Posts

What Does “CDA” Really Stand For?

Dear Coaches,

I am at the end of my rope. My dental assistant has been with me for six years and the patients love her. She is a decent enough dental assistant – she is not always on the ball but she knows the procedures pretty well and after six years she knows my clinical routines. 

The problem is her attitude. She shows up late several days per week and cruises into the morning huddle like she didn’t do anything wrong. She refuses to do work that is “below her,” such as confirmation calls, even if she has down time.

She can also be a bit of a rabble-rouser with the other members of the team. I have noticed that everyone else has a great attitude and are real team players, but as soon as Diana enters the picture everyone starts fighting and pointing fingers. Last week she threatened not to attend the annual team Christmas dinner unless we changed the location to a fancy steak house, even though it was already on the schedule. She also bad-mouths other team members (and me!) in front of the patients. She won’t attend CE courses even though I pay her to do so. I have warned her about all of these things several times and she promises to change but never does. It actually seems like she is getting worse. I am wondering if CDA stands for Certified Dental A-hole! What should I do?

Dr. R Fader
Bayonne, NJ

 
Dr. Fader,

You sure ask a lot of questions for someone from New Jersey. So we have a few for you.

1) Who owns this practice?
2) What kind of dirt does Diana have on you?
3) Why are you so afraid of this person?
4) Are you out of your mind?

As coaches, we rarely go into a practice and recommend firing a team member. That is the reason some people are afraid of coaches, and we recognize that.

However, the situation you describe, if it is indeed accurate, is pretty horrendous. Unacceptable behavior. Multiple warnings. One person bringing down the entire practice. You know what to do. We know what to do. So stop being a wimp. It’s time Diana gets the opportunity to “contribute” somewhere else!!
 
Coach Rich
Coach Dave

 
Dr. David Madow and Dr. Richard Madow are actual dentists who have been helping dental offices become more successful for over 28 years. They are down to earth, real people who personally connect with their clients and are proud to call them friends. If you have a question for this column, please write to them at coaches@madow.com. We are now offering a complimentary 30-minute coaching session! Please CLICK HERE to schedule yours. Doctors only please.

Quickies In The Office?

Welcome back to Coaches Corner! We are happy to share our years of experience working with dental offices all across North America.

Today we will be sharing some “quickies” from our Coaches Corner mailbox.

Q: How do you get Google to remove fake reviews?  I have tried contacting them but have gotten nowhere whatsoever. There are three fake reviews on my google review page, two stating I am young and inexperienced. I am 62 and have been practicing dentistry since 1979!

None of them are my patients. The thing I did do is to respond to the reviews, stating they are false and that they are not patients of mine, but it would be good if Google can remove them to keep my 5 star rating intact.

Thanks,
Ira Biderman DDS
Howard Beach, NY

A: Ira,

We just checked your reviews. You handled the responses to the poor ones very well, and your many five-star reviews speak for themselves. The thing you don’t want to do (and what you have avoided) is to get into a “pissing contest” with an unhappy or fake patient.

Our advice – getting Google to drop the fake or poor reviews is nearly impossible (the old freedom of the press thing!!), so stop driving yourself nuts. Your reviews are fantastic – just keep getting more good ones. If we were looking for a dentist and saw those reviews we would go to you in a second!! Remember, the more positive reviews you get, the more buried the fake ones are.

Q: Hi guys, my name is Fredric Siegel, a Promail user for 20+ years.  When a patient does not have the funds and doesn’t qualify for Care Credit, I would offer a ” lay-away” type arrangement.  Patients make payments till almost paid, then do the treatment.  This way it’s done and paid, a win win situation.

Best wishes,
Dr. Fred Siegel
New Rochelle, NY

A: Thanks for a great tip Fred. And we are pleased as punch that Promail is helping you get new patients! Check out our New Patient Postcards as well. And please give our regards to Rob and Laura!!

Q: Great rebranding of “The Madow Brothers” to “The Madow Center For Dental Practice Success.” What made you want to make that change?

Michelle Lynn,
Boca Raton, FL

A: Hello Michelle – and thanks for noticing.

Maybe it came from our reluctance to “toot our own horns…” but we realized that of all the people we have the honor of reaching through our e-letters, live seminars, articles, blogs, etc. – many do not really know what we do!! So it just made sense to utilize a name that says it all, and we feel The Madow Center For Dental Practice Success does just that.

After all, we LOVE coaching individual dental practices – but many folks didn’t even know we do that!! We produce in-office training programs, have new patient marketing programs, and more – and they are all designed with one thing in mind – the success of YOUR dental practice!

So it’s not just a name – we are proud to be “The Madow Center For Dental Practice Success!”

Coach Rich
Coach Dave

Dr. David Madow and Dr. Richard Madow are actual dentists who have been helping dental offices become more successful for over 28 years. They are down to earth, real people who personally connect with their clients and are proud to call them friends. If you have a question for this column, please write to them at coaches@madow.com. We are now offering a complimentary 30-minute coaching session! Please CLICK HERE to schedule yours. Doctors only please.

A Question From A Down Under Dentist

Welcome back to Coaches Corner! We are happy to share our years of experience working with dental offices all across North America. Here is today’s question:

Q: What are the three most common things that once implemented have the greatest effect on the bottom line? What is the one simple thing you see missing most often that would make the greatest impact for a practice?

Dr. David O’Malley
Bendigo, Australia

A: Great question Dr. O’Malley, and so nice to hear from one of our Australian followers. Of course we did a little research and learned that Bendigo is in Victoria, Australia, not all that far from Melbourne. It was once a gold rush town and is now a bit of a financial centre. Sounds like a great place to live! It’s also home to Frank McEncroe, inventor of the Chiko Roll, whatever the heck that is.

Okay – on to your question. It’s a tough one because there are so many things that impact the bottom line, and of course, every practice is different. However, these are three things that we see in just about every practice we visit. Of course, they are simple, obvious, and rarely mastered.

1) Answering the phone every single time it rings (dental practice phones go unanswered over 40% of the time during normal business hours!) with a well-trained front desk team that knows how to get the patient off the phone and into the appointment book.

2) Analyzing and understanding dental practice overhead and taking the proper steps to reduce it.

3) Effectively mining the “Million Dollar File Cabinet” and getting those patients signed up for treatment. (The “Million Dollar File Cabinet” is our term for patients with recommended treatment that has not been appointed.)

Of course this is just the start – there are so many more things that can be improved in just about every practice!

Part two of your question is: What is the one simple thing you see missing most often that would make the greatest impact for a practice?

This may sound self-serving, but it is honest. The one simple missing thing that would have the greatest impact on dental practices is professional and effective coaching. Most dental practices are too busy cranking out dentistry and putting out fires (especially putting out fires, sometimes with gasoline!) to really see what is going on inside their own walls.

Coaching is an investment in the practice that pays off big time, but too many people are afraid to make that investment. Or, they are afraid of having an outsider come in to “shake things up.” But remember the old adage…

If you keep doing what you’ve always been doing,
you’ll keep getting what you’ve already got!! 

Thanks for writing in. We hope to meet you one day!
 
Coach Rich
Coach Dave

 
Dr. David Madow and Dr. Richard Madow are actual dentists who have been helping dental offices become more successful for over 28 years. They are down to earth, real people who personally connect with their clients and are proud to call them friends. If you have a question for this column, please write to them at coaches@madow.com. We are now offering a complimentary 30-minute coaching session! Please CLICK HERE to schedule yours. Doctors only please. 

Coffee

Okay – time for another restaurant story. It’s a quick one that can have some serious implications for your practice!

At checkout in a local Baltimore lunch spot:

“Would you like anything to drink?”

“Yes – coffee please.”

“We don’t serve coffee here – but a lot of people ask for that.”

Okay – just for effect let’s repeat that line again.

“We don’t serve coffee here – but a lot of people ask for that.”

If there ever was a “duh” moment – this is it! Buy a commercial coffee maker for a few hundred bucks, or even easier, call a coffee service and tell them to set it up today!!

When our practices were young we both had a “policy” – no cleanings on the first visit. Yes – we knew that clinically that was the best decision. After all, how can you properly appoint a patient with the hygienist without an examination?

But after losing hundreds of new patients due to this policy, we both loosened up a bit and realized the number one customer service lesson in history –

Give the people what they want!

What do you hear yourself saying on a regular basis?

We don’t have Saturday hours.
We don’t take that insurance.
We don’t do cleanings on the first visit.
We don’t have a financial solution for you (so you can’t afford treatment).
We can’t get you in today or tomorrow.
We don’t do even simple orthodontics here.
We don’t do cleanings on the first visit.
We don’t.
We can’t.
We won’t.

Want your practice to grow?

Do. Can. Will.

A simple lesson. Yes.

The answer is “NO!” Now what is the question?

A short time ago we were at lunch with a coaching client at a Chinese restaurant near their office. (Some of the best ideas are generated during lunch meetings!) They were excited to take us there because they were a “regular” and knew we would get great treatment.

“The lunch special comes with an egg roll. Is it possible to get a spring roll instead?”

“NO!”

“Can the Szechuan green beans be made with no sauce?”

“NO!”

“Can brown rice be substituted for white rice?”

(Care to guess the answer?)

“NO!” (At least they could have said the classic “One dollar extra!!”)

No exaggeration here – this really did take place. And then it got worse.

Someone came in and asked, “Do you sell gift cards here?”

“NO!!”

What if that customer bought five $50 gift cards for his co-workers? That would have meant a $250 sale. Then what if one of the recipients had never been there before, and loved it so much they became a regular customer, bringing in their family ten times a year for an $80 dinner? And then what if….you get the picture!

So, every time someone in your practice says “no” – you could be missing a similar opportunity.

Even if the answer is technically no, at least try to turn it into an opportunity. Here’s an example:

“Does Dr. Garvey have appointments on Wednesday evening?”

And he doesn’t. But instead of saying “NO!” – how about something like this.

“Oh – sounds like daytime appointments are tough for you, is that right? Well we start at 7:00 AM on Mondays and Thursdays, and our new doctor, Dr. Grant, sees patients on Saturdays. Which works best for you?”

A little creativity and positivity go a long way!!

One of the most typical examples is “Do you take my insurance?  It’s a PPO and I don’t see you on the list.” The typical response to this is “NO.” Then the conversation ends.

How about trying this instead?

“While we are not a member of that plan, we are an unrestricted provider with all insurance plans. That means you can still come see us, and we will give you the best dental care possible. You can pay us directly and we will help you maximize your insurance benefits with that company.

Would you like to come in for a no-charge consultation? That way you can meet the doctor, she can answer any questions you have, and we can explain exactly how we can make financial arrangements comfortable for you! Is tomorrow at 11:30 AM convenient?”

Granted – most people on a ‘list’ will say no to this, but nothing is lost. And sometimes someone will say yes, become a great patient, refer lots of others, and well – you can figure out the rest!

Sometimes it’s the simple, easy things that can help your practice grow. And to that we say “YES!!!”

How to Effectively Answer the Dental Office Telephone

Hey guys, I have been very frustrated with my front desk team member. She thinks she is great on the phone but my appointment book does not share her opinion. Ideas?
Dr. Sei Nguyen, Orange County, CA

Dear Dr. Nguyen,

This problem is one that we see all over and it does not seem to be going away. Even with the expensive “institutes” that are popping up. Sometimes it’s best to get back to basics. We would love to share some ideas from our lead coach, Betty Hayden:

Do we really need to keep talking about how to answer the telephone? Absolutely!  This is one key to your success. All of your marketing efforts lead people to the phone first. Don’t waste your money by losing the potential patient or aggravating current patients due to poor telephone skills and habits. Your entire team (clinical & admin) should be trained on how to properly answer the phone and handle the call. Answering the phone is a privilege and a great opportunity!

Here are a few tips:

  • Smile before you pick up the phone.
  • Answer the phone within the first couple of rings.
  • Answer the phone with a thank you for calling, identify the office and give your name. (ex: Thank you for calling Dr. Smiles, this is Betty. I can help you)
  • Do NOT let the caller go to voice mail (or a busy signal!) during business hours (including lunch hours). People hate leaving messages. Oftentimes, they’ll hang up and call the next office on their list.
  • Never, ever answer the phone with “hold please” or “can you hold?” Take a quick second, find out who they are and what they need. People hate to be put on hold. If you are habitually needing to put callers on hold, you need more people answering the phones.
  • For the few times when you do need to put a caller on hold – please, consider having a great message on hold service.
  • Get the caller’s name and use it often. Find out how they heard about your office (document the referral source!). “What type of insurance do you have?” shouldn’t be the first thing you ask. In fact, let the caller bring that part up. Your goal is to build a relationship with the caller, to get to know them and their expectations.
  • Offer an appointment. Sounds obvious right? You might be surprised to know how many office’s I have called as a “shopper” and was never offered an appointment.
  • There are words/phrases that should never be used on a call. Make a list of the words/phrases you want to eliminate from the office vocabulary.

Set aside some time to meet together as a team – everyone in the office should be trained on how to not only answer the phones but they should know how to handle the calls. At the very least, professionally & courteously direct the caller to someone who can help. Role playing will help all to feel more comfortable handling different types of calls.

Worried about your team members sounding like robots on the phone? Don’t be. This is what you do – create as a team your Telephone Principles (your goals & expectations for each call.)

Be Firm In Principle – Flexible in Procedure

The procedure may vary but the principles remain the same. This will allow the team member’s to customize their words to the individual caller’s. However, professionalism is always a must!

A few more things to consider during your meeting and training with your team:

What times are your phones being answered? Examine whether or not the times you’re actually available to answer the office phone is when your patients and potential patients are actually available to call the office.

What happens after hours? Ringing? Voice Mail? Answering Service? Here’s your chance to exceed expectations by answering the office phone after hours! (Forward calls to a cell phone.)

The Greeting – First impressions matter!!

Shopper Callers – Great opportunity! Typically, the shopper caller has a need and is ready to “buy”, that’s why they are “shopping”.  Don’t blow it by refusing to quote fees over the phone. By all means, offer them to come in for a complimentary consultation.

Insurance Questions – (Have a great response to: “Do you take —-ins?)

Wrong Numbers – offer an appointment anyway.

Sales Calls – Be kind, they’re just doing their job. Maybe they need an appointment. Plus, you don’t know who they know. It’s simple – always be kind.

Moms calling for donations or any organization that asks for donations – Empower your team to fulfill their request. At the very least, offer them an appointment.

Certainly, handling the phones is a big responsibility but it’s an even bigger privilege. Don’t miss out on any opportunities to set your office apart from the others by always exceeding the caller’s expectations.

If you have questions about how to successfully handle telephone calls or need help training your team, don’t wait, ask for help. I’m ready to help you.

Yours for Greater Success,
~Betty

Betty Hayden is the lead coach at The Madow Center For Dental Practice Excellence. She has over 25 years of experience in the dental profession. Her expertise is in effective telephone answering techniques, profitable scheduling, marketing campaigns, communication, social media, new patient acquisition, practice growth, and much more. She has been labeled “The Idea Woman” by many of her clients!

If you have a question for this column, please write to them at coaches@madow.com. If you would like to ask a confidential question, please CLICK HERE to schedule a free call.

 

 

The Most Common Mistake


Welcome to our brand new column, Coaches Corner! We are happy to share our years of experience working with dental offices all across North America.

Today’s question comes from a doc in Atlanta.

Hey guys, would you be willing to share the most common mistake or problem that you have observed from the offices you have worked with over the years?

Dr. Mike H., Atlanta, GA.

 

Dear Dr. Mike,

Great question. There are so many things we have observed over the years, but one thing stands out in our minds for sure. The most common problem we see even today is offices that are overly concerned with how many new patients they are receiving. Everyone wants more new patients. But most docs think that more new patients are the panacea – the answer to all of their problems.

So we get into a conversation and we ask why they want more new patients. It always comes down to wanting to earn more money. Then we ask questions. How is your cash flow? What do you mean you can’t pay your bills? Why aren’t your current patients making appointments for their recommended treatment? Why did you just go into more debt to purchase that new piece of equipment? A salesman told you it would increase your production? Do you really think it’s going to help you? Why do so many patients owe you money? You have an associate doctor who is making more money than you? Can you explain why? Do you even need an associate? What is your overhead? You don’t know? Well let us share this – it’s about 90%. Why aren’t you treating any periodontal disease in your hygiene department? Is it that your hygienist doesn’t own a perio probe? Or is it that she has no time to use it or discuss perio with your patients? Do you think your front desk person is actually getting patients to make appointments? Doesn’t look like it. She needs help badly. Have you looked through your file cabinet lately? No you haven’t. It’s FILLED with patients that need to come in. Do you know how to get them in? You are taking a course to treat headaches and you can’t even treatment plan a crown? REALLY? Do you honestly believe that dropping all insurance is the answer? Your problem is NOT new patients!

Dr. Mike – Sorry about the rant. But you asked. We see this situation almost every day.

 

Coach Rich
Coach Dave


Dr. David Madow and Dr. Richard Madow are actual dentists who have been helping dental offices become more successful for over 28 years. They are down to earth, real people who personally connect with their clients and are proud to call them friends. If you have a question, please write to them at brothers@madow.com. If you would like to ask a confidential question, please CLICK HERE to schedule a free call.

Slightly disappointed

Yes – we are slightly disappointed. In your office? Maybe. But it’s okay – it’s not too late.

You see, a few weeks ago we set out to call a bunch of practices that have attended“TBSE – The Best Seminar Ever” recently to get their opinions on some things. But the project was pretty much a flop. Why?

Fewer than half of the offices we called even answered their phones! And this was during normal business hours. Instead we received voice mail messages like:

“If you are hearing this message during regular office hours, we are currently serving other patients.”

CLICK!

“We are currently at lunch.”

CLICK!

Sorry to tell you – this is simply not acceptable. The phone is where 99% of your new patients make their first contact with your office. Way too many people tell us they need more new patients, but more often than not, that is not their real problem. If your phone isn’t answered EVERY time it rings during normal business hours (and yes – that means during lunch and during your day off) you are losing new patients you never even knew existed.

How do you make this happen? That’s a lesson for another day. And honestly – you are smart enough to figure it out!! But for now, listen to our friends from Sugar Ray, and answer the phone!!

Say this, not that…

SAY THIS

“We would love to see you as a patient in our practice! Would tomorrow at 3:00 PM or Tuesday at 11:00 AM be better for you?”

NOT THAT

“Would you like to make an appointment?”

SAY THIS

“I know what the problem is and I can help you.”

NOT THAT

“This tooth needs a crown.”

SAY THIS

“Would you mind if I place you on a brief hold? I’ll be right back and able to give you my full attention.”

NOT THAT

“Dental office – hold please….”

SAY THIS

“We have some fantastic financial options to help make the cost of treatment more comfortable.”

NOT THAT

“Sorry – it’s not covered by insurance.”

SAY THIS

“Hello Mrs. Costello, I’m Dr. Luther. What may I help you with today?

NOT THAT

“Open wide please…..”

SAY THIS

“Thank you for calling Hill Valley Family Dentistry, this is Lorraine – I can help you!”

NOT THAT

(Voice mail answers) “If you’re hearing this message during normal practice hours, we are busy treating other patients…”

SAY THIS

“When you return for your next cleaning and examination in three months, we want to pay close attention to that area on the lower right to make sure the inflammation is under control.”

NOT THAT

“You’re due for a check-up in six months.”

SAY THIS

“If you were a member of my own family, that is the treatment I would recommend.”

NOT THAT

“If you can’t afford a crown we can always do a large filling.”

SAY THIS

“Yes!”

NOT THAT

“No…..”

Simple Referral Tip

After over twenty-five years of teaching, we have learned quite a bit. And one thing that we have definitely learned is that most people will not take action, even on a good thing.

It’s pretty safe to say that if we wrote:

“Fax us your address and we will send you a crisp new twenty dollar bill” most people would not do it.

The odds get even worse with something like asking a patient to refer someone to your practice. No matter how many courses you take with some great script that is supposed to do the magic, the reality is most patients simply will not do it.

One of the problems is that when it comes time to ask for the referral, the doctor or team member makes it about them and not the patient.

Picture the typical scenario. A patient is happy with the new crowns you just cemented. They are glowing and say:

“Oh Doctor Pickles – I just love my new teeth!”

Boom! You know that’s the best time to ask for a referral. But why doesn’t it work? Because we say something like:

“That’s great Lucinda. If you have any friends or family who could benefit from the same type of dentistry, we would be glad to see them here at Pickles Dental Care.”

Okay – Lucinda knows that at this point it’s all about trying to increase your practice.

When asking for a referral – it’s crucial to work with human nature. Make it about the patient. Engage in a little conversation first before jumping on the referral question. Let’s do an example.

“Oh Doctor Pickles – I just love my new teeth!”

“Lucinda – thanks for saying that. It really made my day! But actually, you made it easy. It’s a pleasure treating you here.”

“Oh – thanks!”

“As you can imagine – in the dental field we hear all kinds of crazy stories, so it’s our goal here to make every single patient as comfortable as possible.”

“Yeah – I know what you mean. My Mom went to the dentist and they started drilling before she was even numb!”

“Oh – so sorry to hear that Lucinda. We would be glad to make room for her in our practice and would be sure to treat her extra gently. Debbie will even give you a few cards.”

See the difference? We engaged Lucinda in a valuable conversation before jumping to the referral issue. It was about her (and subsequently her Mom) – not about the practice.

And most importantly, the conversation was tailored to lead to the referral of a specific person. This is SO much more powerful than asking for a referral of generic “friends and family.”

So yes – asking for referrals can work, especially if you put a little bit of extra oomph into it, make it about the patient not the practice, and try to hone in on a specific referral.

The point is, don’t get discouraged. It’s normal for people to not take action on anything! Just keep the gentle reminders coming and don’t be too pushy, whether it is asking for referrals, treatment recommendations that have not been completed, or anything else. The goal is not always instant gratification, but the fact that when the patient is ready to refer or have their treatment completed, you are the beneficiary of the action.

Trust us – it works!!