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Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
March, 2016, Vol. 16, Issue 03
Do Well to Do Good: How to Plan for and Measure Success
By Marshall Dahneke and Lynda Solien-Wolfe, LMT
Most wellness professionals find their motivation through the clients they help, the aches they ease, the lives they improve. This aspiration to make a difference can fuel a promising and fulfilling career. After all, as early motivational author Napoleon Hill wrote: "The starting point of all achievement is desire."
The massage therapists who thrive over time, however, possess more than good intentions and a healing touch. They also have a handle on the financial side of their business or practice. Even if passion — not profit — drives them, they know they need to understand basics like revenue, marketing, and client activation and retention to remain in this profession.
In a twist on the way the saying usually goes — "it's not just personal, it's business." Success can mean doing work you love, having clients who appreciate you, and giving back to the community. But knowing you can pay your bills, keep the lights on, and invest in a clean, peaceful space frees you to focus on the fulfilling aspects of your role. In other words, you must "do well to do good" over the long haul.
For the purposes of this column, we're defining success in financial terms. We're not advising you on how to squeeze the most out of every penny. Rather, our goal is to emphasize basics essential to building and maintaining a sustainable practice.
Start on Solid Ground
Successful businesses, including one-person massage therapy practices, begin with a plan. Before you open your doors, sit down and sketch out the funds you'll need to operate. Consider expenses such as rent, equipment and supplies, utilities, gas and mileage if you're mobile, and laundry.
Once you know the costs of operating a practice, think about how you will recoup them. The money you bring in is revenue, but it doesn't transform into income until it surpasses your costs. How many clients do you need, and how much do you need to charge them? Don't set your rates based only on what everyone else is charging. Consider your financial goals before you place a value on your time.
Take into account, too, your pro-bono and lower-cost work. Providing these types of services — for instance, free massages for local educators during National Teacher Appreciation Month or sliding-scale rates for community members in need — allows you to give back while building your business. However, you'll have to factor these into your calculations. Without doing well enough to keep your practice going, your service efforts will not be sustainable.
Love Your Clients
Priority one is to build your client base — the key to long-term success. Your business plan should include a marketing component spelling out how you plan to attract clients. Word of mouth remains powerful in this profession; your marketing efforts could include outreach to friends, family, and even clients you had in school. Also consider joining the Chamber of Commerce, connecting with physicians and other health care professionals to secure referrals, and even reaching out to local media.
Once people find you, do everything within reason to keep them. According to the White House Office of Consumer Affairs, attracting a new customer costs six to seven times more than keeping an existing client. Businesspeople refer to this as client retention, and staying on top of retention requires a bit of organization. Use a program, system, or database to store client information, including names and addresses, their areas of pain and tightness, and insurance information, if you use it.
Of course, tracking clients alone won't bring them back. Ensure each person has a positive experience; beyond a high-quality treatment, provide convenient parking, an efficient check-in process, a clean and relaxing atmosphere, and simple billing. We've moved beyond the service economy into the experience economy — people value memorable experiences. Nailing the details and adding personal touches, such as remembering clients' preferences and stories, will keep them coming back for more, and referring their friends.
Build on Your Foundation
Your schedule's booked. Your clients leave rave reviews. You track your expenses and revenue each month, and you're coming out ahead. Perhaps you're even doing well enough to hire help, take a few days off, or weather a dry spell without worrying about paying rent. Congratulate yourself on your success, but don't stop planning, tracking, and reviewing. Successful practice owners not only know where they stand on a given day or month, they take some time each year to reflect back on the ups and downs of the past 12 months and look ahead to what they can do differently or better.
During these reviews, consider your bigger aspirations and how to reach them. If a sustainable solo practice makes you happy, you don't have to grow. Deciding to specialize in a particular technique or a given population, such as sports massage or pregnant women, could increase your practice. Or, you might aim to make the same amount of money while working fewer hours, leaving more time for service, travel, or other pursuits.
Perhaps you dream of expanding, hiring a staff, even opening a wellness center. If so, research what it will take to get there. Break this dream down into smaller, shorter-term goals, such as adding a staffer one year and renting a larger space the next. Check in annually on these objectives — you might find you're speeding toward them or need to revise your plans.
Of course, while it's important to nurture your practice, never lose sight of your passion for healing and helping. As Albert Einstein advised, "Try not to become a man [or woman] of success, but rather try to become a person of value." Recognize that financial success is an enabler that creates options to add value to the world, and you'll set yourself up for a truly rewarding career in every sense of the word.
Marshall Dahneke, CEO, is responsible for global management of Performance Health's business, including people, talent and strategy development and execution to better serve customers and promote growth. He holds a Bachelor of Arts in Economics and a Master of Business Administration, both from Brigham Young University in Provo, Utah.
Lynda Solien-Wolfe is Vice President, Massage and Spa at Performance Health. She is a Licensed Massage Therapist and has been in private practice in Merritt Island, Florida for more than 20 years. Lynda graduated from Space Coast Health Institute in West Melbourne, FL.
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