A Free-Reprint Article Written by: Peter Gopal, Ph.D. 

Article Title: 
Maintain Your Dental Practice Profits by Dealing Effectively with Patients Who 
Chronically Break Appointments

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Article Description:
Appointment cancels; broken appointments, and no-shows are a
source of endless frustration in any dental practice.
Although the vast majority of patients keep their
appointments, about 10% of patients cause 80% of that
frustration. Developing a protocol for handling this group
of patients is essential to avoid lost revenue of anywhere
from $150 (minimally) to $700 per day, depending upon the
procedure. Follow the four steps below to slow the daily
losses.


Additional Article Information:
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503 Words; formatted to 65 Characters per Line
Distribution Date and Time: 2010-02-02 10:30:00

Written By:     Peter Gopal, Ph.D.
Copyright:      2010
Contact Email:  mailto:[email protected]



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Maintain Your Dental Practice Profits by Dealing Effectively with Patients Who 
Chronically Break Appointments
Copyright (c) 2010 Peter Gopal, Ph.D.
Visionary Management
http://www.visionary-management.com/



Appointment cancels; broken appointments, and no-shows are a
source of endless frustration in any dental practice. Although
the vast majority of patients keep their appointments, about 10%
of patients cause 80% of that frustration.

Developing a protocol for handling this group of patients is
essential to avoid lost revenue of anywhere from $150 (minimally)
to $700 per day, depending upon the procedure. With roughly 200
working days in a year, this works out to an annual loss of
between $30,000 and $140,000.

Follow the four steps below to slow the daily losses.

How to Handle Failed Appointments

1. Identify the patients who are chronic offenders.

2. Use a code in your practice management software to designate
these patients. Some codes, which may be beneficial are:

LA: Usually Late. These patients can wreak havoc on your schedule
and drive up stress for everyone in the office.

SD: Same-day Patient. These are patients who have a history of
cancellations (at least two cancellations). They should be told
to call for a same day appointment.

DP: Doubtful Patient. No track record has been established yet,
but the patient seemed hesitant at the time of setting
appointment.

3. Be proactive in managing the difficult patients.

LA: Communicate the importance of being on time in a way that
makes sense to the patient. Tell them that your appointment
schedule is sequential, and if one person turns up late, the
entire schedule is upset and every patient after that has to
wait. Tell them politely that you can help them only if they can
uphold their end of the bargain. If necessary, set their
appointment 15 minutes ahead of their actual appointment time.

SD: Ask these patients to call when they have the time and the
finances to come in. Do not book their appointment in advance,
but if they call, and an opening is available that same day, ask
them to come in.

DP: Call the patient three days in advance of their appointment.
Talk to them live and confirm that they are going to keep their
appointment. If you are unable to reach them live, leave a
message asking them to call the office to confirm that they will
keep the appointment. If you do not hear from them 24 hours prior
to the appointment, open the slot up for another appointment.

4. Do not give peak-demand appointment slots (such as early
morning, evenings, or Saturdays) to chronic offenders.

Be considerate and reasonable in developing your list of chronic
offenders. Patients do have legitimate reasons for canceling
appointments, such as a health problem, a real car breakdown, a
daycare issue, a death in the family, being called in for
overtime work at the last minute, and so forth. Give the patient
the benefit of the doubt when possible. Put the patient on this
list only if they are habitual cancelers, and take them off the
list when their behavior puts them back among the 90% of patients
who habitually show up for their appointments - on time. 




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Peter Gopal, PhD, together with his wife, Hema Gopal, M.B.A. and 
D.M.D., consults with dentists who are intent on building a more 
profitable practice.  Whether you are leaving money on the table 
due to broken patient appointments, improper scheduling, poor 
case acceptance, low hygienist productivity, excessive overhead, 
or unnecessary reliance on PPOs, they can pinpoint your 
weaknesses and prescribe remedies.  Receive a free, realistic 
assessment of the earning potential of your dental practice by 
going to: http://www.visionary-management.com/assessment.php


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