Leprechaun Appreciation Day

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Just saw a greeting card and emulated their design and idea (thanks www.seltzergoods.com) to create a Kid’s Day promotion.

On Saturday, March 15th your office could offer a couple of hours just for kids. Or, you could spread the special promotion out over a few days and call it Leprechaun Appreciation Week.

Leprechauns are mischievous… just like most kids! (Sample poster.)

There are also other types of St. Pat.’s promotions you can do in your office that are fast, fun, and can be productive. For more ideas. (Link.)

And, just to get you in the mood, here is a little Irish Jig.(Link.)

(Will need speakers.)

Party at Chiroville

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Many mall stores, such as the GAP, Banana Republic, Abercrombie & Fitch, have as part of the office policy to create a party atmosphere in their stores. The idea is that potential shoppers passing through the mall will see happy faces in the stores with the music playing (sometimes extra loud) and feel like they want to join in the party.

The same concept applies to your office. It should always be friendly and inviting. And on occasion, it’s OK to go overboard.

Early this week, one of the chiropractic office’s I visited had a pleasant surprise. I made it through the ice, snow, and sub-freezing temperatures to the front door, took off my heavy coat, and walked into the reception area.

The staff were dressed in summer clothes. Marimba island music was playing. There were palm trees and a fishing net over the front desk. The staff were smiling and one of them asked me if I wanted a fruit smoothie, being told that they were not serving rum this morning.

The sign over the blender and freshly cut fruit said: “Welcome to Chiroville”, alluding to Jimmy Buffet’s Margaritaville. While enjoying my freshly made smoothie, I watched other patients come in from the cold and saw how pleased they were with the friendly change of pace of this special promotion.

The staff seemed to have as much fun with it as the patients. And, as did the doctor!

As a side note, the practice is having its best February ever for new patients.

The moral of the story? If every day was a party at your office, wouldn’t you want be there? Wouldn’t you want to invite all of your friends there too?

Your Chiropractic Practice Marketing Plan

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How is your marketing plan?

Do you have one?

You really should have a marketing plan for your chiropractic practice, and it should be updated monthly, nudged weekly, and totally reviewed every three months.

This may sound oversimplified, boring, or too too obvious, but in our experience, it is a major key to practice building.

Sure, there are many other factors behind a successful business, but constantly marketing is essential. And, if your practice is not growing, it may be because you are not routinely marketing.

And how do you make sure that you are marketing? Have a plan.

A Marketing Plan Is Simply Marketing Activities Scheduled,
Assigned, Regularly Supervised, And Measured.

The key to effective marketing is simply planning. This is because marketing often just does not get done.  It is not that your marketing did not work. More than likely, it just didn’t happen.

To overcome this, you need to schedule short planning times each week, and longer periods each month.

This is the core of the Marketing Management System as we have developed it.

Your marketing plans should include the following:

•    Recurring Marketing-Oriented Procedures. These include not only your internal marketing procedures, but recurring clinical and administrative procedures as well. They are the usual recurring procedures that go on regularly in your office. Often overlooked and neglected, they are the most important form of marketing. They need to be reviewed and practiced regularly to be keep fresh and important. Because they are so routine, I usually schedule them last.

Very successful offices rely mostly on these types of procedures. When you hear chiropractic doctors say “We don’t do marketing”, it is because they have their marketing as part of their internal procedures and they do these extra-ordinarily well. These could be the way the phones get answered, the report of findings, the new patient lecture, the simple consistency of patient flow procedures, great internal staff and doctor communication, staff training procedures, staff meetings, etc.

•    Special Promotions. Hold special promotions every now and then. These could include a Kid’s Day, a donation drive, mother’s appreciation day, teacher’s appreciation week, etc. I walked into an office a few days ago and in the middle of a very cold, snow packed winter, the doctor and staff were wearing summer clothes, offering smoothies (without the run), with a big sign saying: “Welcome to Chiroville”, no doubt referencing “Margaritaville” and warm ocean lifestyle. What a refreshing and friendly surprise greeted each patient that day!

•    Patient and Community Education Programs. These are usually held in your office. Educate your community through your office and patients by providing special workshops that are chiropractic or health related. Or, you can sponsor a special “Awareness Week”, such as a Headache Awareness Week, offering no charge or discounted condition specific screenings, consultations, and or exams.

•    External Community Services and Networking Events. These can range from spinal screenings, to in office ergonomic workshops, lunchtime “Lunch & Learns” for local businesses, setting up referral sources with business or other professionals, or working in the food pantry twice a month feeding the homeless.

There are other procedures, such as advertising, PPO soliciting and reviewing, yellow pages, web site, but many of these can be put onto a yearly, quarterly, or monthly recurring checklist.

The above are various categories of marketing. But again, the most important part of marketing is doing it, and the key to getting marketing done is to schedule it and assign it and measure it.

For the best reference, review the materials in your Marketing Toolkit which is part of your Marketing Manager System computer software, if you have it.

Here is a sample marketing calendar for a chiropractic office.

NOTE TO CLIENTS AND PMA MEMBERS: You may find a customizable sample calendar on our PMA Member’s web site.

What the Moon Has to Do With You Success

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The moon is back to normal again.

Just a few hours ago, though, standing in the middle of a snow-covered playground near Lake Michigan, in the night sky at about 3 degrees above zero, it looked like a smudge. A grey brown spot that was almost black, like someone had tried to erase it with an old eraser, but part of its image still remained.

For a few hours, the earth blocked out the sunlight to the moon, at least from our perspective. These unimaginably huge spheres of matter, nearly perfectly in balance, were gracefully moving like billiard balls in a ballet.  Compared to this, all else really seems insignificant.

Before street lamps, car lights, TVs and late night computers, the night sky entertained us. Everyone could recognize the constellations, and an interplanetary event such as an eclipse was a very big deal. All our ancestors were stargazers – the night sky gave them the comfort of familiar signs, as well as wonder and awe. And mystery.

Besides the city lights to distract us, we have our daily duties and deadlines that rivet our attention to the near. Your patients, your notes, your computer, staff members, phones; most things are just a yard stick away.  Like a ping-pong game, your focus has to be complete, quick, and close, or, you lose.

When your attention drifts, patients think you don’t care, staff thinks you take them for granted or are displeased, and insurance companies can’t read your notes.   Success in practice requires keen attentiveness.

You can’t survive asleep at the wheel, dreaming or daydreaming. To be a winner you have to be alert and actively attentive to your job each minute you are at the office.

And if that is all you do, you soon will burn out.

Studies have shown that you have to, now and then, disengage. Take a break. Learn Japanese. Play with your kids. Help the poor.  Pray. In their best selling book, The Power of Full Engagement, the authors offer studies and examples on why it is important to become involved in disrelated activities to balance our hectic if productive lives.

All this goes back to the moon and the sky.  I don’t think we look up enough. The sky, the stars, and the whole natural God given world are about us, mysterious and awe inspiring.

In business, we have to focus on the short term and build for the middle term. But it is the far away that calls us, if we can stop to listen.  What makes you curious, fills you with awe, love, and seems a mystery? What does your future whisper back to you, as if you could hear your eulogy years from now? What are your greater purposes?

Balancing these three is the key to a successful practice, business, and life.  Your first goal is to play each day fast, full out, like a basket ball game you have to win. Your second goal is to gradually build a strong organization with the right teammates and the best plays that have proven to work for you. But your third goal, and there may be many, are why you work at all.

If your business has plateaued and stopped growing, it is because one or more of these goals is not being worked on correctly.

We have developed a general pathway and framework for doctors to move upward so that they can correctly work on and achieve all three goals. It doesn’t matter what technique you use, therapies, providers, or offices.

We are excited and pleased about the development of this new approach to practice management and marketing and how it impacts our consulting and the results our clients can see, as well as our own business and personal lives.

We will be publishing and just talking more about these three goals, but we encourage you to come to our seminars.   You can learn more about them by clicking here. 3-Goals Seminars

And, in the meantime, as my old pal, Jack Horkhiemer the stargazer always says:  “Keep Looking Up.”

photos from Microsoft and NASA

Parker – Las Vegas, 2008

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February. It was Thursday morning. It snowed, oh, about 20 inches or so here in Milwaukee. Plane was thankfully delayed, which gave me the time to shovel snow for about two hours. I then headed to the airport for a straight hop over to Las Vegas. The warm desert air, though slightly smoggy, was a welcome contrast to the cold and white of the Wisconsin winter.

For those of you who have gone to this seminar in earlier years, I am sure you can appreciate the energy of thousands of your fellows getting together. I asked one of the registrars and was told that nearly 5,000 were in attendance. This was the 55th Anniversary for Parker Seminars.

At these events, there is no way that you can take in all of the speakers, but you try to catch the keynote speakers and those in whom you have particular interest.

Starting Friday morning, we listened to the President of Parker College and Parker Seminars, Dr. Fabrizio Mancini.

I had a chance to meet him the evening before at “Club Parker”. Phyllis has worked with Dr. Mancini for 10 years, knows him well, and introduced us. Dr. Fab, as he is called, was very personable and interested in how we were doing in Wisconsin. I said we were doing “Great”. He was very friendly, without a hint of self-importance.

I learned later that Dr. Mancini was “Dr. Phil’s” (the television personality) chiropractor until Dr. Phil moved to L.A. Also, he was one of a few dignitaries called to a special meeting after 9/11 to discuss what could be done about world peace. While staying at a remote meeting place and getting ready for his talk later in the afternoon, Dr. Mancini received a 5 am call that one of his fellow presenters needed an adjustment.

He was met by a few secret service men at his door and was taken to Vice President Al Gore’s room. Later that morning, before beginning his talk, Al Gore invited Dr. Mancini to sit in the front row and began the his presentation by complimenting chiropractic.

This is the story, only roughly paraphrased by me, as told by Dr. Mancini to a special group I attended with Phyllis.

A keynote speaker was Dr. John Demartini. He had just flown in from Japan, on his way to another part of the planet. With a slight sniffle, he talked about how attracting new patients had a great deal to do with simply whether you really were ready for them, and wanted them. He talked about the importance of having a “healing consciousness.”

He also let us in on the fact that a new movie that he was working on was coming out in the fall. It will be similar to the “Secret”, only better, according to Dr. Demartini. He says that it will be called: “Oh My God”, and will include many people, including the Dali Lama as well as members of the Taliban. It will be about peace and God.

You read it here first!

I caught some of Dr. Dan Murphy’s talk, which I loved. So many references to books and studies to support the harmful affects of chemicals entering our bodies and contributing to not only poor health, but the effectiveness of adjustments. (For example: Toxic Overload by Paula Hamilton, Health & Nutrition Secrets That Can Save Your Life by Blaylock, M.D.; Poisoned Nation by Loretta Schwartz-Nobel.)

And then there was the trade show. It was like a circus with booths everywhere. The larger ones included the major sponsors like Pro-adjuster, Foot Levelers, and Chiropractic Leadership Alliance/Creating Wellness.

Hundreds of booths, probably two football fields full of chiropractic products and services all manned by doctors and attractive sales people. Maybe next year Petty, Michel & Associates should have a booth?

Early Saturday I went for an walk through the trade show before it was officially opened. I observed Dr. Gentempo, who had his sales team mustered in the booth, going over the plans for the day. A few isles over, Dr. Pisciottano was talking with his booth people before the day had started. It would be at least ½ hour before other booth operators showed up.

This was kind of a homecoming for me. About 18 years ago, or more, was the last time I attended Parker Las Vegas. I remember being invited as a guest of one the speakers to a special reception where I met Dr. Jim Parker himself.

I had a chance to sit down and catch up with our old friend Dr. Jim Sigafoose. Dave Michel and I worked with Dr. Sigafoose years ago. He continues to be one of the profession’s great philosophers. In my opinion, he is so connected to innate wisdom, has such a strong conviction and purpose, and is so utterly un-commercial, that he has been able to help many doctors and staff move beyond their comfort zones and improve their practices. We have seen it and can testify to his ability to motivate doctors, staff, and patients. He is not the youngest fellow, and if you can, I would highly recommend attending an event by him and spending some time with this truly worldly healer. (And we don’t give out many recommendations for other services.)

Actually, while we were talking, a young doctor with just a few months to go before he graduating from Parker Chiropractic College came by introduced himself. He related that he had gone with a chiropractic friend to a talk Dr. Sigafoose gave 5 or so years ago. He said it was that talk that finally convinced him to become a chiropractor. (Hi David D.!)

Phyllis gave a stirring talk to a hundreds on Friday afternoon. I continue to be impressed with her innate skills, power, and dedication to chiropractic. We appreciate her association with us, as do our clients.

Just before my plane left, I sat outside the hotel and took off my shirt and took in some warm Nevada sun. It was actually hot! I couldn’t enjoy it for long though as I had to catch my Midwest Express flight back home. Imagine my shock when I walked out to my car and the temperature was minus 5.

Over all, what a great experience! Even though the Midwest winter is cold, the warmth of the friendship, camaraderie, and mutual purpose shared at Parker will help keep me warm till the next time I attend a Parker Seminar.

We have always recommended Parker and will continue to do so. Maybe next year we will see you there too!

(More Parker Seminar Photos)

Wausau Seminar Was A Success!

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We just finished our first seminar for 2008! And, from the comments of those attending (see below), our 3 Goals Chiropractic Seminar was a success.

(Photo of Phyllis giving her presentation. More photos here.)

For our part, we loved it. Dave, Phyllis, and a guest consultant, Mary Jo who is an expert with all things insurance, and me, Ed, had a great time.

The 3 Goals concept seemed to make sense to everyone in that it helped to provide a clear cut path to practice success. We covered how it applied to practice development, marketing, and particularly to many staff functions, from the front desk to financial consultations. Our guest billing consultant, Mary Jo, always appeared to have a crowd around her discussing effective reimbursement tactics.

Our next seminar is in Milwaukee, WI, on Thursday, April 24th. It is an all day seminar, from 8:30 to 5. We will be sending and posting more info on this soon.

After that, we will be hosting a seminar in Minneapolis on Thursday, May 15. Again, it will be an all day seminar. (We will have a special guest which we will be telling you about soon.)

Here are some seminar comments:

“Everyone did a great job!”
“..the presenters were engaging”
“..liked how the program was laid out in easy, step by step ways.”
“Encourages everyone to find their greater purposes.”
“..helped me understand my role in the clinic more specifically.”
“I got more ideas for our patient education.”
“..there were many ideas to improve the our office procedures.”
“..learned how mission affects everything we do inside and outside of the office.”
“..learned about enthusiasm and its role in promoting the office.”
“..got ideas on more structure, policies, control, and the importance of more patient guidance.. throughout care.”
“…reaffirming… learned new perspectives or twists on how we already do things in the office.”
“Phyllis gave great insight into how things can be changed positively.”
“..very informative.”
“..everything present was useful and will help to improve our office.”
“..was wonderful and motivating.”
“..useful ideas on a marketing person and marketing procedures.”
“..excellent presentations…”
“..liked systematizing procedures and getting help on focus on goals..”
“Good ideas on how to monitor clinic performance and set goals and keep track with goals…and marketing meetings..”
“Good for team to hear Phyllis she is very motivating… They got the Big Picture…”
“Good ideas on marketing!”
“..liked the motivational aspect of the seminar..”
“..good review on the Marketing Manager Toolkit for ideas…”
“..high energy.. and kept to time agenda..”
“I liked having a clear concise road map for practice development..” Continue reading →

WHAT RECESSION?

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You know by now that the American economy is just a little bit shaky. On Tuesday, January 22, the stock market dropped 465 points, only to recover to a loss of 128 points due to a fast save by the Fed to cut interest rates a 3/4 of a point. Reports from oversees indicate that foreign exchanges are bracing for a recession in Europe and Asia, caused in part by America’s financial markets and our threatening recession.

But it doesn’t take an economist to add up the facts. The lending market, the housing market, the falling value of the U.S. dollar, the international trade imbalance, and, of course, the huge expense of the Iraq war all add up to big challenges. And, I don’t have to tell you about the condition of “health” insurance.

The reports and financial stats are out there for you to draw your own logical conclusions.

Most of us have seen recessions before, though factors appear to be stacking up to make this recession an especially big one. But who knows for certain? It may be forestalled till after the election, or other factors may come forth and send the economy in a different direction altogether.

It is good to pay attention to current events, but you don’t want to get distracted by the fact that prosperity starts at home – in your office. The best guarantee to surviving a recession, or worse, is to ensure that your practice and business are as strong as possible. In a down economy, there may good investments to be made, but the best investment is in yourself and your business.

The demand for health care, wellness care, has never been stronger. Chiropractors are continually becoming more accepted as the leader in the wellness movement. Your big challenge is simply not to participate in any recession but to move into the leadership role you have as a health doctor, a Doctor of Chiropractic.

There is no recession in the demand for health care and wellness care, nor will there be. Making yourself well known and popular, being accessible, and providing consistently excellent service with quality outcomes will insure your future prosperity.

If you work to continually improve all functions of your businesses, you will always be able to ask: “What Recession?”

Best regards,

Ed

P.S. By the way, our old friend, Dr. Jim Sigafoose wrote about this same concept, with the same title, back in 1991. Here is his article on another web site: LINK

PSS Also, here is what Siggy says about us: LINK

Billing Audits and “Red Flags”

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Angie’s Angles
From a Chiropractic Billing Consultant

For your protection, you should be aware of the Top 10 Red Flags for a billing audit in a chiropractic office. Here they are.

Since this is the beginning of a new year, I will start with the Top 10 Red Flags for a billing audit (in no particular order):

1.  “Phantom Billing”—Billing for services not rendered.

2. “Double Billing”—charging more than once for the same service, e.g., using an individual code again as part of an automated or bundled set of tests.

3. “Clustering”—Using only a few codes on the theory that it will average out.

4. “Upcoding”—Using a higher reimbursement code than the code reflecting the service rendered; e.g., billing for complex services when only simple services were performed, billing for brand named drugs when generic drugs were provided, listing treatment as having been for a more complicated diagnosis than was actually the case.

5. “Unbundling”—Using two or more billing codes instead of one inclusive code where
regulations require “bundling” of such claims. Submitting multiple bills in order to obtain a higher reimbursement for tests and services that were performed within a specified time period and which should have been submitted as a single bill.

6. “Code Jamming”—Inserting or “jamming” fake diagnosis codes to get insurance coverage.

7. Billing for non-covered services

8. Billing for services that are not reasonable and necessary.

9. Inappropriate balance billing—billing Medicare beneficiaries for the difference between the total provider charges and the Medicare Part B allowable amount.

10. Routine waiver of co-payments and billing third-party insurance only.

The complexity of managing a practice is not a walk in the park. As a Billing Consultant with PM&A, my job is to free doctors from the worries that can accompany running the financial end of a medical practice.  I can review and streamline your billing department, train staff, and credential doctors with insurance companies, among other services.

Questions on how any of these might apply to your office? Contact me and I will let you know.
Next month – look for tips on nailing your Financial Consultations!!

Goals For Patients and Chiropractors

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Goals Give Us Tools to Put Dreams Into Action

Phyllis A Frase

If each of us is on a lifelong journey to find our hat, to know who we are, then by implication we are all on a journey to somewhere. It is our passion for that destination that makes us engaged and purposeful about our work and lives. Without a dream, without goals, we have no direction. As the old expression says, “If you don’t know where you are going, any path will get you there.”

William James, the visionary turn-of-the-century psychologist, might be considered one of the fathers of self-actualization. He understood the power of our thoughts to affect our lives. His advice then is as true today as ever: “Seek out that particular mental attitude which makes you feel most deeply and vitally alive, along with which comes the inner voice which says, ‘this is the real me,’ and when you have found that attitude follow it.”

Many, many people are afraid to follow their dreams. They are afraid of goals or at least resist them. They think goals take the fluidity and spontaneity out of life.  And they worry about how they will feel if they don’t reach them.

But we need to remember that goals are not a blueprint; they simply provide a vision.

Think about it in terms of a fishing line. A big goal, like a big fish, puts some tension on the line. You’ve got to have tension to succeed. You can’t catch a fish without it. If you line goes slack, you know you’ve lost a big one. If you yank too hard, you risk losing the fish and the lure as well.

We teach our patients our chiropractic truth and values. We offer gentle but continuous pressure to gradually pull and lure them into referring, committed lifetime oriented chiropractic patients. But if you lose patience and jerk the line too often, you can lose the patient by not having systems and procedures that guide that patient. Constant dialogues, clarity, trust and soft tension on the line—those are the qualities that lead to the results and relationship we look to have with our patients.

In your life you’ve got to go after your goals and dreams. Of course, for the passion and the persistence to be there, and to take ACTION and not think about it, they need to be aligned with who you are and not what everyone else thinks you are. They also need to be about what you what to accomplish. And yes, you will surely lose some.  But you can’t catch a dream without tension on the line.

So be purposeful. Don’t be satisfied just dawdling along. We need to save people chiropractically…..If you don’t do it and take action, who will?