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Part of running a dental practice involves keeping track of finances, particularly where your practice is concerned.

As I read the morning paper, my eyes were drawn to the headline “NO ANSWER FOR STOCK FREEFALL!”  The article went on to report that the Dow Jones Industrial had plunged below 7,000 to a level not seen since 1997.  Clearly, from Wall Street to Main Street, we are in troubling times; and, unfortunately, our corner of the healthcare market is not immune to the effects of this economy. 

From patients reluctant to accept treatment plans to recently-laid-off patients not keeping their appointments, we are being affected.  So, what is the economic situation of your practice?  And, more importantly, what are you doing about it?

Run your Dental Practice with Financial Good Sense

Take Charge

Yes, as the owner of a dental practice, there are many things that you control and should do to enhance your practice’s financial performance, even during an economic meltdown.  Understanding what these things are and implementing them in your practice will determine how well you weather this economic storm.

To increase your practice’s financial performance, you’ll want to address three financial questions:

  1. Are my collections where they need to be?
  2. Am I effectively minimizing missed appointments?, and
  3. Do I set and track my financial goals?

Maximize your Collections

A number of years ago, one of my colleagues became increasingly frustrated with his practice’s financial performance.  He complained that no matter how many additional crowns he cut or veneers he cemented, his cash flow remained stagnant.  Curiously, his increased efforts didn’t seem to have any effect on his practice’s overall financial performance.  So he did what many of us have done – he opened his practice to a consultant.  After just a few hours, the consultant found a glaring problem – his collections were at a pathetic 79%.

When times get tough, undercollecting or simply not collecting your hard-earned money is a mistake you cannot afford to make.  Most likely, you have paid thousands of dollars for computer software that was specifically designed to help you monitor your collections.  Software like DentiMax includes great collection features.  If you have not been using your software’s financial tools, now is the time to start.  Familiarize yourself with your patient aging report and insurance aging reports.  With the proper aging reports, it won’t take a consultant to identify problems with your practice’s collections.

Once you’ve identified your collection problems, you’ll want to put your staff to work.  In your next morning huddle, use a highlighter to identify large outstanding patient and insurance balances.  Then direct your front desk to call these patients and insurance companies.  Your staff may need to resubmit claims, and even send patients to collections.

A dental practice works best with the right practice management tools

Use an Effective Appointment Reminder and Recall System

A good patient reminder and recall system is the lifeblood of most successful practices.  Fortunately, just like your patient collection needs, your computer software system should provide an effective system to help your staff ensure high patient appointment compliance.

Recall Appointments

I find that the best time to create the next recall appointments for patients is while they are still in the office.  Be sure your staff does everything they can to make your patients’ next check-up appointments before the patients leave.   Sure, patients might forget the exact day of an appointment six months out, but the mere fact that they have made an appointment will serve to commit them to coming back.  Your software should provide an easy way to print recall appointment cards and lists so that, well before the scheduled recall appointment, you can remind patients of their recall appointments.

Appointment Reminders

There is nothing quite like experiencing a no show on a three-unit bridge appointment.  We’ve all had them, and, to some degree, it goes with the territory, but there are new tools available that will help minimize missed appointments.


To be sure, your front desk staff should make personal confirmation calls to all large cases; however, this type of personal follow-up drains a staff’s time and may be overkill for smaller cases, especially for offices running a lean staff.  Some software systems now offer the ability to e-mail customized appointment reminders directly from the appointment book screen. If your system doesn’t have this capability, you may want to look into a third-party add-on service that can send e-mail and/or text message reminders to patients. 

Don’t overlook your appointment reminder system because anything you can do to help your patients keep their appointments will have a direct impact on your bottom line.


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