Tuesday, July 10, 2018

How is your Garden??


Currently, most of our flower gardens are in full bloom; and depending on what part of the county you hail from, your vegetable gardens are ready for harvest as well!


Has it been a successful season?  Were the plants healthy and high-yielding, or did you have weeds over take the garden and your initial hard work went to waste?


 At this mid-year time, reflect on the “garden” of your choices.  Just as a well-maintained garden can produce abundance, weeds of distractions, toxic people, and negative environments it can create unrest and a cycle of poor choices.  Eliminate the elements that do not produce healthy fruit in your life.  Work hard to cultivate and protect your “crops” for your future success!




BY:  Corinne Jameson-Kuehl



Friday, April 20, 2018

Practice Rescue - Part One: Ways Employees Hijack your business culture



Hijack #1 Employees taking away aspects of Patient Interaction they do not believe “you are capable of doing.”

What does it mean to be “hijacked” by the employees in your practice?  Have you ever spent time discussing treatment with a patient, only to notice details later were changed without your knowledge? 

Often, Dentists will tell me that they feel excluded from the details of the daily routine and the daily events in their own business simply because the employees make decisions without the owner’s knowledge.  They also say when they ask questions regarding financial reports or why someone didn’t schedule treatment, team members respond blasé or make them feel they are terrible for asking.

One-way employees “hijack” the dentist is by changing treatment plans and making financial decisions per what they feel is best for the patient based off assuming they know this patient’s financial and personal need.  This is especially common in newer ownership where the team may view the new dentist as inexperienced or doesn’t “know” the patients as the previous owner or the experienced team members. 

The problem with this mentality, is employees will make the choice to “give a discount” or change treatment per what “has always been done” and therefore leaving the dentists’ specific treatment plan devalued and giving the confused patient the impression the dentist is only looking to line the pocket book.

One example is seen in the dental hygiene department.  A long-time patient is seen with perio pocketing depths and heme that is consistent stage 2 Periodontal disease that the new Dentist believes needs to be addressed.  When the new dentists shares the concern with the hygienist, he/she is met with the hygienist response of “it’s always been that way, and Dr. Previous-owner always watched those areas, and besides long-time patient doesn’t have the money for periodontal therapy, so I just do a prophy and hope for the best.”

The new dentist is unsure how to respond, as questions loom through his/her mind; Where is the patient education on how this condition affects the entire health of the patient?  How can I legally treat a patient with a prophy, when that is not the accurate condition?  “Why is my hygienist making the treatment decision for the patient?”

Employees hijack your business culture by not supporting your treatment plans.


By:  Corey Jameson-Kuehl



Tuesday, March 6, 2018

Practice Rescue: 5 ways to decrease your accounts receivable




January 4, 2018 -- Is your practice thriving at the level you'd like, or are you looking for some help in a specific area? That's where you need a Practice Rescue. Jill Shue of Custom Dental Solutions offers practical solutions gathered from years of experience with practices like yours.
Does this scenario sound familiar? Patients are frustrated with financial surprises when they receive their bills. This leads to unhappy patients, your team having to constantly make difficult collection calls, and a decrease in cash flow. What can you do to decrease your patient accounts receivable?
1. Educate and inform
Many patients are not aware that dental insurances are only a benefit or a contribution, not a guarantee of payment. Instead, they expect their insurance to cover everything.
Patients must be told that they are responsible for the full balance, regardless of the contribution from their insurance. Your patients do not know the costs of procedures, nor do they know the expectations of when payment is due, unless you or your team tells them.
When presenting financial information to patients (we've found that this information should be presented before their scheduled appointment), make sure you provide them with three items:
·        The total fee
·        Their estimated out-of-pocket cost
·        Their estimated portion due on the day services are rendered
This presentation should be provided in writing and stated in a way your patients will understand. This may mean that you will need to alter your templates and printed presentation.
2. Options
While we recommend that you offer financing options to your patients, don't force yourself into being a bank. Present two or three companies (CareCreditLendingClub, and the like) that patients may use to assist in paying their dental bills.
If they are unable to make a payment in full, it does not mean they must forego treatment. Show them the available options to split up their payments to make them more affordable. Being able to offer your patients options will increase your case acceptance as well.
3. Scripting and team approach
Your clinical and administrative teams must use the same terminology. The entire team should know which phrases to use and which to avoid.
“Being able to offer your patients options will increase your case acceptance as well.”
"We'll bill you" cannot be an option if you expect to lower your accounts receivable. When was the last time you went to a grocery store and had the option to be billed?
Your patient has received a service and is expecting to make a payment. If you don't ask for payment, how will he or she know what is expected?
Use language like the following: "Your estimated out of pocket is $500. We'll send the remaining balance to your insurance for their consideration. Should there be anything remaining, we will send you a statement."
When collecting payment, do not ask if the patient would like to make a payment; instead say, "How would you like to pay today: check or card?" Never assume a patient is unable to pay.
Whichever scripting you use, speak confidently and concisely. If you are asking a question, be sure the patient responds. Don't let the silence win. Your patient, at this point, should have already been informed of the costs and expectations.
4. Systems and consistency
Create a protocol and timeline for collecting accounts. Send statements every 10 to 15 days for outstanding accounts (avoid the conventional 30-day billing cycles) -- the more frequent the better.
How many statements will patients receive before they get a "warning" letter? How many letters will they receive before the account is turned over to an attorney or collection agency? Your patients must receive consistent statements each month with eventual escalations for you to be successful in obtaining payment.
5. Be kind
At the end of the day, remember to be kind. Kindness truly does go a long way. You are providing your patients with financial information prior to them having work completed as a courtesy, so they know what to expect. You are not giving them this information because you are a money-hungry dentist. While, yes, we do have a business to run and jobs to do, we genuinely care about our patients and their well-being. When a patient sees that you care, you generate value, respect, and loyalty from that patient.
Collecting payments does not have to be a dreaded task. If it's done with each appointment, you will have fewer of these frustrating duties and will be able to focus your attention on taking care of your patients. After all, you did not choose this profession to hound patients for money.
Jill Shue is the administrative and insurance lead trainer for Custom Dental Solutions. She can be reached at Jill@CustomDentalSolutions.com.
The comments and observations expressed herein do not necessarily reflect the opinions of DrBicuspid.com, nor should they be construed as an endorsement or admonishment of any particular idea, vendor, or organization.