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Index
Cover
Title Page
Copyright
Contributor List
Preface
About the Companion Website
Part 1: An Introduction to Practice Transition, Dental Practice Financial Statements and Practice Financial Analysis
Chapter 1: Introduction and Overview
Career Choices
The Current Market and Its Implications for You
The “Bermuda Triangle” of Practice Transition
Selecting Key Advisors
References and Additional Resources
Chapter 2: Financial Statements
Types of Financial Statements
Using Financial Statements
References and Additional Resources
Chapter 3: Practice Financial Analysis
Dental Office Financial Analysis
Dental Practice Costs
Financial Analysis: Quantitative Measures of Quality Management for a General Dental Practice
Practice Analysis
Application to Associateships and Practice Purchase
References and Additional Resources
Part 2: Ownership: Business Planning, Practice Valuation, Dental Equipment, Buying/Buying into a Practice, Starting a Practice, Financing a Practice, and Business Entities
Chapter 4: Business Planning: From the Perspective of the Dentist and the Banker
The Management Process as a Foundation for Planning
What Is a Business Plan?
Business Plan Format
Elements of the Plan
Resources for Business Plans
Key Points
References and Additional Resources
A Sample Business Plan (Figure 4.3)
Chapter 5: Understanding Practice Valuation
Introduction
Overview of the Process
Appraisal Methods
Factors Affecting Practice Value
Historical Performance versus Future Earnings
Other Issues in Practice Appraisals and Sales
Valuation Exercise
Conclusion
References and Additional Resources
Chapter 6: Dental Equipment
Tips on Buying New Equipment
What to Look for in Used Equipment
Valuation of Used Dental Equipment/Determining Fair Market Value
Maintaining Equipment
Final Helpful Hints
References and Additional Resources
Chapter 7: Buying/Buying into a Practice
Choosing the Right Location
Deciding to Buy out or Buy into a Practice
Due Diligence
Financial Statements and Tax Returns
Accounts Receivable
Existing Equipment Leases
Financial Forecasting
Common Transactions
Contracts
Key Points
References and Additional Resources
Chapter 8: Starting a Dental Practice
“I Want to Be My Own Boss”
Are You an Entrepreneur?
Other Considerations
Step-by-Step Process for Starting a Practice
References and Additional Resources
Chapter 9: Financing a Practice
Introduction
Financing Dental Transitions: The State of the Industry
Historical Perspective
Preparing for a Practice Acquisition Loan
Preparing Your File for a Commercial Lender
Understanding the Commercial Lender
Seller Financing
Local Bank
SBA Loans
Specialty Lenders
Loan Brokers
Questions to Ask Potential Lenders
Analysis of the Buyer
Analysis of the Practice
Loan Terms, Rates, and Typical Conditions
How to Maintain an Excellent Relationship with a Lender
Assessing Your Future
Practice Acquisition
Practice Start-Up
References and Additional Resources
Chapter 10: Business Entities
Sole Proprietorship
Corporations
Partnerships and Limited Liability Companies: An Overview
Description and Ownership
Necessary Documentation
Operational and Management Aspects
Tax Issues
Liability Issues
What Is Right for You?
References and Additional Resources
Part 3: Business Systems and Related Issues: Incorporating Technology, Dental Fees and Financial Policies, Dental Benefits, Appointment Scheduling, Compliance, and Embezzlement
Chapter 11: Incorporating Technology
Introduction
Choosing a Technology Partner
Evaluate Current Technology
Budget for Technology
Business Continuity
Computer and Networking Equipment
Digital Dentistry
Practice Management Software
Communication Options
Compliance and Security
Patient Entertainment and Education
Marketing Your Practice
Making Wise Investments
Conclusion
References and Additional Resources
Chapter 12: Dental Fees, Fee Setting, and Financial Policies for Patients
Introduction
Fee Schedules and Definitions
Why Do Dental Practices Need to Increase Fees?
Disturbing Trends
Factors that Influence Pricing
When to Raise Fees
How to Raise Fees
How Much to Raise Fees
Economic Indexes that Influence Fee Setting
Practice Purchase and Fee Schedule
Discounting Practice Fees
Discounting of Fees and Dental Benefits
Impact of Fee Increases
What Is UCR?
What are Percentiles?
A Benefit Provider Says My Fees are too High: Are They Right?
Relative Value Unit Pricing
Definitions
Why Financial Arrangements are Necessary
Account Registration Form
Disclaimer
Importance of Cash Flow
How Much Can You Afford to Finance?
Credit Cards
Utilizing Collection Agents
Summary
Book Companion Website
References and Additional Resources
Appendix A: Payment Policy Acknowledgement Sample
Appendix B: Financial Policy Worksheet (With Recommended Policies)
Chapter 13: Dental Benefits
Dental Benefits Overview
Publicly Funded Dental Benefits
Commercial Dental Benefits
Commercial Dental Plan Models
Commercial Dental Benefit Plan Types
Structure of Commercial Dental Benefit Plans
Participating Provider Organization (PPO) Obligations
Submitting Claims
An Overview of Dental Benefits
A Glossary of Dental Benefit Terms
References and Additional Resources
Chapter 14: Appointment Scheduling Strategies
Appointment Scheduling Policy and Philosophy
Types of Appointments
Units of Time
Disinfection and Preparation Time
Time Units by Procedure
Scheduling by Provider
Type of Procedure
Sequence of Procedures
Variability of Provider's Work Habits
Patient Preferences by Provider
Integrating Appointment Scheduling with Other Business Systems
Well-Balanced Patient Load
First-Time/New Patient Appointments
Children
Cash and Emergencies
Filler Appointments
Over-the-Counter Follow-Up Appointments
Getting It on the Books
Understanding Patient Behaviors
Telephone, E-mail, and Internet Appointment Scheduling
Confirmations
Recalls
Patient Account Balances
Laboratory and Preparatory Results
Who Is Responsible for Scheduling?
Computerized and Paper Appointment Schedules
Computer Interactive Scheduling/Web-Based
Completing an Appointment Unit
Chair-Side Scheduling
Accessing and Monitoring Schedules
Appointment Scheduling Maintenance
Replacing Rocks with Pebbles
Keys to Productive Scheduling
References and Additional Resources
Chapter 15: Compliance with Government Regulations
What Is OSHA?
Walking and Working Surfaces
Means of Egress
Noise Exposure
Ventilation
Nonionizing Radiation
Hazardous Materials
Personal Protective Equipment (PPE)
Put On:
Take Off:
Medical and First Aid
Fire Safety
Electrical Safety
Employee Medical Records
Ionizing Radiation
Blood-Borne Pathogens
Hazard Communications
Workplace Violence
OSHA Compliance and Inspections
Sexual Harassment
What Is HIPAA?
CDC Guidelines
Government Agencies Unraveled
References and Additional Resources
Chapter 16: Understanding Embezzlement
Introduction
What is Embezzlement?
So Who are These People and Why Do They Steal?
The Relevance When Purchasing a Practice
Controls are Ineffective
A Crime of Navigation
Daily Balancing is Impotent
Is Embezzlement Therefore Inevitable?
Avoid Hiring Mistakes
What About Existing Employees?
Expense Fraud
Theft of Revenue: The Biggest Problem
How Embezzlers Act
Can My CPA Find Embezzlement?
What to Do (and What Not to Do) If Embezzlement is Suspected
And What If I Catch a Thief Red-Handed?
Investigators
Maximizing “Net Recovery”
Sources of Financial Recovery
The Justice System
Conclusion
References and Additional Resources
Part 4: Marketing and Patient Communication
Chapter 17: External Marketing
The New Economy
SmilePalooza Is Born!
Differentiate or Die
The Battle for Your Mind
Build Your Brand
Key Online Brand-Building Strategy
Top Offline Brand-Building Strategies
Newsletters
Card Campaigns
Public Relations Enhanced Through Press Releases
Radio Show Host
Speak at Seminars
Write a Book
References and Additional Resources
Chapter 18: Internal Marketing and Customer Service
Marketing and Customer Service: How Do They Relate?
Internal Marketing
The Three Levels of Patient-Friendly Customer Service
Excellence in Communication Skills
Asking for Referrals
First Impressions Count
The Welcome Packet
Morning Huddle
Portraying a Professional Image
Guidelines for Dental Dress for Success
The Significance of the Team to the Patient
Definitions of Patient Service
References and Additional Resources
Chapter 19: Chairside Communication with Patients
Goals of Communication
Communication Strategies
Word Choice
Suggested Scripts
Management of Anxious, Fearful, and Phobic Patients
Fear
Pain Management
Special Needs Patients
Book Companion Website
References and Additional Resources
Part 5: Associateships and Dental Support Organizations
Chapter 20: About Associateships
Types of Associateships
Purpose for Associateship
Advantages/Disadvantages
Making the Connection
Define Success
Win-Win
Evaluation of a Practice
Compensation Package
Failure
Associateship Contracts
Conclusion
Acknowledgments
References and Additional Resources
Chapter 21: Dental Support Organizations
An Evolving Industry
DSO Models and Processes
The Present and Future of DSOs
References and Additional Resources
Part 6: Managing Staff: Human Resources/Compliance, Managing Dental Teams, and Staff Meetings
Chapter 22: Human Resources and Employment Compliance
An Introduction to Employment Law
An Introduction to Human Resources
Foundational Elements
Foundational Element: A Policy Manual
Foundational Element: Job Descriptions
Foundational Element: Personnel Files
Recruiting
Performance Management
Preventing Sexual Harassment
Tips on Dismissing Staff Members
Final Note/Conclusion
References and Additional Resources
Chapter 23: Managing Dental Teams
Before You Hire Anyone, What You Must Know
How to Locate and Recruit the Best Staff for Your Practice
Sample Employment Ads
Telephone Screening
First Interview
Questions About His or Her Most Recent Position
Questions About His or Her Other Work Environments
Questions About His or Her Personal Effectiveness
Second Interview/Skills Assessment and Lunch with Staff
Questions About Philosophies
Welcoming Your New Employee to Your Practice
Job Descriptions
Buying a Practice with Existing Staff
Training Employees
Employee Evaluations
Raises
Motivating and Appreciating Employees
How to Handle Challenging Staff Members: Focus on the Behavior, Not the Person
Disciplinary Process Leading to Staff Dismissal
References and Additional Resources
Chapter 24: Staff Meetings
Staff Meetings = Empowered Team = Delighted Patients
Morning Huddle: 15 Minutes Before the Start of Each Day
Monthly Team Meeting
Length and Frequency of Team Meetings
Moderator for the Staff Meeting
Getting Started: What to Do If You Do Not Already Have Monthly Staff Meetings
Other Ideas for Staff Education Topics
Book Companion Website
References and Additional Resources
Part 7: Money Management: Insuring a Practice; and Personal Finance, Investments and Retirement Options
Chapter 25: Insuring a Dental Practice
Insuring a Dental Practice
Health Insurance
High Deductible HSA Qualified Health Plans
Deductible Plans with Coinsurance
Deductible Plans with Co-Pays and Co-Insurance
Dental and Vision Insurance
Disability Insurance
Business Overhead Expense
Life Insurance
Protecting What Belongs to You
Insuring your Building
Insuring your Business Personal Property
Business Interruption
Policy Deductibles and Co-Insurance
Ancillary Policy Coverages
Flood and Earthquake
Protecting You the Dentist from Others
Workers Compensation
Employers Liability
Workers Compensation Policy Audits
General Liability Insurance
Umbrella Policies
Professional Liability Insurance
Claims Made and Reported Policy Forms
Occurrence Policy Forms
Employment Practices Liability Insurance
Cyber Liability Insurance
Identity Theft Plans
Summary
References and Additional Resources
Chapter 26: Personal Finance, Investments, and Retirement Options
Finance
Building Wealth
Budgeting Process
Exit Strategies
Summary
References and Additional Resources
Books
Websites
Index
End User License Agreement
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