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Make the leap to an integrated practice

Mark Sanna, DC May 29, 2024

The concept of collaboration among diverse healthcare professionals has emerged as a cornerstone of patient-centered care in the dynamic and ever-evolving landscape of modern healthcare.

Gone are the days of isolated medical practices. Today, physicians, physical therapists and doctors of chiropractic are increasingly recognizing the value of working together to provide comprehensive services to patients whose conditions demand a multidisciplinary approach.

This collaborative model, known as multidisciplinary practice (MDP), not only expands the scope of available services but also enhances efficiency and cost-effectiveness, ultimately leading to improved patient outcomes.  

Legal compliance in MDPs

Navigating the complex regulatory landscape 

Establishing an MDP represents a significant opportunity for DCs seeking to elevate their practice to new heights. However, it requires meticulous attention to legal and regulatory compliance. From recruiting medical personnel to structuring the corporate entity, every aspect of the process must align with state laws and regulations governing group practices. 

Engaging with local legal counsel who possesses expertise in healthcare laws and regulations is paramount to ensuring compliance with state-specific requirements. This includes navigating complexities, such as corporate structure, ownership regulations and scope-of-practice laws. It is essential to avoid shortcuts or questionable ownership arrangements that may run afoul of regulatory guidelines. 

A genuine commitment to patient care should serve as the guiding principle throughout the establishment of an MDP. The primary goal is to enhance patient outcomes through collaboration, not to circumvent regulations for financial gain. By prioritizing legal compliance and ethical practice, DCs can lay a solid foundation for the success of their integrated practice. 

Billing procedures in MDPs

Ensuring accuracy, transparency and compliance 

Accurate billing practices are critical in MDPs to maintain transparency, integrity and compliance with regulatory standards. Proper identification of each provider’s services on insurance claims is essential to prevent billing errors or misrepresentation. DC services should always be billed under the DC’s provider number, while medical and physical therapy services should be similarly identified. 

To avoid confusion and billing discrepancies, duplication of services among providers within the MDP must be strictly monitored and prevented. This requires clear communication and collaboration among all members of the healthcare team to ensure accurate documentation and billing practices. 

Compliance with federal staffing requirements, particularly for Medicare patients, is another crucial consideration for MDPs. Failure to meet these requirements can result in reimbursement issues and potential legal liabilities. Implementing a robust compliance program, including regular audits and staff training, can help ensure adherence to regulatory standards and mitigate risks. 

Expanding service offerings in MDPs

Enhancing patient care, satisfaction and practice growth 

Diversifying service offerings is a key strategy for MDPs to attract new patients, expand revenue streams and enhance overall patient care and satisfaction. With a multidisciplinary team in place, many procedures that were traditionally referred out can now be performed in-house with proper training and education. 

Innovative therapies, such as trigger-point injections, regenerative medicine, anti-aging medicine and intravenous nutrition therapy can offer patients alternative options for managing pain, improving function and optimizing overall health and well-being. These advanced treatments not only enhance patient outcomes but also differentiate the MDP from competing practices in the market. 

Embracing a multidisciplinary approach

Collaboration beyond clinical care 

In addition to clinical integration, fostering collaboration among nonclinical professionals is essential for the long-term success of an MDP. Accountants, lawyers, management consultants and other professionals play a crucial role in navigating complex regulatory, financial and operational challenges. 

By working together seamlessly, healthcare providers and nonclinical professionals can develop comprehensive strategies for legal compliance, financial management, marketing and practice growth. This multidisciplinary approach ensures the MDP operates efficiently, ethically and in alignment with its core mission of delivering high-quality patient care. 

Marketing and branding strategies for MDPs

Establishing a strong presence in the community 

Effective marketing and branding strategies are essential for MDPs to establish a strong presence in the community and attract new patients. Leveraging a multidisciplinary approach as a unique selling point can differentiate the practice from competitors and resonate with patients seeking comprehensive care. 

Utilizing various marketing channels, including digital marketing, social media, community events and physician referrals, can help raise awareness about the MDP and its services. Highlighting the expertise and credentials of the healthcare team, as well as patient testimonials and success stories, can build trust and credibility with prospective patients. 

Moreover, developing a strong brand identity that reflects the values and mission of the MDP can further strengthen its position in the market. Consistent branding across all touchpoints, including the website, signage, promotional materials and patient communications, reinforces the practice’s commitment to quality care and professionalism. 

Continuing education and professional development

Investing in the growth and success of the MDP 

Investing in continuing education and professional development is essential for the growth and success of an MDP. Healthcare professionals must stay abreast of the latest advancements, research findings and best practices in their respective fields to provide the highest level of care to patients. 

Encouraging ongoing learning and skill development among the healthcare team fosters a culture of excellence and innovation within the MDP. This can be achieved through participation in conferences, seminars, workshops, online courses and peer-to-peer learning opportunities. 

Furthermore, obtaining relevant certifications, advanced degrees and specialized training can enhance the expertise and credentials of the healthcare team, thereby bolstering the reputation and credibility of the MDP in the eyes of patients and referring physicians. 

Final thoughts

In conclusion, making the leap to integration through the establishment of a multidisciplinary practice represents a significant opportunity for DCs to enhance patient care, expand their practice and thrive in today’s competitive healthcare landscape. By prioritizing legal compliance, accurate billing practices, service diversification, multidisciplinary collaboration, effective marketing and branding and continuing education, DCs can position their MDP for long-term success and sustainability. 

MARK SANNA, DC, ACRB LEVEL II, FICC, is CEO of Breakthrough Coaching and a leading authority in chiropractic management. He is a Leadership Committee Member for the Chiropractic Future Strategic Plan. As a member of the Chiropractic Summit and a board member of the Foundation for Chiropractic Progress, he advocates for the advancement of collaboration in modern healthcare. For more information, visit mybreakthrough.com or call 800-723-8423. 

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Filed Under: Editor's Pick, issue-09-2024 Tagged With: chiropractic business, chiropractic patients, chiropractic practice, integrated practice, Mark Sanna, patient-centered care, personalized care

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