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Top 10 Series Top 10 Business Practices that will Guarantee Your Practice is not Profitable Frank Bostock, MBA, CO Southwest Region Vice-President Hanger Prosthetics and Orthotics

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Top 10 Series. Top 10 Business Practices that will Guarantee Your Practice is not Profitable. Frank Bostock, MBA, CO Southwest Region Vice-President Hanger Prosthetics and Orthotics. “Top 10 Business Practices that will Guarantee that Your Practice is not Profitable”. Frank Bostock, MBA, CO. - PowerPoint PPT Presentation

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Page 1: Top 10 Series

Top 10 Series

Top 10 Business Practices that will Guarantee Your Practice is not Profitable

Frank Bostock, MBA, COSouthwest Region Vice-PresidentHanger Prosthetics and Orthotics

Page 2: Top 10 Series

“Top 10 Business Practices that will Guarantee that Your Practice is not Profitable”

Frank Bostock, MBA, CO

Page 3: Top 10 Series

Business Practice # 10Collecting Co-Pays and Deductibles

To be honest, collecting Co-Pays

and Deductibleshas never been

one of mypriorities.

Page 4: Top 10 Series

Business Practice # 10

When you do not collect patient co-pays and deductibles:• You are offering an additional discount for your services• You are increasing your A/R collections costs• You maybe in violation of a payer contract• You are decreasing your practice’s earnings

Patient co-pays, deductibles and receivables are usually ignored, mismanaged and/or neglected.

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Business Practice # 10

• Make it easy for your staff: Provide them with scripted protocols to use when discussing co-pays, deductibles and collections with your patients.

• You pay co-pays and deductibles at your doctor’s office and at hospitals, so why shouldn’t your patients pay you?

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Business Practice # 9“Please tell me you didn’t say you don’t

have a Compliance Program!!!”

Page 7: Top 10 Series

Business Practice # 9Compliance Programs

• Compliance Risk Areas– Medicare/Medicaid– HIPAA– OSHA– Labor Relations– ADA– DMEPOS Supplier Standards– Payer Contracts

Page 8: Top 10 Series

Business Practice # 9Compliance Programs

• Compliance Risk Areas– Medicare/Medicaid

• Non-compliant prescriptions• Incomplete Verification of Delivery • Inadequate clinical documentation and justification

– Labor Relations• National Labor Relations Board• EEOC

– American Disabilities Act• Discrimination • Physical Access

– DMEPOS Supplier Standards• Updated Standards/Requirements

Page 9: Top 10 Series

Business Practice # 9Compliance Programs

• Compliance Risk Areas– Medicare/Medicaid

• Non-compliant prescriptions• Incomplete Verification of Delivery • Inadequate clinical documentation and justification

– Labor Relations• National Labor Relations Board• EEOC

– American Disabilities Act• Discrimination • Physical Access

– DMEPOS Supplier Standards• Updated Standards/Requirements

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Page 11: Top 10 Series

Business Practice # 9Compliance Programs

Cost of Non-Compliance– Refunds– Penalties– Termination of Contracts– Criminal Charges

Page 12: Top 10 Series

Business Practice # 8

“ Inventory Management System . . . . . . What inventory management system?”

Page 13: Top 10 Series

Business Practice # 8• Why have an Inventory Management System?

– Reduce your product and materials acquisition costs– Control inventory shrinkage– Reduce inventory holding costs through better ordering practices– Reduce freight costs– Link product purchases to contract reimbursement rates– Effective Inventory Management Systems mean higher profits

Page 14: Top 10 Series

Business Practice # 7“Human Resources Policies. . .

. . . Never thought about it”

Page 15: Top 10 Series

Business Practice # 7Having Access to Current Human Resource Information• Avoid Lawsuits

– Discrimination– Wrongful Termination– Labor Relations Violation

• Is an Effective Employee Management Tool– Consistency– Boundaries– Guidelines

Page 16: Top 10 Series

Business Practice # 6“A Focus on Customer Service – You’re Kidding?”

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Business Practice # 6Why Focus on Customer Service?• Helps you differentiate you from your

competitors• It is essential for customer retention

– Providing customer service from the customer’s perspective– Use of patient surveys– Part of every employee’s job description

Page 18: Top 10 Series

Business Practice # 5“Go out and market and ask for business . . .

. . . I’d rather stick a pencil in my eye!!!”

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Business Practice # 5

Marketing your Practice• Why wait for the phone to ring if your customers don’t

know why they should call you.• If you do not define who you are in your market place, your competitors will.• Why should your referral sources and patients choose you over your competitors?

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Business Practice # 4“Employee Productivity . . .

. . . Why would you worry about that?”

Page 21: Top 10 Series

Business Practice # 4

Measuring Employee Productivity • How do you know if your employees are productive?• Is it important to track administrative and technician

labor?• How can you measure practitioner productivity?

Page 22: Top 10 Series

Business Practice # 3“Sure I would like to grow my practice’s revenues, but I am all about patient care.”

Page 23: Top 10 Series

Business Practice # 3

Revenue Growth is not an option• Increasing your practice’s revenues year-over-year is not an option.• Brady’s Law – “If you don’t move you die.”

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Business Practice # 2

“I can’t believe what you just said: EBITDA is as important as patient care!!!”

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“What did you say EBITDA is?”

Page 26: Top 10 Series

Business Practice # 2EBITDA verses Patient Care• Unless you are profitable you won’t be

around to provide outstanding patient care.• “Reality always seems to get between what we

want and what we get.”

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Business Practice # 1“Strategic Planning. . .

. . . Now you have gone too far.”

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Business Practice # 1Strategic Planning helps you identify -• What is happening in your market place.• Why it is happening.• What you need to do to sustain your success or overcome

current competitor challenges.• How you are going to achieve your strategic goals.• Who will be responsible for achieving your goals.• How you will monitor your progress.

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“OK now I get it . . . You were just kidding about all of this stuff.”

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Some people take these business principles seriously. . . Some people ignore them!

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The measure of Success

“We actually do what other people say they do.”

Peter SisseckPingus Winery

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Thank YouThe Top 10 Business Practices