Do you realize that you are currently tapping only 20% of your practice’s potential? For the vast majority of chiropractic practices, it’s true. Here’s a simple reason why: 80% of your patients are inactive or moving towards inactive status. In other words, in most practices, the number of patients under active care only represents a small fraction of the total patients they have on their books.
Don’t believe me? Do the math yourself and see how bad it is. Let’s say you see 100 patients a week. Chances are you have way more than 500 patients that are not coming in — there’s the 80%! (Truth be told, you probably didn’t even see 100 totally unique patients this week. You probably saw half that or less because some patients came in multiple times).
So…where are these patients?
Gone. Missing. Uncared for. Uneducated about chiropractic. A few maybe moved away. And probably some have moved on from this life.
Bottom line. None of them are in your office — but they could be! Read More
Yes, it’s official. If you have been getting progressively more frustrated with Medicare this year, this is your one chance to make a small change that may help ease some of the pain. every November, I get hundreds of emails all asking the same questions with slight variations.
As you may or may not realize, during the last six weeks of each calendar year you have your one and only chance to change your provider status in Medicare.
That is – you can switch from PAR to Non-PAR.
What’s The Big Difference Between Par vs Non Par? Read More
The emails are coming in more furiously from chiropractors around the country who appear to be worried sick over Obamacare. While a significant portion of the battle is political and will not be a discussion in this article, as a chiropractic business owner, there are definitely things you can do now to insulate yourself against what may be coming our way – especially since it remains to be seen exactly how Obamacare will specifically affect chiropractors.
Depending on your practice, you may need to consider all or some of these items. But I can’t think of a single chiropractic business that can ignore all of them and survive. Read More
We all love movies where the underdog wins. Stories like Rocky, Rudy, Jerry McGuire, The Shawshank Redemption and The Fugitive warm our hearts and/or keep us on our seats rooting for the unlikely hero. In real life, and in business, underdogs win too. But unlike Hollywood, they rarely win by going toe to toe against the big guys. Instead, they reinvent the game and change the rules in their favor.
While it’s no secret that chiropractors are the little guys in the big world of healthcare, perhaps it’s time to consider playing the game a little differently so we can win. Let’s look at a few success stories to figure out how… Read More
Many docs email and ask me whether they should get an EMR system or which chiropractic EMR system they should get . And, of course, the savvy decision makers (or those aflficted with analysis paralysis, ask — why or why not?
(Actually, to be technically accurate, the docs may use the term “chiropractic EHR system” – which is essentially means the same thing as EMR except that the letters E-H-R drive my autocorrect spell checker nuts and forcibly correct the word to refer to the feminine pronoun, HER. So I typically prefer to say EMR because it is easier on my typing abilities, but I digress…)
Put plainly, the answer to the question is not so simple. So I’ve come up with 10 reasons you should get a chiropractic EMR system (or a different one) and 5 reasons you should not: Read More
Truthfully, most chiropractic billing experts would agree it’s a bit sneaky.
But it is technically “by the books” so you can’t fault payers like Medicare or other commercial payers for going to their auditing “ace in the hole” when necessary.
When I first read of payers using this audit trap, I admit that I thought that it was a blatant scare tactic to make providers unduly nervous or perhaps somehow reinforce the push to electronic health records.
Unfortunately, a little more than one year after Medicare released yet another warning in August 2012, the reality has come true. And other payers are using the same strategy to ensure that you are hard pressed to defend the right to each and every penny they demand back in a post-payment audit.
In fact, I’ve seen this tactic used by four different payers just in the last month of attempting to defend some chiropractors who have been hit with an audit. Read More
The denial is plain in black and white, but you still don’t understand it. The payer states that the service is denied (or that you must pay it back) because your documentation lacks “objectively measurable” goals.
You are befuddled. To you, the patient’s progress can easily be seen. And you documented that. So what exactly are these “objective measures” that you should be including to show the payer what is obvious to you?! Read More
A lot has been spoken about Medicare incentives in connection with demonstrating meaningful use via your EMR program. Understandably, many chiropractors are growing tired of the nearly endless assault of stimulus ads by software companies touting how much money you can potentially earn back by using their certified program.
This is not to say these ads are untrue. Meaningful use incentives are the real deal. In fact, real “live” chiropractors have obtained them and will continue to do so.But today, I’d like to focus your attention on the other side of the issue. Read More
In Part 1 of this article, we discussed the fact that most chiropractor are looking (or should be) to increase their cash-based, non-insurance dependent portion of their practice. We looked at two rapidly growing cash-based trends that may definitely apply well in the chiropractic setting: (1) the mindfulness massage and (2) the various “spin-offs” of the mindfulness concept (in terms of rehab, nutrition, weight loss, etc).
In today’s article, we will discuss two more concepts that you can use to bolster the cash-based portion of your practice, to build your business and/or at the least, expand your mind in that direction. Here they are: Read More
With dwindling payer reimbursements that have been on the steady decline for years, more chiropractors are looking to non-insurance based or hybrid (could be insurance or cash) income streams.
No offense to old steadies (or the manufacturers) of “wonder-gel”, “perfecto-pillow” or “vivacious vitamins” (or other similar products), but many DC’s are looking for new and innovative ways to add more revenue and less paperwork to their mix – not the same old products that they couldn’t sell yesterday. If that fits you, here are a few rapidly growing trends you should consider: Read More