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Tip # 8  Get a commitment. A call that doesn’t result in a commitment from the patient is a wasted call. Make sure you control the call. Don’t ask, “When can you get back to me on this?” Rather, ask “Will you be calling me by Wednesday?” Don’t hang up the phone without summarizing with the patient the results of the call. What was their commitment? What are your expectations and what will be the result if they are not met? Emphasize the urgency of the matter. It’s easy for the patient to forget your call as soon as they put down the receiver, especially if they don’t think you were really concerned about the outcome.
Stress that the patient call you back on the date they promise payment. You are looking for a confirmation that the check has been sent. If they fail to call, the payment likely didn’t happen. You won’t waste time waiting for a check that was never mailed. And finally, if the patient doesn’t follow through on their commitment, make sure you follow through on the consequences. If you don’t, they will never take you seriously.  Consider sending a “failure to pay on services” letter from your attorney. Often a letter from your attorney will be less expensive and more effective than threatening them with a collection agency.

Tip #9  Review your collection system and your state laws. Most of our practices discover that 85% of the patients who owe them money pay on time. If your accounts receivables have less than eighty five percent of the balances in the zero to thirty category you will want to review your collection policy / system for effectiveness.

Tip # 10  Statements with notes on them do not work. Many offices resort to placing red stickers on statements or sending letters vs. placing a phone call. This is not only expensive but also ineffective. The Schuster Centers model is a relationship-based model. So your collection calls are actually a wonderful way of enhancing or putting boundaries on a relationship. Remember that these contacts should not be unpleasant for you or your patient. I can’t emphasize enough that you can’t make patients pay you, so going to a collection call with a negative mindset will not enhance your collection success.

The Coaching Department at The Schuster Center; support@cfpd.com

–For information on dental practice management, team development, hygiene and case presentation products and services call 1-800-288-9393 or visit www.schustercenter.com

Tip #5 Make the debtor right, even when they are wrong. This does not mean agreeing with what they are saying, but rather validating it. When given a ridiculous complaint, learn to say, “I can understand why you feel that way.” Or, “I can certainly see how something like that might happen.” This is a way to avoid a negative dialogue and helps maintain open lines of communication. Understanding their point of view, even as you share yours, will disarm the patient’s defensiveness.

Tip #6 Stay focused. Some patients will try to get you off track by complaining about their service, or somehow shifting the blame to you for their delinquency. Be polite, but always bring them right back to the point of your call getting paid the money rightfully due you.

Tip #7 Do not be manipulated. A screaming patient could be using their “adult temper tantrum” as a ploy to get you upset and end the conversation. At the very least, you’re not going to get anywhere with someone that mad. If a patient starts yelling stay calm and don’t interrupt. If you interrupt more than likely they will rewind like a tape recorder and you will have the pleasure of listening to that twice. Try reminding them that you cannot help resolve the situation if they are yelling. If that doesn’t work, you might say something like; “This obviously isn’t a good time for you. When can I call you back?” If they are abusive and are using obscene language hang up and proceed to the next step in your collection system.

The Coaching Department at The Schuster Center; support@cfpd.com

–For information on products and services for high profit dental practice management, call 1-800-288-9393 or visit www.schustercenter.com for dental continuing education opportunities.

PART 1 – Placing collection calls to overdue accounts probably is not at the top of your “favorite thing to do” list. However it is a reality that your dental practice is a “for profit” entity (contrary to what some patients think). Therefore cash flow is vital. We have listed a few helpful tips to not only make your collection calls more effective, but hopefully more palatable for everyone.
Tip #1 is to be prepared before you place your phone call.  Before making your next collection call, take some time to compile a list of possible excuses and good rebuttals. During Retreat II you were asked to create a collection call structured message. The structured message will not only allow you to remain in control of the conversation, it also prevents you from being at a loss for words if the patient tries to give you the run-around. At the morning huddle you may need to alert your team that you will be unavailable during the time you are placing the calls. If you have to place them on hold, you not only lose control of the call, but oftentimes they simply hang up.
Tip #2 is patient specific preparation. Before making the call, be sure you have the specifics of the debt. What is the exact amount owed, terms, date the service was rendered, and if you are accepting assignment, what is the status of the claim? One of the better techniques for reducing your workload is to get your patients to research their claims. 

It also helps if you know the patient’s history with your practice. What is their payment record? If they have always paid on time, maybe the statement was never received, or there’s a dispute involved. If payments have been getting slower month-by-month, it’s possible they have a cash flow problem. Remember, if they are having a family hardship, then you are positioning yourself to be their advocate. You will be firm but empathetic and fair. 

Tips #3 check your attitude at the door. Your attitude has a strong impact both on how you handle the patient and how they respond to you. If you were irritated on a prior call, and carry anger into the next one, the patient is bound to pick up on this and mirror back to you the same level of irritation. Before picking up the phone for the next call, take a few minutes to calm down. Get things in perspective. Keep in mind that you cannot “make them pay you” so getting aggressive or putting on a punitive tone will not allow for success. We coach clients to “charm the cash out of them” versus “berate it out of them.”

Tip #4 Address the patient by name throughout the conversation. This shows respect on your part and demands attention from them.

The Coaching Department at The Schuster Center; support@cfpd.com  For information on products and services call 1-800-288-9393 or visit www.schustercenter.com

 

One of the goals of the Schuster Management Program is to teach your dental team to better define your practice systems, thereby enabling you to work in unison toward a common goal of success. Team meetings not only allow opportunities for enhancing communication within your dental practice, but they give your employees an environment of predictability and stability. A common comment we hear from our graduates is that after they have completed the Management Program they are not certain what they should be you some suggestions and topics to ensure the success of your staff meetings for years to come.

 

  1. Case Studies – Many of our clients have told us how much they have benefited by reviewing a completed case as a team. Questions such as “what could we have done better relative to the patient’s treatment”, and “clinically, what could we have done to imworking on during staff meeting times.  The purpose of this article is to give prove the outcome” are great customer service questions.

 

  1. Recare review – Once a month the hygienist (or whoever works the recare system) should report on the patients who were due for hygiene this month, who is accounted for and who is now missing in action. What is the strategy for contacting those patients and more importantly why did they not respond to the retention efforts?

 

  1. Structured Messages – This should be an on-going project. You created a number of messages during your practice management training, but your practice has an enormous opportunity to refine and create more together as a team. Many offices only use structured messages for phone conversations. But you can use these for virtually any face-to-face interaction. The format can be used to help with your pre-clinical interviews, chair side education, and financial arrangement conversations.

 

  1. Communication – Your ability to communicate your thoughts, feelings, ideas, values and beliefs are determined by how well your practice runs. We often limit ourselves by only thinking about how we communicate person to person. However, you might review all of your printed materials to check for the consistency of the appearance and the message you are sending. Your web site, yellow page ad, signage, phone messages, collection calls, etc. should be evaluated on a consistent basis.

 

  1. Career Development – The best dental practices hire and retain the best people as employees and are responding quickly to changing market conditions. The doctors are not satisfied with the status quo. They continually upgrade facilities, processes, and the skill of their employees.   Many of our doctors lament about not having enough time to get trained on power point or digital photography. Why not send a team member?? Don’t forget to invest in talent and keep them intellectually challenged. Many of our best clients have mismanaged very talented team members by not investing in their development. Take time to plan out your employee’s career path so they continue to be renewed and recommitted to your practice.

 

The opportunities for creating the dental practice of your dreams are unprecedented. But so are the difficulties, for competition is more intense than ever. The critical success factor for your practice is the quality of your team. Authentic team members who are mature and committed will make your vision become a reality. However without effective staff meetings in place, your opportunities to tap into the goldmine called YOUR TEAM will be limited.

—Article submitted by the Coaching Department at The Schuster Center. Feel free to comment here or contact us at www.schustercenter.com

This is one of the most confusing systems in our profession. Many offices spell out vague guidelines for their team to use. Many stipulate that they can have dental coverage for “immediate” family members. The definition of “immediate” family needs to be spelled out so misunderstandings are limited.

Many offices provide dental care for the entire dental team. This system can cause problems within the team if one team member has had some significant neglect. A team member who is not at a very high level of oral health will receive a lot of care and a large benefit. While a team member who has taken great care of their mouth may only require minimal dental treatment and not use this benefit.

Consider providing the same amount of benefit for all of the employees. You can provide a consistent dollar amount each year to be used by your team. For example, you could stipulate that you will provide them with $2000.00 of dental treatment each year. They can use those dollars for their care or for their immediate family. Once they use up the thousand dollars, they will be responsible for paying the remaining portion in cash.

Part time employees are typically not entitled to any benefits. You will need to determine what you would like to provide for them, if anything.

Please know that we are not discouraging benefits to your team. In fact, we encourage them! We simply encourage you to put systems and structures in place that are equitable for all of your team members.

Don’t forget the compensation benefits that don’t show up on your employee’s paycheck. These items are called “Hidden Paycheck” items and your dental care benefits are only one example of this.

Employees may overlook the benefits provided to them by their employers. By incorporating these items into your compensation review, it allows the employee to see the whole compensation picture for what it really is. Many times the hidden paycheck items can add up to 35 percent of their earnings, and most of it is tax-free.

Example of a Compensation Review – Preliminary Offer

Annual Base Salary Offered
$__________________

Employer Matching FICA
$ __________________

Profitability Pay when Available
$___________________

Medical Premium Contribution
$ ___________________

Pension Plan Contribution
$ ___________________

Total Salary
$___________________

The items listed below will not show up on your paycheck. But they are additional benefits provided to you by the doctor.

Uniform Allowance
$ ___________________

Dental Care Allowance
$ ___________________

Jury Duty – Bereavement Pay
$ ___________________

Parking Garage Fees
$ ___________________

Continuing Education
$ ___________________

Total Compensation $____________________________

Pension Participation Date ___________________

Coaching Department; The Schuster Center