The Mystery Shopper

Has a mystery shopper called you yet?
We’re getting reports from many clients that they’ve been called by the “Scheduling Institute,” Jay Geier’s group. Mystery Shoppers will call posing as a patient. The patient is usually asking for a fee on a crown, or saying they just moved to town looking for a Doctor, or want to know if the practice takes kids, etc.

This is the Scheduling Institute’s way of finding prospects. The Scheduling Institute has a detailed and extensive program focused on the initial patient phone contact with the office.

Surprise! Almost every office they call earns a 0 on a scale of 0 to 5 for handling calls effectively. Therefore, Dentists are told that they stand much to gain by subscribing to their program… that new patients can go up by 30% or more with thorough staff training.

There is much that the Scheduling Institute recommends that we agree with, but not all. We’ve been doing “Mystery Shoppers” ourselves for over 25 years. We agree with Jay Geier on this…doing things right can add to your new patient flow. Like the Scheduling Institute, we find that most often the initial phone contact with patients is a matter of screening, warning and indoctrination.

For example, there is often way too much focus on insurance and x-rays. Even very competent, well-meaning front desk people can present a bureaucratic and cold presence.

However, before you sign up for a $5,000 program, let me assure you that we can help you and your staff with this. In some cases, we feel that the Scheduling Institute is too aggressive, maybe not “Midwesternly” enough. So, if you got “0 stars” call us and we’ll help. If you don’t know what your rating is and want a “Mystery Shopper,” we’re happy to do it for you. Just call and we’ll make arrangements to ensure patients’ and shoppers’ first contact with your office is first class.

We want the “Mystery Shopper” not to be the Secret Police though. We want to work with your staff… not to catch them doing it wrong but to catch them doing it right!

The truth about getting new patients on the internet:

We have a unique advantage because through our work in the field visiting well over 200 dental offices we can really see what’s going on out there. What’s working and what isn’t. We know that getting more new patients is of great interest to most of our clients. So you can bet we keep our eyes and ears open about the sources of new patients.

Over the past two years the Internet has really come on and in many areas is superceding other sources of new patients such as Yellow Pages and direct mail. Clearly this is where the marketplace is going but there is also a lot of hype. Every week we hear of a new scheme involving special promotions*, social media, etc. Usually the bigger the promise, the more the bull. There is no such thing as a sure thing when it comes to increasing new patients. Believe me, if there were, we would know about it. However, it is a sure thing that if you don’t do anything, you won’t see more new patients.

Over 60% of area dentists now have websites. Most dentists go with the major outfits such as Officite, Prosites, PBHS, IDA, Sesame and The Online Practice. All of these companies have their strengths and weaknesses. Many dentists also hire an acquaintance, patient or relative that “knows websites.”

The common denominator is this. When most dentists get their website up, they more or less ignore it. It just sits there. Getting more new patients from the Internet isn’t just about your website. And no, it isn’t all about Facebook either. It’s a combination of factors of which, leading the pack are your presence on the major search engines like Google, Yahoo and Bing. Most importantly, the Google “Place Page.” There are many other directories (such as Yelp & Insider Pages) that attention needs to be paid to also.

Since 70% of all web searches take place through Google, the Google Place Page is the “front porch” of your website. You have to have the lights on and make sure that there are positive reviews to entice people to proceed on to visiting and scheduling on your website. Once they get into your website, they shouldn’t have to wait a while for flash or fancy graphics though. Web searches today want quick access to pertinent information. There should be very concrete information about your practice and appropriate copy and design to lead people to act...that is, make an appointment!

Website enhancements can include a “video brochure”, video testimonials, offers, photos and biographies. If you were looking for a healthcare professional, what would you want to see on a website? You wouldn’t want a lot of filler or platitudes, “Fine quality care, comfortable surroundings, blah, blah, blah.” You want to know about that Doctor, the staff, the hours, the services and what to expect. You want to see that they are a nice looking, clean cut group of people in an atmosphere where you will feel safe.

Further enhancements can include Twitter, Facebook and blogs but most of you can get well ahead of the competition by paying attention to your Google Place Page and having a website that truly reflects you...and that can be done even with one of the generic companies such as Officite or Prosites if you work at it.

How many positive reviews do you have up on Google? Do you know? If you don’t, you probably don’t have as many as you should! Yes, you can use “Demand Force” and other companies to help you in gathering reviews and testimonials (reviews are on the website and testimonials are within your website). However, don’t just rely on those.

We’re all very busy and it’s hard to have a lot of time to putter around with your website. There is also a lot of jive out there. We all probably get just as confused by the web peoples’ jargon as patients get confused by dental jargon. So, on the requests of many of my clients, I have lined up top rate Internet marketing help. We can help you tune up your Web Presence all the way through; Whatever website company you are with, wherever you practice. You see, if you are paying attention to and tune up your website, your presence in the directories, etc., you’ll be ahead of the competition in your area. You’ll have a stronger presence on the Internet and you will get more new patients.

The bottom line is this; getting your website to the top of page one on Google and optimizing it to attract potential patients is like aiming at a moving target. Be leery of anyone who tells you otherwise. What you can count on from my team is that we have our ears to the ground and are staying on top of the ever-changing Internet landscape to keep you on the path and a step ahead. The Internet is increasingly where people go to select a Dentist and we’ll help you make sure they select you.

 

*For example, we have seen some spectacular numbers with Groupon and Groupon Clones but patient retention has been a challenge. We are learning how to improve this.

The All-Time Top 10 Outrageous Cancellation Excuses

Speaking of downtime, a few years ago we surveyed offices for their patients’ most outrageous cancellation and failure excuses.

10.) “Tooth hurts really bad but have to go hunting.”

9.) “The cat turned the alarm off.”

8.) “My mother passed away.” (3rd time in 10 years).

7.) “Too many bears. I’m not leaving the house.” (Duluth patient)

6.) “My teeth look fine. I’ll call you when they aren’t white any longer.”

5.) “Eclipse might hurt my baby. I won’t go outside.”

4.) “Did I make that appointment…really?”

3.) “I found a dead squirrel on the road on the way to my appointment and needed to bring it to the police department so they could properly bury it.”

2.) “My dog ate the reminder card that was on my refrigerator.”

1.) “I thought my appointment was yesterday.”

Your Practice Area Demographics

Are Demographics Destiny?

If you listen to anyone on the lecture circuit and most consultants, they’ll tell you that it doesn’t matter where you practice…it matters how you practice.

True, mostly.

I have certainly seen the substantial difference good management can make wherever you’re practicing,

However, after 30 years of doing this I have come to think that even the most virtuous, capable dentist with a well-managed office can be hurt by crummy demographics.

The toughest demographic—a low population to dentist ratio.

Many dentists locate with the income of the population in mind and little attention to much else. That’s why there’s very high dentist to population ratios in affluent areas such as Wayzata, Edina and North Oaks.

It’s been my experience that these are some of the toughest, most competitive places in the state to practice. The high per capita income does not overcome the high dentist population ratio.

Dentists have an easier time of it if they’re located in a place with a lower dentist population ratio even if the population’s income is not in the top tiers.

On the other hand, there’s a point where the population’s income can be so low that no matter if you have a low dentist to population ratio (e.g. lots of patients) it isn’t worth it because you find yourself doing less and less on more and more people—a version of dental hell.

You can see more info, stats, even charts in our May news letter on the Advanced Practice Management web site.

Delta gets snout rapped in Rhode island

Delta gets snout rapped in Rhode island

As reported in DrBicuspid.com on July 2nd, a new law in Rhode Island prohibits insurance companies from limiting the fees of dental procedures that they do not cover. Nationally, Delta Dental has been attempting to implement a new feature of its Premier and PPO provider organization contracts that require dentists to honor their contracted fees for services that are not covered by a subscriber's plan. This includes dental work performed by participating dentists even if not covered because the patient exhausted their annual maximum.
For years now in Minnesota, Doctors have had to take Delta write offs even after the maximum was reached. Fees on non-covered services haven't been subjected (yet).
None of us like the idea that Delta limits fees for non-covered services (like veneers and bleaching). For one thing, how do you set a fee for such procedures when there can be such a wide range of materials and lab costs?
There are many other states where Doctors can get their full fee (not have to do Delta write offs) once the patient's maximum has been met. The idea is that the insurance helps cover the first $1,500 or so but after that the patient is responsible. When talking with other management consultants and hearing about their strategies with Doctors in other states, they have been more willing to accept PPO discounts because they can get their full fee once the insurance maximums are reached. I think all of you heard the argument that Delta and other insurance companies should have their maximums increased to $5,000 to have the equivalent coverage of what they had 20 years ago or so. In this context it's almost good that the maximum hasn't been moved up.
The Rhode Island legislature voted for this because they felt that it was unfair to patients who didn't have insurance coverage to in fact subsidize (indirectly) patients who had insurance with big write offs. Also, they felt that could affect access for patients. Rhode Island has neighboring states where the fee schedules are not as low and Delta write-offs are not as much. That gives incentive to new Dentists to not practice in Rhode Island.
Hopefully, this marks a turning point in Delta’s ability to continue to implement these policies nationwide. Maybe some day we can turn it back in Minnesota.
We have more news, free for the reading, on our website. If you have something on your mind, give me a call at 952 921 3360.
’til next time...

Is Midwest Dental a viable transition option?Most often, when you think of multi-location group practices, “Metro” and “Park” come to mind. However, Metro and Park have now combined (as American Dental Partners affiliates) and have 57 practices. Midwest Dental, out of Mondovi, Wisconsin has 67 practices (42 in Wisconsin, 10 in Minnesota, 9 in Illinois, 4 in Iowa and 2 in Colorado).
I recently talked to Sean Epp, the Managing Director of Development* for Midwest. Midwest Dental’s business model is different than the other conglomerates because it’s based largely on one- and two-man practices. They see their model as a traditional practice.
For some dentists, Midwest Dental can be a viable transition option. They often employ the selling Doctor so it’s a possibility if you want to sell your practice but still would like to work for a while. Since the big merger a while back there hasn’t been a lot of news out of Park and Metro Dental. They still maintain separate websites. At one time I thought we’d see a diaspora of Doctors and patients but we haven’t seen that happen.
’til next time...
Contact Sean Epp at www.Midwest-Dental.com 

The McGill Advisory quotes me extensively

This is a subscription-only newsletter, well respected in the dental field. Their June 2009 issue quoted me at length about participating in managed care.

What they said: “Almost all practices will benefit more through better management than by [participating in] managed care....”

I couldn’t have quoted myself better.

I can answer your questions about participating in managed care. A free 20-minute consultation is available by calling 952 921 3360.

And many of our newsletters cover the subject. They’re available, free for the reading, on our web site, advancedpracticemanagement.com.

Speaking of our newsletters, another issue is coming up in August. Check the site often for the latest news from the team.

’til next time...