Med Monthly December 2016

PHYSICIAN SOLUTIONS PRESENTS

Med Monthly MAGAZINE

December 2016

the

Practice ent Managem issue

3 Ways to Increase the

Value of Your Practice,

Quickly! pg. 28

A Practice Management Staffing Option:

Locum Tenens

6

pg. 22

STRATEGIES TO IMPROVE DENTAL PRACTICE MANAGEMENT pg. 24

CELEBRATING GREAT PRACTICE MANAGEMENT

contents

6 STRATEGIES TO IMPROVE DENTAL PRACTICE MANAGEMENT

features

24

22 A PRACTICE MANAGEMENT STAFFING OPTION: Locum Tenens 24 6 STRATEGIES TO IMPROVE DENTAL PRACTICE MANAGEMENT 28 3 WAYS TO INCREASE THE VALUE OF YOUR PRACTICE, QUICKLY!

10

practice tips

WHY TELEMEDICINE HAS SUCH GREAT APPEAL

6

THINKING OF ADDING A NEW PROCEDURE? Market It Now!

10 WHY TELEMEDICINE HAS SUCH GREAT APPEAL 12 IT’S NOT REALLY “REPEAL AND REPLACE”; It’s Transition 14 3 CONCIERGE MODELS FOR CONSIDERATION

More than ever, businesses are being audited by government agencies.

OSHA DOL ACA INS HHS IRS ARE YOU PREPARED? l Free Business Evaluations l Free Initial Assessment l Complete Readiness Report

919-772-0233 info@jones-insurance.com www.jones-insurance.com

Physician Solutions, Inc. Medical & Dental Staffing

The fastest way to be $200K in debt is to open your own practice The fastest way to make $100K is to choose

Physician Solutions

THE DECISION IS YOURS Physician Solutions, Inc. P.O. Box 98313 Raleigh, NC 27624 phone: 919-845-0054 fax: 919-845-1947 www.physiciansolutions.com physiciansolutions@gmail.com

Scan this QR code with your smartphone to learn more.

Med Monthly December 2016 Publisher Creative Director Contributors

Philip Driver Thomas Hibbard Naren Arulrajah Philip Driver Barbara Hales, M.D. Nick Hernandez, MBA, FACHE Danielle Kriegl Steve Weiner Rodney Whitlock

contributors Naren Arulrajah is President and CEO of Ekwa Marketing, a complete Internet marketing company which focuses on SEO, social media, marketing education and the online reputations of Dentists and Physicians. If you have questions about marketing your practice online, call Naren direct at 877-249-9666.

Barbara Hales, M.D. is a skilled expert in promoting your health services. As seen on NBC, CBS,ABC and FOX network affiliates as well as Newsweek, Dr. Hales writes all the content you need to promote your medical services.

Her latest book is on the best seller list and she can do the same for you. Check out her site at www.TheWriteTreatment.com

Nick Hernandez, MBA, FACHE

Med Monthly is a national monthly magazine committed to providing insights about the health care profession focusing on practical advice for physicians and practices. We are currently accepting articles to be considered for publication. For more information on writing for Med Monthly, please email us at medmedia9@gmail.com.

P.O. Box 99488 Raleigh, NC 27624 medmedia9@gmail.com

is the CEO and founder of ABISA, a consultancy specializing in solo and small group practice management. He has consulted with clients in multiple countries and has over 20 years of leadership and operations experience.

Visit www.abisallc.com for more information.

Danielle Kriegl is VP of Operations at Physician Solutions, recruiting Physicians, Physician Assistants, Nurse Practitioners, and Dentists for locum and permanent job positions throughout NC, SC, TN, VA, and NY. She works closely with medical practices and dental offices to fill open positions, whether it is short or long term assignments.

She also maintains the daily operations of their Raleigh based office.

Online 24/7 at medmonthly.com

MED MONTHLY MAGAZINE |5

practice tips

Thinking of Adding a New Procedure?

Market It Now!

By Thomas Hibbard Creative Director, Med Monthly

Your practice is offering a new office procedure.

How do you get this message out to your current patients, prospective patients and your medical colleagues?

You need to let all your current patients know about your new medical procedure, but do not think this is enough. You will need to have a comprehensive marketing plan in place prior to the start of your latest procedure, to inform your existing patients and attract new ones.

Marketing In-house to Your Existing Patients

Making sure your staff knows what you’re trying to accomplish in marketing your new procedure. They will become your advocates inside the office and out when they clearly know your goals. Team meetings should be held regularly and all staff members should 22|| DECEMBER 2013 6 2016

attend. This is your chance to praise or remind staff of marketing the added procedure when speaking to patients. Use part of this time to review the new procedure and address any relevant topics that should be communicated to patients.

Create a printed practice newsletter or brochure that covers all pertinent information about the new procedure and leave copies in your waiting room/ practice in several locations including examination rooms. If you have patient email information, send your patients an e-newsletter announcing the new procedure.

Even when the procedure is elective and offers obvious benefits, many patients still tend to have a fear of the unknown. The medical world can be intimidating. It’s often difficult for patients to fully comprehend how significantly a procedure can change their lives for the better.

‘‘ “

You will need to have a comprehensive marketing plan in place prior to the start of your latest procedure, to inform your existing patients and attract new ones.

You or your staff, in the past, have spent extended periods of time repeating the same information over and over again, explaining new procedures to patients.

It can be tedious and it’s not a very efficient way to run your practice. And patients, during the short consult, are bombarded with information and can be literally overwhelmed.

Videos about a specific procedure watched in the office privately is one option for informing your patients. Another option is mobile apps, especially animated medical videos. These can be delivered right to a hand-held digital device and are the latest technology used by a large number of your patients.

This has the potential to transform your new marketing plan.

Giving patients the opportunity to watch and listen to a simulated medical procedure, at their leisure, can cut through the confusion by taking away the

mystery of the unknown. In effect, it is an ideal “digital consult.” And if some part of the message is not understood, the video or app can be repeated as many times as needed – while continuing to deliver the same, consistent top-quality information.

External Marketing for New Patients

Next, make sure you have a marketing plan to reach prospective clients outside your practice. Some possible tools to use to effectively achieve this are: Revamp your Website – time for your website to promote the new procedure. Launch a professional, successful and engaging design and you’ll be on your way to reaching new patients in no time at all.

Online Marketing – there are many online options now available including Facebook Ads, Google continued on page 8

MED MONTHLY MAGAZINE

|7

continued from page 7

Adwords, Local Search Tools and Email Marketing.

Referral Programs – implement a patient referral program or field marketing program to focus on patient and practice referrals.

Patient Newsletters – enhance your patient communication with a professional newsletter.

Leave copies in the office or email them to patients on a quarterly basis.

You should always be networking within your community. In its simplest form, it’s connecting with people to exchange ideas, information, and resources.

There are many places to network, from the local chamber of commerce, community groups, health care associations, or you can join a board or peer group. Not only will you gain great ideas to help you with your advertising your new procedure, but you can possibly connect with some new clients as well.

External Marketing Through Physician Referrals

Reach out to potential referring physicians in the community by yourself. In physician marketing, YOU are the brand, so don’t dilute it. Never send a representative or a liaison to do this job. Introduce yourself to possible referring physicians with a phone call and schedule a “Lunch and Learn” about your new procedure. 15 minutes of your time can guarantee a referral for life.

In physician marketing, the key point to understand is that you are the expert in the room, but you’re not the absolute power - you need to demonstrate that you value your referring physicians’ work before you can even demonstrate your capabilities.

After explaining your new procedure in detail, ask for 5 consultations to demonstrate the effectiveness of working together with referring physicians. You’re setting yourself up for success if you establish a team effort with them so that from the first moment of contact with a patient you can ensure the best standard of care possible.

spend the time to educate your patients about why you are an expert in your field face-to-face. Answer their questions, provide additional resources, and ensure that a patient leaves your office with information to refer their friends, family, and co-workers. And your medical website will perform this function 24/7. Every new question deserves a new page of its own so that the answer can be easily found.  Resources: http://www.ampupmypractice.com/educating-patients/ http://www.google.com/url?sa=t&rct=j&q=&esrc=s&s ource=web&cd=1&ved=0CEsQFjAA&url=http%3A% 2F%2Fwww.dayspaassociation.com%2Fdocs%2Fnewsitems-library-articles%2F2011%2F12%2F29%2F 6%2520Tips%2520to%2520Adding%2520Aesthet ic%2520Medicine%2520Procedures%2520to%25 20your%2520Practice.pdf&ei=Dy63UeSHE4-w8 QT35IDADw&usg=AFQjCNHQuHKoGqPNoA y96APt4pVPCs3adA&sig2=X9raAUu50qvgf8J07xpNQ&bvm=bv.47534661,d.eWU

Discounts as big as a house.

Or condo.

Or apartment.

Lindsay Gianni, Agent 12333 Strickland Road Suite 106 Raleigh, NC 27613 Bus: 919-329-2913 lindsay.gianni.f23o@statefarm.com

See just how big your savings could be.

Your savings could add up to hundreds of dollars when you put all your policies together under our State Farm roof.

GET TO A BETTER STATE. CALL ME TODAY. ®

™

Conclusion

While your website, your educational videos and apps, your staff and your referring physicians serve as important sources to marketing your new procedure,

22|| DECEMBER 2013 8 2016

1103155.1

State Farm Mutual Automobile Insurance Company, State Farm Indemnity Company, Bloomington, IL

THINKING ABOUT SELLING YOUR PRACTICE?

Medical Practice Listings can help you sell your practice online!

Now offering two types of listings to better serve all practice specialties and budgets.

For Sale by Owner Listing The For Sale by Owner Listing offers you the opportunity to gain national exposure by posting your listing on our website which is viewed daily by a network of qualified professionals. This option includes a brief practice consultation to explain the benefits of marketing through the Medical Practice Listings website. Our special rate for the For Sale by Owner listing through the end of 2015 is only $29.95 per month.

Professional Listing In addition to the benefits in the standard listing our Professional Listing affords you access to services provided by our expert legal and marketing team and a Bizscore Practice Valuation. This valuation compares your practice with other practices in your area, provides projections and determines what your practice is worth.

Visit us today at www.medicalpracticelistings.com to learn more.

919.848.4202 | medicalpracticelistings.com

practice tips

Why Telemedicine Has Such Great Appeal

By Barbara Hales, M.D. www.thewritetreatment.com According to Benefitfocus’ 2016 State of employee Benefits report: • 52% of large employers offer a minimum of one high-deductible health plan • 41% of employees select a high-deductible plan when it’s available • Health Savings Account with a high deductible seems favorable to many • 59% of large companies now offer telemedicine as a benefit

10

| DECEMBER 2016

• More insurers are implementing digital health services The thing is, patients must pay for healthcare until the deductible is covered. This has made consumers look closely at the cost of each medical service especially the office visit at their physician’s practice.

The Solution: Telemedicine

While an office visit may run $125-$150, depending on the diagnosis, the same fee for a telemedicine

visit will cost $40 on average. Even better than the cost saving is that it is covered tax-free under the health savings account for patients that have them. For those needing a regular exam, this cost saving is huge.

Additional Benefits

Telemedicine also offers: • Accessible care for chronically ill or bed-ridden patients • Health care availability for rural populations • Medicare supplement for seniors • Access to medical professionals 24/7 Telemedicine is attractive to employers because it: • Is an attractive perk to add to an employee package • Shows that employers care about employee well-being in the workplace • Allows employees to seek medical care without taking a sick day (alleviating the financial and mental stress of having to take a sick day from work which may or may not be covered with pay) The advantages of telemedicine are much more than just cost-saving incentives. It is a remarkable comprehensive health care plan that is both cost-effective and readily available.

Both physicians and advocates for telemedicine see it as the next major health marketplace, especially for seniors. Now 20% of the populations is over 65 years of age and live in suburban areas distant from their doctor’s practice. Telemedicine enables them to seek wellness measures.

By providing educational seminars, videos and informational brochures or newsletters to explain telemedicine in a way that employees can not only understand it, but also see advantages like potential savings, employers will be able to encourage employees to enlist in their telehealth services. Once they understand the system, there will be greater utilization in the digital medicine arena.

Telemedicine and the Physician

As a physician, participating in telemedicine means having the ability to “see” your patients at night without having to crawl out of your pajamas and make the trek to a hospital…especially in the cold winter months approaching. It also enables you to follow up with your patients to ensure that they have been

compliant with medication or recovering properly from procedures.

Being active in telemedicine also gets you more visibility. The community that translates to prospective and eager patients will come to you instead of other doctors because you offer the service and because they were satisfied with the service that you offered. (To date, not every physician offers telemedicine options) This also means referrals to you by their friends and family members (who may want to see you in person at your office) So, the growth of telemedicine is a no-brainer. You don’t need a crystal ball to predict that it is going to grow by leaps and bounds as more patients learn about the benefits. It is good for the patient, attractive to the insurance companies and great for the physicians. A win-win-win!

Have you put your toes in the pool of telemedicine yet? I strongly recommend that you do so now while it is still a nascent field or you will get left behind by your competition….and I believe that it is something that you will really enjoy! 

The Write Treatment

Ezines and NewslettersCost Effective Powerful Tools • Drive traffic to your business website • Build relationships between yourself and patients • Get new patients • Announce a new service or product • Give great impact Have you got a newsletter yet or want to spread a message?

Contact Barbara Hales, M.D. for a free consultation.

Barbara@TheWriteTreatment.com 516-647-3002

MED MONTHLY MAGAZINE

| 11

It’s Not Really “Repeal and Replace”;

It’s Transition

By Steve Weiner & Rodney Whitlock Mintz Levin

For the last six years, Republicans have talked about repeal and replacement of the Affordable Care Act. The election outcome now puts Republicans in a position of authority to take action on the Affordable Care Act. As we look ahead to the 115th Congress, it is important to move away from political rhetoric and consider what can actually be achieved as a matter of public policy.

First, the Affordable Care Act is an extremely complex law including many more provisions than those related to coverage. Complete repeal of the law is not remotely realistic. For years Republicans have claimed support for provisions within the bill, some of which were actually bipartisan ideas. No one should assume complete repeal. The President-elect has already publicly voiced his support, for example, for continuing the bar on pre-existing condition exclusions from coverage.

Second, repeal and replace has been the mantra for many years, but that’s not actually the most accurate description of what Republicans want to do with the Affordable Care Act. Republicans want to provide consumers with market-driven, high-value, costefficient health care coverage choices provided by private insurers. That’s what Democrats arguably intended to do with the coverage provisions of the Affordable Care Act. Ultimately, Republicans are going to transition the Affordable Care Act to function more to their liking.

12

| DECEMBER 2016

The core of that function will still be covering millions of Americans through market-driven, high-value, cost-efficient health care coverage choices provided by private insurers. The challenge for Republicans will be to limit the number of people who lose coverage in the transition, and it is simply wrong to assume Republicans intend to cause people to lose coverage.

For example, merely repealing the individual mandate will lead to significant market disruption and loss of coverage. But if the individual mandate is transitioned to a late enrollment penalty, disruption and loss of coverage could be greatly minimized.

Finally, transition will not occur quickly.

While there is much more information about the consequence of policy decisions today than there was in 2009, writing legislation, determining the impact of legislation, and then moving legislation through Congress will take much of 2017. This is not something that is likely to happen in a special session early in 2017.

This post is the first in a series. In the posts that follow at www.healthlawpolicymatters.com, we will describe the critical issues that Republicans must tackle as they transition the Affordable Care Act into a version of health care reform that they must own and defend.  Source: https://www.healthlawpolicymatters. com/2016/11/14/not-really-repeal-replace-transition/

is now hiring primary care MD’s, PA’s, NP’s and DDS’s in North Carolina, Virginia and South Carolina

Ongoing and intermittent shifts are available for physicians, mid-levels and DDS, as well as permanent placement. Find out why providers choose Physician Solutions.

P.O. Box 98313, Raleigh, NC 27624 Scan this QR code with your smartphone to learn more.

phone: 919.845.0054 fax: 919.845.1947 e-mail: physiciansolutions@gmail.com www.physiciansolutions.com

practice tips

3 Concierge Models for Consideration

The shortage of physicians was already an issue in the United States ... and then came the Affordable Care Act, which exacerbated the problem immensely.

In fact, the Association of American Medical Colleges now estimates that there will be a shortage of 91,500 doctors by 2020.

This added demand for healthcare means physicians will simply have less and less time to spend with patients. Moreover the increase in paperwork and administrative burdens placed on physicians over the past few years has many physicians questioning their career choice.

Consequently, more and more physicians are looking at concierge models. As you begin to weigh this consideration, keep in mind that there are three

14

| DECEMBER 2016

primary routes: concierge, direct primary care, and hybrids.

Concierge

There are many varieties of concierge medicine, but the traditional form is where the patient pays a monthly fee or annual fee that gives them direct access to the physician. The practice profits not only from this fee but also bills insurance companies for visits.

One benefit of this approach to the provider is having a small, preset number of patients to care for, which allows for a more personal interaction with patients. From the financial side, practices may collect money from two streams and thus not be as concerned with fighting insurance companies as they would in a traditional medical practice.

By Nick Hernandez, MBA, FACHE CEO and Founder of ABISA

Medicare regulations. The practice also does not have to concern itself with contracting and credentialing with insurance companies, nor worry over denials, pre-certification, collecting co-pays, etc.

A drawback, however, is that there is only one source of revenue: from the patient. Consequently, the practice must be diligent with its financial planning to ensure the patient fees are enough to support the practice operations.

Hybrid

One key drawback is that if the provider is still accepting Medicare (or commercial payers with nondiscrimination clauses in their contracts), then the provider is subject to those government regulations for payment (e.g. meaningful use).

Direct Primary Care

With the direct-primary-care model, many providers do not take insurance at all, but rather rely solely on the monthly/annual fee from patients.

As with the concierge model, providers benefit from being able to keep their practice small and tailored to how many patients they wish to see.

As far as pros and cons, they are fairly reversed from the concierge model. A key benefit from not taking insurance is that the practice is not subject to

The last model is a hybrid of a traditional practice and the concierge model. Essentially, providers with a hybrid model have a number of patients in the practice in the traditional sense and a smaller set of patients that are under the concierge model.

A practical reason to go with this approach is that it allows you to determine if eventually going entirely off of a traditional practice model is right for you.

Physicians also like this model because they are able to retain many of their established patients (under the insurance payment side) without have to hand them off to another practice.

A key downside, however, is that this model takes a lot of operational planning and scheduling finesse because, simply put, patients paying a fee for concierge medicine expect to be at the front of the line. This does not have to be an internal juggling act, but rather does take significant planning and staff training.

Another downside is that the practice still has a significant number of traditional patients, and thus it is subject to some of the insurance rules and regulations mentioned earlier, as well as the continued headaches of billing and collection.

If you are considering taking your practice in one of these directions, there are many things to consider. New providers or providers new to an area may consider a concierge or direct-primary-care model, whereas providers with existing practices who are contemplating a change may want to start slowly by implementing a hybrid model.

Hiring a consultant to help guide you in the right direction will be money well spent, especially given that such a change in your practice means changing your financial operations and marketing.  Nick Hernandez, MBA, FACHE is the CEO and founder of ABISA, LLC, a consultancy specializing in strategic growth initiatives for physician practices. He can be contacted at nhernandez@abisallc.com.

MED MONTHLY MAGAZINE

| 15

What’s your practice worth?

When most doctors are asked what their practice is worth, the answer is usually, “I don’t know.”

Doctors can tell you what their practices made or lost last year, but few actually know what it’s worth.

In today’s world, expenses are rising and profits are being squeezed. A BizScore Performance Review will provide details regarding liquidity, profits & profit margins, sales, borrowing and assets.

Our three signature sections include:  Performance review  Valuation  Projections

Scan this QR code with your smart phone to learn more.

919.846.4747 bizscorevaluation.com

U.S. OPTICAL BOARDS Alaska P.O. Box 110806 Juneau, AK 99811 (907)465-5470 http://www.commerce.state.ak.us/dnn/ cbpl/ProfessionalLicensing/DispensingOpticians.aspx Arizona 1400 W. Washington, Rm. 230 Phoenix, AZ 85007 (602)542-3095 http://www.do.az.gov Arkansas P.O. Box 627 Helena, AR 72342 (870)572-2847 California 2005 Evergreen St., Ste. 1200 Sacramento, CA 95815 (916)263-2382 http://www.optometry.ca.gov/ Colorado 1560 Broadway St. #1310 Denver, CO 80202 (303)894-7750 http://www.dora.state.co.us/optometry/ Connecticut 410 Capitol Ave., MS #12APP P.O. Box 340308 Hartford, CT 06134 (860)509-7603 ext. 4 http://www.ct.gov/dph/cwp/view. asp?a=3121&q=427586 Florida 4052 Bald Cypress Way, Bin C08 Tallahassee, FL 32399 (850)245-4474 http://www.pof.org/opticianry-board/ Georgia 237 Coliseum Dr. Macon, GA 31217 (478)207-1671 http://sos.ga.gov/index.php/licensing/ plb/20 Hawaii P.O. Box 3469 Honolulu, HI 96801 (808)586-2704 http://hawaii.gov/dcca/pvl/programs/ dispensingoptician/

Idaho 450 W. State St., 10th Floor Boise , ID 83720 (208)334-5500 http://www.ironforidaho.net/

Oregon 3218 Pringle Rd. SE Ste. 270 Salem, OR 97302 (503)373-7721 http://www.oregonobo.org/optque.htm

Kentucky P.O. Box 1360 Frankfurt, KY 40602 (502)564-3296 http://www.opticiantraining.org/optician-training-kentucky/

Rhode Island 3 Capitol Hill, Rm 104 Providence, RI 02908 (401)222-7883 http://sos.ri.gov/govdirectory/index. php? page=DetailDeptAgency&eid=260

Massachusetts 239 Causeway St. Boston, MA 02114 (617)727-5339 http://1.usa.gov/zbJVt7

South Carolina P.O. Box 11329 Columbia, SC 29211 (803)896-4665 www.llr.state.sc.us

Nevada P.O. Box 70503 Reno, NV 89570 (775)853-1421 http://nvbdo.state.nv.us/

Tennessee Heritage Place Metro Center 227 French Landing, Ste. 300 Nashville, TN 37243 (615)253-6061 http://tn.gov/health

New Hampshire 129 Pleasant St. Concord, NH 03301 (603)271-5590 www.state.nh.us New Jersey P.O. Box 45011 Newark, NJ 07101 (973)504-6435 http://www.njsop.org/aws/NJSOP/pt/sp/ home_page New York 89 Washington Ave., 2nd Floor W. Albany, NY 12234 (518)402-5944 http://www.op.nysed.gov/prof/od/ North Carolina P.O. Box 25336 Raleigh, NC 27611 (919)733-9321 http://www.ncoptometry.org/ Ohio 77 S. High St. Columbus, OH 43266 (614)466-9707 http://optical.ohio.gov/

Texas P.O. Box 149347 Austin, TX 78714 (512)834-6661 http://www.tob.state.tx.us/ Vermont National Life Bldg N FL. 2 Montpelier, VT 05620 (802)828-2191 http://vtprofessionals.org/opr1/ opticians/ Virginia 3600 W. Broad St. Richmond, VA 23230 (804)367-8500 http://www.dpor.virginia.gov/Boards/ HAS-Opticians/ Washington 300 SE Quince P.O. Box 47870 Olympia, WA 98504 (360)236-4947 http://www.doh.wa.gov/LicensesPermitsandCertificates/MedicalCommission. aspx

MED MONTHLY MAGAZINE

| 17

U.S. DENTAL BOARDS Alabama Alabama Board of Dental Examiners 5346 Stadium Trace Pkwy., Ste. 112 Hoover, AL 35244 (205) 985-7267 http://www.dentalboard.org/ Alaska P.O. Box 110806 Juneau, AK 99811-0806 (907)465-2542 https://www.commerce.alaska.gov/web/ cbpl/ProfessionalLicensing/BoardofDentalExaminers.aspx Arizona 4205 N. 7th Ave. Suite 300 Phoenix, AZ 85103 (602)242-1492 http://azdentalboard.us/ Arkansas 101 E. Capitol Ave., Suite 111 Little Rock, AR 72201 (501)682-2085 http://www.asbde.org/ California 2005 Evergreen Street, Suite 1550Â Sacramento, CA 95815 877-729-7789 http://www.dbc.ca.gov/

Hawaii DCCA-PVL Att: Dental P.O. Box 3469 Honolulu, HI 96801 (808)586-3000 http://cca.hawaii.gov/pvl/boards/dentist/ Idaho P.O. Box 83720 Boise, ID 83720 (208)334-2369 http://isbd.idaho.gov/ Illinois 320 W. Washington St. Springfield, IL 62786 (217)785-0820 http://www.isds.org/LawsLegislation/ boardOfDentistry.asp Indiana 402 W. Washington St., Room W072 Indianapolis, IN 46204 (317)232-2980 http://www.in.gov/pla/dental.htm

Colorado 1560 Broadway, Suite 1350 Denver, CO 80202 (303)894-7800 https://www.colorado.gov/pacific/dora/ Dental_Board

Iowa 400 SW 8th St. Suite D Des Moines, IA 50309 (515)281-5157 http://www.state.ia.us/dentalboard/

Connecticut 410 Capitol Ave. Hartford, CT 06134 (860)509-8000 http://www.ct.gov/dph/cwp/view. asp?a=3143&q=388884

Kansas 900 SW Jackson Room 564-S Topeka, KS 66612 (785)296-6400 http://www.dental.ks.gov/

Delaware Cannon Building, Suite 203 861 Solver Lake Blvd.

Dover, DE 19904 (302)744-4500 http://1.usa.gov/t0mbWZ

Kentucky 312 Whittington Parkway, Suite 101 Louisville, KY 40222 (502)429-7280 http://dentistry.ky.gov/

Florida 4052 Bald Cypress Way Bin C-08 Tallahassee, FL 32399 (850)245-4474 http://floridasdentistry.gov/ 18

Georgia 237 Coliseum Drive Macon, GA 31217 (478)207-2440 https://gbd.georgia.gov/

| DECEMBER 2016

Louisiana 365 Canal St., Suite 2680 New Orleans, LA 70130 (504)568-8574 http://dentistry.ky.gov/

Maine 143 State House Station 161 Capitol St. Augusta, ME 04333 (207)287-3333 http://www.mainedental.org/ Maryland 55 Wade Ave. Catonsville, Maryland 21228 (410)402-8500 http://dhmh.state.md.us/dental/ Massachusetts 1000 Washington St., Suite 710 Boston, MA 02118 (617)727-1944 http://www.mass.gov/eohhs/gov/departments/dph/programs/hcq/dhpl/ dentist/about/ Michigan P.O. Box 30664 Lansing, MI 48909 (517)241-2650 http://www.michigan.gov/lara/0,4601,7154-72600_72603_27529_27533---,00. html Minnesota 2829 University Ave., SE. Suite 450 Minneapolis, MN 55414 (612)617-2250 http://www.dentalboard.state.mn.us/ Mississippi 600 E. Amite St., Suite 100 Jackson, MS 39201 (601)944-9622 http://bit.ly/uuXKxl Missouri 3605 Missouri Blvd.

P.O. Box 1367 Jefferson City, MO 65102 (573)751-0040 http://pr.mo.gov/dental.asp Montana P.O. Box 200113 Helena, MT 59620 (406)444-2511 http://bsd.dli.mt.gov/license/bsd_ boards/den_board/board_page.asp

Nebraska 301 Centennial Mall South Lincoln, NE 68509 (402)471-3121 http://dhhs.ne.gov/publichealth/Pages/ crl_medical_dent_hygiene_board.aspx

Ohio Riffe Center 77 S. High St.,17th Floor Columbus, OH 43215 (614)466-2580 http://www.dental.ohio.gov/

Nevada 6010 S. Rainbow Blvd. Suite A-1 Las Vegas, NV 89118 (702)486-7044 http://www.nvdentalboard.nv.gov/

Oklahoma 201 N.E. 38th Terr., #2 Oklahoma City, OK 73105 (405)524-9037 http://www.ok.gov/dentistry/

New Hampshire 2 Industrial Park Dr. Concord, NH 03301 (603)271-4561 http://www.nh.gov/dental/

Oregon 1600 SW 4th Ave. Suite 770 Portland, OR 97201 (971)673-3200 http://www.oregon.gov/Dentistry/

New Jersey P.O Box 45005 Newark, NJ 07101 (973)504-6405 http://njpublicsafety.com/ca/dentistry/

Pennsylvania P.O. Box 2649 Harrisburg, PA 17105 (717)783-7162 http://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Dentistry/ Pages/default.aspx#.VbkfjPlPVYU

New Mexico Toney Anaya Building 2550 Cerrillos Rd. Santa Fe, NM 87505 (505)476-4680 http://www.rld.state.nm.us/boards/Dental_Health_Care.aspx New York 89 Washington Ave. Albany, NY 12234 (518)474-3817 http://www.op.nysed.gov/prof/dent/ North Carolina 507 Airport Blvd., Suite 105 Morrisville, NC 27560 (919)678-8223 http://www.ncdentalboard.org/ North Dakota P.O. Box 7246 Bismark, ND 58507 (701)258-8600 http://www.nddentalboard.org/

Rhode Island Dept. of Health Three Capitol Hill, Room 104 Providence, RI 02908 (401)222-2828 http://1.usa.gov/u66MaB South Carolina P.O. Box 11329 Columbia, SC 29211 (803)896-4599 http://www.llr.state.sc.us/POL/Dentistry/ South Dakota P.O. Box 1079 105. S. Euclid Ave. Suite C Pierre, SC 57501 (605)224-1282 https://www.sdboardofdentistry.com/ Tennessee 227 French Landing, Suite 300 Nashville, TN 37243 (615)532-3202 http://tn.gov/health

Texas 333 Guadeloupe St. Suite 3-800 Austin, TX 78701 (512)463-6400 http://www.tsbde.state.tx.us/ Utah 160 E. 300 South Salt Lake City, UT 84111 (801)530-6628 http://1.usa.gov/xMVXWm Vermont National Life Building North FL2 Montpelier, VT 05620 (802)828-1505 http://governor.vermont.gov/boards_ and_commissions/dental_examiners Virginia Perimeter Center 9960 Maryland Dr., Suite 300 Henrico, VA 23233 (804)367-4538 http://www.dhp.virginia.gov/dentistry Washington 310 Israel Rd. SE P.O. Box 47865 Olympia, WA 98504 (360)236-4700 http://www.doh.wa.gov/LicensesPermitsandCertificates/ProfessionsNewReneworUpdate/Dentist.aspx West Virginia 1319 Robert C. Byrd Dr. P.O. Box 1447 Crab Orchard, WV 25827 1-877-914-8266 http://www.wvdentalboard.org/ Wisconsin P.O. Box 8935 Madison, WI 53708 1(877)617-1565 http://dsps.wi.gov/Default. aspx?Page=90c5523f-bab0-4a45-ab943d9f699d4eb5 Wyoming 1800 Carey Ave., 4th Floor Cheyenne, WY 82002 (307)777-6529 http://plboards.state.wy.us/dental/index.asp

MED MONTHLY MAGAZINE

| 19

U.S. MEDICAL BOARDS Alabama P.O. Box 946 Montgomery, AL 36101 (334)242-4116 http://www.albme.org/ Alaska 550 West 7th Ave., Suite 1500 Anchorage, AK 99501 (907)269-8163 http://www.medlicense.com/alaskamedical-license.html Arizona 9545 E. Doubletree Ranch Rd. Scottsdale, AZ 85258 (480)551-2700 http://www.azmd.gov Arkansas 1401 West Capitol Ave., Suite 340 Little Rock, AR 72201 (501)296-1802 http://www.armedicalboard.org/ California 2005 Evergreen St., Suite 1200 Sacramento, CA 95815 (916)263-2382 http://www.mbc.ca.gov/ Colorado 1560 Broadway, Suite 1350 Denver, CO 80202 (303)894-7690 http://www.dora.state.co.us/medical/ Connecticut 401 Capitol Ave. Hartford, CT 06134 (860)509-8000 http://www.ct.gov/dph/cwp/view. asp?a=3143&q=388902 Delaware Division of Professional Regulation Cannon Building 861 Silver Lake Blvd., Suite 203 Dover, DE 19904 (302)744-4500 http://dpr.delaware.gov/ District of Columbia 899 North Capitol St., NE Washington, DC 20002 (202)442-5955 http://doh.dc.gov/bomed 20

| DECEMBER 2016

Florida 2585 Merchants Row Blvd.

Tallahassee, FL 32399 (850)245-4444 http://www.stateofflorida.com/Portal/ DesktopDefault.aspx?tabid=115

Louisiana LSBME P.O. Box 30250 New Orleans, LA 70190 (504)568-6820 http://www.lsbme.la.gov/

Georgia 2 Peachtree Street NW, 36th Floor Atlanta, GA 30303 (404)656-3913 http://bit.ly/vPJQyG

Maine 161 Capitol Street 137 State House Station Augusta, ME 04333 (207)287-3601 http://www.maine.gov/md/

Hawaii DCCA-PVL P.O. Box 3469 Honolulu, HI 96801 (808)587-3295 http://hawaii.gov/dcca/pvl/boards/medical/

Maryland 4201 Patterson Ave. Baltimore, MD 21215 (410)764-4777 http://www.mbp.state.md.us/

Idaho Idaho Board of Medicine P.O. Box 83720 Boise, Idaho 83720 (208)327-7000 http://bit.ly/orPmFU

Massachusetts 200 Harvard Mill Sq., Suite 330 Wakefield, MA 01880 (781)876-8200 http://www.mass.gov/eohhs/gov/departments/borim/

Illinois 320 West Washington St. Springfield, IL 62786 (217)785 -0820 http://www.idfpr.com/

Michigan Bureau of Health Professions P.O. Box 30670 Lansing, MI 48909 (517)335-0918 http://michigan.gov/lara/0,4601,7-15472600_72603_27529_27541-58914--,00. html

Indiana 402 W. Washington St. #W072 Indianapolis, IN 46204 (317)233-0800 http://www.in.gov/pla/ Iowa 400 SW 8th St., Suite C Des Moines, IA 50309 (515)281-6641 http://medicalboard.iowa.gov/ Kansas 800 SW Jackson, Lower Level, Suite A Topeka, KS 66612 (785)296-7413 http://www.ksbha.org/ Kentucky 310 Whittington Pkwy., Suite 1B Louisville, KY 40222 (502)429-7150 http://kbml.ky.gov/Pages/default.aspx

Minnesota University Park Plaza 2829 University Ave. SE, Suite 500 Minneapolis, MN 55414 (612)617-2130 http://bit.ly/pAFXGq Mississippi 1867 Crane Ridge Drive, Suite 200-B Jackson, MS 39216 (601)987-3079 http://www.msbml.state.ms.us/ Missouri Missouri Division of Professional Registration 3605 Missouri Blvd.

P.O. Box 1335 Jefferson City, MO 65102 (573)751-0293 http://pr.mo.gov/healingarts.asp

Montana 301 S. Park Ave. #430 Helena, MT 59601 (406)841-2300 http://bsd.dli.mt.gov/license/bsd_ boards/med_board/board_page.asp Nebraska Nebraska Department of Health and Human Services P.O. Box 95026 Lincoln, NE 68509 (402)471-3121 https://www.nebraska.gov/LISSearch/ search.cgi Nevada Board of Medical Examiners P.O. Box 7238 Reno, NV 89510 (775)688-2559 http://www.medboard.nv.gov/ New Hampshire New Hampshire State Board of Medicine 2 Industrial Park Dr. #8 Concord, NH 03301 (603)271-1203 http://www.nh.gov/medicine/ New Jersey P. O. Box 360 Trenton, NJ 08625 (609)292-7837 http://www.medlicense.com/new-jerseymedical-license.html New Mexico 2055 S. Pacheco St. Building 400 Santa Fe, NM 87505 (505)476-7220 http://www.nmmb.state.nm.us/ New York Office of the Professions State Education Building, 2nd Floor Albany, NY 12234 (518)474-3817 http://www.op.nysed.gov/ North Carolina P.O. Box 20007 Raleigh, NC 27619 (919)326-1100 http://www.ncmedboard.org/

North Dakota 418 E. Broadway Ave., Suite 12 Bismarck, ND 58501 (701)328-6500 http://www.ndbomex.com/

Texas P.O. Box 2018 Austin, TX 78768 (512)305-7010 http://www.tmb.state.tx.us/

Ohio 30 E. Broad St., 3rd Floor Columbus, OH 43215 (614)466-3934 http://med.ohio.gov/

Utah P.O. Box 146741 Salt Lake City, UT 84114 (801)530-6628 http://www.dopl.utah.gov/licensing/physician_surgeon.html

Oklahoma P.O. Box 18256 Oklahoma City, OK 73154 (405)962-1400 http://www.okmedicalboard.org/ Oregon 1500 SW 1st Ave., Suite 620 Portland, OR 97201 (971)673-2700 http://www.oregon.gov/OMB/ Pennsylvania P.O. Box 2649 Harrisburg, PA 17105 (717)787-8503 http://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/ Pages/default.aspx#.Vbkgf_lPVYU Rhode Island 3 Capitol Hill Providence, RI 02908 (401)222-5960 http://1.usa.gov/xgocXV South Carolina P.O. Box 11289 Columbia, SC 29211 (803)896-4500 http://www.llr.state.sc.us/pol/medical/ South Dakota 101 N. Main Ave. Suite 301 Sioux Falls, SD 57104 (605)367-7781 http://www.sdbmoe.gov/ Tennessee 425 5th Ave. North Cordell Hull Bldg. 3rd Floor Nashville, TN 37243 (615)741-3111 http://tn.gov/health

Vermont P.O. Box 70 Burlington, VT 05402 (802)657-4220 http://1.usa.gov/wMdnxh Virginia Virginia Dept. of Health Professions Perimeter Center 9960 Maryland Dr., Suite 300 Henrico, VA 23233 (804)367-4400 http://1.usa.gov/xjfJXK Washington Public Health Systems Development Washington State Department of Health 101 Israel Rd. SE, MS 47890 Tumwater, WA 98501 (360)236-4085 http://www.medlicense.com/washingtonmedicallicense.html West Virginia 101 Dee Dr., Suite 103 Charleston, WV 25311 (304)558-2921 http://www.wvbom.wv.gov/ Wisconsin P.O. Box 8935 Madison, WI 53708 (877)617-1565 http://dsps.wi.gov/Boards-Councils/ Board-Pages/Medical-Examining-BoardMain-Page/ Wyoming 320 W. 25th St., Suite 200 Cheyenne, WY 82002 (307)778-7053 http://wyomedboard.state.wy.us/

MED MONTHLY MAGAZINE

| 21

features

A Practice Management Staffing Option:

Locum Tenens

By Danielle Kriegl VP of Operations, Physician Solutions

Medical staffing is a challenging business these days. It can take seven months to a year for practice management to hire the right healthcare specialist. So what does a practice do in the meantime?

A whole industry has evolved over the last 20 years or so to ad22

| DECEMBER 2016

dress that very problem. The term “locum tenens” is Latin for “to hold the place of,” or “to substitute for.”

These professionals are licensed and credentialed; up to 85% are even board certified according to the American College of Healthcare Executives.

Used strategically, locum tenens professionals can help you attract and keep more of your staff, which helps your practice retain more patients, thus producing higher revenue.

If you have limited your thinking about staffing locum tenens as

a way to “stop the bleeding” when there is a sudden vacancy at your practice, you are missing a tremendous opportunity and a talented pool of candidates. A large percentage of locum tenens physicians, physician assistants and nurse practitioners are looking for the same thing your practice is looking for: a good long-term fit.

Before the locum doctor, physician assistant or nurse practitioner arrives for the first shift, the practice has a credential package in hand with copies of the apposite medical license, resume or curriculum vita and other supporting documents as required by the practice. Generally professional liability insurance is provided for the locum’s doctor or physician assistant by their agency. This process can be accomplished by email attachments cutting the process time by weeks.

These are a few situations in which a practice management might consider the use of a locum tenens: • sickness or maternity leave • vacation • business obligations or jury duty • staff leaves with short or no notice • seasonal increase of patients • filling the interim to staff a new position while a permanent physician is recruited Many practice owners choose to close their practices if they can’t work leaving their patients without care or certainly without their routine care. By having a substitute or locum’s doctor or provider contracted for, your patients are not inconvenienced and their medical requirements are met. Hiring a locum tenens also takes the stress off your busiest physicians. This

makes them less likely to burn out, retire early, or seek employment elsewhere.

A locum tenens agency should be able to furnish a qualified provider in the form of a medical doctor, physician assistant or nurse practitioner, depending on the spatiality, with reasonable notification.

Many practices are even scheduling a locum provider to work a set weekly or monthly schedule, enabling the main physician to become more productive, treat more patients and create practice options.

If you are a male doctor it may enhance your practice to consider having a female doctor or physician assistant work in the practice a few days per week or certainly several days a month filling a locum’s role.

This will increase the procedures you provide your patient base and certainly add a comfort level to many patients that want a same gender relationship with their doctor. Many solo physicians find they become more comfortable having a second provider working with them on-going or certainly a few shifts a week. They have time to have an out of the office meeting with their banker, insurance agent, attorney or a lunch with their spouse. Having a locum doctor may add more expertise to your practice in the form of coding or procedures that you are comfortable with but are reluctant to perform. Usually a staffing firm can provide continuity with the locum’s provider in a short period of time.

Also, in today’s competitive health care industry more and more medical executives include locum tenens as an integral part of their master staffing plans. This way they can maintain moderate physician staffing and bring in a locum

physician or two during traditional periods of peak census. Often this is more cost-effective than maintaining peak staffing levels and paying for a lot of down time - in addition to employee benefits and physician perks.

A locum physician generally works in more environments and facilities than the average U.S. physician, and because his or her training and experience undergo perpetual scrutiny, that physician is more likely to be up-to-date on the latest technologies and procedures than their staff physician counterpart.

Other advantages of having a locum’s physician work consistently in your practice reach beyond patient care and the convenience of sharing a work load. When it becomes time to sell your practice, and that time will come, you will find that your practice value is greatly increased by having a locums or second provider on staff.

As a solo doctor, you are the practice. However with a second provider or locum’s doctor, you now have a business capable of generating income in your absence. Conventional arguments suggest that your practice will increase in value by 20% or more by having an agreement in place with locum staffing agency and certainly using these options routinely.

You will find that when a locum’s physician, physician assistant or nurse practitioner is used, the practice will implement this option as their main short term provider solutions. If you are considering using locum tenens, please talk to one of our account managers here at Physician Solutions. We can be the solution to your practice demands.  MED MONTHLY MAGAZINE

| 23

features

6 Strategies to Improve Dental Practice Management

By Naren Arulrajah Ekwa Marketing

24

| DECEMBER 2016

‘‘ “

“Improving your dental practice management is a continuous process. It takes time, practice, and patience to get things in place first and have your practice running seamlessly day after day.”

Modern day dental practices recognize and understand the importance of ensuring seamless practice management. However, the changing dynamics of the new patient care systems not only present a challenge to dental practices in optimizing care delivery, but it also highlights the need for effective systems and work process conducive to the new market space. The best way for dental practices to meet these challenges head on is by implementing a few important strategies to ensure smooth running of their practice, optimized care delivery, and a steady growth rate.

Ensure Effectiveness of Work Process and Systems Quality-based management is an important aspect of optimizing practice management. Assess the different work processes and systems used in your office and check their effectiveness and output/productivity potential. Dental practices don’t have the luxury of running ship with unlimited resources. You need to know at all times what is working and what needs to go or be changed. For example, a particular high-end scheduling system/tool might be an idea fit for a bigger office, but its effectiveness might be lost in your practice if your patient flow is on a smaller scale. You may want to explore options that are better suited to your patient flow and consider investing at a future date or as and when your practice starts pulling in greater traffic. The best way to ensure effectiveness of your systems is by matching your requirements with tools and processes that offer maximum efficiency within your setup and sit well with your expense account.

Plan Your Inventory Management Inventory management plays a critical role in optimizing the running of your practice. An optimized inventory system not only helps in ensuring that you are not piling on items that are not useful or outdated, but more importantly it helps ensure that you have the products/office supplies and medical supplies that are absolutely essential and used in day-to-day care delivery. Appoint a person to take charge of the inventory system; you don’t want too many people involved and run the risk of double or multiple ordering of items and supplies.

Manage Your Dental Practice Budget In addition to planning and implementing practice marketing goals, dental brands also need to implement realistic financial goals. You need to know at all times where your money goes, what your earning resources are, and the different opportunities available to you to increase practice profit margins before implementing a financial management system. So assess how your inventory, continued on page 26

MED MONTHLY MAGAZINE

| 25

continued from page 25

new patients flow, investment in systems and technologies aid or impact your budget. Once you have the complete picture, you will be in a position to implement a financial plan for the future without suffocating your current cash pool.

Furthermore, a budget in place can help you take advantage of future practice growth opportunities be it setting up a new office, or expanding the current one, or even to introduce a new line of services.

Upgrade Your Scheduling System Efficient scheduling impacts your practice and staff as well as your patients. Long wait hours at the dentist’s office or rescheduling can be extremely stressful to all parties involved. So if you are using an outdated or ineffective scheduling system, it might be a good idea to make the switch to a system that improves patient scheduling. With a robust scheduling system/tool in place you can optimize patient time, reduce stress for both your staff and attending dentist(s) and also create time to include new patients or attend to additional patients. Furthermore, it speaks well about your practice if patients find that scheduling is seamless at your practice.

Offer Flexible Financial Options The most effective way of increasing case acceptance is by providing your patients with a wide scope of financial options. Case acceptance rate falls when it comes to cosmetic dentistry or other high priced dental procedures such as 26

| DECEMBER 2016

implants. However, if you can make payment options more attractive with options such as third-party financing or half up-front and the balance after treatment plan, patients will be more open to going ahead with the procedures.

Focus on Delivering Exceptional Customer Service Today’s patients carry a huge sense of entitlement and expect excellent service. They want to feel cared for and experience exceptional service in all their interactions with your dental brand. Scrutinize your patient journey from the moment of discovery to consultation. Look for loopholes or areas of potential improvement – something as simple as better scheduling or easy flexible financial plans, or even a polite staff can tip the scales in your favor. Better and improved brand interactions is the keyword for delivering quality customer service.

Conclusion Improving your dental practice management is a continuous process. It takes time, practice, and pa-

tience to get things in place first and have your practice running seamlessly day after day. At times you may be required to make mid-course changes that can have an immediate impact on your practice bottom line or the way you run your office. However, if the change can lead to measurable practice improvements in the future, then it makes sense to explore the idea further. Modern dental practices need to be open to change and continuously look for ways to optimize practice management as a way to improve and grow their practice brand.  About the Author: Naren Arulrajah is President and CEO of Ekwa Marketing, a complete Internet marketing company which focuses on SEO, social media, marketing education and the online reputations of Dentists and Physicians. With a team of 140+ full time marketers, www.ekwa.com helps doctors who know where they want to go get there by dominating their market and growing their business significantly year after year. If you have questions about marketing your practice online, call 855- 598-3320 to speak one-on-one with Naren.

features

3 Ways to Increase the Value of Your Practice, Quickly!

By Philip Driver CEO, Physician Solutions, Inc.

28

| DECEMBER 2016

1. DEVELOP OR ENHANCE YOUR WEB SITE

Having a practice web site is not optional; it is a must if you want to be relevant in your medical community. The top practices in your area and out of your area, for that matter, are pulling patients their way. If you haven’t lost patients to your competitors through their web site, you will. Once you wake up and smell the gig-a-bites, you will wonder how you survived without a web presence. Showcase your practice, tell patients about your services, and allow them to make appointments and talk with your staff.

2. INCORPORATE ANOTHER PROVIDER INTO YOUR PRACTICE

As long as you are the only provider in your practice, the best you can do is to make a good living.

You really are not a business if you are a solo doctor; you are a Sole Proprietorship according to the IRS. What do you do when you get sick? What do you do when you are on vacation? What to do when you need to attend a meeting during work hours? I can come up with one hundred more reasons your practice will close when you can’t be there. You lose income when you are not open and your patients get frustrated. By adding another provider; a locum doctor, physician assistant, nurse practitioner or another dentist to work with you one or more days per week makes you a business. Now you can make additional income because you can see more patients, perhaps provide additional services and certainly keep your doors open when you are away. Invest in the business you have created, it will pay off.

3. DEVELOP OR ENHANCE YOUR REFERRAL BASE

My staff and I are in numerous practices throughout the year. We talk about a lot of topics and we talk a lot of shop too. Among our most talked about subjects is the practice Referral Book. I am always surprised to hear from practices that they really don’t have a Referral Book. We simply call someone in the area and there is nothing in place for the referral process. By developing a network of colleagues to send your specialized referrals to, you are more professional in your patients eyes, your colleagues will refer back to you and you improve the quality of your medical care. This takes some work on the part of your practice’s marketing person, (If you don’t have one, get one). Call and visit a colleague, discuss days to set up appointments, determine the insurance interaction, talk about each other’s procedures and sending the patient back for continued care. Meet your fellow referral base for lunch or development meeting groups that will be informative and rewarding.

Here are a few other things to increase the value of your practice almost immediately. If you are considering your practice options; selling, expanding, re-locating, retiring, closing, partner buy-in or buy-out or simply are thinking about getting a valuation performed, you need to consider these practice improvements; l Convert paper explanation of benefits to an electronic format; l Renegotiate with your vendors or look at other services and compare; l Reorganize your practice by functional areas, such as check in, check out, claims, denials & followup; l Uncluttered and place an Orchid on the check in counter; l Add two more patients per day to the doctors schedule; l Renegotiate your managed care contract as soon as allowable; l Create “standby” appointments for patient with a history of no-shows; l Get a better understanding of your coding options and modifiers; l Develop your social media accounts; especially on Facebook and Linked-In; l Replace that old carpet, paint, cut your grass, clean your door-windows and upgrade your toilets and waiting areas.

By introducing some of these ideal and practical upgrades to your practice, you have increased its value by 30% to 50%. Your practice may be your most valued asset. Do you know what yours is worth?  MED MONTHLY MAGAZINE

| 29

Practices for Sale Medical Practices Pediatric Practice Near Raleigh, NC

Location: Minutes South of Raleigh, North Carolina List Price: $145,000 Gross Yearly Income: $350,000 Year Established: 1980(s) Average Patients per Day: 16-22 Total Exam Rooms: 5 Building Owned/Leased: Owned. Will sell or lease.

Contact: Philip or Wendy at (919) 848-4202

Urology Practice near Lake Norman, NC Location: Minutes from Charlotte, NC List Price: $165,000 Gross Yearly Income: $275,000 Year Established: 1980 Average Patients per Day: 12 to 15 Building Owned/Leased: Leased Contact: Philip or Wendy at (919) 848-4202

Primary Care specializing in Women’s Practice

Family Practice/Primary Care

Location: Hickory, North Carolina List Price: $425,000 Gross Yearly Income: $1,5000,000 Year Established: 2007 Average Patients Per Day: 24-35 Total Exam Rooms: 5 Building Owned/Leased: Lease or Purchase Contact: Philip or Wendy at (919) 848-4202

Location: Morehead City, N.C. List Price: Just reduced to $20,000 or Best Offer Gross Yearly Income: $540,000 average for past 3 years Year Established: 2005 Average Patients per Day: 12 to 22 Building Owned/Leased: MD owned and can be leased or purchased Contact: Philip or Wendy at (919) 848-4202

Med Spa

Family Primary Care Practice

Practice Type: Mental Health, Neuropsychological and Psychological

Location: Minutes East of Raleigh, North Carolina List Price: $15,000 or Best Offer Gross Yearly Income: $235,000 Average Patients per Day: 8 to 12 Total Exam Rooms: 6 Physician retiring, Beautiful practice Building Owned/Leased: Owned (For Sale or Lease) Contact: Philip or Wendy at (919) 848-4202

Location: Coastal North Carolina List Price: $550,000 Gross Yearly Income: $1,600,000.00 Year Established: 2005 Average Patients Per Day: 25 to 30 Total Exam Rooms: 4 Building Owned/Leased: Leased Contact: Philip or Wendy at (919) 848-4202

Location: Wilmington, NC List Price: $110,000 Gross Yearly Income: $144,000 Year Established: 2000 Average Patients Per Day: 8 Building Owned/Leased/Price: Owned Contact: Philip or Wendy at (919) 848-4202

Special Listings Offer We are offering our “For Sale By Owner” package at a special rate. With a 6 month agreement, you receive 3 months free.

Considering your practice options? Call us today.

30

| DECEMBER 2016

PRIMARY CARE PRACTICE East of Raleigh, North Carolina We are offering a well established primary care practice only minutes east of Raleigh North Carolina. The retiring physician maintains a 5 day work week and has a solid base of patients that can easily be expanded. There are 6 fully equipped exam rooms, a large private doctor’s office, spacious business office, and patient friendly check in and out while the patient waiting room is generous overlooking manicured flowered grounds. This family practice is open Monday through Friday and treats 8 to a dozen patients per day.

Currently operating on paper charts, there is no EMR in place. The Gross revenue is about $235,000 yearly.

We are offering this practice for $50,000 which includes all the medical equipment and furniture. The building is free standing and can be leased or purchased.

Contact Philip at 919-848-4202 to receive details and reasonable offers will be presented to the selling physician.

MedicalPracticeListings.com | medlisting@gmail.com | 919-848-4202

CALLING ALL WRITERS

Are you educated in the medical and health care field and looking to showcase your exceptional writing skills?

To become a contributing writer in Med Monthly magazine, contact us at: medmedia9@gmail.com

Contact us:

919-845-0054 medmedia9@gmail.com physiciansolutions.com

Urology Practice minutes from Lake Norman, North Carolina

Urology Practice minutes from Lake Norman is now listed for sale. This excellent located practice is convenient to Charlotte, Gastonia, Lincolnton and Hickory. With a solid patient base, procedures currently include; Adult & Pediatric Urology, Kidney Stones, Bladder Problems, Incontinence, Prostate Issues, Urinary Tract Infections, Wetting Problems, Erectile Dysfunction and related issues. Three exam rooms with two electronic tables and one flat exam table.

Established: 1980 l Gross Yearly Income: $275,000 Average Patients per Day: 12 to 15 l List Price: $165,000

Editorial Calendar:

January - Politics & Your Practice February - Preventive Medicine

Contact Philip or Danielle at 919-848-4202 or email medlistings@gmail.com MED MONTHLY MAGAZINE

| 31

Internal Medicine Practice in the Heart of Raleigh

North Carolina Dentist Opportunities

This is a beautiful practice, well appointed with great street visibility, parking and a very strong patient following. There are 4 exam rooms and a procedure room. The lobby is very comfortable with hardwood floors and tastefully decorated.

The gross revenues are over $600,000 with a strong income after expenses.

Physician Solutions has immediate opportunities for dentists throughout NC. Top wages, professional liability insurance and accommodations provided.

Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

Call us today if you are available for a few days a month, on-going or for permanent placement. Please contact Physican Solutions at 919-845-0054 or physiciansolutions@gmail.com

Located on NC’s Beautiful Coast,

Morehead City

Primary Care Specializing in Women’s Health Practice established in 2005, averaging over $540,000 the past 3 years. Free standing practice building for sale or lease. This practice has 5 well equipped exam rooms and is offered for $20,000.

919.848.4202 medlisting@gmail.com medicalpracticelistings.com

32 | DECEMBER 2016

PHYSICIANS NEEDED: Mental health facility in Eastern North Carolina seeks: PA/FT ongoing, start immediately Physician Assistant needed to work with physicians to provide primary care for resident patients. FT ongoing 8a-5p. Limited inpatient call is required. The position is responsible for performing history and physicals of patients on admission, annual physicals, dictate discharge summaries, sick call on unit assigned, suture minor lacerations, prescribe medications and order lab work. Works 8 hour shifts Monday through Friday with some extended work on rotating basis required. It is a 24 hour in-patient facility that serves adolescent, adult and geriatric patients.

FT ongoing Medical Director, start immediately The Director of Medical Services is responsible for ensuring all patients receive quality medical care. The director supervises medical physicians and physician extenders. The Director of Medical Services also provides guidance to the following service areas: Dental Clinic, X-Ray Department, Laboratory Services, Infection Control, Speech/Language Services, Employee Health,

Pharmacy Department, Physical Therapy and Telemedicine. The Medical Director reports directly to the Clinical Director. The position will manage and participate in direct patient care as required; maintain and participate in an on-call schedule ensuring that a physician is always available to hospitalized patients; and maintain privileges of medical staff.

Permanent Psychiatrist needed FT, start immediately An accredited State Psychiatric Hospital serving the eastern region of North Carolina, is recruiting for permanent full-time Psychiatrist. The 24 hour in-patient facility serves adolescent, adult and geriatric patients. The psychiatrist will serve as a team leader for multi-disciplinary team to ensure quality patient care/treatment. Responsibilities include:

evaluation of patient on admission and development of a comprehensive treatment plan, serve on medical staff committees, complete court papers, documentation of patient progress in medical record, education of patients/families, provision of educational groups for patients.

Send copies of your CV, NC medical license, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624 PH: (919) 845-0054 | email: physiciansolutions@gmail.com

Pediatric Practice Available Near Raleigh, NC

Pediatric practice located minutes south of Raleigh, North Carolina is now listed for sale. Located in an excellent area convenient to Raleigh, Cary, and Durham, it is surrounded by a strong health care community. This is a well established practice with a very solid patient base. The building is equipped with a private doctor’s office, five exam rooms, and an in-house lab.

Established: 1980s l Gross Yearly Income: $350,000 Average Patients per Day: 16 to 22 l List Price: $145,000

Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

We have several qualified MDs seeking established Urgent Care Practices in North Carolina.

Urgent Care Practices Wanted If you have an urgent care practice and would like to explore your selling options, please contact us. Your call will be handled confidentially and we always put together win-win solutions for the seller and buyer.

Call Medical Practice Listings today and ask for Philip Driver 919-848-4202.

MED MONTHLY MAGAZINE

| 33

PRIMARY CARE PRACTICE - Hickory, North Carolina This is an outstanding opportunity to acquire one of the most organized and profitable primary care practices in the area. Grossing a million and a half yearly, the principal physician enjoys ordinary practice income of over $300,000 annually.

Hickory is located in the foot-hills of North Carolina and is surrounded by picturesque mountains, lakes, upscale shopping malls and the school systems are excellent. If you are looking for an established practice that runs like a well oiled machine, request more information.

The free standing building that houses this practice is available to purchase or rent with an option. There are 4 exam rooms with a well appointed procedure room. The owning physician works 4 to 5 days per week and there is a full time physician assistant staffed as well.

For the well qualified purchasing physician, the owner may consider some owner-financing. Call us today.

List price: $425,000 | Year Established: 2007 | Gross Yearly Income: $1,500,000

MedicalPracticeListings.com | medlisting@gmail.com | 919-848-4202

Internal Medicine Practice for Sale Located in the heart of the medical community in Cary, North Carolina, this Internal Medicine practice is accepting most private and government insurance payments.

The average patients per day is 20-25+, and the gross yearly income is $555,000.

Listing Price: $430,000

Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com 34 | DECEMBER 2016

MD STAFFING AGENCY FOR SALE IN NORTH CAROLINA The perfect opportunity for anyone who wants to purchase an established business.

l One

of the oldest Locums companies l Large client list l Dozens of MDs under contract l Executive office setting l Modern computers and equipment l Revenue over a million per year l Retiring owner

Please direct all correspondence to driverphilip@gmail.com.

Only serious, qualified inquirers.

PEDIATRICIAN

or family medicine doctor needed in

FAYETTEVILLE, NC

NC MedSpa For Sale MedSpa Located in North Carolina We have recently listed a MedSpa in NC This established practice has staff MDs, PAs and nurses to assist patients. Some of the procedures performed include: Botox, Dysport, Restylane, Perian, Juvederm, Radiesse, IPL Photoreju Venation, fractional laser resurfacing as well as customized facials. There are too many procedures to mention in this very upscale practice. The qualified buyer will be impressed with the $900,000 gross revenue. This is a new listing, and we are in the valuation process.

Comfortable seeing children. Needed immediately.

Call 919- 845-0054 or email: physiciansolutions@gmail.com www.physiciansolutions.com

Contact Medical Practice Listings today to discuss the practice details.

For more information call Medical Practice Listings at 919-848-4202 or e-mail medlistings@gmail.com

www.medicalpracticelistings.com

MED MONTHLY MAGAZINE

| 35

Practice for Sale in Raleigh, NC Primary care practice specializing in women’s care Raleigh, North Carolina The owning physician is willing to continue with the practice for a reasonable time to assist with smooth ownership transfer. The patient load is 35 to 40 patients per day, however, that could double with a second provider. Exceptional cash flow and profit will surprise even the most optimistic practice seeker. This is a remarkable opportunity to purchase a well-established woman’s practice. Spacious practice with several well-appointed exam rooms and beautifully decorated throughout. New computers and medical management software add to this modern front desk environment.

List price: $435,000

Call Medical Practice Listings at (919) 848-4202 for details and to view our other listings visit www.medicalpracticelistings.com

Pediatrics Practice Wanted Pediatrics Practice Wanted in NC Considering your options regarding your pediatric practice? We can help. Medical Practice Listings has a well qualified buyer for a pediatric practice anywhere in central North Carolina.

Contact us today to discuss your options confidentially.

Medical Practice Listings Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

Eastern North Carolina Family Practice Available Well-appointed Eastern North Carolina Family Practice established in 2000 is for sale in Williamston, NC. This organized practice boasts a wide array of diagnostic equipment including a GE DEXA scanner with a new tube, GE case 8000 stress testing treadmill and controller and back up treadmill, Autoclave and full set of operating equipment, EKG-Ez EKG and much more. The average number of patients seen daily is between 12 to 22. The building is owned

by MD and can be purchased or leased.

The owning physician is relocating and will assist as needed during the transition period. The gross receipts for the past three years average $650,000 and the list price was just reduced to $185,000. If you are looking to purchase a well equipped primary care practice, please contact us today.

919-848-4202 medlisting@gmail.com medicalpracticelistings.com 36 | DECEMBER 2016

Modern Med Spa Available

Located in beautiful coastal North Carolina Modern, well-appointed med spa is available in the eastern part of the state. This Spa specializes in BOTOX, facial therapy and treatments, laser hair removal, eye lash extensions and body waxing as well as a menu of anti-aging options. This impressive practice is perfect as-is and can accommodate additional services like primary health or dermatology.

The Gross revenue is over $1,500.000 with consistent high revenue numbers for the past several years. The average number of patients seen daily is between 26 and 32 with room for improvement. You will find this Med Spa to be in a highly visible location with upscale amenities. The building is leased and the lease can be assigned or restructured. Highly profitable and organized, this spa is POISED FOR SUCCESS. 919.848.4202 medlisting@gmail.com medicalpracticelistings.com

State of Cha-Ching.

Primary Care Practice For Sale in Wilmington, NC Established primary care on the coast of North Carolina’s beautiful beaches. Fully staffed with MD’s and PA’s to treat both appointment and walk-in patients. Excellent exam room layout, equipment and visibility.

Contact Medical Practice Listings for more information.

Lindsay Gianni, Agent 12333 Strickland Road Suite 106 Raleigh, NC 27613 Bus: 919-329-2913 lindsay.gianni.f23o@statefarm.com

Get discounts up to 35% * Saving money is important.

That’s why you can count on me to get you all the discounts you deserve.

GET TO A BETTER STATE .

CALL ME TODAY. ™

*Discounts and their availability may vary by state and eligibility requirements.

For more information, please see or call a State Farm agent.

1101216.1 State Farm, Home Office, Bloomington, IL

Medical Practice Listings

919.848.4202 | medlistings@gmail.com www.medicalpracticelistings.com MED MONTHLY MAGAZINE

| 37

Physician Solutions, Inc. Medical & Dental Staffing The fastest way to be $200K in debt is to open your own practice The fastest way to make $100K is to choose

Physician Solutions

THE DECISION IS YOURS Physician Solutions, Inc. P.O. Box 98313 Raleigh, NC 27624 Scan this QR code with your smartphone to learn more.

phone: 919-845-0054 fax: 919-845-1947 www.physiciansolutions.com physiciansolutions@gmail.com