Practice Management


Practice Management Directory
Practice Management
Written by TAC Staff   
Saturday, 03 April 2004 16:35

Practice Management

The 2X+1 Chiropractic Mastermind

A mastermind of the world’s wealthiest doctors who have quietly revolutionized their practices using the proprietary 2X+1 system which is the OPPOSITE of what practice management or coaching “gurus” teach.  These docs are now serving on a higher, more profound level, while enjoying record practice growth AND more fun and time off than ever before.  Check out our websites to see if YOU qualify to discover the 2X+1 System. 

For more information, visit www.chiromastermind.com  or www.chirofreedom.com.

Breakthrough Coaching

Breakthrough Coaching is the profession’s premiere practice development system, having coached thousands of chiropractic and multidisciplinary practices.  Founded in 1988, Breakthrough Coaching is recognized for systems that are the most advanced, outcome-oriented in chiropractic today, and respected by a diverse cross-section of modern healthcare providers. 

For more information, call 1-800-7 ADVICE or visit www.mybreakthrough.com.

Certainty Seminars

Learn how to keep in BALANCE with FAMILY, GOD, & LIFE while enjoying a big practice with Dr. Dennis P. Nikitow. 

For more infor-mation call 1-800-544-3884 or visit www.certaintypracticeproducts.com.

Dallas Humble, Inc.

Personal and Professional Development for Chiropractors. 

For more information, call 1-800-282-1947 or visit www.dallashumble.com.

David Singer Enterprises

Our purpose is to help doctors achieve their full potential in practice and in life, as well as to expand the impact of non-drug solutions to health problems and help natural healthcare become the premier healthcare choice in the world. 

For more information, call 1-800-326-1797 or visit www.davidsingerenterprises.com.

Dr. Demartini

Dr. Demartini’s proven principles and simple methods that have helped chiropractors build some of the world’s largest and most profitable practices.

· Market at no cost
· Explode with new patients and enhance patient retention
· Speed up procedures and organize patient flow
· Collect and save more swiftly
· Simplify paperwork
· Motivate staff, maintain order and stay focused

For more information, call 1-888-DEMARTINI or visit www.drdemartini.com.

The Family Practice

Mission: LCfE—Lifetime Care for Everyone

The Family Practice provides chiropractors with all the blueprints, coaching, and educational resources necessary to build a lifetime family wellness community within their practices, and to express their unique, innate potential.  We are committed to every chiropractor being as successful as possible, and to the chiropractic profession leading family wellness in the world.

For more information, call 1-866-242-0571 or visit www.thefamilypractice.net.

Fernandez Consulting

Dr. Peter Fernandez´ seminars, one-on-one consulting, and publications have empowered thousands of DC’s to achieve the practices of their dreams–quickly, profitably and proudly.  Fernandez Consulting is chiropractic´s ultimate success resource for DC’s looking to open a new practice or to build an existing one. 

For more information, call 1-800-882-4476 or visit www.DrFernandez.com.

Integrated Expo

DC/MD/PT. The next INTEGRATED EXPO is May 13-16, 2004, in Chicago.  Extensive topics, detailed information specifically for integrated, holistic care and multidisciplinary practices.  The EXPO provides vital information and will show multiple successful ways to properly establish, develop and efficiently promote your DC/MD/PT centers.  The EXPO is offering another phenomenal opportunity to learn from the nation’s most respected and knowledgeable experts.  This is the ONLY Seminar of its kind in the country.  Space is extremely limited due to popular demand. 

Call 1-800-598-6289 for a free kit or visit www.theintegratedexpo.com for registration information.

Kats Management
 

Kats Management is a full-service consulting company.  We provide a personalized coaching environment, including 5 seminars a year in 8 locations and many one-day seminars.  This means less travel costs for the client.  Our clients range from starting practices to million dollar practices.  On the cutting edge of chiropractic—we keep our clients positioned for the future.  Not only do we provide our clients with the necessary business skills to be successful in health care, we also provide powerful programs such as Living Well for Life—a brand new health and wellness program, PLUS involvement with world class athletes.  We also sponsor of the World’s Greatest Athletes Decathlon Club, featuring top pick for the 2004 Gold medal decathlete, Tom Pappas.

For more information, call 1- 800-843-9162 x128 or visit www.katsmanagement.com.

Karl Parker Seminars

The ongoing legacy of the Parker Family continues with 8 or more seminars a year presented around the US, usually in Las Vegas, Dallas, Chicago and Atlantic City.  The seminars include up to 8 modules of the primary areas of practice success, including practice management, marketing, philosophy, staff training and even license renewal and technical training. 

For more information, call 1-888-4DR-KARL (437-5275) or visit www.karlparkerseminars.com.

King Bio

King Bio™ is an FDA registered, homeopathic manufacturing company founded by a chiropractor for chiropractors, dedicated to completing chiropractic destiny with its marriage to homeopathy.  King Bio’s contemporary approach combines modern application of homeopathy with the safety, effectiveness, and clinical proof of the 200-year-old science.  Its founder and director, Frank J. King Jr., N.D., D.C., is a nationally recognized researcher, author, and lecturer on homeopathy. 

For more information, call 1-800-543-3245 or visit www.kingbiochiro.com.

Lakeside Chiropractic Seminars, Inc.

Lakeside Chiropractic Seminars, Inc., is dedicated to setting a new standard in continuing education for Doctors of Chiropractic.  Lakeside Seminars employs only the top instructors in chiropractic and hosts post-graduate courses in Pediatrics, Nutrition, Neurology, Radiology, Orthopedics, Risk Management, Utilization/Peer review and chiropractic wellness.  Our seminar objectives are directed not only to satisfy license renewal obligations but also to equip the chiropractors of today with the latest knowledge, research and techniques to meet the challenges of tomorrow. 

For more information, call 1-704-892-4966 or visit www.LakesideSeminars.com.

The Masters Circle

The Masters Circle Identity-Based Consulting™ approach was developed to exceed the traditional strategy-based techniques and teach doctors that they need to focus on the fact that “who they are determines how well what they do works”.  Through seminars, teleclasses, private consultations and tutorials, chiropractors are transformed into confident, congruent, philosophically sound, and clinically competent doctors.

For more information call 800-451-4514 or visit www.themasterscircle.com.

Mastery Coaching

Mastery Coaching helps you determine, clarify and reach your personal, business and practice objectives.  We help you be, do and have whatever you want, consciously and by design.  Clear objectives are vital to your success.  The plan to accomplish them must be as unique as you are, if it is to be successful. 

For more information, call 1-760-943-7040 or visit www.masteringchiropractic.com.

MD’s for DC’s

One-on-one consulting and coaching for the multidiscipline practice.  MD´s available in every specialty.  MD owned and operated. 

For more information, call 1-800-916-1462 or visit www.mdsfordcs.com.

The Palmer Institute for Professional Advancement—Practice Management Division

The Practice Management Division of the Institute focuses on creating successful chiropractors!  Our focus is on training students and young practitioners to design and create their practices.  Workshops, seminars, and coaching programs include topics from choosing your location all the way through to opening your doors.  We specialize in marketing, filling your practice with ideal clients, and building dynamic chiropractic office teams. 

For more information, call 1-563-884-5248 or 563-884-5448 or visit www.palmerinstitute.net.

Parker Seminars

Parker Seminars delivers Innovative Business & Marketing Resources, Powerful Motivation, Networking Opportunities and Office Procedures that Work! 

For more information, call 1-888-727-5338 or visit www.ParkerSeminars.com.

PARKERSOURCE

ParkerSource is an affordable practice success membership organization that provides 8 modules of success seminars, consultations, practice solutions from over 50 experts, staff training, annual license renewal, and a wholesale buyers service that can save you far more than the membership fee alone…all with a 110% money back guarantee. 

For more information, call 1-888-437-5275 or visit www.parkersource.net.

SOTO-USA

SOTO-USA teaches you how to deliver state-of-the-art chiropractic and cranial care to adult and pediatric patients alike.  Build a cash practice as you cut marketing costs and watch your referral base grow from patients and other professionals.  Regional technique seminars throughout the year, plus interdisciplinary symposiums aboard an Alaskan cruise and in Las Vegas this year! 

For more information, call 1-336-760 1618 or visit www.soto-usa.org.

Ward Success Systems

We pride ourselves on being the most personalized chiropractic coaching program today.  Dr. Charles Ward has been coaching successful chiropractors for over 25 years.  Our purpose is to assist you in gaining clarity of your vision.  We are committed to empowering chiropractors and their teams so, together, all of our clients may reach the practices of their dreams.  Ward Success Systems is dedicated to helping those we serve create a higher standard for themselves in all areas of their lives. 

For more information, call 1-925-855-1635 or visit www.ultimatechoaching.com.

The Waiting List Practice

By age 28, Dr. C. J  Mertz, Founder and President of The Waiting List Practice had already built his own Waiting List Practice.  Our purpose in chiropractic is to strengthen the field with as many healthy, principled, successful practices as possible.  We accomplish this by developing trusting, lasting relationships with chiropractic teams, and empowering their practices through our signature training methodology. 

For more information call 1-877-832-6957 or visit www.teamwlp.com.

Patient Education

Performance Health Inc./Biofreeze

Great Marketing tool within your office and outside your office.  Customized brochures with the Healthcare Professional’s name and phone number and 2 trial size packets, at no-charge, to hand out at health fairs, seminars and bring in new patients!  Remember, Biofreeze is NOT sold in retail stores! It is only sold through Healthcare Professionals. 

For more information, call 1-800-246-3733  or visit www.biofreeze.com.

ChiroPower, LLC

We supply chiropractors with fully research based, turn-key, staff driven, proven, patient education, referral, and marketing systems.  We believe in a Tell-Don’t-Sell Method of Practice Building. 

For more information, call 1-866-655-8502 or visit www.chiropowerinc.com.

Foot Levelers, Inc.

For over 50 years, Foot Levelers, Inc., has provided educational tools and programs for chiropractors interested in educating and/or communicating with their patients regarding the human kinetic chain, Total Body Support and the concept of Adjust, Support, and Rehabilitate (ASR). 

For more information on these FREE tools, programs and services, call 1-800-553-4860 orvisit: www.footlevelers.com.

Health Visions Patient Education Company

Health Visions has been providing chiropractors with top notch products to help them build their practices since 1996.  The company’s most popular patient education product is the Silent Reception Room Video Series, which consists of 8 titles that play effortlessly and consistently for all patients.  Their newest patient education system is the powerful Inter-Changeable Poster System that consists of 36 poster designs that encourage family care and referrals.  Also included in this new system are custom acrylic frames that make rotating the posters easier than ever. 

For more information, call 1-888-480-1350 or visit www.chiroed.com.

Koren Publications, Inc., and Dr. Tedd Koren’s Patient Newsletter

Koren Publications revolutionized chiropractic education with powerful and convincing, scientifically referenced patient education brochures, booklets and other patient education materials. 

For more information, call 1-800-537-3001 or visit: www.korenpublications.com.

Visual Odyssey

Visual Odyssey offers amazing patient education charts and software which features energy pulses flowing along nerve pathways while organs, muscles and dermatomes flash.  This interactive ROF/Screening/Lecture software now has over 300 comprehensive screens, 249 anatomical correlations, and 229 interactive animations.  Runs automatically, or works by mouse, or touchscreen. 

For more information, call 1-800-541-4449 or visit www.chirocharts.com.

 
STAFF MEETINGS
Practice Management
Written by Dr. Eric Kaplan, D.C., F.I.A.M.A.   
Saturday, 03 April 2004 16:22

staffmeetingA good football coach meets with his player before the game to inspire them.  This should take place daily.  Lunchtime is halftime; review how the first half of your day went.  The end of the day is post game. Did you Win or Lose?  Review your day, prepare your troops for another day, another game tomorrow.

 

 DAILY PLANNING SESSIONS

 

To create teamwork and comradery, MBA encourages a daily planning session. These daily planning sessions occur before patients enter the office and are 10 minutes or less in length. The purpose is to organize the day, assign any unassigned daily tasks that may have arisen, increase staff communication, improve case management, and encourage teamwork and a good attitude during the day. Suring the session, be sure to accentuate the positive and reserve confrontation, correction, or difficult tasks for weekly staff meetings or private meetings. Since this daily meeting occurs before you see patients, it is imperative that everyone leaves with a positive attitude. As a result, the first topic should be a review of yesterday’s activities, pointing out the good things that have happened and the patients who have had good results. Second, cover goals for now patients, patient visits, collection, and services rendered for the day so that each staff member can keep an eye on the goals throughout the day. Third, review the patient’s charts, paying special attention to any patient who is not progressing well or has other concerns with their treatment of card. Also note any changes in treatment plans and specific patient needs. Toward the end of the meeting the doctor should delegate a “Do It” list to each of the staff members that will lighten the doctor’s load throughout the day and allow him or her to see patients more efficiently.

 

 

Finally, the doctor should close the daily planning session with some motivation, encouragement, or praise for the staff. Daily planning sessions can be viewed as a huddle in the football game prior to each play. It organizes and encourages.

 

 

WEEKLY STAFF MEETINGS

   

Weekly staff meetings are imperative and should be held by every office without exception. Decide on the day of the week and time that will be most logical for the office to meet. Have an agreement that a staff meeting will be held at the same time each week regardless of rushed schedules, absent employees including the doctor, or any other unforeseen circumstances. Most offices have had staff meetings at some time during their history. However, due to lack of good procedure, many offices have stopped meetings on a regular basis. This inevitable contributes to a plateau in the office. Do not adopt the attitude that, “We will have a staff meeting it there’s something to discuss.” Instead,

  

Adopt the attitude that “There will be a staff meeting each week regardless of the amount of material that needs to be covered.” You will find that once you are in an organized staff meeting, there is always adequate material to cover.

  

MBA finds the best time for holding a staff meeting is in the middle of the day, and a day at the beginning of the week. During one day of the week the staff will use the first hour to go out on their own and have lunch and will return the second hour to have a staff meeting. Do not combine your staff meeting with a meal. In almost every case this proves to be counterproductive.

   

Your staff meeting should last no longer than an hour. Good staff meetings cover the following topics in the following order:

   

1.       A recap of the positive activities that have occurred during the last week or month.

   

2.       A review of the staff meeting notes from the previous week. MBA suggests that you appoint one staff member to take staff meeting notes. Those notes should be typed up in a positive, friendly way immediately following the staff meeting and posted in the employee lounge or a location where all employees will have an opportunity to view the notes without concern that patients may read the notes. During the week as each employee reads the notes, they initial the bottom of the staff meeting note pate to indicate they understand and agree with the summary of the staff meeting. If the staff meeting notes from the previous week agree, read at the weekly staff meeting and if an employee has not signed the staff meeting notes, they should initial the notes at that time. Those notes should be kept in a file for future reference. Also, any tasks that were assigned and not completed during the week should be reassigned and a notion should be made in the new staff meeting notes.

   

3.       New business should be handled in the following way:

  

All staff members are encouraged to keep a file in or near their desk entitled “Staff Meetings.” Throughout the week as questions arise, the employee should jot down the question or concern and place it in their staff meeting file. When you assemble for the staff meeting, everyone should bring his or her file to the meeting. During the new business portion of the meeting, the doctor should start with reviewing all questions, concerns, and new business that he/she has brought to the meeting. After he/she has completed his/her new business, the meeting should progress and each employee presents his or her new business. As this new business is discussed, it is important to complete each cycle. Be sure that as you leave a staff meeting you have discussed the new business and created a plan of action for handling any problems or concerns that may have arisen.

 

 

 

During the staff meeting three major rules apply:

   

1.       The staff meeting is not a gripe session.

 

 

2.       Never present a problem without a possible solution.

   

3.       All staff members should participate in the staff meeting unless the employee is a new staff member. All members who are present at the meeting should contribute in some way. If a staff member never presents any problems, concerns, or questions to be addressed at the staff meeting, we must decide whether that staff member has value to the organization. Staff members that are always a silent bystander or only complain during staff meetings probably have the same effect on the work being done in the clinic.

   

After all new business has been concluded, the staff meeting should then be directed toward the monthly goals and the progress the clinic is making toward those monthly goals. If the clinic is ahead, staff should be encouraged and praised and if you’re behind with your monthly goals, the staff and doctor should discuss corrective measures to place them back on track to meet their goals.

 

 

If the staff is not totally trained in the philosophy and education of chiropractic/wellness, a case of the week should also be included in your staff meeting.


 

Again, weekly staff meetings should not be longer than one hour.  Staff meets are not about length of time but quality of service.  A great leader is a great communicator.  Staff, just like yourself, needs to be kept on purpose, kept focused.  They must see the light at the end of the tunnel.  Set goals, bonus your staff, make their job fun.  If you do this you will win at the GAME OF WORK.

 

 

Dr. Eric Kaplan is the CEO of MBA, Inc., one of the nation's largest multi-specialty consulting companies. Dr. Kaplan ran and operated five of his own clinics, seeing over 1000 patient visits per week. He is the best-selling author of Dr. Kaplan’s Lifestyles of the Fit and Famous, endorsed by Donald Trump, Norman Vincent Peale and Mark Victor Hansen. He was a recent commencement speaker at New York Chiropractic College and regularly speaks throughout the country. For more information about Dr. Kaplan or MBA, call 561-626-3004.

 
Ten Easy Steps to a Successful Screening
Practice Management
Written by Maurice A. Pisciottano, D.C.   
Saturday, 03 April 2004 16:20

Chiropractors all over the country conduct health screenings.  Some are successful, some are not.  The ones who are not successful typically fail because they do not properly prepare for success.  The following ten steps will help ensure success the next time you conduct a health screening.

Step # 1–Set Yourself Up to Succeed
Think about your community, the demographics of your public and their characteristic activities of interest.  It is important to lay the foundation for a positive event that has positive results for the participants in your community.  Remember to consider the type of screening and where the majority of the people interested in this screening would frequent.

Step # 2–Review Staff Functions
If you are taking any staff to the event, review what their specific functions will be during the screening process.  Staff members can assist by routing people to your screening area, helping with the patient information or scheduling a follow-up appointment for chiropractic care.  Decide what everyone’s role will be prior to the event to eliminate confusion and present a professional organization to your community.

Step # 3–Interest the Public
Plan to have something of interest in the area of your screening.  You want to catch the attention of your public through a specific piece of equipment, television screen, literature display and/or type of screening featured.  Your screening area must be inviting and easily accessible to your audience.

Step # 4–Introduce Your Survey
Have an information survey available to pass out to everyone interested in participating in your screening.  The survey should be short (no longer than one page) and easy to fill out.  All pertinent contact, as well as medical information, should be included.  Do not forget a signature area for consent to conduct the screening.  

Step # 5–Collect Survey
As you collect the survey, you essentially begin your screening process.  Build a bond with the person.  Initiate easy conversation about the location, family, weather, etc.  Let your personality come through to help the person feel comfortable with you.

Step # 6–Introduce Yourself
Once the individual feels at ease with you, introduce yourself.  Do a little commercial regarding your credentials and practice history.  Weave the discussion of your qualifications around to include some specific questions about their survey.  This will smoothly lead you into conducting their evaluation.

Step # 7–Conduct Evaluation
Carefully conduct the evaluation or screening.  Give a thorough explanation of the cervical, thoracic and lumbar areas that you are screening.  Make sure to use instrumentation and/or a procedure that will add credibility to your screening process.

Step # 8–Include Patient Education
Critical to your screening process is educating the individual regarding the results of their screening.  Align the credibility of your screening to their problem through the education process.  Be sure to include how chiropractic care in your practice will help their specific situation.

Step # 9–Set an Appointment
Ask direct questions to determine the individual’s feelings about chiropractic care.  Determine if an office tour or new patient visit is more appropriate for the individual.  Set the appointment and give directions to your office.

Step # 10–Confirmation Call
Two days prior to the individual’s appointment, call to see if an earlier appointment would work better for them.  If so, you can move the appointment up in your calendar.  One day prior to the appointment, call to confirm the appointment.  Be careful not to put yourself (or your staff) in a position to ask a yes-or-no question.  This could lead to a cancellation of the appointment.

Consider doing a health screening in the near future.  Follow these ten easy steps and enjoy a successful screening event.  Increase your new patients and promote a positive awareness of chiropractic care and your practice within your community. 
hiropractors all over the country conduct health screenings.  Some are successful, some are not.  The ones who are not successful typically fail because they do not properly prepare for success.  The following ten steps will help ensure success the next time you conduct a health screening.graduate of  National College of Chiropractic.

Dr. Maurice A. Pisciottano, CEO and founder of Pro-Solutions for Chiropractic, is a practicing chiropractor, noted lecturer, author, producer and research and development technologist.  He is well known for his practice management expertise, as well as new patient development programs.  He has devoted the past twelve years to the development of the instrumentation and the computerization of chiropractic treatment and documentation.  Dr. Pisciottano regularly lectures at Palmer College of Chiropractic in Davenport, IA, and at Logan College of Chiropractic in St. Louis, MO.  He can be reached at Pro-Solutions for Chiropractic in Pittsburgh, PA, at 1-877-942-4284.

 
Generate a Positive “First Impression”
Practice Management
Written by Maurice A. Pisciottano, D.C.   
Saturday, 28 February 2004 00:00

A first impression is a lasting impression.  An individual will receive their first impression of your practice based upon their interaction with your front desk staff.  Whether an individual calls on the telephone or walks into your practice off the street, your front desk staff delivers to them their first impression of your practice.  A person will make their decision to become a patient or to continue to receive care in your facility, or not, based on how they are treated by your front desk staff. 
Individuals clearly formulate an opinion on how the doctor thinks, works, and acts based on their interactions with the front desk person.  It makes no difference if you have a chiropractic practice or a business that deals with chiropractors.  The front desk is the key to getting and maintaining your customers.  
Since they are a focal point of your practice, it is extremely important that you evaluate your front desk staff from a distant and unbiased standpoint.  Take a look at the individuals running your front desk and evaluate them as if you have never met them before. 
Listen when they answer the telephone.  How do they treat the person on the other end of the line?  Do they sound caring and accommodating?  Or are they short and to the point?  How do they treat other doctors, such as a colleague or friend, when they telephone your office?  Ask people you speak with on the phone, “How did the front desk person treat you when you called in?  Did they seem warm and receptive to your conversation?” 
What is the demeanor of your front desk staff when dealing face-to-face with current or prospective patients?  Are they pleasant when answering questions or scheduling an appointment?  How is their enthusiasm for their job, their level of interest in the patient and their personality when interacting with others? 

Just sit back there...I'll call you when the doc can see you...

After you have taken an opportunity to evaluate your front desk staff, carefully consider the results of your findings.  Immediately address any areas of concern and then implement a formal training program.  Your front desk person should receive at least one hour of training per week.  Their training should focus on increasing their skills to become better communicators, handle patient objections and concerns to care, and also include sessions on becoming a better listener, paying attention to detail and duplicating what the patient is asking. 
Another important aspect in the training of your front desk staff is knowledge of your personal information.  The front desk person needs to be trained on your specific skills and abilities.  It is vital that they know your complete educational background, including what chiropractic college you attended.  They should be well versed in answering questions regarding chiropractic care and any special techniques you use in your practice.  It is advisable to periodically have one of your friends, colleagues or a family member call in and ask your staff members to describe the type of work you do as a chiropractor.  Your staff should be able to speak intelligently about your background and current chiropractic efficiencies. 
It is also important to set protocol for the front desk staff to follow under specific conditions.  For instance, what is the protocol when another doctor calls in to speak with you?  How should your front desk person handle this situation?  The front desk person should be trained to inquire what the call is regarding.  It is important to note if the call has to do with a current patient, sending a new patient to the clinic, or a similarly specific situation. 
You should have a protocol established so the front desk person is not put in a position of deciding if it would be okay to call the doctor back later.  The front desk person can not evaluate the importance of the call or the impact it may have upon your practice.  By putting a protocol in place, the front desk staff will know when to interrupt or when to take a message, based on their training of the protocol. 
A weekly training covering all areas discussed here will ensure that you continue to offer the very best first impression to the public.  If the information listed here is consistently followed, the level of “good” public relations that is fostered in your community will increase.  A friendly and well-trained front desk person will go far in providing a caring and professional environment that people would like to share.  It will make a “lasting” first impression! TAC


Dr. Maurice A. Pisciottano, CEO and founder of Pro-Solutions for Chiropractic, is a practicing chiropractor, noted lecturer, author, producer and research and development technologist.  He is well known for his practice management expertise, as well as new patient development programs.  He has devoted the past twelve years to the development of the instrumentation and the computerization of chiropractic treatment and documentation.  Dr. Pisciottano regularly lectures at Palmer College of Chiropractic in Davenport, IA, and at Logan College of Chiropractic in St. Louis, MO.  He can be reached at Pro-Solutions for Chiropractic in Pittsburgh, PA, at 1-877-942-4284.

 
Practice Management Tips
Practice Management
Written by Mark Sanna, D.C.   
Saturday, 28 February 2004 00:00

Q:  Which adjunctive services, if offered, have you found to be most beneficial for chiropractic practices?


A:  The language of reimbursement today is the language of function.  In order to fully participate in the mainstream of healthcare, chiropractors must become proficient in objectively assessing and documenting the functional outcomes of their care.  It is extremely difficult, if not impossible, to track functional outcomes in a practice that operates in the “passive care paradigm” of the 1970’s–in which patients come in, lie down, receive an adjustment, hot pack and muscle stimulation, visit after visit, for forty-plus visits.  The most successful chiropractors today include active care/rehabilitation in their treatment protocol. 

The CPTÔ codes with the highest value are the active care codes:  therapeutic exercises, kinetic activities, neuromuscular rehabilitation, and others.  The reason for the high level of reimbursement these services receive is that they produce a higher quality outcome.  Patients who participate in rehabilitative exercise programs have a lower rate of recurrence of their original conditions, and this is recognized by third party payors.  After hiring a personal coach, the most beneficial service a chiropractor can add to their practice is to invest in low tech (tubing, bands, gymnic balls), or high tech (weight stack machines) rehabilitative exercise equipment.

 

Q:  What mistakes in practice management do most DC’s make?

 

A:  The single most effective habit you can develop to successfully manage your practice, after hiring a professional coach, is to establish regularly scheduled practice building hours.  While almost every doctor I speak to has established regular hours for patient care, only a very few have established similar hours for practice building. 

If you search long enough, in every chiropractic office you will find a box filled to the brim with seminar notes.  These notes contain ideas, each one a gem, that has never been implemented.  The single most efficient way to close the gap between idea and implementation is to set aside a minimum of two-to-three hours each week devoted entirely to practice building.  This time should take place in your office and should be uninterrupted. 

Chiropractors have two businesses.  The first business is the patient care business and the second business is the practice building business.  Most doctors attempt to build their practices and polish their procedures in between and around patient care.  Develop the habit of dedicating regularly scheduled time to building your practice.  This habit will allow you to focus your energy and attention on practice growth and will keep you from diverting your attention away from your patients during the time you should be focusing on them.

 

 

Dr Mark Sanna is the CEO of Breakthrough Coaching, LLC, a leading resource for personal coaching to chiropractic and multidisciplinary practices throughout the country.  He can be reached at Breakthrough Coaching, LLC, by calling 1‑800-7‑ADVICE.

 
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