Genesis Chiropractic Software and Billing President, Dr. Brian Capra will be attending the Elite Coaching Quarterly Seminar in East Rutherford New Jersey November 3rd and 4th.

“Since working with Dr. Fred DiDomenico of Elite Coaching Genesis has become a more relationship-centered organization.” Says Dr. Capra.  ”There are a lot of great coaching groups out there, each with their own niche.  One thing I can say about Fred is his system is about relationships.  Helping patients find their own “WHY” for choosing chiropractic care is the main difference I have seen.  It goes beyond chiropractic education which Fred calls the “HOW”.   Helping the patient discover their own reasons for care increases their compliance, results, resigns and referrals as well as the value they place on the care.  I highly recommend attending one of Elite’s seminars”

Elite Coaching seminar systems include training on:

• New and innovative marketing strategies to create a constant stream of qualified new patients from in your community to creating more referrals inside your practice.
• Dynamic and effective aspects of patient communication and management geared for higher compliance and retention in a corrective, spinal rehabilitation practice.
• Up to date insurance, billing, coding, documentation and compliance for maximum and legal reimbursement for spinal correction.
• Staff training to build a motivated and on purpose team.
• Technique to accelerate your clinical certainty and patient results.
• Reignite your purpose to bring renewed energy and passion into your practice and your team.

Call 1-(253) 851-8353 Today to Register!

Dr. Deed Harrision, owner Chiropractic BioPhysics

Genesis and Billing Precision Service has been selected by Dr. Deed Harrison for his new 11,000 square foot, Chiropractic BioPhysics® (CBP®), Ideal Spine Health Center® in Boise, Idaho. Genesis will be used for patient relationship management, billing, compliance, marketing, and cash flow management.

“We saw the need to centralize what we are trying to accomplish with CBP,” said Dr. Harrison, owner of Chiropractic BioPhysics. “Flying all over left me less and less time to do the research CBP was built on. I decided to build one facility where I can practice and continue to produce the latest research.”

The Ideal Spine Health Center, scheduled to open October 20th, 2012 will be the first of its kind. On one side of the building will be a Chiropractic BioPhysics office. On the opposite side of the building the CBP Doctor Institute, and a 2,000 SQF conference center and training facility, which together totals 11,000 SQF.

“We’ve designed an exclusive CBP documentation suite to allow full integration with CBP’s business modules from Drs. Haas, CBP technique treatment procedures, and x-ray (PostureRay®) and Posture analysis (PostureScreen Mobile®) software,” continued Dr. Harrison.

See Full Press Release Page Here

Genesis Chiropractic Software and Billing (A product of Billing Precision, LLC)  EHR SOAP note feature allows the user to quickly asses the patients condition from the previous visit and make fast changes to multiple parameters per complaint.

• 24 hour access to web based system.  Do your notes from anywhere.
• Note templates are pre-configured based on real claim appeal data.
• Easy customization
• Fast creation of new note
• Daily visit note updated in seconds
• Dictation software ready – Dragon and Siri
• iPad Ready
• Touch Screen Ready
• Wow your patients with high tech look
• Full Stimulus eligible – Powered by Vericle which ICSA certified

Software and Billing EHR SOAP Note videos

SEE VIDEOS BELOW

Basic training videos cover how to:

Introduction to the SOAP screen

Subjective Section Basic Training

Objective Section Basic Training

Assessment

Genesis Chiropractic Software and Billing training and support has 4 main types:

1. Help Training Academy
2. Support Tickets
3. Live Help Sessions
4. Content Specific Help

These four videos will HELP you see the benefits of each type.

Training Academy

Help Tickets

Live Help Sessions

Content Specific Help

1. What we are doing to keep your data and limit service interruption.
2. What should you do?

What we are doing:

We are preparing for what can be potentially the worst storm to hit the north east in many years and taking it very seriously.  The center of the storm is headed straight for  New Jersey.

Many of our clients have expressed concerns about their data.   Here is break down of the potential risks as well as the measures being taken to guard against service interruptions.

Power
The data centers where your account data is stored are state of the art.  Servers have UPS battery back ups should the power suddenly go out.  If and when power goes out massive generators turn on and can keep the data center power up and running indefinitely.  There is enough fuel to run the generators on site for three days.  In the meantime fuel vendors continue to replenish the diesel supplies on a regular basis.

Data Center Power Backup

Data Loss

Data is always backed up on multiple servers within the main data center and again offsite at our Tampa area headquarters.
With power outage and surges being the biggest threat to the security of the data we suspect that this is the lowest risk we face because of the storm.  In the event the data center is totally destroyed the data backup in Tampa will serve as a temporary replacement.

Data Center Backup

Connectivity
The biggest concern we have is loss of connection to the internet between the data center and the internet.  This would you would not be able to access the system for that period of time where the connection is lost.  Your access to the system is dependent not only on your local connection to the internet but also the data centers connection to the internet.

In Billing Precision’s history we have never experienced a loss of connectivity to the system because of a loss of connection between the data center and the internet.  This is due in part to internet connection redundancy, meaning there is more than one type of connection between the data center and the internet.  It would be similar to your office having DSL, Cable, and T1 connection.  If one would go down there are always two others.  For the data center there are also some other safety measures in place for connectivity.  All this being said we have never faced a situation where the data center took a direct hit so connectivity, regardless of the precautions we take, is a real concern.  Loss of connectivity is a real possibility.

A message from Net Access, our data center

We have increased staffing levels for both onsite and on-call personnel next week to ensure proper coverage in the event that an emergency response is necessary.  We have also completed readiness checks of our emergency power systems including UPS’s and generation plants.

Our fuel vendors have been notified and are on standby ready to provide additional fuel in the event of a long term utility power disruption.

Throughout the event, all systems will continue to be monitored as usual.  Additionally, the Facilities and Operations teams will be performing an increased number of visual inspections of building structure and all critical systems.

Our thoughts and prayers are with everyone affected by this storm,
Brian Capra DC
President, Billing Precision, LLC

Genesis Chiropractic Software and Billing Hosts Garrett Gunderson Webinar

Attend this free teleseminar with NY Times Best-Selling Author Garrett Gunderson to…

Expose Your Financial Blind Spots that are Leeching Your Cash

Uncover the “Duh” Areas You Can Tweak to Take Home Thousands

More RIGHT NOW Without Working Harder

Seems like the harder you work the harder it is to actually enjoy your money, right? You keep thinking, “I just have to see more patients. I have to perform more procedures. Then I can have more money to relax and live my ideal lifestyle.”

Will you forgive me for (lovingly) smacking you upside your head? That thinking leads to a stress-filled, never-ending treadmill of long, hard days and ultimate burnout.

Your problem isn’t that you’re not working hard enough. It’s that your money is draining out of simple holes that can be plugged with some financial savvy.

You’re a health and wellness expert. But what you don’t know about the financial side of your business is costing you thousands of dollars per year—and quite likely per month.

Garrett Gunderson

As a financial advocate to 217 chiropractors and a New York Times best-selling author, I can confidently proclaim that you can live your ideal life now. You don’t have to scrimp and sacrifice, waiting for that elusive “someday.” You don’t have to work harder.

You’re already earning all the money you need. Now let me show you how to keep and leverage more of it.

Consider: In a recent analysis by my team of financial experts, 107 of 117 chiropractors were overpaying on their taxes—in many cases tens of thousands each year.

How much are you losing? What could you do with that money?

Taxes is just one area of seven areas I reveal on this eye-opening teleseminar.

Stop losing your hard-earned money to financial institutions and the government. Stop the madness of trying to achieve your ideal lifestyle by working harder.

Register now for my November 8th, teleseminar. There’s no cost or obligation to attend. I’ll teach you how you can reposition your assets to increase your cash flow, reduce your risk and stress, and have more fun immediately without working harder.

-Garrett Gunderson, Financial Advocate & Author of Killing Sacred Cows:

Overcoming the Financial Myths that are Destroying Your Prosperity

What you’ll learn isn’t theory. Hundreds of chiropractors and wellness professionals are applying these specific, concrete strategies to free up thousands per month.

In fact, just last year I recovered $7,705,300 for 217 chiropractors. We save an average $2,573 per month ($30,876 per year) for our chiropractor clients.

To learn more and REGISTER for the teleseminar, CLICK HERE.

I am writing this blog soon after Hurricane Sandy devastated the north east.  Our data center experienced ZERO down time during the hurricane and in the time after.  The storm forced me to think about what my clients were experiencing both in the local New Jersey area and for our clients around the country.

I realize:

• Our clients and potential clients are unclear as to the advantages of using a web based system.
• There are many misconceptions as to the stability and reliability of a web based system.
• Lastly, while there are ways to ensure that your practice can be up and running immediately, even with a loss of power and internet, many clients did not have a plan in place nor the materials needed to make this happen.

My goal is to help clients and non clients of Genesis, choose the best practice management software platform as well as put a plan in place for ZERO down time.

There is a three step process you should go through set up a successful disaster recovery protocol for your office to ensure zero down time in an emergency situation.

The videos below outline 4 main risks and how each risk is mitigated by both web based and client server systems.

1. Identify the potential risks of each
2. Determine how you will counteract each risk.
3. Choose a web based system or a client server based system

Risk #1 – Loss of Network Connection

Risks 2, 3, 4 –

2. Data Loss Protection

3. Loss of Power

4. Data Center Down Time

PostureScreen® and Genesis Chiropractic Software and Billing, both CBP® Preferred Products, integrate to add mobile phone application dimension to practice management, patient education, and billing.

Now with one touch of the screen from the iPhone, iPad, or Android application, the PostureScreen Mobile report and images are instantly uploaded to the patient account inside Genesis!

This integration is available to all Genesis/Billing Precision clients and PostureScreen clients at no extra charge!

Watch a video of the integration!

View the full official press release here: http://www.prweb.com/releases/Chiropractic-Software/Billing-CBP-Posturescreen/prweb10012113.htm

Referring you friends has 2 Benefits

1. $ – It makes you money
2. Better System – The more doctors we have using the system, the more requirements we gather, the better the system gets.

When you refer your friends and they sign as clients, you will receive REAL MONEY, every month, for 5 years.

How it works:

1. Refer your friend
2. Your Friend signs an agreement with BP
3. You receive $50/month for 5 years for referring that friend = ($3,000) in referral fee

Let’s break it down

• Your Technology fee = $239/month
• $3,000/$239 = 12.55 months of technology fee back to you for EACH referral you make.
• There is NO LIMIT to the number of referrals you make.

All you need is ONE of your FRIENDS to sign up PER YEAR and you more than pay for the system! = FREE System +

CLICK HERE TO REFER

Enter all of your friends now or someone else will!

Thank you for being a loyal client of Genesis Chiropractic Software and Billing a product of Billing Precision, LLC!

Guarantee!  No Regret is what you really want.

I bought an iPad about three months ago and it is obsolete today.  Sound familiar?

Imagine if it cost $15,000?  What if your software is obsolete in 3 years?  Don’t believe that can happen?

Things are changing faster than you think.   I’ll come back to this.

• I am about to show you the how “owning” chiropractic software is not only a misnomer (Sales ploy used to make you “feel” good about spending your hard earned money) but one of the riskiest investments you can make in your practice.  While companies promise you it protects you, it actually leaves you and your practice vulnerable.
• I will debunk the big fat myth that it costs your less money to “own” a software, (which you actually never do), and show you how you can

guarantee that you will not regret your software decision.

• We will discuss the REAL cost of  the two main types of systems and pricing models.  Web bases systems VS Client Server (The one they say you” own”)
• Data Protection – The biggest lie told today is that somehow your data is safer in your office.  It is it better to backup your data offsite regardless.  It is useless without the software anyway.  Just ask doctors who were in the path of Hurricane Sandy which is better.
• In the end I will show you how web based systems like, Genesis Chiropractic Software and Billing, pay for themselves and possibly even put some money back in your pocket.

Price Comparison

SaaS (Software as a Service) – Is a pricing model.   Today it is usually reserved for software that is web based.  In the past other chiropractic software used this model and charged upwards of $700 per month.  They got away with it for years and eventually switched to the “purchase” model.  SaaS charges a smaller monthly fee with little to no upfront fees.

Let’s do the simple math

Some systems on the market are as cheap as $12,000.  Compare that to the cost of a SaaS product at $250 per month.

$12,000/$250 = 48 month.  In other words, at $250/month  it will take 4 years before you pay the same amount!  Read on and you will see how you can go from 48 months to 60, 100 or unlimited months.  Meaningit will never cost you more than $12,000 to use a system like Genesis.

But then I own it after 4 years!  Really?  Do you own the code?  Can you tell the company what to build next?  What if they go out of business two years later?  More importantly REMEMBER the iPad…

• When you “purchase” you are not buying software, you are buying a license to use the software.  The company that supports that software could be gone tomorrow.  Big Difference.  If that happens your license is useless.  Unless you want to buy the code.  I promise you, it isn’t cheap.
• When you “purchase” you still need to pay for upgrades.  $50 per month.  Subtract $50 from the $250 that SaaS offers since upgrades are included in the SaaS model (that’s the service part of Saas).  With that factored in 4 years becomes 5 Years
• Remember the iPad.  I know what you are thinking, I get upgrades.  True you get upgrades.  You can buy new computers and they will send you the upgrades so what’s the big deal.  Here it is.  There are actually 3 things you need to be concerned about.
  • The hardware -  That is the actual computer.  Those will need to be replaced on an ongoing basis regardless of what type of system you buy.
  • The software code –   This is what words are in the code, if you will.  In other words you can add new paragraphs to a document in the English language.  With software more words equals updates.   The system adds function, features etc.  That is great.
  • The language - The breath of options is limited to the language the software is built in.  When you buy a software you buy it knowing full well that the language your system will be written in 5 years from now has NO Chance of being upgraded.  The language is the language.  The reason Google is so successful is due, in part, to the fact they are constantly evolving the language they use.  It’s not just the words.  The capabilities are increasing because the language is changing.  Since they are also web based they can upgrade their systems and you don’t see they difference.  Just amazing new function.  This is the same with your practice software.  Software you buy will be limited in just a few years as web based systems language AND code rapidly change.  Not so with client server systems.  So you are paying a fixed fee because the functionality is fixed in time with today’s language.
• Clearing House Fees -Included with Genesis billing – $50/month with other systems – Now it takes 6 years to pay the equivalent of other systems.
• Network Maintenance - With web based systems, computers do not need to be networked together.  Only connected to the web.   Other systems require a server and network which will cost $1,000-$2,000 to set up.  …..  Figure another $50 per month for upgrades to hardware, maintenance for the computer guy to fix things when they break down, and down time…..  8 years easy.  Are you betting  static software language is going to be as cutting edge in 8 years?
• Data Backup Service - $25/month 8.5 years included with web based systems like genesis
• Peace of mind - Infinite peace of mind.  Genesis data center was in the path of hurricane Sandy and experience zero down time.  Some clients who lost their office where able to be back up and running instantly with a wireless laptop or ipad.  The didn’t lose any data.  Others weren’t so lucky.

Now what if they paid you?  Why not?  SaaS systems have it built into their price to have a referral fee.  We pay clients $3,000 per referral!  Can you send 4 clients over the life of your relationship with us?  If yes there’s $12,000!  Refer one friend per year and pay nothing out of pocket for your system!

Chiropractic Software and Billing Guarantee

Back to the guarantee: 

• If you pay everything to a software company upfront and they have no incentive to keep you happy.  Pay as you go with SAAS.  You can cancel any time and reuse the hardware for you next software.  This is a guarantee.  You will never use our system and not be happy, guaranteed.  Pay only for what you use.  Much less risk and a greater chance the SAAS system will do everything they can to keep your business.
• With client server systems you run the risk of getting a system you are not happy with and by then it is too late.  You already gave away your leverage, your hard earned money!  Guaranteed Risk
  • Risk you will not like it
  • Risk the technology will be out of date in a few years.
  • Risk web based systems will pass them by with functionality
  • Risk your data
• Web based SaaS is less expensive and less risk.

Now all you need to know is will it do what you need it to do?

• Schedule Patients
• Manage Care plans
• Bill insurance
• Credit card and auto debit
• Text appointment reminders
• Fast Chiropractic SOAP notes and compliant documentation
• Touch Screen notes
• iPad and tablet ready
• Patient self check in kiosk
• Reporting
  • Patient Retention
  • Collections
  • Marketing
• Access to entire system anywhere there is internet
• Monthly Caching Calls included
• Much More

Get a consultation today and join the network.

Ask a room full of under 25 year old professionals if they are wearing a wrist watch.  If you are over 25 you will be surprised at how few are actually wearing one.  Why?  The digital world has eliminated the need to look at you wrist to tell the time.  The time is everywhere.  It is on their phone, on their computer, in their car.   For the most part they can find the time at any given time without the major inconvenience of looking at their wrist.

In the past a wrist watch was a status symbol.  It meant you were able to afford the latest technology.  It said, “I am a serious business person”.  I heard a quote one time, “I never trust a man who does not wear a watch”, but why?  It meant they valued their time and yours.  That they lived for more than the present moment and considered the future.  Wearing a watch meant you were forward thinking.  My how tings have changed.

So what does this have to do with Siri and chiropractic software?  Clearly the new status symbol is the cell phone, or now, “smart phone”.  Not only does it say you are cutting edge, but it means you are connected and it even means you are more intelligent   Prediction: 30 years from now wrist watches will be for collecting and old people.

There is another important distinction sown by the modern smart phone.  They are “smart”.  Siri has a name.  Let me say that again, you can name your phone.  Why name it?  Because it talks back!  You actually have a relationship with your phone!  What does the phone tell you?

Forget an appointment book.  Remember that thing you used to carry around?  Gone.  Not needed.  An analog/paper version.  You used to have to memory manage you schedule for the day and tomorrow and next week.   Not anymore.  Just tell Siri.  In the past, busy people, like chiropractors, might have an entire full time or part time employee just to manage their appointments.  Not any more.

From Siri to Smart Chiropractic Software

There was an in between step from the appointment book to Siri (Speech Interpretation and Recognition Interface).  That was a digital appointment book.  Remember the PDA?  Same basic function as the paper appointment book but it saved a lot of space since you could store all of your contacts in it.  There were the Palm, BlackBerry and even the original iPhones.

Genesis Chiropractic Software and Billing

Older chiropractic software like Platinum or Chirotouch rely on the wrist watch concept.  They are not as bad as paper but they are NO Siri.  They are like the Palm or BlackBerry.  You can save lot of space, document digitally, and even make your office more efficient.

The gaps between these types of systems and a system like Genesis Chiropractic Software are many but in this context, there is one glaring difference.  This systems are not going to speak to you.  They are not going to tell you how many no shows you have.  What’s that?  A report?  That’s good but there is a big difference between having to look at a report (Appointment Book or PDA) and the report coming to you (Siri Talking to you).  

Genesis tells you, in the form of tasks, what critical patient relationship risks need to be addressed right now.  It identifies the outstanding issues and assigns them to a specific staff member, maybe even you, automatically.  There can be many types of tasks.  Just to name a few:

1. Missed Appointments
2. Expired Care  Plans
3. No Future Appointments
4. Balance Threshold Exceeded
5. Daily SOAP Notes That Are Not Signed
6. Compliance Red Flags
7. Insurance Claims That Need Immediate Attention

With software that functions more like Siri and less like a Blackberry, you can begin to gain control over all of the important things that need to happen every day because it is not dependent on you looking anywhere.  The information comes to you.  It is like not having to look at your watch or look at a blackberry to tell the time or what appointments you have tomorrow.   The technology speaks to you in the form of tasks.

When all critical tasks are put on one manageable dashboard you can see at a glance you can see who has the most work, what type of problems are happening most, and how much work there is and most importantly, what work did not get finished.

One number lets you know how much work there is to be done.

• Think of the billing software that finds the claims for you rather than digging through aging reports and having no idea if your biller is getting everything finished.
• Think of a schedule that is telling your team what they must to in order to maximize retention…
• Imagine a documentation and compliance system telling you when you put yourself at risk of an audit…
• Imagine a chiropractic software that markets to patients for you based on their specific demographic…
• Imagine how happy your patients will be when you and your team never miss a step…
• Your team is more efficient but at the same time more accountable to you.
• You sleep at night knowing you are safe from a major audit.
• Less time documenting, more time doing the things you love.
• Less stress trying to remember everything that needs to be done, more peace of mind.

Genesis –  The coming into being of something; the origin.

This is a whole new world for chiropractic software.

Genesis Chiropractic Software and Billing

Picture this; you start noticing a strange phenomenon going on in your office. You can’t explain it, but people seem to be disappearing. Every time you think of a particular patient, you look through your chiropractic software for their name, and realize they are no longer in your practice. Another face pops up in your mind, and they are gone too! What is going on? These patients were not “one-timers”. They have been in your office many times. They told you they were ready to regain their health. You thought these people understood the principles of chiropractic. So, what happened?

You have been hard at work ever since you started your practice—,putting in long hours, networking, marketing, getting new patients in the door, then educating and orientating those new patients while trying to cultivate a community of practice members that will be with you to the end! And yet, here you sit, in front of your computer, looking at your office stats for the month and saying, “Where the HELL have all my patients gone?!”…

Does this scenario sound familiar to you?

You may find yourself thinking that maybe it’s just the “name-of-the-game” in chiropractic. Maybe you should just accept the fact that people come and go while you have to work your butt off for the rest of your life to fill the vacancy of every patient who mysteriously disappears; is that it?

I’m here to tell you (thank goodness), “That’s not the case! You don’t have to be the Bermuda Triangle of chiropractic anymore.”

     Something happened to all of those patients, yes. They slipped through the cracks in your office. That’s what happened— some offices have “cracks” and others have huge, gaping holes! Either way, as the captain of your ship you are responsible for finding and fixing those leaks. Leaks in your office could be anything that causes (or encourages) a patient to leave before they should. A “leak” could be caused by one, or more, of four things: poor education, poor service, poor procedures, or poor organization in your office.  

Now, I’m going to show you FOUR TIPS TO STOP LEAKS IN YOUR OFFICE NOW. By following this advice, you will be able to help more people, grow your practice to the next level, and sleep easier knowing your patients will still be there when you go to work the next day.

1) Educate:  Education is key. Most chiropractors educate their patients in some way, shape, or form, but are you really providing the patient with a valuable education in health that will change their life forever? Are you really teaching them the chiropractic story with passion? After all, there are hundreds of thousands of self-proclaimed “health gurus” bombarding your patients with info every single day, but simply “providing info” is not educating! Start passionately educating your patients about the body’s healing power, adding value by instructing them how they can maximize that power!

2) Great Service:  Do you train your staff to give great service to each and every person who walks in your door? Does your staff greet the patient with a smile every time they come in? They should. Great service should start with the first phone call and continue throughout the patient’s interaction with your office. Make sure you and your staff are trained and conscious about giving exceptional friendly service.

Now let me ask you another question related to service: How long do your patients have to wait when in your office? If your patients are spending hours in your office, that is bad service. Even if they love the care they are receiving from you, people just don’t have time to spend hours in a doctor’s office anymore. Get your procedures down and start creating a smoother, more efficient visit for your patients. This single tip could blow your retention through the roof!  

3) Get Your Procedures Down:  Allow me to give you a sports analogy— Do you think there has ever been a world champion team that couldn’t run a proper play? No way.  That’s one of the first things coaches go over in the beginning of a season. If you can’t run a play, and I mean run it with perfection over and over again, then the synergy will be off. If this is the case with your office, be aware that patients take notice. You must have your procedures down and train each your staff members to know their position in your office. If you do not do so already, set up a weekly staff training session where you practice running through office procedures. You may even be surprised by how many questions your staff members have about their specific roles and responsibilities.

  4) Get Organized! This may just be the single biggest reason behind your poor patient retention. Your patients are walking out of your practice, and you don’t even know it! This happens to so many chiropractic offices it’s not even funny. A patient who has been coming in for years suddenly stops coming in, and by the time you realize you have not adjusted Mary in a while and check the schedule, she has been gone for two months. Now, what do you do? Do you call and check on her? Oh yeah, that will look great, “Hi Mary I noticed you missed your appointment.” Mary replies, “Yeah, two months ago Doc. You’re just now calling me?”

Don’t do that to your patients and don’t do that to your practice. The fact is that Mary didn’t just quit your practice two months ago. She started showing signs of leaving way before that. Maybe she started asking you questions about how her spine was doing, and whether she was “fixed” yet. Perhaps she’d already missed an appointment or two. Maybe she didn’t show up to the workshop she told you she would attend. All of those things are just some of the signs of a patient who is getting ready to leave. If you see these signs, you have to stop and remind them why they started coming to see you, restate the value of their care, and reeducate them on the reasons they get adjusted! You failed Mary; she didn’t fail you.  

This is why Genesis Chiropractic Software is such a powerful tool to have in your office. This software is amazing at helping you organize your office and get your patient retention up through the roof! It is designed to detect signs of “distracted” patients, who, if you do not re-educate, will soon drop out of care. The software will send you or your staff a notification (in the form of a “ticket”), giving you the opportunity stop that leak before you lose any water.

The fact is you do not have enough time in your day to patch all the leaks. You need a software program like Genesis that actually organizes your practice so you will be free to give your patients the attention and care they deserve. Schedule a consultation and let one of our trained technicians show you the power of Genesis today.  (Click Here to schedule a consultation today!)

Have you heard about the JImmo v Sebelius case? 

What does it mean for chiropractic?

Big thanks to Dr. Davila for writing this guest post for Genesis Chiropractic Software!  Here are some words of wisdom and caution from Dr. John Davila…

     There has been a Settlement Agreement in the Medicare Improvement Standard case, Jimmo vs. Sebelius. This case clears the way for thousands of Medicare beneficiaries to receive needed health services tomaintain their current level of functioning. The settlement, which represents a significant change in Medicare coverage rules, ends Medicare’s longstanding practice of requiring people to show a likelihood of improvement in order to receive coverage of skilled care and therapyservices. Please understand that this case specifically pertains to “…those with disabilities or suffering from chronic illnesses such as Alzheimer’s disease, Parkinson’s disease, ALS, lung disease.”

While this SOUNDS exciting please pay close attention to the following small details:

1. This case didn’t include chiropractic.
2. This case didn’t include neuromusculoskeletal conditions.
3. Someone will have to become a test case and ask an Administrative Law Judge to apply it to their case after getting denied by the carrier.

To accomplish this goal, here is my list of things you’d need to do in order to take a case to the ALJ to have this case apply:

1. Knowingly document a case specifically meant to show no improvement.
2. Knowingly apply the AT modifier to a case that is not improving.
3. Knowingly accept that billing these services (the way the rules are as of today) is equal to committing fraud. This is because the way “abuse” is currently defined; it is treated as if it were fraud.
4. Knowingly take on a case that will last YEARS before it is finally settled.
5. Go in understanding that an ALJ has the right to accept or deny your assertion that Jimmo v Sebelius does apply to your patient.
6. Accept the fact that if denied, your treatment of the patient would be for free as you couldn’t ask the patient to pay for services denied when the AT modifier is attached to the service.

Dr. John Davila, President and CEO of Custom ChiroSolutions, offers chiropractors sound consulting advice on practice management, billing procedures, Chiropractic compliance, Medicare compliance, treatment programs, marketing, and other strategic and tactical custom solutions to help them run a successful practice. For more information on our services please contact Custom ChiroSolutions at (800) 974-3479 or customchirosolutions@gmail.com.

This week Genesis Chiropractic Software is bring you a blog that will blow the front doors off your practice!  Check it out:

     Every successful chiropractor and business owner has implemented a “deliberate extreme” at some point in their career. If you really want to take your business to the next level, you need to know what a deliberate extreme is, as well as understand the best ways to manage one without causing to much stress to yourself, your staff, and even your family.  

     We have all heard the empty talk about how you should try to create balance, and how you shouldn’t work too hard out of fear of getting burnt out. But this type of philosophy simply isn’t true! Furthermore, it can be damaging— especially if you are striving for success and have a business you are trying to grow.

     Disappointing as it may seem, there are times in your life when you are going to have to work your tail off in order to get ahead. Like the beginning of a marathon, the runner knows that if he wants to have a chance at winning the race he has to get out of the middle of his competition. He gives it his all for a short period of time so that he can break away. 

Deliberate extremes, as applied to the business world, are short bursts of hard work that help you grow and get to the next level. The best way to describe how a chiropractor would implement a deliberate extreme is to give you an example.

Example of a Deliberate Extreme:

A chiropractor decides to devote four weeks of hard work to getting more new patients in his office. He splits these four weeks into four different marketing themes, working on one specific marketing theme per week.

Week 1 – The chiropractor will work on setting up more spinal screenings in his community. Every free moment he gets at the office, and maybe an hour after his regular workday is over, the chiropractor will search for and contact local businesses and events that he could set up a spinal screening and interest booth at.

Week 2 – The chiropractor will work on setting up more health talks in his community. He will also use his spare time to call local businesses to offer health talks. He will also have flyers made up that he and his staff members can pass out to his current patients, letting them know he is available for health talks at their own work places or events.

Week 3 – The chiropractor will dedicate this week to getting more referrals into his practice. During the morning huddle with his staff, the chiropractor will select a handful of patients to ask for referrals. To encourage patients to refer, he will also set up monthly themes and/or drawings for his office by giving away gifts to the person who refers the most people to the office that month.

Week 4 – The chiropractor will devote several hours this week to creating a stronger presence for his clinic on the Internet. This week he will shoot several videos on different health topics and post them to YouTube, Facebook, twitter, and of course, his business website. The chiropractor will also look through all the main search engines like Google, Bing, Yahoo, and others and make sure his website is listed and information is correct. He will also have a laptop and a camcorder set up in the office to encourage patients to give video testimonials and write Google reviews for a free gift.

ATTENTION: The next portion of this article is the most important part of implementing a deliberate extreme. Please DO NOT skip this part or you risk destroying yourself and your relationships!

Before starting any deliberate extreme, sit down with your staff at your office and your loved ones at home.

When you meet with your staff, go over your plans and explain to them exactly what you are doing, but also let them know that your goal is to take your practice to the next level, and you want them to be a huge part of it. Tell them that they are going to share in the success and you will give them a bonus for their hard work (Take an average of what you bring in monthly, and then tell them you will give them a percentage of what you bring in over that amount for the following month, such as 10 percent of the increase).

Don’t forget your Genesis Chiropractic Software in your office can help you to implement your deliberate extreme with more effectiveness and less stress!  Genesis Chiropractic Software has a unique built in ticketing system that will help you coordinate tasks between staff members.  There are so many different ways to use Genesis to grow your practice.

When you sit down with your family, explain to them that you are going to be working really hard for the next four weeks (or however long you determine is necessary).  Share your goals with them, but make sure they know it is a temporary situation and that you plan on doing something really special for them at the end of it. Maybe you can plan a weekend trip for all of you. Let them decide where to go and what to do. It doesn’t have to be a big trip, but even just driving to a nearby city and spending the night can be a fun getaway and give all of you a much needed break.

     The key here is to be able to put in a lot of hard work in a short amount of time so that you can “break out of the pack” and take your practice to the next level. 

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     Hello, my name is Dr. Tabor Smith and I have done hundreds, if not thousands, of spinal screenings in different cities across the country. I know how to conduct a successful spinal screening, and unfortunately I also know how to fail miserably at it (been there, done that, got the T-shirt).  

     It took several years of doing 2-3 spinal screenings a week before I actually started seeing consistent, reproducible results with my procedures. I even started to research and implement different neuropsychology methods to help me get the edge, so to speak, when it comes to communication and sales.      

      As anyone who has done spinal screenings before will tell you, “They are not as easy as just putting up a sign.” People of this day and age are so accustomed to being sold-to that any type of service being advertised for free is automatically interpreted as an untrustworthy sales gimmick. So how do we overcome these social avoidance reflexes that have become so ingrained into our society? I’ll show you.

    One day, as I watched hundreds of people walk out of their way to avoid going by my booth, I discovered there are really only two reasons why someone would not want a free spinal screening: 1) They don’t think they need one, and 2) they don’t believe I could help them even if they did stop and get a screening.

     What I began to realize is that there was really not much I could do about the people who didn’t think they needed a spinal screening. After all, you can’t really change someone who is that determined to not receive your services, and arguing with them never solves anything. However, I knew I could definitely do something about the second group. These people knew they needed something, and deep down they really wanted a spinal screening or were at least interested in one — they just didn’t believe I would be able to help them.  

     So, I asked myself, “How do businesses overcome disbelief in their product and show the world that it works?” Testimonials! But instead of just creating a poster with patient endorsements (which I did do), I realized the importance of going a step further.  This extra step is what adds 10-20 MORE new patients into every big spinal screening that I do. I will share this with you in hopes that you too can have better success at every one of your screenings. More success at your spinal screenings means more lives changed, and that means that together we can take the profession of chiropractic to a higher level.

     It starts with making each potential client feel welcome rather than intimidated. The first person to approach a potential client at your spinal screening is your greeter. This person stands out in front of your booth and welcomes people in. The trick to increasing the number of lives you can touch at your spinal screening is to make your greeter a walking testimonial.  

      If you have been in practice long enough, you know what I am talking about when I say, “Ask a sneezer to help you at your spinal screening.” A “sneezer” is a patient who has had such great results in your office that they share it with everyone they meet. This person has referred dozens of people to your practice, and they have already joined in your mission of bringing chiropractic to the world. These people make great greeters at your spinal screenings, so give this strategy a try, and chances are you will see how much easier it makes each screening. For example, sometimes I have people walk into my booth asking me where to sign up, before I even do an actual screening on them. Another great thing about it is that most of the time it doesn’t cost you a dime. My sneezers are happy to trade a month or two worth of free care in my office for a day or two of helping me share the life-changing message of chiropractic with our local community!

Genesis Chiropractic Software is hosting a special invite-only webinar with Dr. Tabor Smith THIS THURSDAY! He will be revealing all of his tips and strategies that have helped him schedule up to 72 NEW patients at a single spinal screening!  Click Below…

>>> Register: Spinal Screening Webinar Tomorrow Night! <<<

     Thanks for taking the time to read my guest blog. A special thank you to Genesis Chiropractic Software for allowing me to post on their blog, and for all the great things they are doing for the profession. I am proud to be associated with them.  - Tabor Smith D.C.

You should be worried about being held liable in the event of an error committed by your chiropractic billing company, such as over-billing a patient. What’s even worse is that this kind of mistake could cost you a patient in addition to stirring up legal trouble and making your chiropractic clinic look unprofessional. Not to mention that this error will result in a heightened struggle against the insurance companies and reduced cash flow for your clinic.

Needless to say, the best protection against mayhem like this is choosing your billing company wisely. The whole point of hiring someone to take care of your clinic’s billing tasks is to free up time for patient care, after all, not take on legal battles. Just how can you tell which billing company offers the most reputable service while calculating the risk for human error?

Here are some tips for selecting the right billing company for your chiropractic clinic:

1. Shared risk: Make sure the billing company pays up, too, if they make a mistake, rather than letting you take the fall all by yourself.
2. Reduced risk: Look for strategies the company implements to reduce the risk of human error, such as:

• Early-error-detection: Processes that detect any errors as early as possible throughout the billing process since it is impossible to expect a 100 percent error-free performance.
• Automated system verification of claims: Straight-through processing: Claims with missing or wrong data are automatically sent back to the practice for correction before submission to the payers.
• Performance based rewards for competing billing teams: When several outsourced billing teams compete for new clients individual performance tends to improve, resulting in better service.
• Claims ticket tracking: Tracking all claims tickets, including any subsequent updates during the billing process, results in higher accountability due to increased transparency.
• Quality assurance process: Having a separate billing team selectively check samples of submitted claims and audit patient statement ensures that any errors the automated system might have missed are detected and corrected.

Ultimately, preparation is the best policy and it comes down to accepting that humans, including your chiropractic staff members as well as billing company employees, will make mistakes that need to be fixed. A reputable billing company should help you improve the profitability and cash flow of your chiropractic clinic by sharing and reducing your risks every step of the way.

One company that follows all of the above principles based on the belief that your success is their success is Genesis Chiropractic Software. They assign the best performing billing team to new clients, provide a transparent ticket tracking process, automated verification processes, and last but not least, quality assurance.

If you are completing your chiropractic SOAP notes on paper you might wonder why you are still lightyears away from building your dream practice.

Aside from stealing valuable time away from other income-producing activities, paper patient documentation has been shown to seriously hurt the profitability of a chiropractic clinic, especially in comparison to using digital xDocs.

Granted, change can be scary and painful– even more so if you have to trade familiarity and convenience for complicated technological processes. But what if the transition to digital documentation with xDocs, in fact, made the whole patient documentation process simpler? With auto-populating forms that fill in patient demographics and can be completely customized to match your old paper forms, xDocs are easy to use from day one.

Best of all, xDocs make EMR follow the chiropractor’s workflow so he is more likely to complete the SOAP note while he is still with the patient, then submit it at the end of the appointment with the click of a button instead of staying up late at night to catch up on paperwork.

It goes without saying that faster submission of SOAP notes directly impacts the billing process and improves the cash flow at any chiropractic clinic. Moreover, spending more time treating your patients will increase your patient flow and as such also improve your clinic’s profitability. Not to mention that going digital will also earn you a meaningful use stimulus from the U.S. Government to encourage EMR/EHR transitions while making it easier to stay on top of any changes made by payers.

In the end it’s all about commitment, though. If you don’t make a complete transition to xDocs and only use them with half of your patients or even less frequently, your results will suffer accordingly and produce a much smaller margin of billing improvement as obvious in the example below.

Practice D was using xDocs for less than 12% of the visits and achieved no meaningful improvement in billing performance:

With a 100 percent commitment to transition and use, however, you can potentially double your clinic’s billing performance in about three months’ time as clearly achieved in the example below.

Practice A started using xDocs in May, in just three months their billing more than doubled:

Ultimately, the potential uses of xDocs at your chiropractic clinic are almost limitless and include required PIP documentation, chiropractic intake forms, visit documentation, care plan tracking or any other special purpose from within Affinity’s cloud-based Vericle platform.

Watch the video below to see just how easy to use Genesis chiropractic SOAP notes are:

Are you worried that some of your staff members might forget to complete any of the mandatory 10 tasks for each new patient visiting your chiropractic clinic on any given day?

With approximately 300 weekly new-patient-tasks to be accomplished, chiropractors can gain peace of mind by using ticket macros that assign certain tickets to the appropriate staff members for improved workflow and accountability within the clinic. In that way, ticket macros can help ensure that every new-patient-task gets completed in a timely manner for compliance, maximum profitability, optimum patient flow and consistent practice growth.

On the other side of the coin, any missed steps/tasks, such as forgetting to ask for the patient’s credit card or not scheduling the next appointment can result in loss of income and reduced patient flow. This often happens when chiropractors have to rely on their staff members’ memory and diligence instead of using a system for effective teamwork. Ultimately, task coordination, transparency, and accountability are the only way to avoid loss of control and loss of predictability, especially when training new staff members for your chiropractic clinic.

Other advantages of using ticket macros are faster growth and higher profitability for your clinic since more tasks get done faster. Orderly completion of scheduling tasks not only fosters patient retention, but also makes a positive, professional impression on patients. Impressed patients are more likely to refer their friends and family to you and further contribute to your clinic’s growth by maximizing your patient flow. Orderly completion of billing tasks such as speedy submission of compliant claims will increase your clinic’s monthly cash flow, further accelerating your success.

Naturally, chiropractors don’t have time to micromanage their employees and need to rely on delegation as well as verification of thousands of individual tasks. The only effective solution for successful practice management consists of a cultural change that substitutes convenience with benefits and automated processes to eliminate any dependency on human error or motivation.

This automated process splits the entire patient life-cycle into a series of projects to reduce the complexity of 100 steps per new patient down to 7-10 projects. These projects are then further broken down into a series of predetermined tasks (a macro of tickets) that is triggered by a predetermined combination of events. For example, when a new patient visits your clinic you can create a ticket macro for Day One consisting of eight separate tickets that are assigned to the appropriate staff members. You can also create a ticket macro for Plan of Care for any patients that were referred by an MD to ensure all required documentation and insurance verification are handled by your staff.

Follow these 4 steps to create a ticket macro in Genesis’ chiropractic software platform:

1) Ticket Macros are created by going to Configuration>System>Ticket Macros. 

2) The screen will show any previous ticket macros you have created so you can edit them or you can create a new one by clicking the ‘Add Ticket Macro’ button at the top of the screen.

3) This will bring up a pop up window where you can enter the name for the ‘Macro’ and indicate whether or not it should be ‘Public.’  Please leave the Macro marked as ‘Active.’

4) Create individual tickets for this macro and assign them to the appropriate staff members.

Dr. Brian Capra, Billing Precision/Genesis Chiropractic Software President and Co-Founder, has been invited to present at the Elite Coaching June Quarterly Seminar.

“Our passion has been to leverage the “network effect” to help chiropractors maximize profitability.  When we have a new client use our system, they are not just buying software.  They joining a team of like minded chiropractors dedicated to building the best system profitable.  They share their practice management data to optimize profitability in three main areas.

1. Patient Retention
2. Cash Flow (Insurance Billing and Cash Practice)
3. Compliance

It has been a ling time in the making.  It is exciting for me to see so many of the profession’s leaders, including Elite, see the benefit of the we have been working so hard to build.  This is a huge honor to speak at events like this and share what I think is the next generation of not only chiropractic software but true profitability management.  At the end of the day patient’s lives are changed.

I hope to see you there!”

Dr. Brian

Genesis Chiropractic Software and Billing

Dr. Brian has been asked to present in tandem with Dr. John Davila of Custom Chiro Solutions on the topic:  How To Protect What Your Coach Helped You Build

Date: Saturday, June 1 @ 11:30

The Elite Seminar will be held at the Paris Hotel in Las Vegas.  June 1-2

SEE DETAILS BELOW FOR REGISTRATION

Elite Chiropractic Coaching 2012 Quarterly Seminar