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A publication by Paula Anderson Coaching and Consulting, (tm)LLC

NOVEMBER - 2021 For over 20 years, I have been teaching individuals how to code medical procedures, file medical claims, write correct sentences, master public speaking and most recently how to write news articles and create communication messages. Teaching is an art and a science. You can be a subject matter expert, but not have the delivery to be an effective teacher or facilitator. Paula Anderson Coaching and Consulting (™), LLC offers three ways to teach clients and students: live online webinars, on demand courses and one-on-one coaching. As a professional development and coaching business, PACC offers continuing education on medical coding, leadership, financial management, communication, business and marketing. Our continuing program for massage therapists includes Entrepreneurship 101 and Financial Management. In 2022, we will offer more Continuing Education.

ENTREPRENEURIAL INSIGHTS is a monthly newsletter for massage therapists, clinical psychologists, licensed professional counselors and therapists. The newsletter will have content focused on entrepreneurship, behavioral health coding, massage therapy continuing education and compliance.

CONTACT INFORMATION:; LinkedIn - @Paula Anderson Coaching and Consulting, LLC


PACC welcomes LeWinfred Shack, Consultant/Instructor LeWinfred Shack is a licensed massage therapist and owner of Touch Therapy, LLC and the creator of Grief Touch Therapy (™), a massage protocol that helps those who are grieving. He has over 18 years experience in the massage industry and seven years in massage therapy continuing education. Shack’s focus is in the restorative aspect of massage and wellness. He also holds certifications in TMJ and fertility massage.

Courtesy photo LeWinfred Shack

Medical Coding Coaching Program Our Continuing Education Unit (CEU) program covers Behavioral Health Coding, Leadership, Modifiers, Advanced E/M coding and ICD-10-CM Coding. This course is on demand for newly certified coders and medical billers. One-on-one sessions are held on Saturday from 10:00 a.m. - 12:30 p.m. To learn more, visit Home | Pacc (

Domestic Violence Awareness Month Recap On Saturday, Oct. 23, Paula Anderson Coaching and Consulting (™), LLC hosted a panel discussion on Domestic Violence Awareness Month. The topic was healthy relationships. The panelists were Mia Earl, certified reflexologist; Dr. Clay Culp, licensed clinical social worker; Keith Wells, licensed marriage and family therapist; and Essa Wallace, outreach advocate.


Each panelist was asked questions about the Adverse Childhood Experiences (ACE) study, Social Determinants of Health (SDOH) and the psychology of fear in domestic violence. Dr. Clay Culp, licensed clinical social worker, shared the types of domestic violence. Domestic violence also called “intimate partner violence” occurs between people who are in an intimate relationship. Domestic violence can be physical, emotional, sexual, economic or psychological according to the Mayo Clinic. Keith Wells, licensed marriage and family therapist, talked about showing love according to the book - The Five Love Languages which explains ways to love your partner, spouse or significant other. Research shows that the impact of childhood abuse can impact adults later in life. In 1995, Kaiser Permanente in San Diego conducted a research study called Adverse Childhood Experiences (ACE). “A medical questionnaire captured demographic and biopsychosocial information, review of organ systems, previous medical diagnoses and family medical history (Felitti, 1998) and was sent out to health plan members.” The study was designed to measure the impact of “childhood abuse and exposure to forms of household dysfunction” (p.246). A total of 13,494 Kaiser Health Plan Members were surveyed and after a second survey, a 70.5 percent response rate (9,508/13,494) was collected. Mia Earl, certified reflexologist, shared the benefits of self-care. Earl suggested taking a walk and a warm bath for self-care. Self-care is one of the ways to help individuals manage challenging situations. According to the Mayo Clinic, “several studies indicate that reflexology may reduce pain and psychological symptoms, such as stress and anxiety, and enhance relaxation and sleep. Given that reflexology is also low risk, it can be a reasonable option if you’re seeking relaxation and stress relief.” One of the topics discussed was Social Determinants of Health (SDoH). According to the National Committee for Quality Assurance (NCQA), these are factors that affect daily life activities such as “economic stability, education access and quality, social and community context, health care access and quality, and neighborhood and built environment”(ncqa. org). Essa Wallace, outreach advocate said, “SDOH greatly influences the trajectory of our lives, with the proper supports/treatments they can be managed and overcome.” To learn more about Domestic Violence resources, contact a behavioral health professional or visit


Citations: Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., ... & Marks, J. S. (2019). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine.

Entrepreneur Education Legal advice can save you money by Paula Anderson As a new entrepreneur, you have found your passion and want to share your products or services with everyone. Owning a business can be viewed as the pathway to financial independence and security. We live in a free enterprise society, and we have the ability and power to get wealth. In Deuteronomy 8:18 “But thou shalt remember the Lord thy God; for it is HE that giveth thee power to get wealth, that He may establish His covenant which He swore unto thy fathers, as it is this day.”(KJV) An important lesson in entrepreneurship is protecting your idea, vision or dream. Since we live in a world where there is competition and the desire to make money from another person’s idea. Entrepreneurs need to consider obtaining legal counsel before sharing your ideas with the world. Before you begin the marketing and promotions of your product or service make sure you have some standard contractual agreements.



According to Attorney T. Kevin Bruce, “confidentiality, non-disclosure and non-compete agreements are important to all businesses, but especially so for small and start-up businesses.” You may have a trusting relationship with an employee or business partner, but an agreement can lay out what is expected from both parties. A confidentiality agreement will protect your business when you disclose business and marketing strategies and financial plans to business partners, clients, employees and vendors. Most entrepreneurs are trying to cut costs during the initial stages of starting a business. It is best to seek the advice of an attorney before you engage in any financial arrangements with a business partner, client or employee. Bruce added, “In my experience, I have found that, even when people begin their relationships with the best of intentions, things tend to change when real money comes into the picture.” In the movie, “Straight Outta of Compton”, the character played by Ice Cube is an excellent example of not allowing someone to pressure you. He understood that he had a right to know what he was signing and was not influenced by other members of the group. His character made a decision to walk away from the deal. Another business contract is a non-compete agreement, which means that you cannot do business with any other company that offers similar services. Bruce states this type of agreement is important to small or start-up businesses because they can be viewed as being “vulnerable to someone else, particularly someone with greater resources or more extensive relationships, stealing their idea and implementing it faster or more thoroughly than the entrepreneur.” All agreements need to be mutually beneficial to both parties. To learn more about legal matters, consult an attorney.


PACC is seeking coaches for our health care professional development program in 2022. Coaches need to be available to meet virtually in oneon-one sessions with individuals who are pursuing professional and career goals. Requirements: Minimum of two years experience in medical coding, business and/or communication. Minimum of an associate’s degree. Send a cover letter and resume to

Each month, a new video will be posted on Paula Anderson Coaching and Consulting, LLC YouTube Channel. The videos discuss a coding and communication topic. For November, the topic is Integumentary and Writing a Cover Letter. Click here to watch the video this month. Follow Us on Social Media

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