Feeling overwhelmed? Missing important details? Wanting to feel more prepared when walking into the operatory or when answering an incoming call? You’re not alone. Here are 5 ways to get your team in sync using tools they already have to improve communication at your dental practice.
1. The Huddle – a daily team touchpoint
Given how hectic today’s practice has become, it’s understandable that we’ve started to forget about the daily team check-in, aka the huddle. The huddle plays an important role in that it gives you a chance to discuss challenges and create a plan to resolve them together, enhancing communication at your dental practice.
It’s best practice to make it a habit, build it into your scheduled routines, and make it count.
For those who have never experienced a huddle, it’s a chance for the team to get together to set goals, discuss patient needs, assign tasks and prepare for the day ahead, improving communication at your dental practice.
The typical huddle is anywhere from 10 – 20 minutes and is meant to be brief and direct. Having access to the huddle via a workstation in the meeting room or ClearDent Cloud can be a benefit when viewing the day sheet and patient charts.
Assign a huddle leader. This role can rotate through the staff and is responsible for keeping the team on task and on time during the meeting.
Recap goals and team announcements
Overview of the day. Each provider is responsible for going through an overview of their day and highlighting outstanding treatment, insurance coverage, patient warnings, and opportunities for same-day treatment. (Good software will have all this information at your fingertips with tools like chart audit reports, treatment status indicators, patient warnings and linked family members accessible from the day sheet.)
Identify special situations. Bring attention to patients who may require special assistance, challenges with things like room turnover, and timely recall checks or assistance with a difficult patient. Determining when a provider is and is not available to leave their patient is important and sets expectations for other team members before the day gets hectic. Sharing these concerns at the beginning of the day allows other team members to jump in and help.
Celebrate successes!
Bonus topic: Ask the huddle leader to bring a new tip to the meeting. This can be something they’ve learned that would benefit other team members like a shortcut or feature of their practice management software, or a tip relating to loading and unloading the sterilization machine, right down to a tip about an easier way to get to the office during construction
The huddle is your team’s communication hub. After a few meetings, you’ll notice the days are running smoother, the office is more cohesive, and the team is in sync. Your patients will notice too!
2. Make digital the norm
The sentiment of “A place for everything and everything in its place” couldn’t be more appropriate in a digital world, especially when handling sensitive patient information and improving communication at your dental practice.
Phone Calls: First, we must abandon the urge to grab the pen and notebook when the phone rings! Make it a habit to open the patient’s profile and enter information in the appropriate place. Here is an example of a “best practice” conversation fully integrating digital into the discussion.
Example:
[Phone rings]
Receptionist: Good morning, thank you for calling XYZ Dental, Lisa speaking, can I start with your name?
Caller: Hi, it’s John Smith
Receptionist: [Immediately] Hi John, give me just a moment while I pull up your profile. (Patient recognition)
Caller: Ok, but I don’t have a lot of time. I am heading over to the school to pick up my son. He fell and I think his tooth fell out.
Receptionist: [Who can see the family file] Oh my goodness, I’m sorry to hear that. I hope Danny is ok. I will let Dr. Smith know you’ll be heading over. Do you have any other information about his condition? (Empathize, restate the problem, let the patient know you heard them and are going to work with them, ask for more information)
The receptionist can talk to the parent, enter notes, and view the child’s information, making interactions more personal. Remembering the child’s name builds trust and shows they are valued at your practice.
All of the information gathered during the call is logged directly into the patient file – without the need for hand-written notes that must be added to the file later.
Sticky Notes and Notebooks:
Next, let’s remove the labels and sticky notes from the monitor and front desk area. This clears the clutter and to incoming patients, makes the office look more organized.
Reminders and notes may include:
Cancellation requests
Phone numbers and billing information that need updating
Post-treatment reminders
Lab follow-up reminders
Other office to-do’s
Find a digital home for all these items. Use the to-do list in your practice management software, place a digital sticky note directly on the scheduler, indicate lab case statuses on the scheduler view, and associate those lab cases with upcoming appointments. Even a reminder like turning off the monitor can be resolved by setting the proper power settings.
Next, create systems using a digital to-do list to assign tasks to team members. Do not keep a paper notebook of tasks! Things will get lost or missed. Tasks written five pages back are often left outstanding and lose their priority and importance. If you are away for the day, is anyone going to pick up your notebook, decipher your notes and flag items that were due today? The goal is to keep all team tasks digital!
Set start and due dates, use the priority option to flag items of high importance, associate the task with a patient, and even mark the task as private. Assigning tasks gives ownership to the team members and ensures that items are being taken care of consistently. A good practice management solution will have all this functionality built-in, and you shouldn’t have to purchase other third-party solutions. Here’s an example of how productivity tools enhance efficiency when managing multiple locations:
The Office manager had a meeting with the clinic lead in location B and would like to create follow-up tasks. While the Office Manager is at location A, she accesses location B directly from her browser and adds the tasks to her clinic leads to-do list.
Going forward, continue to find ways to digitize the clutter. Scan documents like insurance responses, referral letters, and requests for information directly into the patient file and then securely shred them to ensure patient privacy.
Relying on a single team member to possess the answers to every question can create bottlenecks and inefficiency in office operations. It’s important to foster a collaborative environment where patient information isn’t confined to just one person. Sharing information openly among the staff ensures everyone is well-informed and can step in seamlessly when needed. When individuals (unintentionally) hoard information, it not only restricts the flow of knowledge but also poses a significant risk, particularly when that team member is absent. In their absence, crucial details may be inaccessible, leading to confusion and potential disruptions in patient care. By encouraging transparency and open communication at your dental practice, practices can operate more efficiently, ensuring that vital patient information is readily available to all team members.
Going digital doesn’t need to happen in a day. Set goals and take it step by step. The process of clearing the clutter will gain momentum naturally!
3.Follow up with follow-ups!
Consistent follow-up is critical for revenue production, and failing to do so can create a perception of disorganization. Implement effective office systems to ensure daily tasks are completed, avoiding reliance on others to handle them later.
Establishing a follow-up schedule provides a sense of structure, making things feel less overwhelming and allowing the team to concentrate on the task at hand without feeling pulled in multiple directions – leaving incomplete tasks everywhere.
The office should set practical communication goals for the week. While exceptions and urgent situations will always arise, these goals serve as a framework to maintain organized lists and prevent tasks from being overlooked for an extended period.
Here is an example:
Every day:
Check the to-do list.
Monitor the waiting list and booked-and-waiting list for patients who need to be rescheduled or pulled forward.
Monday:
Leverage your Treatment Plan Manager reports to identify unscheduled patients with approved outstanding treatment.
Follow up on pending predeterminations; the insurance company might need additional information. Often, responses are sent directly to the patient, who may not realize they’ve received it or understand its content.
Tuesday:
A/R review, send statements bi-weekly and proactively follow up with delayed insurance payments.
Wednesday:
Follow up on referrals to specialists. Have specialist treatment updates been scanned into the patient’s file? Is there a need for additional treatment?
Check on your reputation management, how have patients been hearing about your office? Have they left feedback that requires action?
Thursday:
Recall Manager – follow up with patients who have received upcoming due and overdue reminders.
Maintain your Patient’s Without a Recall report.
Look for patients who may have been in for their initial exam and hygiene but have not been enrolled in the recall system.
Friday:
Reconcile lab cases delivered throughout the week to match with invoices received.
As the cases are checked in, ensure that patients are booked.
Patients will say yes more often if they receive personalized care from compassionate providers.
4. Patient Communication: How much is too much?
Effective communication with patients is important in any healthcare setting as it fosters trust and understanding. However, it’s equally important to recognize the boundaries of communication, understanding that there is a fine line between being proactive and overwhelming patients with excessive contact. Striking a good balance is key, ensuring patients are well-informed without feeling inundated. By being mindful of your contact policies, providers can maintain respectful communication, enhancing patient satisfaction and overall patient experience.
The office should keep these things in mind when setting up communication templates, automated notifications, and reminders, as well as outreach by the team for surveys, inactivation updates, and follow-ups. Leverage technology to seamlessly connect with both your office and patients, enhancing communication at your dental practice and improving efficiency.
Establish clear office policies and guidelines for communication progression. For example, you may want to initiate with a text message, followed by an email if there is no response, and if still no reply, make a single follow-up call.
Tailor your communication method based on your audience and the message’s sensitivity. For reminders or basic inquiries like appointment confirmations, text messages are appropriate. For more confidential matters, such as treatment proposals, you should utilize encrypted, password-protected emails if your practice management solution allows for that (and if you use ClearDent, you have this capability built-in)
Be mindful of the recipient’s work environment and schedule when considering phone calls. A considerate approach might involve sending a brief text first, asking for a suitable time to discuss important matters over the phone, and demonstrating personalized care and respect for their time and privacy.
Use and maintain patient-preferred contact methods. Without systems in place, staff will waste time trying to contact patients, only to leave messages.
Do not text patients from a personal cell phone. Ensure you are texting your patients from within the software so that you have an audit trail and record of conversations accessible from the patient’s Chart. (If you use ClearDent, you can text from the office phone number which would be best practice)
Provide opportunities for patients to get organized by giving them clear ways to confirm their appointments.
Recall best practices:
Send an automated notification to unscheduled patients 30 days before their due date via email or text which will be logged directly on their patient chart.
Send another automated notification, if still not booked 1 week after their due date.
Do not put cancelled recall appointments on the waiting list. These patients will be captured in the Recall Manager reports. There is no need to have the same patient on multiple lists.
5. Communication is more than words
Effective workplace communication is about active listening, the ability to understand unspoken feelings, and responding with genuine empathy. It’s in these subtleties that true connection and understanding are found, making communication a holistic exchange that encompasses the complexities of human expression and connection within a professional setting.
Avoid Miscommunication
Choose the proper communication method: Knowing a patient’s preferences is key to effective communication, but so is choosing the proper communicator. In situations like treatment coordination, scheduling, or A/R collections you want to have the proper team member communicating with your patients. One team member may be a better fit according to their experience, efficiency, position or the audience they are going to speak with.
Message: The message being conveyed should be clear and concise.
Feedback: Feedback plays a pivotal role in effective communication by offering valuable insights into the reception and comprehension of a message. Actively seeking feedback allows the communicator to gauge the audience’s understanding, ensuring that the intended message aligns with the received one. For instance, in a professional setting, feedback can be instrumental in refining treatment plan presentations, proposals, or instructions. It provides an opportunity for the team member to identify areas of confusion, clarify misconceptions, and adapt their communication style to resonate better with the patient.
Culture: Understanding the cultural context is important for effective communication. It means being mindful of the customs, traditions, values, and norms prevalent within a specific community or group. For instance, in some cultures, direct eye contact signifies confidence and sincerity, while in others, it may be perceived as disrespectful. Similarly, certain phrases or gestures might carry different meanings across cultures. Being culturally aware helps communicators choose appropriate language, tone, and body language, ensuring their message is received as intended and minimizing the risk of misunderstandings.
I know that you believe you understand what you think I said, but I am not sure that you realize that what you heard is not what I meant.
Robert McCloskey
Conclusion
When feeling overwhelmed and seeking a sense of preparedness, it should be reassuring to know that many dental professionals share these sentiments. Using these practical solutions will help to bring your team back in sync. The daily team huddle serves as a valuable touchpoint, providing a structured opportunity to align everyone’s focus. Embracing digital solutions proves essential in streamlining communication at your dental practice and information sharing, enhancing overall efficiency. The emphasis on thoughtful follow-ups emphasizes the importance of consistent, yet respectful communication, avoiding overwhelming contacts. Communication transcends mere words; it’s about understanding unspoken cues, fostering empathy, and building meaningful connections. By implementing these strategies, teams can navigate their challenges effectively, ensuring a cohesive and well-informed work environment.
BURNABY, BC — May 10, 2023 – ClearDent, a leading dental software provider for Canadian dentists, announces that it will now be providing preferential pricing for its software to RBC Healthcare clients.
“Being selected as the RBC Healthcare dental management software provider speaks volumes about the strength and credibility of our leading, on-premise solution, our newly launched cloud platform and the many extensions we offer to support the productivity and growth of dental practices.”
Karl Schmidt, VP of Business Development, ClearDent
RBC Healthcare supports the evolving needs of dentists throughout their entire career, from students to practice owners and all the way into retirement. Through RBC Healthcare Advantage plans, dentists are provided with relevant advice, preferential pricing on personal and business banking solutions, as well as access to discounts on a suite of practice solutions aimed at helping them manage and grow their practices.
“Our collaboration with ClearDent supports RBC Healthcare’s strategy to be the holistic provider for our healthcare clients, by bringing them innovative solutions beyond typical banking products and services. We spend significant time understanding the needs of our clients and identifying Practice Solution partners that add unique value. ClearDent’s innovative solutions, along with their strong reputation built over 20-plus years in the industry, were just a couple of factors that influenced our decision to bring their unique value to our clients.”
Ahad Ahmed, Senior Director of RBC Healthcare
About ClearDent
ClearDent is Canada’s dental practice management software. Modern dentists use ClearDent to go completely paperless and integrate with popular, advanced digital equipment. Our all-in-one practice management solution is easy to use and full-featured, and is available in On-premise, Hybrid and Full Cloud platforms. As a result, staff workload drops significantly, making it simple to book, confirm and remind patients about appointments with cloud-based patient engagement features. With improved patient care, dentists get paid faster and reduce unpaid services. Visit us at www.cleardent.com.
About RBC Healthcare
RBC Healthcare was created to address the needs of healthcare professionals throughout each of their life stages. RBC Healthcare’s network of over 1,100 Healthcare specialists is trained to understand the unique needs of Healthcare Professionals. This innitiative is available to eligible healthcare professionals banking with RBC. To learn more, visit rbc.com/healthcare.
About RBC
Royal Bank of Canada is a global financial institution with a purpose-driven, principles-led approach to delivering leading performance. Our success comes from the 97,000+ employees who leverage their imaginations and insights to bring our vision, values and strategy to life so we can help our clients thrive and communities prosper. As Canada’s biggest bank and one of the largest in the world, based on market capitalization, we have a diversified business model with a focus on innovation and providing exceptional experiences to our 17 million clients in Canada, the U.S. and 27 other countries. Learn more at rbc.com.
We are proud to support a broad range of community initiatives through donations, community investments and employee volunteer activities. See how at rbc.com/community-social-impact.
Charting and digital imaging were meant to grace your screen: don’t they look great together?
Most dentists eventually realize that, by removing the need to rifle through paper charts, their standard of patient care can improve. In fact, gathering information by switching software programs or finding a paper chart is a thing of the past. Dentists are now treating patients with tools stored in a single location, that are retrievable with a few clicks.
Digital Imaging in 2021
Since this blog post was published in 2020, the state of digital imaging in the dental software space has changed. Some practice management software vendors have announced they will be discontinuing digital imaging support this year.
ClearDent believes that supporting digital imaging is essential for a practice management software company, unlike those vendors.
When dentists provide extraoral X-rays, including panoramic (Panorex) X-rays, they need to access the information through practice management (PM) software.
Choosing A Practice Management Solution
Dentists who begin searching for an ideal practice management solution face several challenges. Teams commonly consider all benefits and consequences of switching to a new practice management software provider, which can feel overwhelming with all the options.
The marketplace offers many dental software alternatives: some vendors support digital imaging, while others lack similar support.
As cloud-based software becomes more readily available to the dental industry, these protocols can become even more obscure and difficult to understand.
Here are some identifying questions to help you choose the right solution (on-premises or cloud) for your specialty practice.
Can the PM software capture, store, and view patient information?
Are charts and x-rays accessible within a few clicks?
Can you administer treatments and view schedules?
Can you pull up patient medical histories?
Can you manage your clinic’s supply and inventory?
Can you manage all the financials from the software?
Most importantly, will your vendor continuously support the development of critical features needed to help you run an efficient practice? The last thing your team needs is to waste time finding decentralized information or relying on third-party integrations. Third-party integrations carry security risks, leaving practices vulnerable to data breaches.
Switching to ClearDent
Every dentist who has shifted to ClearDent have been able to capture, store, and retrieve patient data all in one place.
Over 1,400 practices from coast to coast in Canada have already switched to ClearDent.
Learn how your dental practice can be powered by ClearDent – our demos are free.
Without proper dental scheduling, there are many ways that time can be wasted in a busy clinic. And when time is lost, revenue and morale take a hit too.
A full schedule does not always translate to productivity and profitability. The goal of an efficient schedule is to run your dental clinic smarter not harder, maximizing time and revenue. A well-managed appointment scheduling system allows you to anticipate, prevent, and react to unexpected changes while minimizing the impact to both your team and patients.
Everybody suffers with an ill-managed schedule:
Patients are kept waiting when appointments are overbooked or lagging behind
Potential revenue is lost when appointments are under-booked
Dentists are burnt out when there is no balance between types of appointments
The team feels stressed and overworked when they’re behind schedule
The role of a dental scheduler is not an easy one but we’ve got four dental scheduling tips that will help you avoid the problems above, run an efficient schedule, and optimize your clinic to its fullest potential.
Set goals for your clinic
Your dental clinic is a business like any other. Before you delve into the nitty-gritty of day-to-day scheduling, take a step back and look at the whole picture.
Ask yourself what is it that you’re trying to accomplish; it will help you set a production goal for your dental scheduling.
To create a profitable schedule, work backwards:
Determine how much profit you want to make in a year,
Then translate that to a monthly goal,
And get your daily average production goal by dividing your monthly goal by the total number of working days in a month.
This gives you an idea of how much production you should aim for in a day. Use this goal as you schedule a mix of routine and complex appointments. However, remember to be mindful of available resources, which leads us to our next tip.
[Keep track of your goals easily using ClearDent analytics, aka ClearInsight – book a demo today to learn more]
Schedule dental appointments strategically
When scheduling appointments, you have to consider factors such as available time slots, types of procedures, cancellations, and much more to ensure the mental, emotional, and financial health of your dental clinic and team. Use these tactics to strategically schedule appointments:
1) Organize your daily schedule in blocks to accomplish your goals
Designate time blocks for different types of procedures, such as:
Determine how long procedures take by timing each accurately for the most common length. Don’t forget to factor in time for the anesthetist, hygienist, and dental assistant. This exercise will give you a good idea of the average time needed for each procedure.
For example, complex restorative procedures can sometimes require 2 hours or even more. While on the other hand, new patient consultations don’t require as much time but are equally as important. You need to allocate enough time to a first appointment so the team can make a good first impression and build a relationship with the patient – new business is critical to growth.
For longer procedures, consider blocking off a specific time slot for that type of procedure each month so when a patient wants to book a longer procedure, there’s an appointment available.
Set up your schedule with blocks dedicated to each type of appointment in a way that helps you reach your production goal. Complexity and time involved for each procedure are both useful to know when scheduling appointments so that you can make sure to properly block off enough time for the procedure, as well as to let patients know how much time they need to take out of their schedule.
2) Stagger the schedule
Creating an effective schedule is almost like a puzzle. When scheduling appointments, always keep your team in mind. Complicated procedures can be mentally and physically draining for both dentists and dental assistants. Schedule procedures in a way that gives dentists and assistants some buffer time to recover by alternating routine and complex procedures.
3) Maximize the team’s time
Avoid dental assistants waiting for the dentist by scheduling their tasks separately. This way, both dental assistants and dentists can perform tasks concurrently, maximizing everyone’s time. In addition, try to schedule appointments so that the dentist is able to use at least two chairs at any given time, rotating between the patients.
Set up proper clinic practices
There are certain procedures you should have in place that allow you to organize your schedule more efficiently.
Keep detailed notes on your patients
Some appointments require more time depending on the patient, and detailed notes can help you plan for that. For example, a dental cleaning will take longer on someone with gum disease than one that does not or certain patients may be chatty, while others just want to get in and out. Maintaining notes about patients’ preferences and history can help you properly schedule sufficient time for each.
Automate patient recalls
Ensuring your patients return for regular check-ups helps keep your schedule populated. Using an automated patient recall system takes the onus off of you to keep track of when it’s time to reach you. You can set up reminders in the form of email, text, or phone call that automatically go out letting them know it’s time to reschedule.
Minimize patient cancellations
No-shows and last-minute cancellations are an unfortunate but inevitable part of running a dental clinic. However, there are ways to minimize its impact.
Send appointment reminders
Considering appointments are often made weeks, even months, in advance, relying on patients to remember their appointments is likely to lead to many unnecessary cancellations. Prevent this by sending reminders a couple weeks before the appointment date, asking patients to confirm the appointment and allowing them to reschedule if the time no longer works for them. Follow up with another reminder within 24 hours of the appointment if they haven’t confirmed.
These days, many dental solutions have patient communication tools that not only sends these appointment reminders automatically but allow you to communicate with your patients through their preferred method of contact, whether it’s by email or text.
Have an on-call list
A patient waiting list can help you fill gaps that last minute cancellations create in the schedule. There are a number of dental systems that help you maintain online waiting lists. These allow you to send out a mass notification of an opening to patients on that list, rather than having to go down the list and call each person. This instant communication significantly increases your chances of filling the slot.
Creating an efficient appointment scheduling system is a fine art, requiring carefully honed skills over time. These tips will help you schedule effectively and run a well-optimized dental clinic.
When patients don’t show, up or cancel at the last minute, it can harm your dental clinic’s bottom line. No-show appointments equate to lost time, productivity, and profit for your practice. Patients also suffer from missed appointments due to delayed care as well as reduced available appointment times. You may be thinking, I can’t control my patients… what can I do to avoid last-minute cancellations?
Although these instances may feel out of your power, there are actions you can take to decrease last-minute cancellations and changes. Here are some suggestions on how to keep your practice operating at maximum capacity so that your patients can have the best experience possible.
Send multiple reminders
Adopt a no-show policy
Schedule convenient appointments
Pre-book appointments
Demonstrate gratitude
Make your office fun
Keep a waitlist
Send multiple reminders
When booking an appointment, ask your patient how they prefer to be contacted–keeping in mind all of the different mediums such as phone, email and text messaging.
Maintain accurate and up-to-date contact information, including cell phone numbers, email addresses, and home addresses. Utilize multiple reminder methods with automated text messages and emails. SMS Text Messaging in particular has been shown to result in fewer no-show appointments, as it gives patients the date and time in an easily accessible place. However, it’s important to find software that can automate these tasks for you, and give your front desk staff more time to build relationships with your patients.
Then, develop a cadence for your reminder messages that prove to be most effective in reducing no-shows while also allowing your patients to identify unforeseen appointment conflicts with enough time for you to be able to re-book that appointment time.
This is the reminder cadence that we have found to be most effective:
Adopt a no-show policy
Setting a policy for no-shows, last-minute cancellations or late changes demonstrates that your clinic knows its value. There are many different types of no-show policies to consider. Not every policy has to include a monetary penalty, and in fact, many practices find these to be off-putting. However, adopting a no-show policy doesn’t mean that you don’t care about your patients. If someone doesn’t show up for an appointment, don’t alienate them–follow up with a caring message to see if everything is okay. When someone calls last minute to change their appointment time, offer alternative options to retain their business. Above all, demonstrate compassion towards your clientele to find the policy that feels best for both them and your business.
Schedule convenient appointments
How can you schedule appointments to avoid cancellations and no-shows? Keep a patient’s unique situation in mind when you’re booking their appointments to set them up for success.
Do they have kids in school and only have availability in the afternoon?
Is there a holiday coming up where schools will be closed but your practice will be open?
Are they constantly travelling and prefer to be called for a last-minute opening?
Does your clinic offer extended weekend, morning, or evening hours?
If you operate out of multiple clinics, is there a location that would suit their schedule better?
Accommodate their needs to ensure they can make the appointment. If your clinic doesn’t already offer extended hours, consider if that would enable you to extend your client base. Taking a moment to understand your patient’s scheduling needs makes a big impact on their view of your practice.
Pre-book appointments
How can you increase patients pre-booking their procedures? This increases their investment in the appointment and sets a standard for your clinic’s post-procedural operations. After all, people are more likely to be thinking about their follow-up visit while they’re still in your office. Create a routine with your practitioners and front desk staff that includes having all patients speak to the front desk before them leaving. Even if no payment needs to be tendered, it allows your staff to ask the patient how their appointment went and allows the scheduling process to be more personal.
Keep a waitlist
If you have patients with unpredictable schedules, offer to put them on a wait list. As no-shows or last-minute cancellations occur, they can be contacted to fill in these otherwise vacant spots in your schedule. If patients do end up missing an appointment or need to change last minute, offer to add them to the wait list so that they can still get their appointment completed without you having to risk another no-show.
Demonstrate gratitude
How can you show your patients that you appreciate them and their loyalty to your practice? Keep a calendar of birthdays and other milestones, and send notes through personalized emails, postcards, and text messages. Ensure that the time they spend in your office is centred around their needs. Practice active listening, and promptly follow up on any questions or requests. Special touches paired with consistent communication and reliable follow-ups create a unique and memorable relationship between your practice and patients.
Make your office fun✌️
Keep your customer base, and your staff, enthusiastic with holiday-centered giveaways and prizes. Set up a raffle that patients can enter every time they show up for an appointment on time. Allow existing clientele to receive a referral perk if they bring in new patients. Make sure your staff has input and responsibility for the events taking place around the practice. Not only will you be creating a fun working environment for your employees, but at the same time, you will be maintaining a warm and delightful experience for your patients.
Conclusion
While no-shows and last-minute cancellations are part of running a dental clinic, you and your staff can minimize their occurrence. In turn, this will boost your clinic’s bottom line and allow your office to operate at top efficiency, since no shows result in wasted preparation time in addition to the missed chair time. If you haven’t already analyzed whether automated software could boost your business, take a couple of minutes to chat with a ClearDent Solutions Expert or download our eBook: Your Guide to Choosing Dental Software.
How many patients can I squeeze into the day? The most common refrain among dentists and office managers alike. The business of a dental practice is built on providing quality oral health care to as many people as the day can hold. Patient care will always be the bread and butter of the industry, but as your practice grows, finding opportunities to increase productivity in your dental clinic can mean saving the business money, or even freeing up plenty of time. Regardless of your practice size, we have recommendations for finding savings in your office.
Trusting Your Specialists
Whether hygienist, technician, or other, your specialists have insight into how your office is being run. Each of these jobs represents an important part of your finely tuned practice machine. The ability of any dentist and specialist in an office to wrap up their appointments on time has a tremendous impact on your bottom line.
Finding the time to review a process or even frustrations in a process, can net you valuable minutes every day. These grievances can often be based on having to chase down misplaced charts or incorrect X-rays. Those delays lead to frustrations for staff and patients alike, never mind realizing you don’t have a periodontal probe ready when you need it.
When tools are easily accessible, and there is a single source of information like digital records, no one is scrambling to find allergy lists or up-to-date X-rays, your office starts to run like an expert orchestra.
Patients per Hour
For most offices and clinics, this question is about who is being served. For practices focused on productivity, this is about patients overall. You can only care for so many patients in an average 9-5 days, and capitalizing on this means your front desk staff need to fill as many units of productive time as possible while fighting cancellations and hard-to-reach patients.
While receptionists are busy on the phone confirming patients for their cleaning, they may be spending upwards of five minutes between scheduling and leaving voicemails. Texting is already proving to be more reliable for engaging customers, but with a system that supports automated reminders, you’ve freed up an hour or two each day to focus on the patients in the office. Restructuring the workload also frees time to focus on problem patients who might be most reluctant to step foot in your office.
The Express Intake Lane
Do you know how long it takes for your patients to check in? What about updating their insurance info, or changing their address? Keeping and maintaining an in-depth set of records for your patients is everything, including being able to reliably bill and charge. Checking or updating records isn’t just a minute or two delay before an appointment starts, it can be a delay of hours or even days when you realize that the wrong paper record was filed and the patient hasn’t answered the last two calls your receptionist made.
With electronic records, you never run the risk of filing the wrong record since there is only one record. If your entire office supports easy access to information, with tablets or small screens next to where you treat patients, you can confirm information at multiple points, rather than risk it not coming up in conversation with the front desk. Embracing electronic records can significantly boost productivity in your dental clinic, ensuring smoother operations and better patient care.
Whether you’re opening your own practice, or you’ve been investigating how software can make your day-to-day schedule smoother, one of the most important factors to keep top of mind is compliance. Typically under-advertised, a product’s ability to comply with provincial or federal law is what dictates your own office’s adherence to guidelines, and also your exposure to legal risk as a business owner. Understanding the ground rules for software that serves your patients can mean taking a lot of stress off your day-to-day routine.
In Canada, devices and software that serve any purpose to do with health or the body of a person are classified into four groups. Everything from a mouth mirror to digital patient records require strict regulatory conditions, regardless of which province you call home while providing oral healthcare. While compliance is frequently a moving target, organizations that understand the value of staying ahead of rapid change are most likely to welcome your questions and concerns.
Your Class 2 License
Depending on the level of integration that could most benefit your practice, there are a variety of key touchpoints that are inevitably stored on servers and hard drives. Patient records including dental x-rays and medical history represent a medium to high risk for exposing private information. The federal body, Health Canada, designates any device with medium or high risk to patient info as being Class II.
If you’re shopping around or are interested in practice management software, by law, every product that directly impacts patients must clearly state that it has been licensed in accordance with Health Canada. Keep an eye out for licenses when examining products, or ask how a company complies when speaking with a sales representative.
Updates to Compliance
The climate for regulation, whether provincial or federal, is an ever-changing current. As our laws and regulations update, offices are placed with the burden of adjusting to the shifting landscape. As many provinces and lawmakers look to their neighbors for inspiration, one change can quickly have ramifications for the other side of the country. For example, imagine even a small change to the requirements for record handling, how your provider reacts could leave you liable or on the hook for update costs.
While some software providers will charge for updates outside of their roadmap (and even updates within it), many will take the time to ensure their products remain compliant for free.
Staying Informed and Educated
When our smartphone apps update, developers will usually go between details to explain, in shorthand, their new offer or simply thank their customers for loyalty. As a business owner wrapped up in compliance, with an already packed schedule, you are required to understand the updates and changes, even if you’re not in control of them.
Compliance, regulations, and laws are frequently wrapped up in legalese or highly technical language. While you may hear about new requirements from a dental college or professional body, products that additionally explain how they meet legal standards in plain language ensure that everyone in the office understands compliance and their responsibilities.
The framework for how dentists operate across Canada is a constantly shifting set of necessary rules. Being caught off guard with new changes has very real impacts on the business you run, but compliance doesn’t need to be the thing that occupies your hours. Don’t be afraid to press your dental software provider on how they view compliance update and changes, so you can stay focused on providing your patients with great care.
The CDA (Canadian Dental Association) iTrans enables dental offices to securely and electronically submit dental claim benefits on behalf of patients to insurance companies. EDI (Electronic Data Interchange) is a method for dental offices to submit dental claims electronically. The CDA created CDAnet to give Canadian dentists EDI capabilities. Below are some common tasks you would come across using our ClearDent EDI transaction manager.
View EDI responses from a patient ledger ClearDent has made it easy to access info regarding claims that have been submitted to the insurance company.
Click on the Ledger tab
Highlight the claim in question
Right-click on the claim
Select “View EDI response” from the menu list
This will launch the EDI transaction manager and bring you directly to the explanation of benefit (EOB) that you received for that patient from their insurance
Click on the “Details” button to access additional information about the claim
Check outstanding EDI responses To check any outstanding EDI responses, follow the steps below:
From the main screen of Cleardent, click on the “Credit card manager”
Then click on the “EDI transaction manager”
Once it’s open, click on “Wizard”
Select “Check mailbox for outstanding transactions and ClearDent emails”
Then click “Next”
Check the provider that you want to see the outstanding transactions from
If you’re using iTrans, check “A CDA-ADQ paperwork” and select the iTrans selection
If you’re not using iTrans and are using a modem, check “An insurance carrier” and select the insurance company you want to see outstanding claims from
Click “Next”
Once the transaction has gone through for the outstanding, you will see which has come back and get a reference number
When you click “Finish”, you can print it out and see details as to which patients the outstanding transaction has been completed for
Skip the EDI wizard screen when non-ortho codes billed When creating an invoice to send to insurance, a window will pop up that allows you to change payee, add in the school name, and specify whether it’s an orthodontic claim before sending it out. Additionally, if it is a denture claim, the initial or prior placement claim would need to be entered. In most instances, you won’t need this screen if the majority of your claims will be for treatments like hygiene or basic restorations. Luckily, there’s a handy setting that allows you to skip this screen, saving you that extra click before submitting the claim electronically.
Go to the Configurations menu from the main screen and click “Practice information”
On the EDI tab, select “Skip Claim Detail for Non-Ortho EDI submission”.
This will skip the additional window that pops up when you are submitting the claim if the orthodontic tag is unchecked
However, rest assured that this setting only skips the window if the orthodontic box is not checked. If there are ortho codes entered, the window will still appear as you would need to know if it’s an ortho billing.
Auto-adjust fees on invoice based on the EOB response ClearDent has an auto EOB reader function that allows you to charge the patient exactly what the EOB says you should be charging. This comes in handy in a number of scenarios: if the patient has insurance but you haven’t put in all the details of the coverage they have yet, if their plan is on an older fee guide coverage, or if they haven’t updated you on their new coverage yet. ClearDent will automatically calculate what falls under the patient side and the insurance side of the ledger based on the coverage that was inputted. But if the information is not accurate, the EOD from the insurance after sending the claim will most accurately reflect what the insurance is going to pay you.
If the patient is a non-assignment patient (the cheque comes to the patient), you won’t need to track it specifically. For reporting purposes, you can get a sense of what their coverage is without sending an EOB but when you turn on the feature, it’ll read the EOB and automatically update the invoice to which side the ledger the balance should fall on. To turn on this feature:
Go to the Configuration menu
Select “Practice information” and select the EDI tab
Under “Auto adjustment after the EOD”, select whether to enable it just for the primary insurance or for duel insurance EOB. If you choose duel insurance, ClearDent will automatically update the invoice to match that secondary EOB once it comes back
Some insurance companies will actually talk to each other through iTrans so you get an EOB from both primary and secondary together without having to wait for one and then the other
With this feature enabled, when you get to that final screen, the patient balance is going to match what the EOB says, regardless of what you have listed on the patient’s file. There are some instances when the EOB auto-adjust feature won’t work: if the claim is backdated or if the procedure code is split and does not match the EOB response. If there’s no EOB received, it will not automatically be adjusted. It will still be based on the details you have in the patient’s insurance breakdown. If the patient is not an assignment patient (the default payee is set to subscriber), and the cheque is going to the patient, then leave everything on the patient side of the ledger. You don’t want to have any of it showing on the insurance side of the ledger because the patient will pay the bill on when they come in for their appointment.
Looking for more guidance? Visit ClearDent’s new online Help Centre for on-demand training videos, detailed user guides, and FAQs. Whether you’re new or experienced, our Help Centre has everything you need to enhance your product knowledge and troubleshoot issues effortlessly. Click here to learn more →
ClearDent’s dental ledger helps you quickly and easily access patient information to process treatments, enter payments, submit claims, print statements, process insurance, and more — all from one convenient location.
To get to the ClearDent’s dental ledger, search for the patient name then click on the “Ledger” tab at the top.
We’re going to take you through three common scenarios with our dental ledger: managing patient billing, processing payments, and making adjustments. For even more information, we also have ClearDent support videos available for our customers.
1. Billing patients
Select “Add” then choose “Bill”, or you can select the “Bill” button directly
Here, you will also see the patient name, date, primary and secondary insurances, main provider, fee schedule, and billing grid. Add any relevant notes in the pop-up window
To add a procedure, select from the drop-down menu
Type in the procedure and enter tooth number and surface if applicable
Update any linked policies with how much insurance will cover for that procedure
After you’re done adding all the procedures to this transaction, click “Next”
A submit claim window will pop up if the patient has insurance; it will only apply to the primary insurance
You have the option to print claim, submit by EDI, or submit later
A summary of the insurance claim will then pop up for you to verify; hit “Ok” to finish
2. Reconciling payments
There are three common cases when it comes to reconciling payments: adding a payment, underpayment, and overpayment.
Adding a regular payment
Select “Add”
Choose either “Patient payment” or “Family patient payment”
Select “Pay by” method from the drop-down menu
Select “Auto calculate”
Hit “Allocate” at the bottom of the window, then “Ok”
You’ll have the option to print a receipt or statement of the payment
The dental ledger will now be updated and the line of payment will turn in green.
Adding an underpayment
You may have to deal with underpayments when a patient is paying an outstanding balance with insufficient funds.
Once you navigate to the ledger (the tab will be red to indicate that the patient owes money), the running total is located on the bottom right.
Select “Add” and choose “Patient payment”
Next, select their payment method
If they were paying the full amount, you would select “Auto calculate” but in this case, they’re paying a partial amount, so select “Manual enter” and input the amount the patient is paying
Hit allocate. ClearDent distributes the paid amount to the codes that are outstanding following the first in, first out rule. If you want to use the payment for a specific code first, select “Clear” to allocate the payment manually by clicking the amount under Pmt Allocated column
Once you hit “Ok”, you’ll have an option to print receipt or statement
The dental ledger will now be updated and items that are completely paid will be highlighted in green with black text.
Adding an overpayment
If the patient only has cash and you don’t have change, they can request for the extra amount to be left on their account as a credit.
Select “Add” and choose “Patient payment”
Next, select their payment method
Choose “Manual enter” and type in the amount the patient is paying
Once you hit “Allocate”, you will see an unallocated amount with the overpayment
When you hit “Ok”, you’ll be asked what you’d like to do with the remaining balance
Select a provider to save the credit under and click “Ok”. In most cases, you would save the credit under the owner of the clinic. The reason being that if the patient never returns to use the credit and you can’t reach them to issue a refund, the credit becomes part of the house account.
The dental ledger will now be updated, and the running balance at the bottom will reflect the credit.
3. Making adjustments
While there are many different adjustment types, we’ll go over how to do a write off, transfer from insurance to insurance, as well as transfer from insurance to patient.
Performing a write off
Select any line in the transaction. It doesn’t matter which one, this is just to tell the system that the adjustment you want to make has to do with this transaction
Click “Add adjustment”
Choose the “Write off” drop-down: write off
Select either “ Auto calculate” or “Manual Enter” and click “Adjust all”
Select the amount that is outstanding for the patient and click “Ok”
There will now be a new adjustment line in the ledger, indicating a write off in the amount you selected for the patient.
Transferring a charge from primary insurance to secondary insurance
Select the primary insurance in the “From insurance” drop-down, then select “Auto calculate” and click “Adjust all”
Grab the full amount and click “Ok”
Unlike most adjustments, a transfer between insurances will leave two adjustment lines. One to show the transfer from the primary insurance to the patient and the second to transfer from patient to the secondary insurance. This is standard to show that it is moving from one carrier to another.
Transferring a charge from insurance to patient
Typically this is done when you receive the insurance cheque, and it’s lower than what was originally expected. You’ll need to subtract the charge from the insurance side of the dental ledger and move it to the customer side.
When you enter the insurance cheque, you can transfer it to the patient side of the ledger but if, for whatever reason, you don’t transfer it then, you can follow the steps below to make an adjustment and transfer the amount to the patient after the fact.
Click “Add adjustment” and select “Transfer to the patient”
Select the carrier from the drop-down if there are multiple
Select either “ Auto calculate” or “Manual enter”
Include a note with any relevant information about why the adjustment was made. You can choose to have the note appear on the statement or receipt when you print them
Click “Adjust all”
Click “Ok”
The dental ledger will now be updated with an additional pink line, indicating that the patient has a balance that has now been transferred. The running balance of the patient at the bottom will reflect the new balance.
Looking for more guidance? Visit ClearDent’s new online Help Centre for on-demand training videos, detailed user guides, and FAQs. Whether you’re new or experienced, our Help Centre has everything you need to enhance your product knowledge and troubleshoot issues effortlessly. Click here to learn more →
No matter how well you plan your dental schedule, dental emergencies are inevitable. At some point or another, every dental clinic has to deal with last-minute requests for emergency appointments. To help keep your dental clinic running smoothly, you need to implement dental triage protocols for emergency situations.
There are two important things to consider when dealing with dental emergency triage: questions and scheduling.
1. Dental Emergency Triage Questions
While you should try your best to accommodate patients, it’s simply not possible to fit in every patient that calls in requesting a last-minute appointment. Gathering information by asking dental emergency triage questions when patients call is an important step when handling these situations.
You have to be able to weed out an urgent dental emergency from those that are not quite as critical by asking some key questions. Focus on gathering as much information as possible to pass along to the dentist.
As part of your dental triage protocols, ask the below questions when a patient calls with a dental emergency to best plan and allocate resources for their appointment.
Dental Triage: Questions To Ask
Ask if they are a new or existing patient. If they are a new patient, you’ll have to create a new file for them so you can record the notes. If they’re an existing patient, ask for their name so you can look up their file.
Ask these questions to get to the root of what the problem is as quickly as possible and to determine the severity of the pain:
Where is the issue? Which side? Which tooth?
Is the patient currently in pain? If so, how long have they been in pain and what’s the severity of the pain?
Is the pain getting better or worse?
Is there pain to hot or cold temperatures?
Is swelling occurring?
Is the patient currently taking any medication for the pain? If so, what type of medication and what dosage?
Has there been previous dental treatment in the area?
Additional Questions for Dentures, Fractures, Crowns
It’s often helpful to ask additional questions once you’ve identified the type of dental problem. Some examples of questions to ask depending on the type of problem:
Dentures: Find out what type of denture it is, how old the denture is, and whether the patient has a spare denture
Fractures: It is on a tooth that has a crown? If it’s a crown, does it feel loose? Find out how much the tooth fractured – is there tooth left? Ask them how the fracture happened
Crowns: Ask if it’s a permanent or temporary one as well as how old it is.
Why Are Dental Triage Protocols Important?
Setting up dental triage protocols to gather the necessary information at the onset will help you assess the situation and plan accordingly. For example, asking if the patient is in pain will help you determine whether to try to get the patient in as soon as possible or when there is a better opening in the schedule.
While you’re not diagnosing the patient, these dental emergency triage questions will help give you an indication of how much time you need to allocate for the appointment. A chipped tooth, a new crown, and a tooth extraction all require different appointment lengths and preparation.
Document the information you gather during the phone call in the patient’s file so that your team has complete access to all the information they need when the patient comes in.
2. Scheduling Emergency Appointments
Once you’ve gathered the information, you’ll need to prioritize and find time to schedule an appointment for the patient.
Many clinics allocate time in their dental schedule for high-production appointments, such as root canals. In a similar fashion, consider also allocating time slots in your calendar for patient’s dental emergencies. Understanding the best way to maximize your schedule and react to emergency situations will not only help you give the appropriate care to your patients that need emergency help but also help ensure it’s done at minimal disruption to your regular patients.
After-Hours Support
In addition to responding to dental emergencies during clinic hours, make sure you have dental triage protocols in place to respond after-hours too. Many dentists are a part of a group of dentists that rotate being on-call after hours.
What To Do When Patients Call After Hours
When patients call after hours, you can craft an answering message that gives them options for after-hours care. Some dentists include their personal numbers so patients have a way to contact them or provide a number to a provincial resource such as HealthLink BC which helps both patients and dentists in BC find appropriate healthcare resources near them.
Never turn a patient away
Dentists are legally and professionally obligated to respond in the event of a dental emergency. You should never turn away a patient in pain for any reason.
It results in a bad patient experience and, these days, when patients are unhappy, they have no reservation about sharing their negative experiences on social media, hurting your dental marketing efforts.
When you try your best to treat patients with dental emergencies, it goes a long way in terms of patient retention and loyalty.