• Wednesday, April 30th, 2014

Dental regulations for the Botox dentistState Legal Requirements for Botox Dentists

John Bitting, Esq, is legal counsel for DOCS Education. Here, he answers this question: “What regulatory issues does dental Botox present?"

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• Wednesday, April 02nd, 2014

Dental marketing for sedation dentistryState Legal Requirements for Dentists

John Bitting, Esq, is legal counsel for DOCS Education. Here, he answers this question: “How can I learn more about my state requirements?"

more…

• Wednesday, March 12th, 2014

Dental marketing for sedation dentistrySedation Dentistry: Legal Guidelines

John Bitting, Esq, is legal counsel for DOCS Education. Here, he answers this sedation dentistry question: “Can you give us a brief overview of the oral and IV sedation regulations in the US?”

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• Saturday, March 01st, 2014

Dental advice from dentist Dr. Dan GarzaAn Inside View from a Sedation Dentist

Practicing Dr. Dan Garza answers this question: “How long have you been practicing sedation dentistry?”

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• Monday, February 24th, 2014

Dental marketing insights from Jim Du MolinDental Marketing Challenges: Sedation Dentistry

Jim Du Molin answers the following dental management question: “What’s the biggest dental marketing problem for sedation patients?”

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• Sunday, February 16th, 2014

Dental marketing insights from Jim Du MolinSedation Dental Marketing: Getting the Best ROI

Jim Du Molin answers the following question: “What do you think is the best return on investment for sedation dental marketing?”

more…

• Sunday, February 02nd, 2014

Dental marketing insights from Jim Du MolinMarketing Yourself as a Sedation Dentist

Jim Du Molin answers the following dental marketing question: “When marketing sedation dentistry outside of the practice, what’s the best strategy?”

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• Wednesday, January 22nd, 2014

Health Care Reform & Pediatric Sedation DentistryDental marketing with Dr. Michael Silverman

Dr. Michael Silverman of DOCS Education answers the following question: “Do you know if pediatric sedation is going to be covered under the Obama healthcare plan?”

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• Thursday, January 16th, 2014

Dental advice from dentist Dr. Dan GarzaSedation Dentistry in Rural USA: Dental Marketing Tips

Practicing Dr. Dan Garza answers this dental marketing question: “How do you market sedation dentistry in a rural area?”

more…

• Thursday, January 09th, 2014

Dental advice from dentist Dr. Dan GarzaDental Marketing Challenges in Sedation Dentistry

Practicing Dr. Dan Garza answers this dental marketing question: “What is your biggest challenge in sedation dentistry?”

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• Thursday, January 02nd, 2014

A 4-phase program to quadruple your internal marketing response!

Hi, I’m Jim Du Molin, founder of The Wealthy Dentist University. My Internal Marketing and Communications tutorial provides one of the most fundamental strategies you can use to retain your existing patients and get high-quality referrals.

Members of The Wealthy Dentist University get access to this and many other video lessons. But for those of you who aren't members, I'm making this tutorial available to the general public.

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• Monday, December 23rd, 2013

Dental marketing with Dr. Michael SilvermanEvolving Protocols in Dental Continuing Education

Dr. Michael Silverman of DOCS Education answers the following question: “Over the past ten years, how have DOCS sedation dentistry protocols evolved?”

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• Thursday, July 15th, 2010

Dental marketing with Dr. Michael SilvermanDOCS Continuing Dental Education & IV Sedation Dentistry

Dr. Michael Silverman of DOCS Education answers the following question: “Why did you add IV sedation dentistry to the DOCS course catalog?”

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• Thursday, July 08th, 2010

Dental marketing with Dr. Michael SilvermanPediatric Oral Sedation Dentistry

Dr. Michael Silverman of DOCS Education answers this question: “You didn’t use to teach pediatric oral sedation. What made you change your mind?”

more…

• Thursday, July 01st, 2010

Dental marketing insights from Jim Du MolinIntroducing Sedation Dentistry to Your Patients

Jim Du Molin answers the following dental marketing question: “If I’ve never offered sedation dentistry before, how can I introduce it to my patients?”

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• Thursday, June 10th, 2010

Dental marketing insights from Jim Du MolinDental Marketing & the "Niche" Dental Practice

Jim Du Molin answers the following dental management question: "Is it true that the niche type practice is not the most effective business model in this ever changing environment?"

more…

• Tuesday, June 08th, 2010

HR Insights from Barbara FreetDental Management & Human Resources: When To Fight an Unemployment Ruling

Human resources expert Barbara Freet addresses this dental management question: "When should a doctor fight an unemployment ruling?"

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• Wednesday, June 02nd, 2010

Dental marketing insights from Jim Du MolinDental Marketing: Offering Dentist Discounts

Jim Du Molin answers the following dental management question: "My fee discount policy—seniors, cash patients et cetera is somewhat willy-nilly. What’s a good system?"

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• Thursday, May 20th, 2010

HR Insights from Barbara FreetDental Management & Human Resources: Can You Avoid Paying Unemployment?

Human resources expert Barbara Freet addresses this dental management question: "Are there ways that dentists can avoid unemployment insurance?"

more…

• Tuesday, May 18th, 2010

Dental marketing insights from Jim Du MolinDental Marketing: How To Get Patients Off the Fence

Jim Du Molin answers the following dental practice management question: "How can I persuade those patients sitting on the fence to commit to starting their treatment now? Many want to start but are scared to commit their resources."

more…

• Wednesday, May 12th, 2010

HR Insights from Barbara FreetHuman Resources & Dental Management: Paying Unemployment Insurance

Human resources expert Barbara Freet addresses this dental practice management question: "Doctors don’t like paying unemployment insurance. Is it just one of the costs of doing business?"

more…

• Tuesday, May 11th, 2010

Health care and dental benefits with Dr. Fred SharpeDental Management: Nat’l Requirements for Dentists

Dr. Fred Sharpe, Chief Dental Officer for Avesis, addresses this question of dental management: "We now have OSHA, HIPAA, NBDP, NPI and lots of other national requirements for dental practices. When will it end?"

more…

• Wednesday, May 05th, 2010

HR Insights from Barbara FreetHuman Resources: Watch Out for Bad Apples!

Barbara Freet, expert on human resources, answers this question on dental management: "You seem like a woman who probably hears an awful lot of stories. What’s the latest juicy scandal you’ve heard?"

more…

• Tuesday, May 04th, 2010

Dental marketing insights from Jim Du MolinDental Marketing: Token Offers & Pricing Specials

Jim Du Molin answers the following dental management question: "A lot of dentists are having a hard time meeting their financial needs and goals right now. Do you think it’s in good dental marketing taste to announce to the general public periodic or monthly pricing specials for specific dental treatments or services?"

more…

• Wednesday, April 28th, 2010

Dental marketing with Dr. Michael SilvermanDental Marketing: The Changing Culture of Dentistry

Dr. Michael Silverman, president of RAMP, answers this question: "What new awareness has occurred in the nature, if you will, of dental marketing that dentists need to know?"

more…

• Tuesday, April 27th, 2010

HR Insights from Barbara FreetHuman Resources: Employer Documentation

Barbara Freet, expert on human resources, answers this dental management question: "When it comes to employees, how much documentation is enough to protect the dentist?"

more…

• Wednesday, April 21st, 2010

Health care and dental benefits with Dr. Fred SharpeDental Management: Health Care Reform & Mid-Level Dental Providers

Dr. Fred Sharpe, Chief Dental Officer for Avesis, addresses this question of dental management: "Do you think that dentistry will change because of governmental pressures?"

more…

• Tuesday, April 20th, 2010

Health care and dental benefits with Dr. Fred SharpeDental Management: Dentistry & the National Health Plan

Dr. Fred Sharpe, Chief Dental Officer for Avesis, addresses this question: "The national health plan is big news. Where is dentistry in the proposed national health plan?"

more…

• Wednesday, April 14th, 2010

Dental marketing insights from Jim Du MolinChoosing Your Internet Dental Marketing Budget

Jim Du Molin answers the following dental management question: "How does a dentist determine his or her internet dental marketing budget? How do you evaluate which online directories or websites are working for you?"

more…

• Tuesday, April 13th, 2010

Dental marketing with Dr. Michael SilvermanDental Marketing: Team Training Is Everything

Dr. Michael Silverman, president of RAMP, answers this question: "In all your experience working with over 500 dental practices, what single thing makes a practice the most successful with a dental marketing campaign?"

more…

• Wednesday, April 07th, 2010

HR Insights from Barbara FreetHuman Resources: Employee Discipline

Barbara Freet, expert on human resources, answers this question on dental management: "What is the most effective method of employee discipline?"

more…

• Tuesday, April 06th, 2010

Dental marketing insights from Jim Du MolinDental Marketing: Yellow Pages Advertising

Jim Du Molin answers the following dental practice management question: "It’s 2010. Do telephone book ads work anymore?"

more…

• Thursday, April 01st, 2010

Dental marketing with Dr. Michael SilvermanDental Marketing: The Importance of Tracking

Dr. Michael Silverman, president of RAMP, answers this question: "In 2010, what one thing would stop you from recommending any and all advertising to a potential client?"

more…

• Tuesday, March 30th, 2010

HR Insights from Barbara FreetHuman Resources: Employee Discipline

Human resources advisor Barbara Freet answers the following question: "Is there some legal reason why I should discipline a wayward employee and not just fire them?"

more…

• Wednesday, March 24th, 2010

Dental hygienist lawsDental Hygienist Legal Autonomy

John Bitting, Esq, is legal counsel for DOCS Education. Here, he answers this question: “What about the increase in autonomy of dental hygienists?"

more…

• Wednesday, March 03rd, 2010

Highlights from The Wealthy Dentist University monthly webinarsWebinar bites

Jim Du Molin answers this question: “How can I, with all the other hats I have to wear develop and consistently implement a marketing program? I don’t have the time or training to know what to do or if the company I hired knows what they’re doing.

Get ready for some tough love from Jim on the topic of dental marketing

more…

• Sunday, February 28th, 2010

Highlights from The Wealthy Dentist University monthly webinarsWebinar bites

Jim Du Molin talks internet dental marketing with Melinda Spitek of Hycomb Marketing, tackling this question: "The internet has become a favorite medium for dental marketing. Do you think it’s the 'wave of the future,' as they say?"

more…

• Wednesday, February 24th, 2010

Highlights from The Wealthy Dentist University monthly webinars

Jim Du Molin answers this question: “We get a lot of new patients that many are unqualified financially. Many patients that could get credit in the past can’t now. How do we get more financially qualified patients that can move ahead with treatment in this credit climate?”

Jim's response? "The entire case presentation process separates your prospects from your suspects. And the short answer to this is cash, check, Visa, MasterCard and outside financing. The doctor no longer bills. And the sooner that dental management fact is understood, the better off everyone in the relationship is going to be."

more…

• Monday, February 22nd, 2010

Highlights from The Wealthy Dentist University monthly webinarsWebinar bites

Direct mail has been one of the most effective means for dentists to get new patients. So Melinda Spitek answers the question, "What advice would you give dentists who are considering direct mail in the current economy?"

Jim Du Molin and Melinda discuss the importance of targeting your direct mail dental marketing efforts.

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• Wednesday, February 17th, 2010

Highlights from The Wealthy Dentist University monthly webinars

Dental marketing expert Melinda Spitek of Hycomb Marketing answers the following question: "Most dentists in this economic downturn have noticed a decline in new patient flow and production. What do you think their most important dental marketing effort should be?"

more…

• Tuesday, February 16th, 2010

Professional Relationship Sexual HarassmentSexual harassment laws for doctors and patients

Human resources advisor Barbara Freet answers the following question: "As we look forward to the legal climate for 2010, what should dentists be aware of to protect themselves?"

If you haven't heard about the new "Professional Relationship Sexual Harassment" laws and how they relate to dental management, then you'll definitely want to listen to this…

“Professional Relationship sexual harassment applies when there is a business, service or professional relationship between two people and sexual harassment occurs,” she explains. “So examples of those professional relationships covered by this law include doctor-patient, landlord-tenant, attorney-client, mortgage loan office and client, insurance agent and client, financial planner-client, therapist-client—you get the general idea.”

more…

• Wednesday, February 10th, 2010

Highlights from The Wealthy Dentist University monthly webinarsWebinar bites

Jim Du Molin answers this question: “Knowing all that you know about marketing, if for some bizarre reason you could only do one thing to market your dental practice, what would that be?”

"I would say that the number one dental marketing issue is how you structure your case presentation," he says. "If you thoroughly train your team and train yourself as the doctor, you can increase your case acceptance by 25% and/or generate another hundred and twenty-five thousand dollars in production."

more…

• Wednesday, February 10th, 2010

Highlights from The Wealthy Dentist University monthly webinarsWebinar bites

Human resources advisor Barbara Freet answers the following question: "I’ve heard that dentists can get into trouble if they don’t handle pregnancy leaves correctly. What are the most important things a dentist needs to do when someone says she’s pregnant?"

more…

• Monday, February 08th, 2010

Asking patients for money is easy if you know just what to do. It's essential to have both the financial arrangements and the verbal skills.

Let's review:

  1. Cash or Check
  2. Visa or MasterCard
  3. Outside Patient Financing
  4. 50% in advance of scheduling, the remainder in full one week prior to the day of treatment.

Remember: our goal is to eliminate doctor financing!

You want to first try to get payment in full via cash or check; you can even offer a 5% bookkeeping adjustment as enticement.

The next best option is to have the patient put their treatment on a major credit card.

If those don't work out, you can try long-term patient financing. It's best to offer patients several financing companies. You never want to offer in-house financing!

• Monday, February 08th, 2010

Highlights from The Wealthy Dentist University monthly webinarsWebinar bites

Human resources advisor Barbara Freet answers the following question on dental management: "What is the best way to handle things like tardiness, absenteeism and attitude issues?"

"The employer has some responsibility to determine if you have performance issues whether it’s a training issue, whether it’s a resource issue, any of those kinds of things—things that employers are supposed to provide to help their employees do their jobs," she says. "But that’s not true about work habits. When it comes to work habits, work habits are how the person does their job. The difference is, the responsibility for the solution to the work habit issue is 100% the employee."

more…

• Thursday, February 04th, 2010

There are good relationships and bad relationships. We have all had both.

Only a masochist who truly enjoys pain would take a patient who has rejected the three most common forms of payment:

  1. Cash or Check
  2. Payment today or in advance of scheduling – 5% bookkeeping adjustment
  3. Visa or MasterCard

And…

  1. FAILED to qualify with three outside dental financing companies.
  2. Turned down paying 50% in advance of scheduling and the remainder one week prior to the day of treatment.
  3. And, finally, rejected a phased treatment plan over the next one, two or three years to bring them to basic functionality.

And then the patient says: “I don’t think I can afford to pay that much.”

Hopefully your response is:

“Mrs. Jones, how had you planned to cover the cost of your treatment?”

Now some people feel I’m a little harsh here, but at what point do we return to the real world of your need to pay the rent and your team? Oh, and don’t forget yourself!

Charity is fine. But I don’t think you want to wait until the end of the month to find out you’ve just preformed $3,200 of charitable care without knowing or consenting to it.

But for the softies out there, try this verbal skill:

“Mrs. Jones, perhaps you’re not ready to move ahead with your treatment at this time.”

In our next TWDU Insight we’ll talk about each of the four major financial options.

• Wednesday, February 03rd, 2010

Highlights from The Wealthy Dentist University monthly webinarsWebinar bites

Dental benefits advisor Dr. Fred Sharpe addresses the following questions:

  • What will happen if the government finds that there is not enough access to dental care?
  • What’s happening with advanced hygiene doing extractions, fillings and that type of thing?
  • What are some current efforts in other countries that might be tried in the United States?
  • Will the federal or state governments eventually manage dental services, at least for some programs? How would that actually work?

more…

• Tuesday, February 02nd, 2010

Inevitably, some patients will be turned down by outside financing companies.

FINANCIAL COORDINATOR: “I’m sorry, Mrs. Jones. You didn’t qualify for financing. However, to make this affordable for you, we can structure your payments so that you pay $1,600 in advance of scheduling and the remainder one week prior to the day of treatment.

Please remember this patient has already FAILED to qualify with three outside dental financing companies. This person is a “Suspect”!

You would have to be brain dead to put this patient in the doctor’s schedule without at least 50% of the patient’s share of the fee in your bank account with the check cleared. Plus, the remaining 50% must be paid at least one week prior to the day of treatment.

However, we have one more option to try – Phased Treatment Planning.

PATIENT: “I can’t afford $1,600 now. Can’t you just bill me?

FINANCIAL COORDINATOR: “Mrs. Jones, we have eliminated billing. However, I can break your treatment plan into phases. This would reduce your initial deposit to $800, and you can pay the remainder one week prior to the day of treatment.

This is why we teach in our Case Acceptance Course to always have two treatment plans for a major case.

  1. One that you would prepare as if for a family member, and a…
  2. Second that restores the patient to basic functionality… no pain and no drooling.

You are ethically obligated to present the first and (I feel) morally obligated to be prepared with the second if the patient can’t afford the first.

Now, what do you say when the patient comes back with, “I don’t think I can afford to pay that much”?!?

The answer will be in our next TWDU Insight… and you may not like it.

• Sunday, January 31st, 2010

Eliminate doctor billingWhat do you do with patients who are turned down by outside financing companies?

FINANCIAL COORDINATOR: "For those who qualify, we have a lending service that can finance your part of the treatment for up to two years.

Thankfully you used the verbal skill above “For those who qualify,” because…

FINANCIAL COORDINATOR: “I’m sorry, Mrs. Jones. You didn’t qualify for financing. However, to make this affordable for you, we can structure your payments so that you pay $1,600 in advance of scheduling, and the remainder one week prior to the day of treatment.”

This is probably your most important verbal skill in the patient financing process.

Remember, this person has rejected the three most common forms of payment:

  1. Cash or Check
  2. Payment today or in advance of scheduling – 5% bookkeeping adjustment
  3. Visa or MasterCard

And, most importantly, this patient FAILED to qualify with three outside dental financing companies. This person is a "Suspect!"

You would have to be brain-dead to put this patient in the doctor's schedule without at least 50% of the patient's share of the fee in your bank account with the check cleared.

Now this is important… the remaining 50% must be paid at least one week prior to the day of treatment!

If you allow this patient to wait to pay the balance on the day of treatment you are setting yourself up for a major disappointment when they call in sick or lost their checkbook again.

With a week's advance notice, you still have time to fill that hole in the doctor's schedule.

But there is still one more step you can take to help… I'll tell you in the next TWDU Insight.

• Wednesday, January 27th, 2010

Highlights from The Wealthy Dentist University monthly webinarsWebinar bites

“How do you market to a community that has a dentist (the one the current dentist bought the practice from) bad-mouthing our dentist all around town?”

Hear Jim Du Molin's thoughts on how to handle this tough dental marketing situation.

more…

• Wednesday, January 27th, 2010

Once you’ve eliminated dentist billing, what financial options should you offer patients?

PATIENT: “Can’t you just bill me?”

FINANCIAL COORDINATOR: “Mrs. Jones, when we bill someone, it’s just like a bank lending money, and you know how much trouble the banks have gotten into in the last few years. That’s why we no longer send bills.

“However, can you afford $100 a month?”

PATIENT: “Why yes, I think so.”

FINANCIAL COORDINATOR: “That’s great, Mrs. Jones. For those who qualify, we have a lending service that can finance your part of the treatment for up to two years.

The critical qualifier here is “For those who qualify.” You of course will already have worked out the monthly dollar amount using one of the THREE outside patient financing companies that you will be working with.

Which three? It doesn’t matter. The issue is that the ability of any given patient financing company to lend money will vary day to day, even morning to afternoon.

The solution is to have three companies on tap to work with. If the patient fails to qualify with one, go to the next.

If the patient fails to qualify for outside financing with all three, you’ll have to decide if this person is a “Prospect” or a “Suspect.”

See our next TWDU Insight for the answer to this question.

• Monday, January 25th, 2010

Highlights from The Wealthy Dentist University monthly webinarsWebinar bites

“I send out a monthly newsletter, half by email and half by snail mail. I have no idea how much either version is read. Are newsletters a good way of retaining my existing patients?”

Hear Jim Du Molin’s thoughts on using a dental patient newsletter strategy as part of your overall dental marketing.

more…

• Sunday, January 24th, 2010

Signage is the #1 easiest way to acquire new patients!The One Million Dollar Dental Sign

Hi, I’m Jim Du Molin, founder of The Wealthy Dentist University. My The $1,000,000 Sign tutorial addresses one of the most powerful – but oft-overlooked – marketing vectors you have: dental signage. It really is true: the right sign can net you an additional one million dollars.

Members of The Wealthy Dentist University get access to this and many other video lessons. But for those of you who aren't members, this tutorial is now available to the general public.

more…

• Thursday, January 21st, 2010

So let's say you've taken my advice and eliminated doctor billing. How do you handle patients who don't want to pay up front?

FINANCIAL COORDINATOR: "In order to keep our fees as low as possible, we have eliminated billing. However, if you'd like, you can put this on your major credit card."

PATIENT: "My card is full up after I spent last weekend in Atlantic City. Can't you just bill me?"

FINANCIAL COORDINATOR: “Mrs. Jones, when we bill someone, it’s just like a bank lending money, and you know how much trouble the banks have gotten into in the last few years. That’s why we no longer send bills.

“However, can you afford $100 a month?”

There are three important things here:

  1. Give them an answer they can relate to.
    “Billing someone is just like a bank lending money, and you know how much trouble the banks have gotten into.”
  2. Repeat firmly, "That's why we no longer send bills.” Remember, our ultimate goal is to ELIMINATE Doctor Financing!
  3. Give them your next least costly choice: “Can you afford $X a month?” Think of when you walk into an auto dealership. They never say, "This car is $46,000." They always ask “Can you afford $249 a month?” Only when you say yes, do they say that it will be $249 a month for the next 7 years.

Your next step in this conversation/negotiation is critical. We call it “The Qualification.” Watch for it next…

• Wednesday, January 20th, 2010

I highly recommend you eliminate billing… but to do so, you'll need to have firm financial arrangements in place.

Suppose your financial coordinator has just requested payment from a patient who responds, "Well, I seem to have left my checkbook at home. Just bill me."

COORDINATOR: "I'm sorry, Mrs. Jones. In order to keep our fees as low as possible, we have eliminated billing. However, if you'd like, you can put this on your Visa or MasterCard."

It is important to always give the patient a firm and real answer they can relate to. Highlight that you're trying to keep fees low, then offer the next least costly payment option.

You can eliminate billing and still offer patients a better deal than they could get at the grocery store.

  1. Cash or check
  2. Payment today or in advance of scheduling (with a 5% bookkeeping adjustment)
  3. Major credit card

Even so, some patients will still try to haggle.

PATIENT: "My Visa is full up after my trip to Atlantic City last weekend. Can't you just bill me?"

So what do you do next? Watch the next TWDU insight for the answer…

• Thursday, January 14th, 2010

There's no reason to feel uncomfortable asking for money. The key is having the right verbal skills.

Jim Du Molin's insights on asking for moneyFirst, the financial arrangements coordinator can pre-heat patients by reassuring them how great the doctor is.

Mrs. Jones, you're going to really like Dr. Smith. He's done some wonderful things for our patients."

Next, the coordinator reviews the fees with the patient.

While the doctor has explained your needed treatment, let me summarize the fees."

"Mrs. Jones, your share of the treatment is $3,200. Would you like to pay by cash or check?

"And, if you pay in full today or in advance of scheduling, I can offer you a 5% bookkeeping adjustment."

At this point, the financial arrangements coordinator much stop speaking. Wait for the patient to make a decision. Remember, this is a negotiation, and the next person to speak loses.

The patient may say, "Well, I seem to have left my checkbook at home. Just bill me."

This tactic is called the disappearing checkbook.

  • "I left it in the car."
  • "My husband must have it."
  • "I lost it at the dog track."

So what do you do next? Watch the next TWDU insight will have the answer…

• Wednesday, January 13th, 2010

Highlights from The Wealthy Dentist University monthly webinars

“If I’m a general dentist who is also an oral and IV sedation dentist, what is the best way to market or get my name out to other general dentists?”

more…

• Tuesday, January 12th, 2010

Jim Du Molin's insights on financial arrangementsHere’s a quick bit of advice on financial arrangements at your practice. I recommend the following 3 goals for your strategy:

  1. Increase collections percentage
  2. Eliminate doctor billing
  3. Have a written financial agreement for every treatment plan over $300 (or other minimum that you set)

This means that you should have two kinds of financial arrangements:

Minor arrangements are for amounts under $300 (prophy, simple restoration), and are done at the front desk or in a semi‐private area.

  • Payable on the day of treatment.
  • Details written in the patient’s chart.

Major arrangements are usually for amounts over $300 (office determines the amount). These arrangements should be done privately if possible.

  • Always formally presented in writing.
  • Patient gets a signed copy.
  • Chart gets a copy.

What is the #1 rule of financial arrangements?

No patient is scheduled for any treatment over $300 without a written and signed financial arrangement!