Banta Consulting. Financial Strategies for Getting the Dollars Off the Books and Into the Bank!

Similar documents
10 Top Management Tools For a Successful Practice

High Impact Communication

Permission to Discuss Medical Information HIPPA PATIENT ACKNOWLEDMENT. Patient Name:

Financial and Insurance Agreement

DeMercy Dental Crabapple Road, Ste. 140 Roswell, GA

NICOLAS WARNER, Psy.D.

Consent for Services and Financial Policy

Drs. Birdwell and Guffey. Comprehensive Family Dentistry. Dr. Vicki Davis Guffey, DDS 529 E Gov John Sevier Highway Phone (865)

Is this your child s first visit to the dentist? Yes No If no, date of: last exam dental x-rays fluoride treatment

PATIENT APPLICATION FORM

All About Kids Pediatric Dentistry

Sparta Dental Center Office Policy Statement

Please print and complete all the enclosed forms and bring them to your first appointment.

Hello and Welcome to Soft Tissue Solutions

KILGORE EYE CARE CENTER

Please print and complete all the enclosed forms and bring them to your first appointment.

Patient Name: DOB: Sex: Male/Female. Primary Address: Home Phone: Mobile Phone: Address: Emergency Contact Name and Phone Number:

Itemized Statement of Charges

Permission Letter. Patient Name(s):

Patient Acknowledgements, Agreements and Authorizations

Welcome,! Scheduled Appointment: at AM/PM Dr. Jamie C. Bales Dr. Brian H. Moore

Anthem Hills Dental PATIENT INFORMATION

Financial Policy Guidelines

2460 India Hook Road, Suite 106 Rock Hill, SC Tel: (803) Fax: (803)

K A R A N J O HA R, M.D.

of all prescription and non-prescription medications or supplements

INITIAL CONSULTATION AGREEMENT

Welcome to Pediatric Dentistry of Greenville!

Arthur O. Lyford, DMD, PLLC ~ 3 Market Pl, Unit D ~ Hollis, NH ~

Please complete the first page, as well as read, sign, and date the following pages. Please do not hesitate to ask us any questions.

Talia Pike DMD Patient Information

Appointment Date: / / Appointment Time: Date: / / Account #:

Thank you for choosing Best Practices Medical Clinic as your medical provider!

Advanced Hearing & Balance Center 3025 Shrine Road, Suite 490 Brunswick, GA PATIENT INFORMATION

Demographics. Last Name First M.I. Social Security Number

Staab Agency. Thank you for inquiring about our registration service.

PATIENT REGISTRATION FORM

WELCOME TO OUR PRACTICE

Personal and Family Health History

8) Therapeutic drug monitoring: medication levels in the blood. 9) Any additional valid measurements of the child over the last 3 years

CONSENT TO DENTAL TREATMENT

PATIENT REGISTRATION

York Smile Care. First: Middle: Last: Jr/Sr: Street: City: State Zip: Home Phone: Work Phone: Cell Phone: Patient's Employer:

PATIENT REGISTRATION (Please Print) Social Security # Address City State Zip. Address

PHARMACY INFORMATION

Patient Name: First Middle Last Address: Number Street (Apt#) City State Zip Address: Okay to Statement? Yes No

Please make all checks payable to STAAB AGENCY

Personal Information. Date of Birth: / / SSN: - - Single Married Child Other. Home Address: Street City State Zip

Clinic Hours Monday Friday 7:00 AM 4:00 PM (end times may vary); Select Saturdays (by appointment)

Authorization to Release Health Information

JOEL D. FOSTER DPM, PC AUTHORIZATION TO RELEASE MEDICAL BENEFITS

ADVANTAGE PLAN MEMBERSHIP Enrollment Form

Patient Registration

BROKEN APPOINTMENT/LATE PATIENT POLICY

Trinity Family Physicians

Bridging the information gap leading to skills leading to skills shortage and the collapse of many SME s in South Africa. Debtor management process

*PLEASE PROVIDE COPIES OF YOUR DENTAL ID CARD AND DRIVERS LICENSE*

PATIENT MEDICAL RECORD # DATE OF BIRTH / / Male: Female: PATIENT NAME LAST FIRST MI FORMER LAST NAME MAILING ADDRESS CITY STATE ZIP

ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES 2013 Murphy Dental 608 East Harmony Road, Suite 301 Fort Collins, CO 80525

Patient Health Summary

Dental Insurance Information Please provide the office with your insurance cards so we can make photocopies.

PAYMENT AGREEMENT BROKEN APPOINTMENT INFORMATION

Acknowledgement of Privacy Practices

2246 Weber Road, Crest Hill, IL Phone Fax. Dear Patient,

Please list any doctors you would like us to coordinate with for your medical care: Primary Care Doctor: Other Doctor:

Thank you for contacting the University of Utah Health billing office to discuss your account and inquire about financial assistance.

PATIENT INFORMATION ***All Requested MUST be filled out ****

Carroll County Nephrology, PC

PATIENT INFORMATION PATIENT INFORMATION. Middle Initial: Nickname: Date of Birth: Marital Status: Address: City: State: Zip Code:

WELCOME TO SPORTS CONDITIONING AND REHABILITATION

GAINESVILLE PHYSICAL THERAPY NEW PATIENT REGISTRATION HOW DID YOU HEAR ABOUT OUR CLINIC? PATIENT INFORMATION

Adjustable due dates. for SSI and Social Security Recipients

Parkway Dental of Clinton Matthew K. Chow, D.D.S. 401 Clinton Parkway, Clinton, MS Patient Information:

Financial Policy and Agreement

Dear. If you have any questions, feel free to call our office. We look forward to seeing you. Sincerely,

New Wave Internal Medicine Clinic

Center for Emotional Wellness & Healing, LLC 100 Heritage Valley Rd, Ste. 1, Sewell, NJ 08080

Thank you for inquiring about our registration service

Name Preferred Name Sex. Home Address. Home Phone Age Date of Birth. School Grade. How did you hear about us?

603 7 TH STREET S., SUITE #540, ST. PETERSBURG, FL PHONE: (727) FAX: (727)

PPO/HMO/SELF-PAY PATIENT INFORMATION ACKNOWLEDGMENT FORM PATIENT RIGHTS AND ACKNOWLEDGMENT FORM

H&M Family Dentistry New Patient Information page

PATIENT FINANCIAL SERVICES DEPARTMENT ADMINISTERING VALLEY DIVIDEND PROGRAM

Children s Specialized Hospital Benefit Fund Policy - Plain Language Summary

4. Who Is Accompanying the Child Today? 5. Responsible Party Information Name Name Relationship Birth Date Home Phone

Center for Dermatology & Cosmetic Laser Surgery

Allergies None Penicillin Sulfa Drugs Codeine Aspirin Tape Latex Iodine-Shellfish. Other allergies: Medications

Sliding Fee Program. Gwinn 135 East M-35 Gwinn, MI (906) Iron River 1500 W. Ice Lake Rd. Iron River, MI (906)

Welcome to Cool Springs EyeCare and Donelson EyeCare!

Financial Policy and Patient Agreement

Welcome to Rosenman & Leventhal, P.C.

425 North Wendover Road Charlotte, NC Birthdate: Social Security #: Male Female

Don t miss this prime opportunity to showcase your services and products. We look forward to seeing you in April.

Center for Psychology and Counseling Chart # 118 E. Sunbridge Drive, Fayetteville, AR (479)

NOTICE OF PRIVACY PRACTICES

New Patient Registration

Research Accounting is available to answer questions and address concerns regarding the requirements of the Accounts Receivable Collection Policy.

Commercial Fisheries Entry Commission Instructions for Emergency Transfer of Entry Permit Request

Family address preferred for patient portal access:

DIABETES & ENDOCRINE CENTER OF ORLANDO, P.A. WELCOME LETTER 3113 LAWTON ROAD, SUITE 100 ORLANDO, FL

Transcription:

Banta Consulting Financial Strategies for Getting the Dollars Off the Books and Into the Bank!

Financial Strategies for Getting the Dollars Off the Books And Into the Bank! Lois Banta Banta Consulting, Inc. Presented for AADOM Please note: This workshop is offered as information only and not as financial, accounting or legal advice. Seminar attendees may make photocopies of these pages for internal office use only. These forms may not be copied for distribution to others. Banta Consulting, Inc. Page 2 of 12 2000 updated annually

Financial Strategies for Getting the Dollars Off the Books And Into the Bank! presented by Lois J. Banta Banta Consulting, Inc. 33010 NE Pink Hill Rd Grain Valley, MO 64029 Phone: 816-847-2055 Fax: 816-847-5962 E-Mail: lois@bantaconsulting.com Topics: How to say What you say in collections Establish Fool Proof Systems and Protocols When Patients Don t Pay A Team Effort-Roles in the Practice Creative Financing Banta Consulting, Inc. Page 3 of 12 2000 updated annually

It is HOW to say WHAT to say that Counts 1. During the new patient phone call 2. When handing off to team Build the Communication Bridge 3. When Arranging Appointments to Discussing Payment 4. The Exit Interview Wrapping up the Discussion Banta Consulting, Inc. Page 4 of 12 2000 updated annually

ESTABLISHING SYSTEMS AND PROTOCOLS 1. Listing and Offering Financial Options 2. Simple Truth in Lending Systems 3. Effective Disclaimers that Protect the Practice 4. Follow-up and Follow Through-It s in the Details Banta Consulting, Inc. Page 5 of 12 2000 updated annually

SAMPLE FINANCIAL PAYMENT OPTIONS Option 1: payment in full at start of treatment with a 5% a accounting adjustment. (cash, check, credit card) Including expected insurance amount on all amounts over $400. payment in full at start of treatment with 5% accounting adjustment for senior citizens over age 60 when amount is over $100. Option 2: ½ payment due at scheduling of first appointment, remaining payment due on first appointment. Option 3: CareCredit - 6 months, 12 months, 18 months, 24 months payments - interest free. Or choose the extended payment option up to 60 months at 14.9% interest. *special note: A disclaimer should be placed on all financial agreements stating any additional unexpected treatment needed will also be allowed 5% pre-payment adjustment when paid at time treatment is rendered. Banta Consulting, Inc. Page 6 of 12 2000 updated annually

Sample Disclaimers to include on Health History Form I understand that my insurance is an agreement between me and my insurance company. I also understand that I am responsible for my balance regardless of my insurance. I understand that I may be charged a 1.5% per month or 18% per year finance charge if my balance goes beyond 90 days. I assign dental benefit payments to be paid directly to Dr. John Doe from my insurance company. I give permission for my dentist and his/her clinical team to take any necessary diagnostic, photos or study models to enable complete diagnosis and treatment. I also give permission for any photos to be used for educational purposes. Banta Consulting, Inc. Page 7 of 12 2000 updated annually

WHEN PATIENTS DON T PAY 1. Sending Statements and Past Due Notices 2. Making Calls What s Legal/What s Not 3. The Final Notice 4. Psychological Strategies Banta Consulting, Inc. Page 8 of 12 2000 updated annually

SAMPLE STATEMENT MESSAGES Insurance payment received note: WE HAVE RECEIVED FINAL PAYMENT FROM YOUR INSURANCE COMPANY. 30 day-gentle reminder: Just a reminder - it s been over 30 days since your last payment. 60 day-more firm reminder Your account is now over 60 days past due. Please remit balance. 90 day reply/final notice or this message Your account is seriously past due. Payment must be received within 10 days or it will be referred to collection attorney (or send reply letter) Thank you note on statement Thank you for your payment! Special note on statement - see accounts receivables report Banta Consulting, Inc. Page 9 of 12 2000 updated annually

90-Day reply/final notice letter Date Name Address City, State Zip BALANCE DUE: $ Dear, Normally, at this time, because your account is long past due, it would be placed with our collection attorney. However, we would prefer to hear from you regarding your preference in this matter. PLEASE INDICATE YOUR CHOICE AND RETURN THIS FORM: ( ) 1. Please find enclosed my payment in full. ( ) 2. Please charge the balance owed to my VISA, MASTERCARD, DISCOVER CARD. (Circle which Card.) ACCOUNT NUMBER EXPIRATION DATE OF CARD / AUTHORIZING SIGNATURE ( ) 3. I will have payment in full in your office within two weeks. ( ) 4. I will call this week to make payment arrangements. ( ) 5. I do not feel I owe the amount billed. If you do not feel you owe the amount billed please explain below. ( ) 6. I do not intend to pay the bill. Please turn my account over for collection. FAILURE TO RETURN THIS FORM OR TO MAKE PAYMENT WITHIN TWO WEEKS WILL INDICATE YOU DO NOT INTEND TO MAKE PAYMENT. ( ) 7. COMMENTS: Please do not hesitate to call if you have any questions regarding this matter. Sincerely, Financial Administrator for: Banta Consulting, Inc. Page 10 of 12 2000 updated annually

A TEAM EFFORT ROLES IN THE PRACTICE 1. The Dentist 2. The Clinical Team 3. The Scheduling Coordinator 4. The Financial Administrator Banta Consulting, Inc. Page 11 of 12 2000 updated annually

CREATIVE FINANCING 1. Why Offer It 2. When to Offer It 3. How to Offer It 4. Statistics to Track Banta Consulting, Inc. Page 12 of 12 2000 updated annually