Hello and welcome to the summer edition of my newsletter. I hope this finds you all well, happy and enjoying your profession.
Summer is here and many practices are
reevaluating where they are at this point in 2011. I say, good for them. Are you moving in the direction you had set in January? If not, let’s take a look at how to support your front office with all the seemingly countless and many times overwhelming tasks necessary to keep your office moving forward.
I have been receiving more calls and emails lately about overdue accounts receivables, holes in the schedule, low production resulting in low collections. So, below are the topics for the next several newsletters. I will provide a few tips to aid your front office in reducing their stress, which reduces that feeling of overwhelm and increases their productivity.
•Staff members’ abilities to be consistent and effective in their duties
•Treatment Coordinator’s presentation and financial arrangements
•Scheduling effectively, reducing no shows and cancellations
•The recall and unscheduled treatment system
•Incoming phone call protocol-Are you the obstacle keeping new patients away?
•New patient /Returning patient Communications
•Financial policies
•Accounts receivable systems-Overdue Procedures
A staff members’ ability to be consistent and effective in their duties must start with effective time management. Here is my time management sheet:
Time Management Sheet
Time Management for the Front Office–Fill in your own specifics
7:00-8:00 AM: Check in patients, Collect messages, return calls, pull charts for the next day. Attend to departing patients–
8:00-9:00 AM: Confirm patients for the next day, make sure pre-med patients have their meds, Attend to departing patients—don’t forget to ask the patient making that restorative appointment, “If we have an appointment open up sooner, would you like us to call you?” Keeping an active quick call list is critical to keeping your schedule full in a pinch.
9:00-10:00 AM: Fill schedule if necessary for next day–use quick call list, look at a few days out, work on claims that have not been sent out, copy necessary x-rays or send as an attachment, write narratives and put it in the #35 box on the claim form, send out.
10:00-11:00 AM: Work outstanding insurance claim aging report. Call insurance companies and find out status of claims. Send necessary information, ask to fax, or email with all necessary attachments. All confirmation calls for the next day should be done by the lunch hour. The next day schedule should be full by lunch hour.
11:00-12:00 PM–Lunch
12:00-1:00 PM Check in patients, collect messages, return calls. Work overdue patient accounts.
1:00-2:00 PM Send out at least three unscheduled treatment letters or make at least three follow up calls regarding a patient’s unscheduled treatment. Document all conversations and actions on a patient’s account in the patient account notepad on the computer.
2:00-3:00 PM Continue all of the above as well as attending to patients.
3:00-4:00 PM(Fill in your own task here, if could be calling on some patient with overdue recalls.)
4:00-5:00 PM Start end of day processing. Clean up reception area, check patient bathroom to make sure it is clean and tidy. Check floor, carpet and make sure it is clean and tidy.
Treatment Coordinator’s presentation and financial arrangements. Here is an excerpt from my Case Acceptance/Financial Dialog mini manual I sell on my website.
3. Scripts and Scenarios for Creating the Treatment Action Plan
Let’s say the doctor has diagnosed four teeth that need crowns; a couple more teeth need fillings and a gross and fine scale. I recommend breaking it down in urgency so you know where would be the most critical area to start if the patient seems reluctant to move forward with any treatment. The doctor has shown the patient these teeth needing treatment, using the intra oral or digital photo that those four teeth need crowns. Clinically speaking, let’s say, only two are putting the patient at risk of needing a root canal if they wait.
Your energy should be relaxed, enthusiastic, supportive, and confident with a willingness to serve. The patient feels that and is relaxed by it as well. Your knowledge of dentistry will help you understand the clinical need and the potential consequences of waiting. The patient is counting on you to advocate for them using that knowledge. Your knowledge and their lack of it is what makes you their advocate. The patient is brought into a private room; I introduce myself and explain why they are there.
TC: “Bob, my name is Sue; it is a pleasure to meet you. I am going to give you the financial breakdown of the treatment the Dr. has recommended. Do you have any questions about your treatment or why you need this treatment? Bob, is anything bothering you presently?”
In a patient’s mind, if it is bothering them, even if it is the filling, it is their highest priority, maybe not the highest clinical need but it is their highest need. This must be addressed; anything that is bothering a patient is interrupting the quality of their life.
Focus on that and address keeping the patient from having any other bothersome areas by including the two most critical teeth using this scenario I’ve created.
TC: “Ok, well let’s focus on that area and I see Dr has highlighted for me these two teeth that have deep decay and she/he is concerned they will become bothersome (use any word, but best to use the patient’s word to describe the problematic tooth previously discussed.)
“So, let’s put together an action plan for the one that is bothering you and these two. Does that sound like a good plan? You and I will call this phase one and once these are taken care of and you are out of harm’s way, we can come back to these other areas.”
For a more detailed description of my technique you can purchase my downloadable mini manual for only $19.95.
I also have a downloadable MP3 audio instruction of my case acceptance and financial dialog techniques for $9.95.
That is it for this newsletter. Part two will follow in the next couple of weeks.
Remember to take time out for you by making an appointment with yourself.
Wishing all my best for your success,
Suzanne