing most popular treatment – massage – in a way that our guests will want to get more out of the treatment through the special offer, while minimizing any increase in our delivery costs.
While adding on special mud masks or salt exfoliations are good treatments, they require the use of wet rooms and incur product costs. In contrast, one of the simplest ways to enhance a massage is to add a dry exfoliation. The body benefits are still great for the client and the cost to provide the extra service is minimal to our resort spa – and completely within the realm of possibility for a small massage business to offer.
I have always been a big proponent of body brushing and it was a long time staple on our resort spa menu. As more and more spas have adopted the practice, we've sought a way to perform the exfoliation in better, different ways to bring a "wow" factor to the guest and deliver incredible body benefits. One of our "specials" at the resort spa that has really taken off is a physical exfoliation using a new exfoliation mitt and then a massage. We package them together for an 80-minute service.
I love this mitt because we do not need any products with it and it offers a different, more modern way to treat the guest. A derivative of the aerospace industry, the honeycomb mitt has "memory," the ability to repeatedly return to its original shape. Naturally, anti-fungal and antibacterial, it dries quickly and is great for re-use in the treatment room because it can be properly sanitized/disinfected.
Any time you consider adding on to the massage, consider what takeaways you can give your client. What about the treatment you are offering can they take home with them to continue the health and wellness benefits on their own? While you talk about at-home practices with your client, make sure to equip them with the right tools. When offering exfoliation – either with a body brush or the mitt – you have the opportunity to make an easy retail sale, one that gives your client a great at-home tool at an easy, low, price point.
We offer the mitt for sale directly to the guest for them to use at home and educate our guests on how to use it, but our professional staff will always perform a more satisfying exfoliation in the treatment room than the guest can do at home. The professional treatment is more thorough and feels so good. The exfoliation really excites the nervous system through the vibrant friction of the mitt on the skin. There is a point where you can just see the client become totally relaxed, so ready for the massage to follow. After the exfoliation, we use a seaweed oil that is so good for the skin, and as a spa therapist, it is rewarding to see the guest's skin look vibrant, youthful and highly moisturized.
Guests love this treatment and it costs me no more in professional treatment costs because we do all the work with the mitt that can be disinfected at the end of the treatment and used again. Topped off with a great retail sale for the mitt, and it is a win-win for us and a great treatment for the guest. We even offer 20 percent off if the guest buys the mitt that same day of their massage treatment combo. So far, we have almost 80 percent closure on the sale of the mitt at the end of the treatment, a terrific return on investment for the spa and it gives our therapists some retail money in their check, too.
You can add on some money to your massage and bundle an exfoliation – dry body brushing or with a specialized mitt – as your summer special, or you can give the exfoliation as a complimentary item for booking a massage on a day of the week you need to boost your appointment volume. There are many ways you can make a new or existing client feel valued and the need to do so is a given today: our guests and clients must feel there is value in what they are paying for! You could even give them the mitt or body brush after the service and put into the cost of the treatment the wholesale cost of the mitt. In doing so, you would be out nothing more than a bit more time to do the exfoliation and would they see the value in that? YES!
Maybe you've been in business for a while and maybe you feel that massage is enough. But I think that clients want to try something new from someone they trust and you don't need a wet room or a wet table or even water to offer this extra wellness service. Why don't you try it next month and offer it one day a week (again, when you need extra services) and tell me know it goes? You can email me at with any questions or comments. I am eager to hear from you!
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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