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BUILDINGBETTERPRACTICES ADVERTISEMENT BUILDINGBETTERPRACTICES Call to Action Marketing strategies to help you find and keep patients. PRACTICE CENTRAL Bulletproof documentation MONEY MATTERS Avoiding audits PLUS Patient Education Buyers Guide ISSUE #5: MARCH 3 0 , 2 0 1 5 CHIROECO.COM VOLUME 61, ISSUE 5 CLINICALCONCERNS PERSONALGROWTH 19 Bridging the gap 51 Working the room Kinesiology tape can extend A dynamic presence is yours to have, the care you provide. if you follow these guidelines. BY DANA MACKISON, DC BY TIMOTHY J. GAY, DC RESEARCH RESULTS MARKETINGMATTERS 25 Mobility or stability? 55 5 steps to marketing magic Using the joint-by-joint approach Power up your efforts with can help you determine the proper relationship-based marketing. therapeutic objective. BY KELLEY PENDLETON, DC BY EDWARD LE CARA, DC, PHD MONEYMANAGEMENT PRACTICECENTRAL 61 A taxing affair 31 If you don’t build it, Proactive measures can quell THINKSTOCK they will come. your fears of an IRS audit. Commit to airtight documentation BY MARK E. BATTERSBY 42 Call to action or risk the future of your practice. The right combination of BY KATHY MILLS CHANG, MSC-P today’s technologies and traditional methods of 34 Sweat the small stuff marketing will help you How to assemble a top-notch staff find patients and keep through scrupulous hiring. them coming back. BY MONICA WOFFORD, CSP By Karen Appold INEVERYISSUE 12 Editor’s Note 14 News Flash 66 StudentDC.com 68 Ad Index 69 Datebook BUYERS GUIDE 70 Product Showcase 58 Patient Education 71 Marketplace 72 Classifieds Chiropractic Economics (ISSN 1087-1985) (USPS 019-178) is published monthly except semi-monthly (twice a month) in January, February, April, May, June, August, September, and October; 20 issues annually. Address: Chiropractic Economics Inc., 5150 Palm Valley Road Suite 103 Ponte Vedra Beach, FL 32082. Phone: 904-285-6020; Fax: 904-285-9944. Website: www.chiroeco.com. (A Florida Corporation) Postmaster: Please send form #3579 to Chiropractic Economics, PO Box 3521, Northbrook, IL 60065-9955. Periodicals class postage paid at Ponte Vedra, Florida and at additional mailing offices. GST #131868416. Subscription Rates: U.S. and possessions, $39.95 one year, Canadian subscribers add $35 per year shipping and handling; overseas subscribers add $60 per year shipping and handling. Students, $19.95, Single copy, $4. Statement: While encouraging the free expression of opinion by contributors to this publication, Chiropractic Economics and members of its staff do not necessarily agree with/or endorse the statements made in the advertisements or contributed articles. Chiropractic Economics is owned by Chiropractic Economics, Inc. a Florida Corporation, Joseph D. Doyle, President and CEO and Daniel Sosnoski, Editor. Authorization for the use of photographs and/or illustrations is the responsibility of the author(s). All materials submitted for publication shall remain the property of this magazine until published. Change of Address: Six to eight weeks prior to moving, please clip the mailing label from the most recent issue and send it along with your new address (including zip code) to the Chiropractic Economics circulation Department, PO Box 3521, Northbrook, IL 60065-9955. For a faster change, go to www.ChiroEco.com and click on “Customer Service.” 8 CHIROPRACTICECONOMICS• MARCH 30, 2015 CHIROECO.COM THEMOSTCOMPREHENSIVEWEBSITEFORTHECHIROPRACTICPROFESSION What’s New Online Plus Resource Centers More From The Web Expert Insights Chiropractic Table Learn about helping patients who Blogs by Anthony Lombardi, Mark ChiroEco.com/hill present with hallux valgus, better Sanna, Drew Stevens, Josh Wagner, Kelly 3 major benefits of chiropractic care known as bunions, at Robbins, Perry Chinn, Shawne Duperon, ChiroEco.com/hvtreat. and the Chiropractic Economics editorial Nonsurgical spinal decompression for staff. Here’s what’s new: lower back pain Important differences between chiropractic and physical therapy. Results to Referrals Nutritional Supplements Read more at ChiroEco.com/chirovspt. How performance care ChiroEco.com/deeceelabs translates results to referrals The Tuesday Webinar Series Anthony J. Lombardi, DC Top antioxidants to help minimize ChiroEco.com/lombardi free-radical damage Chiropractic Economics webinars are 3 key supplements to help reach your always available to download and view Practice Management weight-loss goals at your convenience. Mythbuster Our latest webinar, “5 Most Dangerous My epiphany Laser Therapy Josh Wagner, DC Things in Financial, Discounting and ChiroEco.com/sigma Collection Policies and How to Avoid ChiroEco.com/wagner Them!” presented by Ray Foxworth, DC, Laser treatment for varicose veins is now online and ready for viewing. Fearless Chiro Suffering from tendonitis? Find relief Chiropractic gets results Protect your practice from penalties. Perry Chinn, DC with low level laser therapy Download any of our webinars at ChiroEco.com/chinn ChiroEco.com/webinar. Resource Guide and Directory Our patient retention resource guide Social Media Shout-Outs and directory is now available online at ChiroEco.com/directory. Neat Tweets Facebook Favorites Follow us on Twitter at Like us on Facebook at ChiroEco.com/twitter. ChiroEco.com/facebook. Job Board Visit ChiroEco.com/jobboard for Cultivate | @CultivateOnSite Our most shared story: employment opportunity listings for: @drbmuth shares his insight with Instrument-assisted chiropractic care @ChiroEcoMag about the benefits may be just what is needed to thaw Associates for your practice & your career as a out frozen shoulders. Billing #chiropractor. bit.ly/1w2VeQd Chiropractic Assistants Doctors of Chiropractic PalmerCollege | @palmercollege Faculty @ChiroEcoMag explains the Front Office/Reception/Scheduling difference between chiropractic and Independent Contractors physical therapy ow.ly/Jom0W Marketing WSCA | @Chiro_WSCA Massage Therapists MT @ChiroEcoMag: Overpronation Multidisciplinary Practice Opportunities vs. supination: What they mean and Office Management why they matter >> buff.ly/1DEC35j Temporary Positions #Chiropractics ...and More 10 CHIROPRACTICECONOMICS• MARCH 30, 2015 CHIROECO.COM EDITOR’SNOTE On your side The evidence is in your favor—again. VolUME 61, NUMBER 5 NEW STUDY, PUBLISHED IN THE MEDLINE-INDEXED EDItoR-IN-ChIEF Daniel Sosnoski Journal of Manipulative and Physiological [email protected] ATherapeutics, offers more support for the safety of ASSoCIAtE EDItoR Caroline Feeney chiropractic. This was a retrospective cohort analysis of [email protected] more than 1.1 million Medicare patients aged 66 to 99 years, DIGItAl EDItoR Emily Roland and subjects were divided between those visiting a [email protected] chiropractor or a primary care physician. ARt DIRECtoR Christine Wojton The researchers wanted to gauge the risk of vertebrobasilar [email protected] stroke (VBS) and any stroke occurring primarily within GRAPhIC DESIGNER Kelley lucas seven to 30 days after an office visit. Of course [email protected] you are familiar with this subject, because every WEBMAStER Nick louckes now and then an article appears that suggests a [email protected] correlation between chiropractic cervical ACCoUNtANt Brenda Murphy adjustments and the occurrence of strokes. [email protected] In this study, it was found that after one week, the risk of stroke was actually lower among patients who saw a chiropractor compared to NAtIoNAl ACCoUNt Jeff Pruitt Let me know what’s ExECUtIVES 904-567-1542 on your mind: those visiting a primary care doctor (1.2 per [email protected] 904-567-1539 1,000 versus 1.4 per 1,000). While there was a Janice Ruddiman long Fax: 904-285-9944 somewhat higher risk found for the chiropractic [email protected] 904-567-1541 cohort at 30 days (5.1 per 1,000 versus 2.8 per [email protected] 1,000), the annual risk of stroke across the U.S. population Susan Nevins annually is approximately 0.3 percent. 904-567-1554 Thus the National Institutes of Health and the National [email protected] Center for Complementary and Integrative Health noted that ADMINIStRAtIVE AND lorie J. McKown the slight differences in outcomes between the cohorts under SAlES CooRINAtoR 904-567-1545 [email protected] examination were statistically insignificant. Furthermore, it is probable that the chiropractic demographic is more likely BUSINESS & EDItoRIAl oFFICES to contain members at risk of VBS. 5150 Palm Valley Rd., Ste. 103 A Chiropractic Economics reader recalls the last time a Ponte Vedra Beach, Fl 32082 local news crew appeared on his doorstep, seeking comment Phone: 904-285-6020 about chiropractic and stroke risk. “I told them how much I Fax: 904-285-9944 pay in malpractice insurance,” he said. The reporters turned chiroeco.com off the cameras and left at once. FoUNDED 1954 You see the excellent outcomes of your care in practice, William l. luckey and helen C. luckey and you know your treatments are safe and efficacious. It’s good to know the science is on your side, too. To your success, BPA Worldwide Chiropractic Economics’ Daniel Sosnoski, editor-in-chief subscriptions are now audited by BPA Worldwide, the most dominant global media auditing company for B2B publications in the world. BPA certifies that Chiropractic Economics has the highest number of requested readers in the profession. More doctors of Reference chiropractic choose to read Chiropractic Economics Whedon JM, Song Y, Mackenzie TA, et al. Risk of stroke after chiropractic than any other BPA-audited publication serving spinal manipulation in Medicare