Manage Your Office with an All In One Solution
Office management is a paradox when it comes to healthcare. It is essential that your doctor’s office be properly managed to ensure the timely offering of healthcare services and the profitability of your enterprise. At the same time, managing your chiropractic office does not make you a better healthcare professional but it does make you more efficient and it can turn a practice that is just getting by into one that is amazingly lucrative. Using chiropractic billing software that is specifically dedicated to your healthcare niche offers your office stability and flexibility. All-In-One Solution The best all-in-one solution to the many challenges is one that is self-contained. In other words, if you have a problem and you can go to one source rather than many to solve it, it often best and easiest to go with that one source. With online chiropractic billing software from Billing Precision, doctors can remedy each and every one of their office management challenges. The all-in-one solution includes a complete online appointment book, SOAP notes that may be utilized when advising patients, reviewing and updating records and answering insurance audits and a total invoicing package designed to help your staff use its time as efficiently as possible. Total Communication One area that is especially important when it comes to making sure your office runs smoothly is the ability to communicate with all areas of your practice and on all levels. That means that the conduit of communication must be open between doctor and patient, billing and scheduling and patient and insurance companies and doctor’s office. If any of these areas has a failure to communicate, this can cost the practice money. Sometimes that failure can result in large losses when it involves no shows or insurance audits. Chiropractic billing software from Billing Precision is dedicated to ensuring that all lines of communication stay open and that the chance of miscommunication is greatly lowered by the integration of all service areas within the software. Adaptability The other area in which Billing Precision software excels is in its adaptability. Chiropractors are given a system that has a solid foundation that they can then adapt to their practice. As an example, the scheduler offers a fine platform that may be adapted as needed. Some features that make this software solution simultaneously stable and flexible include the ability to program reminders for co-pays, referrals and unpaid balances and the opportunity to schedule multiple sites and multiple providers. Plus, the scheduler from Billing Precision totally integrates patient demographics, EMR documentation and billing. Each day, practitioners may receive reports on missed appointments, canceled appointments and free time. Because the system is web-based, it is highly configurable. Making Life Easier There’s nothing like taking something complicated such as running a healthcare office and making it as simple as is possible. That is what the chiropractic billing software from Billing Precision does. The complete integration of this system makes it an important part of a healthcare provider’s practice as it allows them to perform at peak efficiency. That’s good business and it’s also good for the patients you serve. The Billing Precision software was re-branded Genesis Chiropractic Software and this is a blog on the website.
Part 3 – 3 Mistakes You Make at The ROF – Dr. Fred DiDomenico & Dr. Brian Capra
Dr. Fred DiDomenico is a master at communication. His program, Elite Coaching, focuses on teaching doctors how to use life coaching principles and apply them to chiropractic practice. In doing so his clients realize that they develop the skills to predictably help patients find a deep inspiration for achieving extraordinar health through chiropractic principles. I have first hand experience with Dr. Fred’s system and can say it works. After listening to this webinar series you will be one step closer to a more fulfilling practice and personal life. Brian Capra Founder & President, Billing Precision Dr. Fred DiDomenico: Now that person will stay, you give him a few exercises at home which we’re going to talk about next and put a curve in his neck and he gets off his blood pressure medication. My god, he’s going to with you forever. He can be so excited about his care. Now guess what kind of referrals you’re going to get. People with blood pressure problems they’re not coming in because of the back pain. They’re coming in because they’re scared of their heart problems. And that’s what we see in Elite when we teach people how to do this then, your referrals come in with organ problems and health conditions and less pain. Dr. Brian Capra: Mistake # 3 – The have to know what they are buying Dr. Fred DiDomenico: Mistake #3, they have to know what they’re buying. And this is a huge thing. When you’re to report of findings and you show them, you can show them the x-rays. But how many times have they been, to six other chiropractors, do you want to be in the seventh or do you want to be their last. And this is a thing — we’ve shown some spinal corrected techniques. Even if you’re not in CBP or Pettibon , but there are a couple of things you can do. One of the most important is a stress test. Because when your telling them “Hey, you don’t have a curve in your neck” and this represents disease according to principle of chiropractic. And its normal one represents health. Then what can we do to take them there? Now what’s the probability that another chiropractor taught him the same thing? They went and they’ve got out of pain, now they still have that problem. In fact now, there is more of the generation and so what’s going to be different about you that’s going to make them commit when they’ve never committed to a chiropractor before. How are you going to make them act or inspire them to act differently with you than what they have done before? How many patients say have come in, “My last doctor didn’t take x-rays.” Or you know, “He only recommended 12 visits and you’re recommending 30.” Or “The fee structure is different.” I mean is that a common objection. Well here’s how you get through those objections. Let’s go to the next slide. Again, spinal correction is tangible. There’s a thing called Denneroll and it can help the doctor who knows nothing about spinal correction, made predictable changes on post x-ray. So let’s show you. This is real easy, here’s a way — here’s someone comes, takes an x-ray, a denneroll is like a very dense foam role with a very specific shape in it. And what you do is you have a patient lay on that denneroll and then take an x-ray of them. So if you hit that again. There you go. Now this is a person laying on a denneroll. That black area right behind their neck, you could see how it’s very densely black. That’s the denneroll, you can kind see the shape of it. And what it does is down by the shoulders it’s got a little wave. Now that actually puts in, helps to upper thoracic curve. The upper thoracic curve is what forms the cervical curve. Now when they lay down and they lay over that denneroll then, look at the change in that structure. Now yeah, I get there’s people they’re saying, “Well that’s because we’re lying over the back of that”. And well that what my patients are going to say. Well, that’s exactly right. Now here is the benefit. Ligaments creep. You guys know that when you look that ligaments can deform according to a sustained position. So when they lay on that denneroll, you get plastic deformation, what’s that mean? The ligaments will deform and actually hold that deformity after about 20 minutes. Now begins at 10 minutes, the greatest deformity of ligaments happens between 10 and 20 minutes. So if they can lay on that denneroll for 20 minutes and they do that everyday in about three months, you’re going to stand them up and that’s what their curves going to look like. So when you look at this person that has a slightly reversed curve at top. But basically, no curve through the neck and then she lays — this was a staff member of a clinic I was coaching. And then she lays over that denneroll look at the change in that curve. Now in three months if she does that everyday, that’s what her curve is going to look like. So as long as you know where to place the denneroll and you place it in the right place. Now, how do you figure that out? Hey, wherever you want to push the neck forward basically. And you can take a couple different x-rays with different placement, what’s that Brian? Dr. Brian Capra: Yeah, I just going to laugh at that but one of the things that’s interesting with this too, it just, I don’t know if I really told you this, but I was using this for my stress x-rays but I didn’t have an x-ray unit where I could take it while they were laying down. So, I would
Part 2 – 3 Mistakes at Your Report of Findings That Are Causing Your Patients to Walk Out Your Door – Dr. Fred DiDomenico Dr. Brian Capra
Dr. Fred DiDomenico is a master at communication. His program, Elite Coaching, focuses on teaching doctors how to use life coaching principles and apply them to chiropractic practice. In doing so his clients realize that they develop the skills to predictably help patients find a deep inspiration for achieving extraordinary health through chiropractic principles. I have first hand experience with Dr. Fred’s system and can say it works. After listening to this webinar series you will be one step closer to a more fulfilling practice and personal life. Brian Capra Founder & President, Billing Precision Fred DiDomenico: That’s where we get into coaching. And I did the “three problems” for years. Buckminster Fuller said, “You never change things by fighting the existing reality.” What does that mean? By doing the same thing over and over and over again and getting the same result of wanting something different. That’s the definition of insanity. “To change something, you have to build a new model that makes the old model or the existing model obsolete.” That’s really the shift in communication and moving with the times. We’ve gone through economic changes. People in the last few years have been less willing to part with their money. It doesn’t mean they haven’t had the money, it just means they’ve been more skeptical about where they’re going to put it. So, if we got to change that model and that consulting model is now obsolete, then what’s the new model? That’s where we get into coaching. Statements equals selling. Does anybody ever feel like you’re talking someone into care? That’s the most frustrating question that equals influence. If you want to create influence and get people from back pain into posture, into spinal correction, into whatever you’re delivering, then it has to be their idea. Once it becomes their idea, then they’re far more empowered and inspired to do. In fact, they’ll pay you anything and they’ll follow the recommendations. So, how do we make it their idea? Again, I’ve already given you the clue. That’s the shift and the coaching. So, what coaching is — if you look at a coach or an athlete, if you’re an Olympic coach and you’re coaching an Olympic athlete, a coach’s responsibility is to pull all the inspiration out of that athlete. When that athlete doesn’t feel good, the coach still pushes them to train hard that day. The coach reminds him of the goal. The athlete may commence, “I want to go to the Olympics,” and the coach trains him and inspires him and keeps that goal in front of their eyes. Everybody has an emotional reason why. If you can’t find that emotional reason why, that’s why your patients are leaving. What they’re saying is, “You didn’t tell me why I should do this.” So for instance, once you go from pain into posture, you go through a coaching interview on a consultation, you have things like a woman could come in and I use this example. We are saying, “Hey, you have nerve stress on your neck,” or “Your posture on your neck is weak,” and that can cause, “Oh my God. I’m so tired all the time.” Now, you speak to their emotion, “Wow, you sound really frustrated.” And they’re going to say, “Yeah, I don’t feel like a good mom,” or “Its affecting my marriage. I come home and I’m so tired. It’s hard to keep up with the house work.” You can just kind of get a sense, Hey man, maybe they don’t have enough intimacy in their marriage. Now, whatever service you’re delivering isn’t about change in their spine. It’s not about putting a curve in their neck. It’s about helping them have a great marriage, to feel like a good mom. Now, if you can say, “Look, we can help you build your energy and metabolism,” she’ll pay you anything that you want because it’s not about a curve in her neck anymore. Now what it becomes about is she can feel like a fulfilled person and that’s life coaching. Now, one thing I did was I actually became a professional life coach. So I took life coaching communication and put that into a chiropractic consultation. I put that into a chiropractic exam and a pre-consultation. That’s what coaching is. Every person has a reason why and when you find that reason why, their inspiration is going to go to a whole new level. Then the next thing is when you get into the ROF and you’re selling somebody their X-rays. Rather than you telling them what their problem is, you’ve got to see what they know. So, when you care more about what they know rather than what you know, then you’re going to start asking questions because we all know this stuff. “Hey man, how are you going to cure my neck?” I live by a chiropractic lifestyle. I know it. The thing is what do they know. So again, when you start caring about what they know, then you’ll start to ask questions at your ROF. So you’re looking at an X-ray, “Hey, here’s normal and here is yours. What do you see?” Now, the funny thing is how many people in an ROF that you’ve shown, “Hey, you’re supposed to be curved and yours is straight,” and the patient says, “Well, isn’t it supposed to be straight?” They don’t get it. Have you run in to that before? So then when you explain what that means, “Hey, a loss of a curve, major spines collapsing, the stretch is weak, you’re posture is distorted.” There are medical studies that show loss of curve is a weakened structure. Hey, that’s engineering and leverage. And now, there’s also — when you lose a curve, it strikes the spinal chord and then it shuts down the conductivity. So you basically say, “Hey, you don’t have a curve in your
Part 1 – 3 Mistakes at Your Report of Findings That Are Causing Your Patients to Walk Out Your Door – Dr. Fred DiDomenico Dr. Brian Capra
Dr. Fred DiDomenico is a master at communication. His program, Elite Coaching, focuses on teaching doctors how to use life coaching principles and apply them to chiropractic practice. In doing so his clients realize that they develop the skills to predictably help patients find a deep inspiration for achieving extraordinary health through chiropractic principles. I have first hand experience with Dr. Fred’s system and can say it works. After listening to this webinar series you will be one step closer to a more fulfilling practice and personal life. Brian Capra Founder & President, Billing Precision Dr. Brian Capra: Hello, everyone. This is Dr. Brian Capra from Billing Precision. Today, we are lucky to have on the phone Dr. Fred DiDomenico from Elite Coaching. As you know, I love to do these webinars obviously outside of what Billing Precision offers our clients but it’s a great synergy to have experts in our field on different aspects of practice come on and give their expertise on certain topics. Dr. Fred is the owner of Elite Coaching and I’ve had actually some personal experience with his Elite Coaching system both in practice and as a part of what we do in Billing Precision. And I can actually say that Dr. Fred’s system is probably the only actual true coaching program not to bash any other coaching system out there, but it’s true coaching program. One of the things that make it such is that it focuses on communication. At the end of the day, what you wind up feeling is basically rather than having to sell your patients or in Billing Precision to sell my clients, I’m actually able to learn how to communicate better with them so that they find their own inspiration if it’s there to do by Billing Precision or become a patient in chiropractic. So first of all, Dr. Fred DiDomenico, thank you so much for being on this call and thanks for getting into this. Dr. Fred DiDomenico: Well, thank you. I think you summed up pretty well. That was one of my greatest frustrations in practice but as you know, I mean, we’re principal chiropractors and I think chiropractic is the best form of health care there is and it just got to be frustrating in practice when you’re feeling like you’re having a talk to somebody into doing something that’s going to benefit their life and they just didn’t get it or for whatever reason they have objections. And when I started applying coaching communication principles, I always thought people should be coming to us and begging us to be a patient. Yet, here we are with this great delivery, yet, we’re trying to talk people into it and that just never resonated with me, in fact it was very frustrating. And so once we came up with this coaching application, coaches help people find the inspiration within themselves and when you find them around emotional reason, people come to you asking to be your patient, and I just found that that was a lot more fulfilling. Dr. Brian Capra: Yeah, a lot less frustration, yeah. Dr. Fred DiDomenico: And a lot less work. Dr. Brian Capra: A lot less work and easier. I can tell you that’s 100% true. All right, I guess the title of today’s webinar is “The 3 Mistakes at Your Report of Findings That Are Causing Your Patients to Walk Out Your Door.” And again back to that, okay. Dr. Fred DiDomenico: Yeah. And again, what this is — the problem was I just found a correction so I could predict a clinical response and now there are people with many techniques. You can pretty much predict what response you’re going to get from a patient clinically, but I couldn’t predict whether or not a patient is committed. And what we’re going to go through today are three mistakes that people commonly make of why you don’t know why they’re walking out the door. So when you can take care of these, then your results on your ROF become much more predictable and search communication. And that’s what it says, “Communication tools that would take your practice and your purpose to a new level.” So let’s go through that. We’re getting there. Okay. Any entrepreneur, Brian, as you know, doesn’t say, “Hey, they didn’t get it.” They know their success is based on their communication. Communication is your success. So the effect of your practice is only as effective as your communication. So what we look at in chiropractic really, the strength and stability of a practice is in a patient visit average. What’s that mean? How many visits the average patient comes? So if you take your office business per week divided by your new patient, that’s your PVA. And if you have a zero to 25 PVA, that means they’re symptom-oriented. It doesn’t mean that’s your intention, you may have corrective care recommendations, whatever that corrective care program is in your office. But if they’re basically coming zero to 25, then they’re getting rid of their symptoms. That’s they’re mindset. If they’re coming 25 to 40, then they may be completing an initial corrective care but they’re not following through with maintenance. We look at the principle and philosophy of chiropractic, really it’s optimal, spine optimal health, and we want people to have a lifestyle of keeping their spine healthy. So if they are averaging 20 to 40 visits, yeah, they may have followed corrective recommendation or their first set of recommendation but they’re not following through with the lifestyle. We had people coming 60 to 90 PVA. And when we’re talking about PVA, Brian, a lot of people, they take the PVA, the average visits of the people that commit. Well, we don’t do that because what if you only have 30% of your new patients committing? Then that’s a problem, that’s the day one problem. So
