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Why Medicare Thinks 79.5% of Chiropractic Treatment Plans are Bad
Why Medicare Thinks 79.5% of Chiropractic Treatment Plans are Bad avatar

Written by Tom Necela on September 11th, 2014

auditor documents

According to the results of a dismal third quarter report by Railroad Medicare (administered by Palmetto GBA), chiropractors will continue to be audited through the 4th Quarter of 2014 due to a high error rate.  Palmetto’s latest audit investigation revealed that 79.5% of chiropractic claims were submitted incorrectly and therefore, did not merit any payment.

Although Palmetto’s findings were spread over several categories, their analysis pointed out some specific problems with chiropractors’ treatment plans that could be causing some significant trouble. Read More


The $300K Opportunity Your Chiropractic Practice is STILL Missing!
The $300K Opportunity Your Chiropractic Practice is STILL Missing! avatar

Written by Tom Necela on September 4th, 2014

Amazingly, I am still approached by chiropractors who ask if I think that massage is a viable profit center for chiropractors, or if it works well with chiropractic.

These DC’s apparedntly missed the fact that I have sold copies of my Build a $300,000 Massage Practice in Your Chiropractic Clinic program to chiropractors in every U.S. state and 23 countries and have recommended massage countless times.

So, obviously, my answer was “yes.” But I thought it would be good to objectively examine (again) the stats surrounding massage, what makes it work and what common obstacles cause it to stumble in our chiropractic offices.

Here are some relevant facts about massage and why you should NOT miss out on its 6 figure potential for your office: Read More


Why Business Growth Should NOT Be Your #1 Goal
Why Business Growth Should NOT Be Your #1 Goal avatar

Written by Tom Necela on August 25th, 2014

profit start

Countless financial gurus, business advice columnists, financial planners and authors of hundreds of business related books are quick to point out the mantra “pay yourself first.”

If you’ve been around for any period of time you’ve had lean times in your chiropractic business. You might even have had times where you couldn’t afford to pay the bills and had to stop paying yourself, violating this oft-repeated rule.

But once a business gets moving and is able to make payroll, they quickly forget about the “pay yourself first” advice and move into a move focused on growth.  Flush with victory past the survival stage, the chiropractor is now hell bent on growing the business.

This is where the next critical business focal point in.  It’s even more important than paying yourself first because if it’s adhered to, paying yourself won’t be a problem. Unfortunately, it’s ignored even MORE than the pay yourself first rule. Read More


Setting Chiropractic Fees For Maximum Profitability (Part 2)
Setting Chiropractic Fees For Maximum Profitability (Part 2) avatar

Written by Tom Necela on August 19th, 2014

happy woman chiropractic fees

In Part 1, we discussed how NOT to set your fees.  As we mentioned, most chiropractors admittedly have no strategic process or logical reasoning in how they arrive at their fee schedules.  And we perhaps painfully commented on the not-so-wonderful ways that chiropractors typically set their fees.

Now, let’s turn that around and discuss three strategic tools to improve the process of setting your fees with the target of boosting your bottom line. Read More


Setting Chiropractic Fees For Maximum Profitability (Part 1)
Setting Chiropractic Fees For Maximum Profitability (Part 1) avatar

Written by Tom Necela on August 11th, 2014

sad women piggy bank

When most chiropractors candidly discuss their “process” for setting fees, they are forced to reluctantly admit that they truly have none.

In fact, after years of working with my private consulting clients and having numerous discussions with my seminar attendees on the subject of fees, I’ve come to conclude there are three main methods of chiropractic fee setting utilized by 80% of the profession: Read More


ICD-10 Date Finally Set for Chiropractors in 2015
ICD-10 Date Finally Set for Chiropractors in 2015 avatar

Written by Tom Necela on July 31st, 2014

october 1

After much anticipation, delay and then darkness, the ICD-10 date has finally been set.

Chiropractors will need to utilize the new ICD-10 chiropractic codes starting October 1, 2015.

The “final rule” was issued today from the Dept of Health & Human Services.

WHAT TO DO NEXT

Ok so chiropractors have a little more than one year to get prepared.

We’ve got two ways to get you there:

ICD-10 Implementation Training for Chiropractors  (click link for more info and to register) — our online course covers what you need to know to get your chiropractic practice ready for the big change (for doctors and staff)

Chiropractic Audit Armor (click link for more info and to register) – our online compliance training program covers what you need to get your office compliant in the areas of HIPAA, Fee Compliance, documentation compliance AND it includes our online ICD-10 training course!

Either way, you need to be prepared to succeed or prepared for a lot of trouble if you are not ready for ICD-10!


Payers Posing as Patients (& Other Audit Tricks) Still Threatening Chiropractors
Payers Posing as Patients (& Other Audit Tricks) Still Threatening Chiropractors avatar

Written by Tom Necela on July 24th, 2014

thief phone

Last year, I wrote several posts about the rise in several specific audit threats to your chiropractic business and bottom line. (see also “Chiropractic Compliance Bombs You Don’t Want to Explode”)

Unfortunately,  from the number of concerned emails and whispers I get at seminars, payers haven’t given up on using these dangerous tactics.  If anything, they have seemingly increased.

What exactly are these new fangled threats?  Certainly, it appears like auditors have a bottomless toolbox of tricks, but in this article, we will discuss three that are particularly dangerous and increasingly more common: Read More


1 Word Nearly Doubles Chiropractic Practice in 2 Years
1 Word Nearly Doubles Chiropractic Practice in 2 Years avatar

Written by Tom Necela on July 14th, 2014

today is the day

Because of my “work smarter, not harder” tagline, I get a lot of requests from chiropractors looking for the “magic bullet.”  Essentially, they want to know how they can significantly grow their practice with one simple tweak.  Over the past couple years, I have observed a transformation in a number of practices that is just about as close to the magic bullet as I have ever seen.

The results:  2 years after a 1 Tweak paradigm shift was made, one practice went from $450,000 per year to $800,000 per year. Another, created an even bigger jump than that going from a solo doc clinic to 4 very busy DC’s and an exponential income increase. And plenty more have seen similar positive changes with respect to income, volume, visits and nearly every metric that is measurable.

Here’s the coolest part:  the tweak can certainly be made in your practice – it’s literally 1 word.  Regardless of your technique, and I have had the privilege of seeing its massive effectiveness reproduced many times over among my coaching clients! Read More


Why Weird Works in Chiropractic – Attracting More NPs (Part 2)
Why Weird Works in Chiropractic – Attracting More NPs (Part 2) avatar

Written by Tom Necela on July 7th, 2014

watermelon man2

In Part 1, we discussed how to attract more new patients by being what we called “weird” – as in positively unique (as opposed to just plain creepy).

In this article, I’d like to help you promote and position your weirdness so that you can increase the value in your community for what you do.

I teach my coaching clients, that there’s a 4 step framework to attracting the best quality and highest quantity new patients to your unique brand of chiropractic.  The coolest thing about this framework is that once you applied it correctly, it gives you the freedom to be you, as opposed to being a cookie cutter copy of what some practice management firm thinks you ought to be.  In other words, your weirdness is built in! Read More


Elevate Your Chiropractic Practice ONLINE Workshop!
Elevate Your Chiropractic Practice ONLINE Workshop! avatar

Written by Tom Necela on June 30th, 2014

airplane mtns

Join us for the Elevate Your Chiropractic Practice ONLINE Workshop!  Escape Roller Coaster Income Swings, Bulletproof Your Business & Join the Top 10% of Chiropractors Who Work SMARTER, Not Harder!  (Click link above to register)


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