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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)


Why Weird Works in Chiropractic
Why Weird Works in Chiropractic avatar

Written by Tom Necela on June 24th, 2014

watermelon man

If you’ve ever wanted to attract more new patients, keep them longer, convert more patients to maintenance care, grow your practice independent of insurance and have fun doing it your way, this is the post for you.

To achieve all of this (and more), you’ve got one thing to work on: your weirdness.  Stated perhaps more positively, it’s your uniqueness (or lack of it) that is holding you back and is the key to your bright future.

Read More


The Chiropractic 1% Solution – Small Changes = Big Results
The Chiropractic 1% Solution – Small Changes = Big Results avatar

Written by Tom Necela on June 17th, 2014

1 percent

Ever feel overwhelmed with the number of hats you wear as the chiropractic business owner?

Most DC’s don’t have to pause long to realize that we are attempting to simultaneously be the doctor, CEO, CFO, marketing person, HR director, billing supervisor, administrative paper pusher and a handful of other related tasks which we take on as our business grows.

If we stop and think about it, we are also forced to admit that most of us have virtually no training in any of those roles.  And if we are really honest, we will also acknowledge that we are not very good at many of them.

As entrepreneurs, because we are responsible for our own paychecks, we push forward and attempt to do it all anyway.

And if we succeed in creating a decent living, we hit the next wall and realize that really don’t have the time to dedicate to these tasks and that our methods of push, push, push are not sustainable.

So, we settle back down (creating a roller-coaster effect in our practice) or we begin to burn out or worse…we give up.

A Ray of Hope

For those of you who can painfully identify with any of the above, there is hope. It is possible to conquer the chaos of your roller-coaster practice. It is possible to grow your practice and your income more efficiently and actually work smarter.

But not the way you are currently doing it.

Read More


2 Min Fix = Rapid 20-50% Boost in Chiropractic Collections
2 Min Fix = Rapid 20-50% Boost in Chiropractic Collections avatar

Written by Tom Necela on June 12th, 2014

time money

These days, many chiropractors are looking for ways to rapidly increase their collections.

Despite this, recent studies have shown that you can literally manufacture a 20% boost in collections by doing one simple thing.

And here it is:

Read More


Medicare’s Modifier 59 Modifications – What Chiropractors Need to Know!
Medicare’s Modifier 59 Modifications – What Chiropractors Need to Know! avatar

Written by Tom Necela on May 27th, 2014

confusing directions

Within the last week or so, every Medicare carrier in the country has released a clarification for the proper use of Modifier 59.

And while you think this has nothing to do with chiropractors, since Medicare only pays for the chiropractic adjustment codes (98940-42), think again…

When you acknowledge the fact that Medicare is probably the single biggest influencer on payer policies throughout the country, it makes sense to listen to what Medicare says on this issue.  And even though payers are not necessarily required to adopt Medicare’s outlook on any given coding application, they usually do.

For that reason, Chiropractors would do well to take notice of Medicare’s recent Modifier 59 update. Read More


What Chiropractors Can Learn From the Anthem BCBS Verification Scandal
What Chiropractors Can Learn From the Anthem BCBS Verification Scandal avatar

Written by Tom Necela on May 22nd, 2014

13820755_s

 

As reported in the Los Angeles Times story, Anthem BCBS was caught red-handed in basically a bold-faced lie that would surprise…well, none of us chiropractors.

So, while the actual facts of the insurance verification snafu aren’t surprising to anyone in the trenches who has had their fair share of verification “errors” there are definitely a couple of killer tips to learn from the whole mess.

Read More


3 Ways to Increase Cash Via Nutrition in Your Chiropractic Practice
3 Ways to Increase Cash Via Nutrition in Your Chiropractic Practice avatar

Written by Tom Necela on May 15th, 2014

nutrition

Today we are going to take a detour off the billing, coding, documentation & compliance roads and go directly down the path of building a better business.  In that respect, one thing that interests nearly all chiropractors is developing cash income streams  (i.e. non-insurance dependent).  And if these income streams can be automated (i.e. not totally dependent on the doctor), all the better.

Certainly, it is easy to see how nutritional programs (i.e. nutritional consulting, supplements and weight loss) would fit into the cash income strategy, but…while most chiropractors would agree that this type of income is attractive, there are several challenges most DC’s have with giving nutritional advice in their offices. Read More


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