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12 Things Chiropractors Will Have to Change in 2012 (Part 1)
12 Things Chiropractors Will Have to Change in 2012 (Part 1) avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on January 2nd, 2012

This year, there will be some major changes that will definitely need to be tracked along with some trends you definitely want to pay attention to.  Here they are… Read More


Medicare States: Mandatory 5010 Conversion Date for Chiropractors Remains, Fines Delayed
Medicare States: Mandatory 5010 Conversion Date for Chiropractors Remains, Fines Delayed avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on November 21st, 2011

On November 17, 2011, the CMS (Medicare) Office of E-Health Standards and Services (OESS) announced that it will not enforce compliance with the HIPAA 5010 transaction set until March 31, 2012.

Before you get too giddy about the prospect of your office not having to undergo conversion to the 5010 Format for Electronic Claims submission – think again.  Read More


Using Your EMR or Billing Software to Stimulate Chiropractic Practice Growth
Using Your EMR or Billing Software to Stimulate Chiropractic Practice Growth avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on November 9th, 2011

Undoubtedly you have seen plenty of advertisements and received numerous solicitations from Chiropractic EMR, Billing and Practice Management Software vendors. Their pitches to simplify your life, make your practice more efficient, earn you $44,000 in stimulus funds and do everything this side of massaging your tootsies are hard to escape.

One potential use for software stands out as massive untapped and seldom mentioned resource for your chiropractic business: the ability to extract meaningful data about your patients and practice.

5 Ways You Should Be Using Your Software or EMR Read More


How to Avoid Chiropractic “System Failures”
How to Avoid Chiropractic “System Failures” avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on October 26th, 2011

I had some interesting responses to my last post where my main point was that most chiropractic practices need systems to propel them forward to the next level and to overcome the obstacle of being “stuck” in practice.

Most readers admitted to being guilty as charged for their lack of systems.  Several wondered if I had a good system for detecting psycho employees (If I did, that invention would land me the Nobel Peace Prize for single best resource to lower world blood pressure. But alas, no I don’t.) Read More


Un-Stuck-ify Your Chiropractic Practice: Rising to the “Next Level”
Un-Stuck-ify Your Chiropractic Practice: Rising to the “Next Level” avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on October 19th, 2011

Let’s talk plans, protocols, systems and solutions to “un-stuck-ify” your chiropractic practice. In other words, how do you get to that mythical “next level” that is just past the point of where you repeatedly bang your head on the same problems that seem to perennially evade decent solutions and defy concrete systems? Read More


Boost Your 4th Quarter Chiropractic Revenues NOW!
Boost Your 4th Quarter Chiropractic Revenues NOW! avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on October 5th, 2011

The fourth quarter has just begun and before you know it, the challenges of keeping a full schedule around Thanksgiving and Christmas holidays will be here. Instead of looking toward the end of the year and a potentially sluggish schedule with dread, be proactive and make this the best end of your year ever.  Today, I will talk about one of the easiest ways to drag in “unclaimed money” that can help you boost 4th Quarter profits, boost referrals AND endear you to your patients simultaneously. Interested? Read on! Read More


Chiropractic Compliance on the Web: How DC’s Can Avoid Internet Trouble
Chiropractic Compliance on the Web: How DC’s Can Avoid Internet Trouble avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on September 22nd, 2011

We’ve all heard what a powerful marketing tool the internet can be for our chiropractic practices. I agree that chiropractors should be using the internet as one of their chiropractic marketing tools. Whether or not most chiropractors are doing so effectively is another discussion for another time.

For today, I’d like to talk about the dangers of the internet and how to protecting yourself from trouble.  Apart from obvious things such as identity theft, credit card fraud and phising scams, there are virtual bombs awaiting you on the internet that you may not have considered but would do well to avoid.  Here are a few: Read More


Want More Chiropractic New Patient Referrals? Forget the MD (Sort of)
Want More Chiropractic New Patient Referrals? Forget the MD (Sort of) avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on September 1st, 2011





Most chiropractors welcome new patients and understand that the best new patients are often referrals.  The real cream of the crop, therefore, are patient referrals from Medical Doctors, Attorneys or other professionals your patients already view as “experts.”

We value these patients who are already convinced of our credibility (as with other referrals) but even more so due to the fact that their medical doctor sent them.  Plus, the potential leverage with MD referrals is much greater than the average patient referring in another patient.  Sure, most people have more than a handful of friends they can refer in; but an MD may be sitting in his/her office all day long seeing patients for musculoskeletal problems for which they can offer little help.  Statistically speaking, back pain is the #2 reason for a doctor visit, so that’s a lot of potential referrals from one good MD.

OK, so you get the point.  MD referrals are grand.  Cultivate them.  Now here’s the interesting twist on this scenario.  Medical Doctors – with an actual MD degree – may not be the best choice for inter-professional marketing.

Check out the latest stats below: Read More


The Sudden Rise in Medicare Documentation Requests & Denials for Chiropractic Claims
The Sudden Rise in Medicare Documentation Requests & Denials for Chiropractic Claims avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on August 17th, 2011


The emails have been pouring in, my phone ringing constantly.

So many, MANY chiropractors want to know the same thing:

“Why the sudden increase in Medicare denials?”

“What happened? This past week we got flooded with 67 requests for documentation!”

“Are we doing something wrong? We received over 50 requests for detailed notes in one batch!”

Read More


Myths & Common Bonds of Success: Chiropractic Lessons From the Road
Myths & Common Bonds of Success: Chiropractic Lessons From the Road avatar

Written by Tom Necela, DC, CPC, CPMA, CCP-P on August 4th, 2011



I’m just wrapping up a 6 week, 8000 mile tour (literally via planes, trains and automobiles) of the USA for client office visits.

Instead of the usual hardcore billing, coding, documentation, compliance fare, here are some of the insights I’ve gleaned along the way to help you better your business. Read More


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