Tag Archives: chiropractic

Chiropractic Promotions for the New Year

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Seems like every office we talk to or visit these days is busy – crazy busy – with patients and computers and Christmas.

But the New Year is approaching – fast. 2012 only has 12 months and the first one starts in just about two weeks. And then, before you know it, it’s February and you are wondering what you should be doing for marketing and getting the word out about your services.

 

So as not to be left behind, you should begin the New Year with a strong marketing strategy.

 

Below are some fast tips to help get you started:

 

But first… PROJECT X-3. We are finishing adding the final components into our new 2012 program, temporarily called the Project X-3. This is just the working title and we will be announcing the new program soon with all the details. It is designed to help lift you and your practice onto and into a whole new level of prosperity and fulfillment in the New Year.

 

**Schedule Patients Now. Health Never Takes a Holiday. Poster. If you are active with PM&A, you can also find a customizable version on our Members site, along with other promotions under “monthly promotions.”

 

**External Referral Sources and Event Locations. Make a list of every location where you participated in a promotional type of event. Include any business or professional that sent you a referral or helped you in some way. Then, make sure you send each a card or a gift, or just stop by and wish them well and that you look forward to continued relationship with them in the New Year.

 

**Marketing Meeting. Schedule a thorough marketing meeting soon, maybe right after Christmas. Spend a couple of hours making a list of what has worked and what you want to do and then schedule these things over the next several months. One example we recommend is:

 

**Be an Authority and Educate. People want health care information.  This is proven by the fact that 80% of Internet users search for health information on line, according to PEW Research.  8 out of every 10 people at some time are looking for health information when they go to the Internet. That is significant.

…2 ways to do this is to schedule workshops and health “awareness weeks” for the New Year. People want to know the latest. This gives you an opportunity to teach. Yes, you do have to do your homework and it takes time. But it is time well spent because as you study and prepare, you will find that you will become motivated about your subject. Besides, at least 1/3 of your presentation can be your spinal care class, so this saves you time. These types of community education programs or services not only help you generate direct new patients, but give you an excuse to promote your office and services. Sample Poster Clients can find many more customizable posters and fliers on the Members site under: Marketing Materials/ Community Education.

You can find more ideas about upcoming promotions to start your New Year here. Link

 

Best wishes for a high volume 2012!

 

Ed

“Thank You” to All of You Who Work in the Chiropractic Profession

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It is that time of year when we take a moment to give thanks and in so doing, we want to say “Thank You” to you.

Thank You Very “Doggone” Much as a matter of fact. Thank you for all you do to care for and help your patients.

You all are part of a great profession that helps millions of people each day. And because of you, chiropractic and the chiropractic way of life has persisted and grown and is now more accepted than ever before.

You are braver than most, work harder than most and genuinely care more for your patients than perhaps other care professionals are allowed to. It could be said that you are the best defense against a drugged zombied society, but it is definitely true that your loving care helps much more than you have been recognized for.

So, just a note to say that we are grateful for all you do.

“THANKS”

Handling Insurance Company Refund Requests of Chiropractic Patients

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More and more, insurance companies are doing post payment audits or hiring outside firms to conduct payment reviews and requesting money back from your chiropractic office.

Refunds should never be automatically sent out based on a request from an insurance company.  Each request needs to be individually reviewed and processed and the patient’s account should be audited to determine if a refund is actually due and to whom.

Sometimes, a refund is due. Examples may be when an insurance company has double paid dates of service, or when two insurance companies both pay on the same date of service. These are legitimate refunds – ie: you have been paid more than you billed or were due for services rendered. These should be refunded.

Often however, a refund is NOT due and should be disputed. Examples might be when an insurance company or third party does a “post payment review” and determines that the care was not medically necessary, or when insurance pays but later determines that work comp or PI were primary, or when an insurance company decides that the patient did not have a particular benefit or coverage for what they already paid.

Essentially, when you have delivered quality services to a patient that were medically necessary and in the best interest of the patient, and the insurance company pays for those services, you have NOT been overpaid and no refund is due. Even if the insurance company later decides they overpaid or paid in error. These refund requests should always be disputed.

Legally, you are not obligated to repay the insurance company when you have been paid in good faith for services rendered and they paid in error. These should always be disputed.

This will not stop some insurance companies from ‘recouping’ the payment, but you should still attempt to dispute the refund request first. Our experience is that by disputing the refund you will avoid 85% of all refund requests. It is well worth the time and effort to do so.

The exception to the above involves government programs such as Medicare and Medicaid. We generally advise refunding these right away and THEN disputing the request. Remember that you must use the approved Medicare refund form and mailing address (check on line with yur local Medicare carrier for the latest form and address).

Points that can and should be used whenever disputing a refund include these (use any and all reasons that are applicable to each case):

– All services were medically necessary for the health of the patient. Our review indicated that the care was medically necessary; therefore no refund will be issued.

– This request is for a patient no longer active with our office. We have no alternative methods of collecting on these accounts. Because of a supposed error on your part, you are asking us to refund monies to you for services rendered to your insured without a foreseeable ability to collect for said services.

– We called/verified benefits on line with (Insurance Company) on each of these patients prior to the delivery of care and verified coverage for services rendered by our office. Had we been informed, we or the patient could have made a more informed decision regarding the delivery and payment for care.

– It is our understanding that (Insurance Company) has maintained a policy of not reimbursing for services if they are submitted for payment one year or longer after delivery. You are requested a refund for services over two years after their delivery and payment. It would seem that the policy should apply both ways.

– Your letter mentions that 98940 and 97140 are mutually exclusive. This is not the case when they are performed in different regions of the body as defined by the AMA. You also state that manual traction and mechanical traction are mutually exclusive. Again, this is not stated in the AMA CPT codebook and the services were performed by different providers, as our chart records show.

– The time and effort to have our office pull charts and research services from 2009 and 2010 is considerable and cannot be done without prior reimbursement, nor can these records be forwarded to (Insurance Company) without prior consent from the patient.

– We would also like to know if you have informed this patient, in writing, that due to the error on your part, that they are now liable for their medical bill from 2009?

– Our feeling is that the following court cases concluded that the insurance company is responsible for knowing their policy limits prior to paying and therefore must bear the responsibility for their own mistakes.

  1. City of Hope National Center vs. Western Life Insurance Company, 92 Daily Journal D.A.R. 10728, Decided July 31, 1992. (In this case the hospital obtained standard assignment of benefits from the patient and submitted claims, which were paid by the carrier. The insurance company later decided the treatment was experimental and requested the money back. The California Court of Appeals stated that if it’s your mistake you have to pay for it.
  2. In Federated Mutual Insurance Company vs. Good Samaritan Hospital (Neb. 1974) 214 N.W.2d 493. (The carrier contended that it mistakenly paid claims beyond the policy limits. The court held that the insurance company could not recover the money as it places an undue burden on the providers of service to subject them to retroliability.)
  3. Lincoln Nat Life Ins vs. Brown Schools (Ct.App. Tex 1988) 757 S.W. 2d 41 1. (In this case the carrier mistakenly paid claims after its policy had expired. The court denied recovery stating “Here the insurer knew it’s own policy payment provisions, but failed to notify the health care providers as to these provisions and the insurer alone made the mistake of paying beyond its responsibility . . . in the normal course of such business, the hospital has no responsibility to determine if an insurance carrier is properly tending to its business.”)
  4. National Ben. Administrators Vs. MMHRC (S.D. Miss. 1990). (Similar case as #3 with same conclusion.)

– Our office made no misrepresentations in filing claims for your insured. We extended valuable services based on preverification of benefits and assignment of payment by the insured. We were not unjustly enriched, and simply had no reason to suspect that any of the payments for services rendered were in error. Refunding the monies at this time would place an undue burden on our office.

As always, send a copy of your letter to the patients involved. The insurance company will send a letter to the patient (if we don’t send them a check) saying that “we are not cooperating and therefore the patient may be responsible”. So, strike first by presenting our side and preparing the patient.

Situation: The insurance company paid twice on one date of service and missed payments on another. They are now requesting repayment on the double payment.

Solution: Send them a letter explaining that the payments were posted to the unpaid dates and no refund will be made.

 

Situation: The insurance company claims that the work comp carrier is responsible for payment and is asking for all their money back.

Solution: Send them a letter explaining that you will bill the work comp carrier and if and when payment is received, you will refund any duplicate payment.

 

Situation: The insurance company paid for the first eight visits, then denied the next five and now wants a refund on what they paid.

Solution: Dispute the refund as per the above points and request immediate payment on the five denied visits.

 

Situation: The insurance company paid for care, but then came back and stated the patient didn’t have an active policy or coverage.

Solution: Dispute the refund as per the above points. It is the insurance company’s job to pay within the limits of their plan; you have been paid for services rendered.

If you have questions, feel free to contact me.

David Michel

Your Chiropractic Root System and Patient Retention, Referrals, and ROI

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Updated: April 2016

When people go to the grocery store for produce they are mostly just interested in their plump cucumbers, zucchinis, or other vegetables.  They don’t much care about the garden that actually produced these nutritious wonders of nature.

But a lot of work goes into a well managed garden. If you don’t take good care of your garden, you won’t have its fruits and vegetables.  It’s that simple. And a good part of a garden takes place underground in a network of roots.  Roots provide water and minerals to the plant, and keep it in place when the wind blows.  The top part of the plant, its stem, can get mowed under by a lawn mower (I have done this) and the plant comes back to life – because of its strong root structure.

Your office is kind of like a garden.

It produces healthier people. You take care of your team, polish up your systems, do some training, and you will continue to have a productive “health garden” that produces healthier people.

And the roots? 

In this analogy, the root system is the loyalty and good will of your patients. Here’s how:

Many offices struggle to get new patients.  Even offices that have been in business for years and years.

Why?  No roots.

If some doctors spent the same time and attention – and money, on giving extra care and service to their existing patients as they did on trying to hustle up new patients, they would have more patient visits than they would know what to do with.

Why?  First, because the service and care was SO extraordinary, patients would refer their family and acquaintances because they would want them to receive similar treatment as they had.

But more obviously, existing patients would never drop out of care. (Some would, of course.) They would continue to come back for wellness visits. How busy would your office be now if all the new patients you ever started still came in for services? You couldn’t handle…there would just be too many patients!

Over the years, there have been many studies to support the fact that it is more expensive to chase after new patients than it is to keep the ones you have.

 “A common rule of thumb is that the marketing costs of landing a new customer runs three to five times the costs of retaining an old one.” (Total Customer Service, Davidow)

Some articles talk about it costing 10 times the amount to get a new customer as to keep the ones you have.

I am all for getting new patients, but do you also keep your existing patients? And do they refer family and friends and work associates? And why do your patients leave? An interesting survey pointed out that most companies believed it was because of price, or that the needs of the customer changed. However, from the point of view of the customer, they left because of poor service. (The Loyalty Connection: Secrets To Customer Retention And Increased Profits By Bob Thompson, CEO, CustomerThink Corporation Founder, CRMGuru.com, March 2005)

 

There are a number of procedures to improve your services to patients – to help generate stronger and more productive “roots”, or healthy patient relationships. Let’s focus on the most fundamental: Communication.  To put it more accurately, let’s call it “conversation.”

BEGINNING THE CONVERSATION

A conversation is a dialogue, a giving and receiving of communication back and forth. It is an interactive exchange of thoughts. It shows that you respect the other person and that you are interested in them and what they have to say.

Many patient conversations are one-way, from the staff and doctor to the patient. They are also rote, robotic, and too scripted to be genuine.  Do an audio recording of how the front desk answers the phone or how you do a consultation and you might be able to see room for improvement.

The conversation usually starts with the first phone call. Does the prospective patient feel that the front desk is listening – really? Is she interested, or just reading her script and trying to get to her next task and hang up the phone?  Does she introduce herself and show interest and even gratitude for the call?

It is these little things that make such a big difference.  Think about how you like to be treated when you contact a business…

In the consultation, do you really listen and seek to understand the patient, even though it is like the 5 millionth time you heard about someone’s low back pain?

In your report, do you have a conversation with the patient, or do you just rehearse your script to the patient while they are nodding in appeasement?

You see so many patients… and have so many tasks… that real conversations are too often sidelined.  You don’t have much time, usually. But in the time that you do have, you have to be present. You have to be THERE, with all of your attention on the patient, and not on your next task.  That moment with that one patient will never happen again. It is its own time that just you and that person share.  The Japanese have a saying for this: “Ichego Iche.”  One time, one moment. This is a plaque that is often found in tea rooms in Japan.

You have started to create a relationship.  Now, you have to continue to nurture it. This is done by continuing the conversation – and of course, great clinical and administrative service and care.

With each patient encounter, you have to be interested, attempting to understand and then get understood. Improve this and you are well on your way to better patient retention and referrals.

CONTINUING THE CONVERSATION

But when your patients are not with you, you have to find ways to continue the conversation.

How?

Your Newsletter.
You can easily set up an email newsletter with an a provider such as Constant Contact or Mailchimp. Send these out monthly or even twice per month. The most important aspect of these letters is to keep them real, personal, as if you were writing to a friend.  It could simply be a few paragraphs from the doctor relating a recent case success, or a home health tip. You can also include patient testimonials and a review of a recipe.

But we are inundated each day with hundreds of emails so keep in mind that old fashion snail mail still works, and in fact, works better.  It does cost, of course, but the return on investment makes it worth it.  A hard copy newsletter will have “shelf life,” and can be read and reread.  Most emails are overlooked -there are just too many of them.  Send out a hard copy newsletter every 4-6 months.  It can even just be a one page foldover, self-mailer.

Other Mail.
Cards are very considerate. Just think about the few you receive. You may still have them! A system can be set up to send out birthday cards, welcome cards, humorous reactivation cards, bereavement cards, and congratulation on starting your “wellness program” cards, as well as other cards each month.  These all help keep the conversation going.

Social Media.
Facebook is your primary social media with your patients. This can be similar to your newsletter.  Like email, it has become glutted with ads and “content” information.   Ask your patients to “LIKE” your page so that they can stay in touch with the office and receive new information about health and upcoming office events.  Some offices even hold special contests only for their Facebook “friends.”  Then, post regularly fun and education information. For example:

 “Our patient, Burt, just got accepted back into his hockey league thanks to chiropractic. Here is a photo of Burt and Dr. Smith and his new puppy eating apple pie made by Rose, a long time patient who can’t stop bringing us apple pies!” (Of course always get patient approval to post their picture.)

 

Upload patient testimonials, in writing or even videos. If they are interesting, other patients can comment, or even share.  And if anyone does comment, make sure that you comment back.

Delegate these types of communication to your team, but you have to be the one to ensure that the conversation continues.

If you have good roots, there is nothing to fear.  Insurance reimbursement can decrease even more, the economy can decline, staff changes can occur, but if you have taken good care of your patients, they will take good care of you.  Conversations with your patients will help nurture a strong “root system” that will keep your office productive, no matter the storms that may come.

SUMMARY – TAKE AWAY:

 When the patient is on the phone or in the office:

  • Be present and attentive.  (Present Time Consciousness “PTC” as Jimmy Parker would say.) Be genuinely interested.
  • Seek to understand the patient.
  • Get your point understood and have a conversation.

When the patient is out of the office – continue the conversation:

  • Snail mail real newsletters and cards mailed.
  • Emailed newsletters.
  • Get Facebook “fans” and post local/personal news.

Billy DeMoss Shakes Up Appleton Wisconsin at Petty Michel Seminar

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Billy DeMoss, ChiropracTOR

Dr. Billy DeMoss gave a heated and edgy presentation for 3 hours to chiropractors and their staff in Appleton, Wisconsin, Friday night, Aug. 19th. Full of anecdotes from his own practice, along with statistics, slides and videos, “Billy D” reminded everyone what chiropractic and natural health care is all about.

He talked about how providing chiropractic care is actually fun and how you should have fun in your office. He stated that patients want to come to a place that is enjoyable, where staff and doctors are having a good time in a positive atmosphere.

But he also explained that it takes a great deal of work to have a successful office. He recounted the days that he had to do manual odd jobs just to make it through school. He works hard at his office but keeps it fun.  “If you want a more successful and profitable practice you are going to have to work for it.”

“The days of the $200 dollar office visit are fading,” he said.  Workers Compensation reimbursement in California has been cut back and some money motivated chiropractors have abused the system. But money is not the goal, and never has been, he said.  Serving people will always be rewarded financially, but that is not our primary objective.

He emphasized that our main goal should be to teach and adjust. Some doctors complain about doing screenings or lectures, but Billy asks the audience: who do we do it for?  Are we worried about inconviencing ourselves or do we want to help people get healthier?

He discussed issues such as vaccinations, diet, United States health statistics relative to other countries, and said that the chiropractors were the ones best poised to take a leadership role in the health care of the U.S.

After 3 hours of Billy’s high energy, the mesmerized and energized crowd gave him two standing ovations.

One member of the audience who owns a small farm and who was not a doctor or staff member, said he wished there were more people speaking out like Dr. Billy DeMoss. He said it was one of the best presentations he had ever seen.

The next morning,  Phyllis Frase spoke to staff and doctors about how to be a “Rock Star” C.A.  Phyllis also gave a dynamic talk and will be speaking at the Cal Jam in California, February 24-26.

PM&A encourages all who can make it to Cal Jam to do so.  I attended 2 years ago and it was absolutely the most unique and refreshing chiropractic seminars I’ve attended in 20 plus years. Well worth the time and money.  More info about CAL JAM.

Dave Michel, Billy DeMoss, Dana Pittner, Phyllis Frase, Ed Petty

 

CATCH DR. BILLY DeMOSS SPEAKING MONDAY NIGHT, AUGUST 22 AT LAKE GENEVA, WI.  FOR MORE INFO, CALL: 262-275-5005

Video here

Photos here

Electronic Health Records and Chiropractic

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There is more and more attention being placed on the topic of Electronic Health Records. For those of you who are not familiar with this subject, you can find basic information on the web sites of CMS (Centers for Medicare and Medicaid Services) and of course, Wikipedia.  There are other sources, but reader beware: many have ties to software companies (and their advertising and promotional distributors) that are trying to make a case for buying expensive software now.

Here is a Q&A with Dave Michel and one of our clients regarding this subject which may be helpful in understanding what is going on:

===============

Dear Dave,

Dr. H wanted me to e-mail you with some of our questions and concerns. We are hearing a lot of different things the more people we talk to about it. We are hoping that you can shed some light on the situation. Here are some of our questions:

Is the deadline for reimbursement this October 2011? Or do we have until October 2012?
There is no deadline at this point. It is not a requirement and, even if it is, there will be an exemption for small offices (usually less than 10 FTEs).

Is there a checklist of things that need to be completed in order to be compliant? Do we need to have digital x-ray in order to be compliant?
Yes, there is a checklist. If you google CMS EHR Incentive you will find a couple on the CMS website (skip software vendor websites …). Digital x-ray is NOT a requirement.

Is it a tax credit or would we receive a reimbursement check? Will it just cover the EHR software or will it cover equipment upgrades/replacement as well?
Beginning May 2012, you would be possibly eligible for up to $18,000 per year in incentives paid as a check to each provider. The limit would be based on 75% of your prior year’s Medicare reimbursment. IF you are “an eligable provder” and you have demonstrated “meaningful use”.

How much should we expect to spend on this process? And how much will we get reimbursed? Is it a percentage or the exact amount? And is it a guarantee?
Great questions. EHR software for chiros ranges between $2.5 – $27k. Add to that the cost of conversion in your office (thousands) and the reduced efficiency (eg if the new program adds 2-3 minutes to each patient encounter). This is going to be a big process.

Dr. H  wants to know “what happens if we don’t become compliant?”.
Nothing. Yet …

Thank you so much for taking the time to answer our questions.
No problem! Bottom line (if you haven’t picked up on this so far …): I am not a fan of any of the EHR programs currently out there. They either add too much time to each patient visit or they produce a SOAP note that would not pass an audit / records review. There is NO guarentee that Big Government is going to be mailing out $44k checks to each provider for doing something that will really not improve the heath care delivery system

Most of what you have seen are from companies marketing their products (seminars, EHR software, etc). There is NO mandatory deadline (yet) to convert to EHR and so far, I have not received confirmation from CMS that chiropractors will receive any money or incentives to convert to EHR. I do have a letter in to CMS to get an official word and will let you know. It does not make sense to me that CMS will give each chiropractor $44,000 to convert to EHRs when the CMS program is going broke. But I will let you know.

For questions about EHR, feel free to contact Dave at Dave@PMAworks.com

Dr. Brian Kelly Scheduled for a Live Teleseminar Interview

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Dr. Brian Kelly

Dr. Brian Kelly will be our guest in this months teleseminar interview on Tuesday, June 28, at 12:30 Central Time.

Dr. Kelly is the new president of Life Chiropractic College West. He is from New Zealand, where he completed his professional education and training in chiropractic at the Phillip Institute of Technology (PIT) now the Royal Melbourne Institute of Technology (RMIT), Melbourne, Australia.

After successfully owning and operating multiple clinics, Dr. Kelly became the President of the New Zealand Chiropractic college where he has served for the last eight years.

He is the second president of Life West, succeeding Dr. Gerry Clum, who retired earlier this year after 30 years as College president.

Dr. Kelly will be discussing how he sees chiropractic applied in the U.S. compared to New Zealand and Australia. From this perspective, he will also offer insight on how doctors here can improve both the quantity and the quality of their services.

Don’t miss this special seminar.

–>To Register<–

And, we should also tell you about a power packed line-up of speakers for a 2 day seminar in the San Fransisco Bay Area at Life West, August 5th and 6th.

This two-day event is all about information, motivation, and inspiration! Hear from over 35 chiropractic super stars! ‘The WAVE’ offers three tracks including a full-day chiropractic assistant program on Friday, and a day-long series of short, bold presentations on Saturday.

Purposely constructed to make you think and stir your soul, attend this event and you’ll never be the same!

Click the image below to see the full size poster for more info.  Or visit their web-site at: Life West Wave

The Wave Email Flyer 3

“Highway to Health Summer” Tour 2011 with Dr. Billy DeMoss, Founder of the Dead Chiropractor Society

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It’s summer. Time to get away… and spend the weekend getting high on chiropractic and just relaxing.

 

Join us Friday evening, August 19th, in Appleton WI as we celebrate chiropractic with Dr. Billy DeMoss, founder of the Dead Chiropractic Society and CALJAM, the yearly music festival and seminar program that is lighting up the chiropractic profession.

Billy D will rock your world with a rip roaring presentation Friday evening, August 19 at the Paper Valley Hotel in Appleton, WI.

Saturday morning there will be a special presentation for staff (and doctors) with Phyllis Frase, Internationally renown staff trainer and practice development coach.

Later, you can go for a walk to the local farmers market, catch a free concert, or just walk by the Fox River and enjoy a beautiful summer day in Wisconsin – all while inspired again about chiropractic.

The Apple Valley Hotel is a deluxe resort on the north side of Lake Winnebago in Central WI, located next to the beautiful Fox River. With many amenities, it is a great family destination as well as nice for those who just want to get away from it all.

Date, Time, Location
Friday, August 19, 7-10pm
Dr. Billy DeMoss: “Highway to Health Tour”

Saturday, August 20, 8-10am
Phyllis Frase: “How to Be A Rock Star C.A.”

Paper Valley Hotel — LINK
333 W. College Avenue, Appleton WI 54911
Hotel Reservations: 1-800-394-7046 US/Canada Toll-free
Telephone (920) 733-8000

—Hotel Information…. Special room rate of $99.00. Will be extended for the weekend if you wish.

Price of Admission – and Registration

Fees double at the door. Space limited so register now.

Dr. Billy DeMoss:
PM&A Client: $25  Per person, doctors and staff
Not an active PM&A client, just $35 – Per Person, doctors and staff

Ms. Phyllis Frase:
PM&A client – no charge  –  Just let us know who is coming by sending us an email at services@pmaworks.com or faxing us at 1-877-868-0909
 Not a PM&A client:  $25 per person

To register, click the registration form, open the file, print it, complete it and fax it back to us at: 1-877-868-0909  Registration form.

A Few May Promotions for Your Chiropractic Practice

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Mother’s Day is coming up soon (Sunday, May 8th).

This brings up the whole topic of women’s health care.

There are many types of health related events concerning women that you can participate in during this month (or any month, really) that are not only good causes, but can act to spotlight your services.

These include:

  • talks outside of the office
  • workshops in house
  • movie screenings
  • special awareness, or “Appreciation Weeks” for free health screenings
  • sponsor radio programs, interviews
  • letters to the editor
  • gifts (flowers the Friday before Mother’s Day)
  • and tape video “health tips” and post to YouTube.
  • donation drives

The list can go on and on. Some offices have had talks about pregnancy and pre and post natal care, sometimes with a midwife or nurse. One office does very well simply sending out a mailer each year to all local homeowners sponsoring a Women’s Health Care Week, offering free exam, x-ray, and massages.

Special promotions can work but they work much better if they are connected to a legitimate cause. There even is a name for this, and you guessed it, it is called “Cause Marketing.” For it to be effective, however, it has to be sincerely supported by the entire practice team. Doing a special event to support women just to get new patients will appear phony to others and can have negative effects.

One movie that has been shown is the Business of Being Born, a movie about harmful health practices connected to births in America. From its web site:

Should most births be viewed as a natural life process, or should every delivery be treated as a potentially catastrophic medical emergency?

Another example of a movie suitable for screening will be: One More Girl. This is a movie documentary how the pharmaceutical company, Merck, knowling continuted to advertise their drug Gardasil (a drug promoted to help HPV infections) to girls after Merck knew it was dangerous.

From the movie’s web site:

Merck’s marketing techniques earned Gardasil a “pharmaceutical brand of the year” award from Pharmaceutical Executive for its ‘savvy disease education,’ and creating ‘a market out of thin air.”

Even though most HPV infections clear on their own, invasive cervical cancer deaths affect 2.7 women per 100,000, and the American Cancer Society lists cervical cancer as the 12th ranking cancer in the United States, parents lined up to get their daughters protected and doctors were ready with needles in hand.

Consumers are not aware of the trail of deception behind over 21,133 adverse reactions and 94 deaths in previously healthy, athletic, competitive and scholastic adolescent girls.

(Thanks to Dr. Ebner for referring us to this movie!)

The movie producers are seeking donations to produce this film. Perhaps your office could help raise funds!

Another idea would be to have a special week just for mothers and daughters: free health screenings, tea, a spa day with manicure and massage for mothers and daughters, etc.

Our member’s site has a few posters and other ideas available to you as active clients.

Here is a poem by Tina Fey for her daughter. (mild profanity)

Best Wishes for a Merry Month of May!

Ed

Billy DeMoss, the Dead Chiropractic Society (DC-S), and a free Chiropractic

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Dr. Billy DeMoss has changed chiropractic.

He has done this by offering an alternative model to the standard chiropractic seminar.  In so doing, he has helped to bring chiropractic back to chiropractic.

We all know that there are various versions in how this great profession is presented and applied.  But there is a common denominator in the profession that makes it special and in which everyone can agree.

What is it?

The subluxation…? Well, sure, but even this is disputed.  Let’s go for something even more basic.

The fact that chiropractic truly helps people get healthier and avoid getting run down in the medical-pharmaceutical-sickness complex?  Yes. True enough.

What else makes it special that we can all agree to?

NO ONE OWNS IT. Chiropractic wasn’t bought out by a Chinese company, a multinational firm, or bailed out by the Federal Reserve or the World Bank.  Your skills are not trademarked by Eli Lilly (Pharmacy Company). You can use Activator or the knee-chest. For the most part, you are free to do whatever you want.

But there is also something else that makes chiropractic special and that we all can agree to. What is it?

Well, chiropractic, if you are doing it right, is fun. In fact, it is a blast.  Adjusting patients and seeing them get better and loving you and your team for it! What could be better?

So, let’s add it all up: chiropractic helps people get healthier, it helps them avoid costly medical procedures, it allows them to live a better life, it allows you and your staff to have a better life, it is free from outside financial interests, and, it is fun.

NOW this is cause for a party!! THIS, if anything, should be celebrated.

This is what Billy preaches, practices, and sets an example for us all.

There are many professions out there that are soulless, goalless, and hopeless. Many are also too burdened with their own seriousness. We also can fall into this “chiropractic-as-drudgery” daily work mindset.

But, this is NOT chiropractic. And, as B.J. Palmer said:

The average businessman has long since forgotten Rule No. 9, “Don’t take yourself too damn seriously.”

Dr. DeMoss practices Rule No. 9. and helps us all celebrate the work we do.

The next Cal Jam, which he calls “ kiro-Woodstock”  is scheduled for March 12th  & 13th, 2012.  You can visit his website at www.californiajam.org where you can sign up to receive his newsletter and be a part of his worldwide referral network.

AND, you can listen to him live this Tuesday, April 26, at 12:30 Central Time. (For non active clients, we are charging $25 which will be donated to Oaklahaven.)

Register Here

For the full article on Rule #9 by B.J.Palmer, and a downloadable PDF file: Rule #9


Wisconsin Chiropractic Board of Examiners Can’t Decide On What to Test Doctors On

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Dateline: March 17, 2011

Happy St. Patrick’s Day and another Wisconsin Chiropractic Board of Examiner’s meeting in Madison.

The WCEB is moving forward on their plans for a live patient, six-hour state practical exam to “improve the quality of chiropractors in the State” (or to limit the number of chiropractors in the State, depending on whom you talk to).

The Department of Regulation and Licensing (DRL) is still concerned that the exam will lack validity and that the financial aspects of administering such an exam have not been adequately confronted.  Since the exam must be “budget-neutral”, the State exam should run in the thousands of dollars for each applicant.

The public in attendance seemed frustrated, especially one DC who broke down as she has moved to Wisconsin but can’t take the board. There is still no exam scheduled for this year, but a promise that there will be one …

Just no promise on what it will be or when it will happen.

My Life And Times With B.J. Palmer – An Interview with Dr. Perrault

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In a special teleclass sponsored by Petty, Michel and Associates, Dr. Thomas Perrault will be interviewed by Dr. Tom Potisk, both graduates of the Palmer Chiropractic College.  Dr. Perrault personally knew Dr. B.J. Palmer, considered the Developer of Chiropractic, and spent time with him in the early part of Dr. Perrault’s career. (More about Dr. Palmer.)

Dr. Perrault will discuss some of his experiences with Dr. Palmer and what he learned from him.

It is safe to say that no other individual has been more responsible for the growth and continued success of the chiropractic profession than B.J. Palmer. He was a man of extra-ordinary energy and dedication to helping others with chiropractic. (More about B.J. Palmer.)

Dr. Tom Perrault, Sr., Founder of Perrault Chiropractic Offices, received a Bachelor’s degree from Northeastern University and a Doctor of Chiropractic Degree from Palmer College of Chiropractic in 1962.

He returned to his hometown of Methuen, MA to begin practice and was instrumental in the licensure of chiropractic by the Massachusetts legislature in 1966. He served twelve years on the Methuen School Committee, and continues to be active in community and civic affairs. His dedication to his profession and the community have earned him numerous awards and recognitions. He is a Fellow of the International Chiropractic Association and the Palmer Academy of Chiropractic.

Thomas Perrault Sr., D.C.

Thomas Perrault Sr., D.C.

A long-time leader of the Massachusetts Chiropractic Society, Dr. Perrault currently serves as its Executive Vice President and has been named Massachusetts Chiropractor of the Year an unprecedented four times. His activities with his professional society have kept him on the leading edge of chiropractic research and innovations in chiropractic. His primary interest remains the location and correction of the vertebral subluxation complex, which is the fundamental principal on which chiropractic practice is based. In 2004 Dr. Perrault was presented with a Lifetime Achievement Award by his profession.

It is definitely worth a listen. The class last about 50 minutes.

March 29nd- Tuesday, 12:30 CT – Teleclass (50 Minutes)

If you are an active client, you can find the phone number and access number for this live interview on your PMAmembers.com site.

If you are not an active client and want to register, please go here.

The 6th Fear

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Chiropractors:  I think it might be time for a pep talk…

Have you been keeping up with the news lately? It’s hard not to.

Egypt, Tunisia, and now Libya recently had swift moving revolutions that resulted in regime change – all in the last few months. And other Middle East countries are also rumbling with protests.

Meanwhile, back in the States, our federal government doesn’t seem to have enough money and our representatives are threatening with a government “shutdown.” And next door here, in the Middle West, Wisconsin, there are thousands of people protesting around our state capital.

That’s a LOT of commotion!

So, how’re your patients doing with all of this? Are they worried? Is their pay getting cut? Are they loosing their jobs? Do they have jobs?

And how about you? Are you staying up watching the news, reading about it, discussing it? Are you worried? How is your income?

We need to be accurately informed about current events, of course.  Unfortunately, we sometimes become so distracted that we can loose sight of what we are doing and let our businesses suffer.

A few years ago when the stock market plummeted, I received phone calls from doctors who were worried. One, who had been doing very well, was thinking about selling her office entirely. Another doctor who also had been doing well, let his practice numbers nose dive as he become mesmerized by the “news”, and was worried about racial riots and internment camps.

There is no doubt that economic conditions have been changing. But it has been our experience that if you constantly work on improving your services and in developing your business, and yourself, you will do just fine. (Good coaching helps too!)

BEST EVER
Last year, many of the offices we had the privilege work with had their best year ever. Most of them, in fact, had been in business for 15 to 25 years. I can think of 3 just off hand that have hit the “waiting list” category. They have reached near capacity with so many patients that they have to schedule new patients 1 week out. Horrible, I know, but very cool too.

DOING RIGHT
Success in this environment can be had. You can have it. You may have to change your past mode of operation, but you too can achieve it. It can be obtained by doing the right things, and doing those things right through a process of constant improvement. We call this the Practice Development Process.

BEING RIGHT
But to get what you want, you have to not only improve what you do, but improve who you are. You have to improve your outlook, your skills, and your personal habits. Success has much to do with how we view the world and what we put our attention on. As one old time doctor mentioned to me years ago, “success is an inside job.” By “inside”, he was referring to one’s thoughts and attitudes. He could talk: he and his doctors were seeing over 2,000 visits per week for years.

WORDS OF SUCCESS DURING TOUGH ECONOMIC TIMES
We have been going through what has been called the Great Recession.  Many patients are worried about their jobs and their money.

Napoleon Hill wrote “Think and Grow Rich” in 1937 during the Great Depression as a result of studying and working with successful leaders, including President Roosevelt.  It continues to be a best seller, perhaps the most popular motivational book of all time. In it he says:

“It is true that all thought has a tendency to clothe itself in its physical equivalent. … “The people of America began to think of poverty following the Wall Street crash of 1929. Slowly but surely that mass thought was crystallized into its physical equivalent which was known as a depression.”

THE 6TH FEAR
The thought that creates this depression, according to Hill, is fear. Hill talked about 6 types of fears, the worst of which is the fear of poverty. The other 5 were criticism, ill health, loss of love of someone, old age, and death.

“The Fear of Poverty is without doubt the most destructive of the 6 basic Fears.“

Hill states that one of the symptoms of fear of poverty is procrastination.

DO IT NOW
So, this is a pep talk to encourage you that there has never been a better time to grow your practice and expand your business.

Your patients need your leadership to help them with their own fears so that they can become more productive. By improving their health and educating them on the chiropractic lifestyle, their chances of succeeding in their lives increases. You and your team help them, their families and the community. You make a difference.

So, do it now. Increase your promotion. Stream line your procedures. Work on team training and improve your service. Plan your expansion for this year.  Schedule a technique class. Read more. Work out more.  Get enlivened with your purpose as a chiropractor.

New office? New doctor? Why not? People need chiropractic care now more than ever. And chiropractic has never been more popular. Even the quarterback for the winning football team of the Super Bowl gets regular chiropractic adjustments. (Naturally, since his dad is a D.C.)

Work with a practice building coach and get in the game – to win!

As Napoleon Hill says:

“Do it now! can affect every phase of your life. It can help you do the things you should do but don’t feel like doing. It can keep you from procrastinating when an unpleasant duty faces you. But it can also help you do those things that you want to do. It helps you seize those precious moments that, if lost, may never be retrieved.”

Fight the fear and the procrastination by just doing it. And soon, you too will be achieving your best ever again.

#  #  #

P.S. Napoleon Hill was a chiropractic patient.  One report has it that B.J. Palmer was his chiropractor. Both men thrived during tough economic times. Here is an interesting story about Hill and chiropractic. LINK

Old movie of Nap Hill. 7 minutes. LINK

Leadership in Chiropractic – the Golden Circle

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How do you motivate others to start and continue chiropractic care?

Simon Sinek recently wrote a book about leadership and marketing, and if I didn’t know better, he took it straight from the principles of chiropractic.

Below is a link to a lecture he gave where he describes a fundamental ingredient to effective leadership and marketing. Essentially, he is describing what you in the chiropractic world already know but in a different light.

The talk is 18 minutes, but well worth it.

I am interested to hear how you see it as an effective application of chiropractic principles and how you might to apply it.

Every Morning

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Before you start each day in your chiropractic office, you have a chance to make a decision about how you are going to take the day on.

The day won’t wait for you.  It comes at you pretty fast.  You either embrace it and impose your will and game plan upon it, or hide somewhere and pretend to be a spectator.   But even still, the day will move to night and you will have had your chance to make a difference for yourself, your patients, your practice, and your family.  You won’t be able to have that particular chance again.  It is gone.  You will get a new day, however, and new morning and a new chance to make decision about how you are going to take this new day on.

This is why the old adage, “Early to bed, early to rise, makes a man healthy wealthy and wise”  is so true.  Also, there is: “The early bird catches the worm.”

But one of my favorites follows the traditions and natural laws of nature:

Africa

“Every morning in Africa, a gazelle wakes up.  It knows it must outrun the fastest lion or it will be killed. Every morning in Africa, a lion wakes up.  It knows it must run faster than the slowest gazelle, or it will starve.  It doesn’t matter whether you’re a lion or gazelle – when the sun comes up, you’d better be running.”

Are you running yet?

(For a desk tent poster of this quote that you can download and print: Link )

Oklahaven

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With all the paid advertising hyping chiropractic management companies, there is one chiropractic organization that often gets overlooked.

Yet, more than any other chiropractic enterprise, it perhaps best typifies what you and your team are all about.

It’s name is Oklahaven.

Oklahaven is a non profit organization. It began in 1962 and was and is supported through donations. In 1979, Bobby Doscher, D.C., became its Chief Executive Officer. Dr. Doscher personally provides care as well as overlooks daily operations.

Their success stories about helping chronically ill children are moving and can serve as an inspiration to all of us in the chiropractic profession.  Here is a doctor and organization that is completely motivated by a higher purpose and dedicated to helping kids and their parents through chiropractic care.

This month, our teleseminar will be a live interview with Dr. Doscher hosted by Phyllis Frase. The interview will last about 50 minutes. And will be held on Tuesday, January 25th at 12:30 Central Time.

Because we feel so strongly about Oklahaven, we will be waving our usual fee for this seminar. Just email us at services@pmaworks.com and say that you want to register for this teleclass and we will send you the special phone number and access number.

In addition, we encourage you to consider participating in their “Have-a-Heart” campaign, February 7-14th. This is a donation program to help support Oklahaven and you can incorporate it into any special promotion you already have planned for February.

For more information about Oklahaven, you can find them here at their web site: www.chiropractic4kids.com.

Check out their in line newsletters for some great testimonials. Here is one: http://www.chiropractic4kids.com/inline/inline2009-Fall.pdf

..we’re sneaking away to do some planning…

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Like elves going to our workshop, we are off to our New Year’s planning meeting…somewhere up in the Far North (Wisconsin)…looking at what new “presents” we have in store for all of our great fans and wonderful clients for 2011…reviewing what’s working and what is new that will deliver the most benefit to the chiropractic teams we serve…and what trends we see for the new year.

Be the first to hear about what we have planned at our teleseminar on Tuesday, December 28, 12:30 C.T. Contact us for the phone number if you want to attend.

Parker Seminar in Jan with Ms. Phyllis Frase

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We wanted to let you know that Ms. Phyllis Frase will be speaking at Parker Seminars 60th Anniversary event in Las Vegas, NV.

January 13-15, 2011

Parker Seminars is the largest and most long lasting seminar program for the chiropractic profession. The early registration discount is a month away and Phyllis wanted to be sure we reminded everyone. It is a great program and we encourage everyone to attend if you can make it. Great for the staff too.

(From Parker)

Join thousands of members from the chiropractic community for an unforgettable three days of education, networking, and an exposition featuring the best in chiropractic technology.

Spread the word that Parker Seminars’ 60th anniversary series lets you:

  • Learn critical practice-building techniques.
  • Strengthen your chiropractic foundation.
  • Create a more effective, efficient office.
  • Earn valuable continuing education credits.
  • Learn from world-renowned speakers and leading experts.
  • Maximize your potential and start living your best life!
  • Be one of the first to preview and order The Well Adjusted Soul,one of this  year’s most exciting practice expansion tools. (Featuring an article, “Can You Hear Me Now?” by our very own, Dr. Tom Potisk.)

Come share the excitement and let us welcome you to our neighborhood!

Advanced registration available through December 13!

Register today! Visit www.parkerseminars.com or call 888.727.5338.

“Parker Seminars, “One voice for Chiropractic”

Health Never Takes A Holiday!

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Holidays

Holidays are a time when chiropractic patients can find many reasons not to keep to their schedules. To help you and them stick to their health program, you can pre-schedule them for the entire month of December.

We have made a couple of posters centered around:

Health Never Takes a Holiday

You can find links to these below.

When talking to your patients about their schedules, be understanding and empathetic. Hear their story. Then, be bold about your interest and concern that they maintain their care schedule through the holidays – and get them scheduled until next year.

And it is OK to use bribes.. Spicy warm apple cider gives off a very cozy smell and tastes great.. and is healthy, and free screenings/exams for patient’s holiday guests.

Links to posters:

Poster for Nov/Dec
Poster for any holiday