Smart Systems Get The Patient To Yes

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Smart Systems Get The Patient To Yes

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Dental Consultants Best Reopening Tips

Dental Consultants Best Reopening Tips

Staff, PPE & PPP

Staff

 

Many dentists are making it clear to staff that if they cannot come back you will have to give their jobs away. There will likely be a fair amount of quality staff looking for work so this might be a golden opportunity to upgrade one or more positions if needed.

Let staff know you are eager to plan out reasonable changes so they feel safe and secure. If practice finances are an issue, ask staff to keep that in mind when making recommendations.

What you end up doing in terms of PPE and safety will in part depend on availability, changing protocols and finances. Do the best you can for you and your staff in terms of PPE and safety taking into account what your state board recommends. Many people are scared. You will be wise to educate yourself on PPE and safety so you know more than anyone else about all the regulations and recommendations. Then make a plan and execute it.

 

PPE and Safety

 

Links

 

ADA: Statement on Third Party Payer Reimbursement for Costs Associated with Increased Standards for Personal Protective Equipment (PPE)

ADA: Get the Return to Work Interim Guidance Toolkit

ADA COVID-19 STATE DENTAL MANDATES & RECOMMENDATIONS - Updated 4/28 4:00 PM

CDC Dental Settings

OSHA Link Guidance on Preparing Workplaces for COVID-19 

 

One dentist suggests a Level 3 mask is plenty or even a better option as it can be changed regularly, insuring a dry cloth on your face that will absorb humidity effectively while an N95 mask needs to be fitted which takes time. Once fitted, if the mask gets humid, it loses its effectiveness. Frequent replacement becomes a problem. Another dentist suggests the following is effective, repeatable and easy to do:

Level 3 mask. Gowns. Face shields.
Rubber dam.
Saliva ejector under the dam.
High vac held by the assistant close to the tooth.

 

Payroll Protection Program:

 

What expenses qualify for PPP loan forgiveness?


Payroll costs, including benefits. Payroll costs include salary, wages, commissions or tips capped at $100,000 on an annualized basis per employee. For employees earning more than $100,000, the correct amount to pay through wages during this 8-week period is likely $15,384.62 ($100,000/52 weeks X 8 weeks).

Employee benefits include costs for vacation, parental, family, medical or sick leave; allowances for separation or dismissal; payments required for the provision of group health care benefits including insurance premiums; and payment of any retirement benefit.

The amount of forgivable retirement contributions may be limited. Make payments for the employer funding, at a minimum, two times to reflect monthly contributions.

For family members, wages received should reflect the same amount of wages the family member received during the period before February 15, 2020. Employee benefits likely do not include individual health plans for owners and their family or Health Savings Account (HSA) contributions for the benefit of owners or their families.

Interest payments in the 8-week period following disbursement of the loan on mortgage obligations, incurred before February 15, 2020.

Only the interest on qualified debt obligations can be used for forgiveness, not principal. If you own your building under a separate legal entity, a building mortgage would likely not qualify here, but would rather be satisfied under the rent provision. If the building is owned in the operating entity, then the mortgage interest is qualified.

Practice acquisition loans, equipment loans, and build-out loans also qualify if they were secured by the business personal property and were incurred prior to February 15, 2020.

For tracking purposes, it is advised to pay interest and principal separately during this 8-week period to make sure this can be easily identified.

Rent, under lease agreement before February 15, 2020

Utilities, for which service began before February 15, 2020. Utilities are listed by the SBA as phone, internet, gas, water, electricity, etc. Both mobile and office phones should qualify.

 

When must funds be spent to qualify for PPP loan forgiveness?

 

Funds must be spent within 8 weeks of loan disbursement. Only qualifying expenses incurred and paid for within this 8-week window are eligible for loan forgiveness.

Employee and compensation levels must be maintained. Reductions in either category may impact forgivable loan allowances.

No more than 25% of your loan is used to cover non-payroll expenses, including mortgage interest, rent or utility costs. Consider opening separate bank account for the PPP loan and only pay qualified expenses from this account.

 

What other factors impact loan forgiveness amounts?

 

If your company also received an advance through the Economic Injury Disaster Loan program, this amount will be deducted from your forgivable allowance.



How do you request PPP loan forgiveness?

 

Loan forgiveness does not happen automatically. You will need to submit a request to your PPP loan provider.

Excellent record keeping is essential to qualify for PPP loan forgiveness.

 

What documentation is required to request loan forgiveness?

 

There is no standardized PPP loan forgiveness process. Thus, lenders may have their own requirements.

At a minimum, we recommend documentation to support the following:

Employment levels and pay rates for the periods before and after PPP loan disbursement. Your lender may request to see:

IRS Form 940, 941 or 944 payroll tax reports

Payroll reports from your payroll provider

Income, payroll, unemployment insurance filings from your state

Retirement and health insurance contributions

If you do not meet the conditions of PPP loan forgiveness, your balance will accrue interest at a fixed rate of 1%. The repayment term for PPP loans is 2 years, though you have the option to pay off your balance early with no prepayment penalty. All loan payments are deferred for 6 months, but will accrue interest over this period.

Dental Practice Consulting: Scheduling Protocol
State Task Force Dentist, Reopening Advice

Intelligent Dental Consulting

 

Your Dental Consultant

Shane Blake DDS Coudersport, PAMy name is Kevin Tighe. I am Cambridge's owner and senior consultant. Before joining the Cambridge team I was in charge of setting up workshops for large nonprofits throughout the United States and Canada. During that time, I was fortunate to receive mentoring from several world-class business consultants, including a dental practice management guru, which led to a position at Cambridge as their seminar organizer. In time, I began crisscrossing the country delivering seminars myself for the better part of a decade. Subsequently, I moved up to senior consultant and eventually owner.  Contributing writer to Dental Economics/DIQ, JADA, AGD Impact and Dental Town Magazine.

  

Client Reviews

Dr. Jacob Masters, DDS, Indianapolis, IN

CEO 1 Cambridge Dental ConsultantsI started with Cambridge in 2018 after 11 years in practice. My results have been great! I have been able to decrease the number of days I work per month and have finally improved my practice much more than I could do on my own! I highly recommend Kevin's on-target coaching! 

-Dr. Jacob Masters, DDS, Indianapolis, IN

 

Dr. Shane Blake, DDS, Coudersport, PA

Shane Blake DDS Coudersport, PAI have owned my dental practice since January 2005.  The practice is a rural solo provider practice.   The practice has always been successful but something was always lacking.   I did not manage the practice by the numbers and its shortfalls were overcome by sheer determination and hard work for both myself and the staff. 

My motivating factors to sign up with Cambridge in January of 2017 were that I had reached a point in my career where time with my family was worth more to me than the professional fulfillment that dentistry can provide.  The practice was so micromanaged that it required most of my time and I didn’t understand how to motivate both myself and my staff beyond the sheer nose to the grindstone path to success that had guided us the prior 12 years. 

Our consultant was instrumental in educating each staff member in what expectations are and how performance for each position is measured.   Staff members became more aware of their part in the overall success of the practice and doing their part.  Ultimately this led to a less stressful and more productive average day which decreased management stress and headaches and allowed life to be enjoyed just a little bit more with a little more time. 

We have had many changes in the practice after our initial integration over the last 1 ½ years.  Cambridge has been helpful in navigating those planned and unplanned changes.  My only regret is I had not called Cambridge sooner.

 

Dr. Kristin Rushing, DDS, Nashville, TN

Dental Consulting Client TennesseeI used Cambridge as well, it gave me a good foundation for employees to know what was expected of them as well as very detailed job descriptions that could be used to train new employees if I needed to replace a staff member. Mike also is good about coaching you so that you are knowledgeable about what your numbers and percentages should be but also things to look for when they are off.

Everyone is accountable for their numbers and communicate better as a team. We all want to be more productive and time was spent looking into my specific concerns as well as reviewing all facets of the business. Everything was reviewed including input from staff on ways to improve the office. I feel the morale in my office has changed and we are overall headed in a much better direction. As a side note, I've used a different consultants previously and their moto was simply to increase production. Patients felt pressured and we still had communication issues among the staff.

 

Dr. Jeremy Johnson, DDS, Monroe, WA

Dental Consulting Client WashingtonI'm extremely happy with my decision to utilize Cambridge’s services. My consultant, Mike, has been awesome! I love that I can call or email him whenever and always get a quick response. He even calls and checks in if he hasn't heard from me for a bit. My production increased immediately after the first in-office visit and has continued to climb. The initial investment was recouped in increased production about seven weeks after our first meeting.

My average per day production for the first four months I worked with Mike has been 20-25% higher than the prior two years. In fact, all of the four months have had higher average per day production than ANY month in the two years prior to working with Mike.

Last month I produced more than I ever have in one month since starting my practice in 2003. On top of that is the fact that my staff is driving all of this growth! They tell me which op to go to and when, then they get all excited when we exceed our goals! These four months have been the best months of my career!

That's a lot of exclamation points! This is all to suggest that you give Cambridge a call.

 

Dr. Andrea Mulholland, DDS, Columbus, OH

Dental Consulting Client OhioI have been the owner of a general dental practice for ten years now. I work four days a week and have an associate who is with me for three days.

The practice has always done well but I knew there were many aspects of it that needed improvement but I didn't know how to proceed. I researched several practice management companies but decided to go with Cambridge because of their good reputation and because I didn't feel pressured.

Mike is the consultant that I have worked with for the past year and a half and he has helped my practice tremendously. He really knows the ins and outs of a practice but I appreciated that he didn't use a cookie-cutter approach. He really treated my practice like the individual practice that it is and I didn't feel pressured to follow any suggestions that I wasn't comfortable with.

I know there are a lot of management companies out there. I just really feel like Cambridge is one of the best and was the best for me and my practice.

 

Dr. Jeffrey D. Weaver, DDS, Port Royal, SC

Dental Consulting Client South CarolinaWe have been using Cambridge since Dec 2013. We are really just getting started, but so far everything has been great. They really have given us the tools to quickly get our team focussed, and have created systems and measurable statistics for each area. YTD for 2014 compared to 2013, our production is up 12% (over $20,000).

Our office felt "stuck", like we simply did not know what we should be doing to get better. We knew the potential was there, but did not know the next steps to take. What we liked from the start is that Cambridge has been in every type of office and seen every type of problem/issue there is. Their ideas are proven and, so far, we have been very happy with the results. Our team is really pleased with the direction we are going.

We built our office in 2007 and, had we known, would have started with Cambridge much sooner. Good luck with your decision. I think you will be very pleased with Cambridge.

 

Dr. Ron McHargue, DDS, Moses Lake, WA

Dental Consulting Client WashingtonI was fresh out of school when I bought my practice in 2012. It came riddled with staff issues and I had no knowledge of business. I thought I could handle it and went for a year and a half before really coming to the realization that I was in over my head. I was stressed completely and needed help with staff issues and business advice.

I contacted Cambridge because of what I read on Dentaltown and because of their fair price and money back guarantee. Mike was very helpful in getting me over a couple of big hurdles dealing with staff. I now have a direction and a good plan for tracking numbers and keeping a pulse on my practice. I was hesitant to even hire a consultant, but I am very glad I did and wouldn't hesitate to get Mike back and work with him again.

 

Dr. Ed Warr, DMD, Ashland, OR

Dental Consulting Client OregonMy experience with Cambridge has been great. In June of 2014 I was very concerned as my year was down by about 6% from the previous year. I had used consultants before and hadn't liked any of them. But, I knew I needed help with what I did not know - I went to school to earn a DMD, not an MBA.

After researching several and having several phone conversations regarding their methods, I committed with Cambridge.

Their money back guarantee was a nice touch to lower the risk factor for me. So, I finished 2014 up 8% over 2013. In six months, Mike had helped me introduce practices that helped me have a 14% turn around in six months. I whole heartedly recommend Cambridge and their services.

 

Dr. Chris Burke, Pedodontist, Lexington, TN

Dental Consulting Client TennesseeI have used Mike Kittelson with Cambridge since I opened from scratch in 2009. Having no background in business, management or marketing he has helped us tremendously. Not only has he taught us which stats to track, he has coached us through employee issues, marketing programs, strategic planning for the future, and served as therapist and friend. He has also proved to be a wealth of information on helpful computing programs that have made certain tasks easier and improved employee productivity. I would recommend talking with Cambridge before making your final decision on which group to go with.

 

Dr. Dustin Snyder, DDS, Lewisburg PA

Dental Consulting Client PennsylvaniaWhen I initially contacted Cambridge, I was open for about a year and the production graphs were trending down, quickly. My Cambridge coach met with me, offered several ideas specific to my situation, and two years later, I'm having annual growth over 20% and we're already at record annual production with one and a half months left in the year.

I am now busier than ever, even under the previous owner! The best dental office manual I've ever used. I can't say enough positive things about what Cambridge has done for my practice!

 

Your Dental Practice Mangement Consultant and Coach

Shane Blake DDS Coudersport, PAMy name is Kevin Tighe. I am Cambridge's owner and senior consultant. Before joining the Cambridge team I was in charge of setting up workshops for large nonprofits throughout the United States and Canada. During that time, I was fortunate to receive mentoring from several world-class business consultants, including a dental practice management guru, which led to a position at Cambridge as their seminar organizer. In time, I began crisscrossing the country delivering seminars myself for the better part of a decade. Subsequently, I moved up to senior consultant and eventually owner.  Contributing writer to Dental Economics/DIQ, JADA, AGD Impact and Dental Town Magazine.

 

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