Tag Archives: Chiropractic Management

Market medium and market domination position

How To Improve Your Marketing NOW!

How to Improve Your Marketing NOW!

Too many doctors are forgetting that the web gives them access to millions/billions of potential patients. These 5 tips will help your on-line presence.

1. Determine Your Goals-Making more money is NOT A GOAL!! Making an extra $225,000 by December 1, 2016 by making 30 follow-up phone calls/day and creating 31 newsletters a week is a goal.

2. Stop throwing crap up against the wall. That is not marketing that is throwing crap against the wall. You must become strategic. Learn the buying funnel. Learn how to market via mathematical equations that will give you a higher probability. Learn how to create and use a UVP (unique value proposition)

3. Develop a clear Strategy-All of your marketing campaigns should be tied together in a cohesive package. Each should promote you, your service and cross-refer to each other. This helps you lower your cost and make more money.

4. You had better start thinking waaaayyyy out of the box! This economy is brutal. I’m not making this stuff up. Look at the world. Deductibles $5000; Co-payments $75.00. Audit Witch hunts where you have to return 1000’s to 100,000’s of YOUR HARD-EARNED money. These facts are what makes this economy brutal. The “old days” of tactical-based marketing are over. Our clients are killing it with legal, ethical, integrity-based and highly EFFECTIVE outside the box marketing and you can too!

5. Test Your campaigns. Just don’t throw stuff out there and hope and pray. Test, test, test! To test you must set up tracking. You must know your ideal patient. You must know the motivators and influencer’s for your ideal patient.

By this time you are probably wondering how I know with 100% certainty that these tips will bring you more quality new patients. The reason I know is every single day I get a call, email or text from an existing client telling me that they had a record day in office visits. Or, they had a record week in collections. Or, they had a record month across the board! Please don’t take my word for it. Click here and find out for yourself how I can help you grow your practice ethically, legally and with integrity; get more free time and have fun again. The consultation is free. We have payment plans that will allow virtually EVERYBODY AND ANYBODY the ability to afford my services. Get to the next level and beyond. Stop wishing, praying and hoping and take the meaningful step that will get you to where you want to be. Also take advantage of some amazing incentives that will be expiring shortly.

Debt the Killer of Dreams

It does not matter if you are a new practitioner just starting your career, or if you are a veteran practitioner in practice for thirty years. If you rack up debt without a clear repayment plan you are asking for financial disaster.

This article will teach you what you need to know about debt, how to use it wisely and how to avoid its alluring pitfalls.  Debt, according to Webster’s Dictionary is an amount of money that you owe to a person, bank, company, etc.

If you can live by the rule never borrow money you will certainly be well on your way to achieving financial freedom. However it is to be noted that if you want to get a Chiropractic education, purchase or open a practice, or, buy a home the likelihood of avoiding debt altogether is probably impossible; unless you have an uncle named Donald Trump.

There are two kinds of debt. Good debt and bad debt. Good debt by definitiont is an investment that will grow in value or generate long-term income. Taking out a loan to pay for a college education is the perfect example of good debt. Taking a mortgage that will buy a rental property that will give a positive cash flow is another example of good debt. Let’s make it even easier, good debt is borrowing money which will enable you to earn more money.

Bad debt by definition is debt incurred to purchase things that quickly lose their value and do not generate long-term income. Bad debt is also debt that carries a high interest rate, like credit card debt. The general rule to avoid bad debt is: If you can’t afford it and you don’t need it, don’t buy it. Examples of bad debt would be taking out a loan to buy a fancy car when a lower end model will get you from point A to point B just as well. Another example would be using student loan money to take a vacation or to buy fancy clothes. Let’s make the definition of bad debt easier; bad debt is borrowing money that will allow you to purchase goods or services that will not earn you more money but will lose their value. A car will depreciate and be worth less; a vacation while nice, will become a memory but the payments could live on for many years afterward.

Now that you understand the definitions of debt, let’s take a look at some strategic approaches of managing debt.

  • Please be advised that student loans are one of the riskiest types of debt that you can incur. Why? Student loans cannot be discharged in a bankruptcy. Student loan debt can and will follow you all the days of your life to the tune that they can garnish your social security check if they need to for repayment. Knowing that student loan debt comes with some serious risks means that you must use this type of debt VERY WISELY. Talk to a financial planner, accountants and others in the know for advice. This article is not intended to give you financial advice but rather give you information to take back to your financial advisers to see if they make sense for you. Please do not utilize any advice before you have your financial advisers evaluate it.
  • Understand that when you get out of school you can incur anywhere from $200,000 and up in debt. That number scares me too, however with proper planning it is not insurmountable.  Some ideas to discuss with your financial advisers would be:
  • Having a family member or friend fund your education
  • Using home equity lines of credit in place of student loans
  • Taking the minimum amount of student loans
  • Do not defer payment of your student loans any later than you absolutely need to. Remember that your loans are accruing interest. You want to pay them down as quickly as possible.
  1. Be willing to live very small when you first graduate. Eat at home instead of going to restaurants. Drive an inexpensive car or take public transportation whenever possible. The little things do add up. Get a notebook and write down where every nickel is spent. You will be surprised how much waste is in your daily routine. Then create a budget and STICK TO IT. Determine what income you will have against your expenses. Any overage should go into a special fund that is segregated from your checking account. It is called your emergency or cash on hand fund. This fund should be built up over time to equal at least one year’s living expenses.
  2. AVOID CREDIT CARD DEBT AT ALL COSTS. Paying interest charges of 19-25% is a sure way of creating financial ruin. I am serious when I say ride a bicycle or walk if you do not have gas money. Eat at a friend’s house or go to a shelter if you don’t have money for food. In no way should you deficit spend (spending money that you expect to earn or get in the future) on a credit card. The rule that I live by and that I have taught my family and clients is this: Unless you have the money in your checking account and plan on paying your credit card purchase in full at the end of the month do not use your card.
  3. Live below your means. Chiropractors have the ability to earn massive amounts of money. It is very easy to carve out a rich lifestyle of fancy cars, houses, etc. I am very much in favor of living an awesome lifestyle provided that you are not deficit spending. Deficit spending is using credit to obtain good and services with the intention that the money will be collected in the near future. This one fatal tactic has caused many once successful chiropractors to go bankrupt. The problem is if the money does not get collected you have got a BIG problem. If you learn nothing from this article learn DO NOT DEFICIT SPEND!
  4. Get professional help. Hire an accountant, attorney, coach, insurance agent and compliance company. Every professional listed has a unique and needed function. Do not forego obtaining help in any of those categories. Choose the right professionals by asking others who are successful for recommendations. Then make sure that you do a proper due-diligence and conduct a proper interview. If you do not resonate with the professional MOVE ON. The same goes if you feel pressured or if you feel that the professional does not have the proper plan for you, MOVE ON and keep searching for the right team.
  1. Establish Retirement Funds. The sure way to beat debt is to accumulate wealth. The sure way to wealth accumulation is establishing a retirement account and funding it to the max every year. Speak to your advisers about what the best type of account for you would be.

Your financial future is in your hands. The government will not be there to take care of you in retirement. If this article scares you, then I hope it scares you straight; straight into the land of knowledge. If you follow these tenets you will have a long profitable career; use debt wisely, live below your means, establish retirement accounts and fund them to the max, and obtain professional guidance.

Dr. Paul S. Inselman is President of Inselmancoaching and an expert at teaching chiropractors how to build honest, ethical, integrity-based practices based on sound business principles. From 2008-2016, his clients’ practices grew an average of 150% while the general profession was down 28%. His 31 years of clinical experience coupled with 10 years of professional coaching has allowed him to help hundreds of chiropractors just like you. He can be reached at 1-888-201-0567. To schedule a free no obligation consultation, click here.  His email address is inselmancoaching@gmail.com.

Four Action Steps That Will DESTROY Your Practice

Four actions that will destroy your practice. Avoid them at all costs.

1. Dishonesty-Sadly when economies turn south, good people sometimes do bad things. When you are in a position to sign insurance forms, disability forms and accept credit cards you have been given a huge social and legal responsibility. Not only is it your ethical duty to protect the patient but it is also your legal duty. Dishonesty always starts small and then mushrooms out of control. Never think of padding a bill, falsifying records, or charging a credit card improperly.  Everyday we read of business leaders and doctors who have lied, cheated, and stolen assets of innocent victims.They never believed that they would get caught. If you are doing dishonest deeds cease immediately.

2. Poor Management– Many practices are brought to their knees because the doctor did not know how to run a business.It is imperative that you know how to run a business. If you are bouncing checks, paying late fees and don’t know how to read basic financial statements learn as quickly as possible.

3. Patients are not Relevant- Are you rushing from room to room? Are your patients waiting more than ten minutes? Does it take you more than 24 hours to fill out requested forms? Your practice is based on your patients. Excellent customer service is the key to having them come back. You must make your patients feel special on each and every visit.

4. Refusal to Hire the Proper Advisers– Business owners fail to realize that the money that often think they are saving by doing it themselves ends up costing much more in the end. Did you spend money on marketing this year? Did it yield the number of new patients that you expected it too? Did you get at least a 4:1 return on investment? Strategic-based marketing is the key to improving your marketing efforts. Learn how to create a UVP and how deploy strategic campaigns and I am confident that you will be very happy with your results. Never be your own attorney. I spend more time trying to get doctors out of bad leases, partnerships, and deals that they made by being their own attorney. Had they hired the attorney in the first place they could have saved a ton of money in the long run.

Like it or not you have spent or you will spend more money if you act as your own: Attorney, Accountant, Business coach, Insurance agent, or Compliance expert. Each of these professionals you will either hire willingly and invest money with them to help you grow your practice and protect your assets or you will pay via mistakes. According to statistics, people who hire professionals make or save more money than those that do not. Our clients have increased their income 145% since 2008 with the help of coaching. People who use investment advisers statistically earn an additional 3% on their portfolios after paying their advisory fees.The lesson-hire professional to help you.

By preventing and or limiting mistakes will put more money into your pocket and allow you to deliver better care to your patients. Remember mistakes cost you time, money and energy. If you made a mistake and you are now worrying about it, your worry is taking precious time away from your patient which could and usually does lead to a down-turn. Remember to always practice PTC (present time consciousness).

Click here to schedule a free consultation to learn about our very affordable custom coaching programs without contracts.

Effective Report of Findings Steps to Elicit a Commitment From the Patient

How much time do you like to spend at a doctor or dentist’s office? How about the Department of Motor Vehicles? How long do you think your patients want to spend in your office?

Trust me when I tell you they don’t want to be in your office any longer than is absolutely necessary. The consultation and ROF in my opinion are the two most important procedures when starting with a new patient. It is where good or poor habits are begun, as well as it is where a foundation of trust or mis-trust is established.

Throughout the years there have been many methods of ROF that have been advocated and taught. There are video programs, scripted programs etc. In this economy it is vital that your ROF have the following steps. Today, people are working 3 and 4 jobs. Yes 3 and 4 jobs just to make ends meet. This means the luxury days of having “time” to do a 45 minute ROF are yesterdays procedures that will not work as well in this economy.

Your ROF should do the following:

1. Answer the question what is wrong with the patient?
2. Answer the question can you help the patient?
3. Answer the question how long will it take?
4. Answer the question how much will it cost?

There are many styles of presentation. It is your choice how in depth you want to go over the exam findings. One thing for sure is you must learn to re-frame your patients away from pain and symptoms;  or,  when the pain goes away so will they.

It is vital that you ask for and receive a commitment from your patient that they will follow-thru with their treatment plan.

Click here to schedule a free consultation to learn about our very effective and affordable custom coaching programs without contracts.

How to Keep Key Practice Statistics

Looking at your speedometer gives you information. Information is power and when it is used correctly, it can make or save you lots of money.
The same can be said of your practice. What gets measured will be looked at more closely which will enable you to make instantaneous corrections.
Remember, monthly stats as well as year to date (YTD) stats should be kept. Here is a list of the basic stats that you should be keeping:
1. Number of days worked in a month – You can’t compare a month that has 16 practice days vs. a month that has 21 practice days. By knowing this stat, it will enable you to compare apples to apples.
2. New patients
3. Services rendered
4. Income (collections)
5. PVA (Patient Visit Average) – Office visits/new patients (the longer the history of this stat the better)
6. OVA (Office Visit Average) – Services/office visits
7. Accounts Receivable
8. Patient cancellations/reschedule – Tells you how well or how poorly your procedures are working
9. Patient Attrition – Lets you troubleshoot where the problem is (consultation, ROF, re-exam, etc.)
There are some more items that can be included. These are the bare bones minimums that all practices should keep.
I know that there are many practitioners that don’t keep stats. I find those that don’t keep them, don’t know how to use them. It’s like any other tool in our tool box. Know how and when to use it and it will serve.

Click here to schedule a free consultation to learn about our very affordable custom coaching programs without contracts.

How to Make Your Practice Stand Out

The “wow factor” has always been an important component in personality driven businesses like health care. Some people have natural abilities to “wow”, others need to learn those very necessary skill-sets.

It does not matter if you are a medical doctor, dentist, chiropractor, physical therapist, enzyme therapist, or any other health care provider, the following tips will help you develop the “wow factor”.

  1. Use the Local Press-contact reporters of local newspapers, monthly magazines and television stations and offer newsworthy information in your area of expertise. For example an enzyme therapist might direct reporters to recent evidence that a new type of protease can help digest gliadin, the protein responsible for gluten intolerance.
  2. Write a Book-America is in love with authors. 90% of talk show guests are there to promote their new book or movie. Today anyone can publish a book with self publishing services for as little as $1000.00. Being a published author, gives you credibility in your patient’s/client’s eye. For example a physical therapist can write a book How Posture Affects Your Health. Give personalized autographed copies to your patients. Sell others on your website. Books become great marketing pieces while establishing a huge “wow factor”.
  3. Always give more service than patients pay for– Anthony Robbins tells the story, “There was a bean counter that people would come to from far and wide because he always gave a scoop and a little more.” I am not advocating giving away free service nor extra time. What I am advocating is giving service that will wow your patients. For example, I always give my patients my personal cell number and instruct them to use it if they need me for any clinical reason. I ask them to be respectful of the number and not to use it to change an appointment etc. This sets a nice boundary and they really appreciate the “wow” service.
  4. Be Charitable-I am not saying to be a charity, but please be charitable, there is a big difference. Being a charity is treating people for free. Being charitable is always looking for ways to help another person. For example help people with their problems. I once had a patient who was having difficulty paying her rent. I offered her advice how to approach her landlord. She was happy, her landlord was happy and it gave me a “wow factor” in both their minds.

You will find that by creating a “wow factor” experience in everything that you do will come back to reward you and your practice over and over again.

Click here to schedule a free consultation to learn about our very affordable custom coaching programs without contracts.