Quote Originally Posted by Crashdavis565:
When I say we are slowing dramatically, remember I see the first 15 people a day for my landlord,employees, the government, the medical supply people, the tech support, the little old guy who fills up my liquid nitrogen, all the people who work at Aetna, Blue Cross etc.
The last 10 are for me and my family. If the last 10 become the last 5 or 6 I am taking a 50% drop in my income. If one or two of them do not pay, will you get the picture.
A few questions, ideas, et al..
How much of your BPO can you outsource? I know a guy who has a firm that can do your ICD9/CPT coding for probably 1/2 what you have in-house.
How much marketing do you do? Yesterday I signed a contract with a guy to assist me in our social networking. I'm paying him $500/mo. and I have a part-timer at $10/hr to Tweet, Facebook, and blog our way to manna. For less than $1300/mo., I'll get our name to potential client companies and jobs to passive seekers. 1 extra placement per year will more than make up for that. After we're set up and running smoothly, I'll be able to ween off of the $500/mo guy. You can easily determine how many new clients you'll need to offset the expense. At $75 gross cash-in per client, you'll need 17 new customers. That'll be 5 extra patients per provider per month. Also, when was the last time you called a new patient a day or so after their visit to see how they feel? Goodwill goes a long way to repeat business.
Have you had a sit-down with your landlord? I negotiated my existing lease down dramatically last year.
How close of attention do you pay to your financials? Docs do not ever seem to be that in tune to that piece and you often hear cases of embezzlement in your business. BTW, your financials can be outsourced also.
As unorthodoxed as this seems, I would ask everyone, including myself, to take a pay cut, but offer incentives and bonuses based on profitability. I would open up the books and let everyone see how much money it takes to run a business like yours and have every facet operate as a profit center. This way your employees will know how much they're business unit costs to operate and what they need to do to keep it profitable. You'll elicit their help in cost reductions and vendor negotiations. You will be astounded how innovative and smart your employees will operate. For more on this subject, read "Flight of the Buffalo."
You may want to consider utilizing another source rather than a collection agency for your bad debt. I know what I would do, but it's way out of the norm, so it's better left unsaid. Fuck it, I'll tell you. If you have 40 people who haven't paid, I'd split the debt between the 4 providers - 10 each. I'd then have each of us make 2 calls per day to those who owe. I know this sounds beneath you, but if they answer, ask how they're doing and then transfer them to one of your financial people to arrange a payment plan. If you leave a message, alert your receptiionist to automatically transfer them to your financial person. I'll assure you you'll get about a 95% return call rate - who wouldn't return a call from their Doctor? What the hell is 2 extra calls a day per person worth?
Whomever said uncommon times call for uncommon measures, is right.