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Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
November, 2004, Vol. 04, Issue 11
Increase Your Income by Reducing "No Shows"
By Colleen (Steigerwald) Holloway, LMT
It's five in the afternoon and you are awaiting your fourth client of the day. So far it has been a productive day, but it's now 10 minutes after five and your client is late. You begin to question whether your client is on her way or if she has forgotten her appointment.You pick up the phone and call her - no answer...hmm. Your mind begins to recall the three clients you could have seen today that you had to turn away. It's now 5:30 p.m. and it's apparent your client has forgotten her appointment. Does this scenario sound familiar to you?
From time to time a client will miss a scheduled appointment. This can throw off your entire day, if you let it. More importantly, it can alter your annual income thousands of dollars. Just one "no show" per week can cost you $3,000 per year! Using these guidelines can eliminate the frustration you experience.
Create a Missed Appointment Policy - A missed appointment policy will fall within the guidelines you set for your cancellation policy. The allotted time you choose as notice to cancel an appointment will depend on how quickly you can refill the appointment. Typically, 24-hours' notice is requested to cancel an appointment, unless there is a valid emergency, such as an illness or vehicle breakdown. Some therapists can refill an appointment slot within six hours. You decide what length of time will work best for your business.
Reduce No Shows - Once the policy is in place, you'll need to let your clients know about it. There are various ways to convey your policy that will reduce missed appointments. I recommend using as many of these as possible:
Collect for No Shows - Collecting your fee for missed appointments isn't always easy. After all, no one wants to pay for services they did not receive. Respectfully, though, they should. If you prepare a missed appointment form letter in advance, all you will need to do is fill in the blanks, print it on your letterhead and mail it. Here is a sample letter:
You will be surprised how many clients will just send in a check - but what about those that don't? Only you can determine how valuable your time is. If you don't have a problem with clients missing appointments, then you probably won't feel the need for a cancellation policy. If, however, your time is of value and your income is dependent on your appointments, I suggest you rid yourself of those clients and spend your energy replacing them with new clients.
By the way, as a general rule I do not charge a client for the first missed appointment. Instead, I inform them again of the policy and tell them that I will charge my full fee should it occur a second time. This courtesy rule works well for me.
Ultimately, the decision to establish and enforce a missed appointment policy is yours. When making this decision, keep in mind that your time is valuable; without a policy your income will be affected.
Click here for previous articles by Colleen (Steigerwald) Holloway, LMT.
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