Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
CBD for Athletes: The Advantages of Cannibidiol
For athletes, pain is often part of their sport or activity. And to a certain extent, it is to be expected. However, after pushing themselves to the limit, soreness and fatigue set in, hampering their ability to perform and recover.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
April, 2014, Vol. 14, Issue 04
Explore the Benefits of Working at a Resort Spa
By Ann Brown, LMT
A year or so ago I wrote for Massage Today about the benefits of working in the resort/hotel spa industry and still feel I have some unfinished business on the subject.I did a brief search about recent information on massage therapists in hotel/resort spa settings and really found some bullet points and statements that were farfetched or just incorrect. I wanted to clear up any misconceptions because I still think this is a viable pathway for massage therapists to build a rewarding and lucrative career.
I consider myself optimistic and lucky and I try to find the good in almost all situations, so my next sentence might go against the grain of my thinking but it is really how I feel right now. I think the economy is still having some "pains" in getting back to normal. Most would say there is no looking back because it will never be the same as it was in 2006 and earlier. I'm not sure I have adopted 100% of that theory, but I do know that at the resort spa I have worked at for the last 13 years, our revenues are down. Down from 2006 for sure, and down from last year, too. I have cut some of the expenses to make sure our profit margins are still okay and no hands-on therapist has taken a pay cut, but we have cut lots of other things including paper good, to goods for marketing, to toilet paper. We are also really trying to define whether our marketing strategies have worked and if there is really ROI (return on investment) because marketing can be very expensive and you must measure each and every effort in this area to ensure you are not trying to attract a client that will just never come to your spa.
First, I want therapists to understand that a resort/hotel spa can be a great place to work. I know that most therapists getting out of school really want to be their own boss. With that title, comes lots of other challenges, duties and hats to wear including managing other team members whether they are independent contractors or employees, advertising/marketing, payables/receivables, linens, laundry, equipment, scheduling, menu/brochure treatment selections, mission, vision, culture, referral programs and the list goes on and on. It's a lot for someone that has just been skilled to do hands-on massage to bar all of that responsibility right out of school. Many of the top business books will tell you that the best massage therapists, guitarists, painters and even drywall hangers don't make the best managers. Their skill is their talent and what they love to do. Many that choose massage therapy as a second or third career have already "been there/done that" regarding management and running a business, and were searching for a career where they can do great massage, exceed guest expectations and not deal with personnel issues and P&L statements.
As I looked at some of the articles available about working in a resort spa, many did not paint a great picture; long hours, up to eight massages a day, being an employee instead of a boss, working hours that are not your favorite, seasonal and a little bit of "us vs. them" (big corp vs. massage therapist). I would be hard pressed to apply or send in my resume after reading many of the articles. I hope I am here to, at least, encourage you to try out an interview first and see for yourself.
I brought up the economy and how slow it is to recover because I see lots of good therapists that are in their own practice or a small practice and they are just suffocating. They are talented but have lost some of their clients to this slow economy and lost some to others being more competitive (less expensive) and they seem to be paralyzed. They seem to have this hope (I do, too) that the economy will come back and they will make the same money and grow in clients, but I have to wonder, how long do they try and hang on? What is the right amount of time before you regroup and think of other options. I know when you have invested time and money into your own business that it can feel terrible to have to throw in the towel.
This has got to be one of the hardest decisions to make because there is no perfect answer or just the right timing. And maybe your overhead is low and you think you can stick it out and get past this slump, but the more important question to me is, why did you get into your profession? I would think most of you would say you got into the massage profession to help others, do hands-on work, educate others, help reduce pain, provide relaxation and stress reduction, etc. So why not hang your hat somewhere that you can see clients each day, raise the bar for the client to understand massage, assist with health/wellness/stress relief or pain reduction, spend the bulk of your time doing hands-on work and get paid for each massage.
You have the ability to inform and educate your clients and hope they will prioritize getting massage/bodywork in the future, whether at a resort/hotel spa or a local spa/massage business in their area. What if you could see multiple clients a day, a steady supply of new clients, be supplied uniforms, linens, equipment and oil/cream and have your taxes taken out by the employer and not as a independent contractor or self-employed? Sounds appealing to me! I know our resort offers medical/dental, complimentary lunch, CEU training based on some minimal requirements, provides liability and professional insurance for the hands-on staff and allows the staff to trade with each other for the benefit of their own bodies and allows their friends and family to receive discounts for spa services. Again, sounds good to me.
The marketing of the spa and the booking of clients is done for you and we even supply business cards for the staff and referral cards so they try and promote themselves for request massages and to build relationships with our local clientele. I really have come to love the team spirit and having a team around since I do not know everything or every modality. It is a nice way to refer a client to someone within your brand that has the certification and ability to do a modality that may benefit the client even further. I think this is a win-win for you and the client.
I have heard over my 20 years in the spa industry, more when I first started in the mid 90's, that the spa will take a big percentage of the treatment price. I know you could make 100% if you are self-employed, but with that 100% you have expenses and these must be weighted into each dollar. Insurance, rent, overhead including equipment, linens, marketing, laundry, etc., and many of these expenses can really take from each and every dollar you make. Additionally, if your business is down and you are not seeing the same number of clients as two years ago, that dollar is getting stretched more since many of your expenses can be fixed like rent/lease which is the same amount of money with more or less clients. And we all know it gets more expensive to do business with less clients.
I think most massage therapists have weighed this all out at one time but I am hoping, if you have a reduction in clients, you will put this back on your list for reflection. I know there is a shortage of good therapists in the spa business and many hotel/resort/ medical/destination spas are doing much better than two years ago and need good therapists on their team. Just go for an interview and see if there is a fit between your style/ethics/mission and the spa. Good luck and send me an email if you have any questions.
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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