Cash Practice – Dr. Miles Bozin – Top 5 Tips for “Going Cash”

Dr. Capra: Hello everyone. This is Dr. Brian Capra from Billing Precision. I am really happy to have on the phone today with us Dr. Miles Bodzin. Many of you probably already have heard about him. If not, I’m happy to say, to bring this to you because he is a great chiropractor. He has an awesome product which I used myself and I know hundreds if not thousands of chiropractors are using it across the country. One of the things we’re going to talk about today quickly is the “going cash” thing that’s out there.Again, unique to who you are, you started wellness practice out in San Diego and I know that about you. I’ve been out to San Diego to visit that but beautiful weather you guys have out there.And I see how this wellness practice and you were mostly going cash and you realized that there was a necessity to simplify the process. That is where, what your company called Cash Practice, if you haven’t heard of his, Dr. Bodzin’s company. It’s called Cash Practice, CashPractice.com. That’s where the necessity you felt came in for making life simple. To run a cash practice. So if you want to tell a little bit about that and then give us your top five bullet points on what you think a practice should be doing when they’re thinking about going cash. Dr. Bodzin: Yeah, absolutely. So it’s kind of you know, an interesting story of how Cash Practice started and again, I’ll try to keep it brief for you guys. That was you know, a lot of things start by say, on accident or I started in a garage you know type of thing. Well, Cash Practice started on my sofa. Literally, I was in practice saying I need to create a simple way of implementing some of the procedures that I put in my practice. You know, putting people on plans of care which we’ll get into these top five tips in a moment. So I decided, “Hey, let me pull out my computer skills which I hadn’t touched in some time and create some tools for myself.” Which I did. And the intention was just to create it for myself to use and practice which I did. And this is back in the mid-90’s and at that time, if you recall eBay was kind of hitting the world at that time and I was, I hate to say, I don’t want to say addicted to eBay but I was spending some time on eBay and I was buying a lot of stuff. And I said, “I should have some stuff I could sell on here.” So I asked myself the question, ”What can I sell?” And for fun, I said, “Oh I have this software stuff that I created. Let me put it on there and see what happens.” And I did. I put it on eBay and within a couple of months, we have several hundred doctors who bought a copy of the software. And to my amazement, the feedback I got was pretty remarkable. This is a very simple tool that I created. And the feedback I was getting from doctors was that this is a really cool thing. It was helping them a lot. They’re having great success with it, of signing people up for care. It made it really easy for them. So it dawned to me having a little bit of an entrepreneurial spirit that I said, “You know, I have something here that our profession could use and I have this deep desire to help other chiropractors. So let me go ahead and run with this.” So literally sitting on my sofa, I knocked up the first version of CashPractice.com, the website in about a month. I got the first version up. And it’s been through many, many, many, many upgrades since then but the original version was powerful in itself in that you’re able to create these plans and we started enrolling people in service. We’ve continued to develop the website in the last seven or eight years to the point now where we have nearly a thousand clients and we have a headquarters. We have a whole team of staff of over ten staff back here helping our clients and it’s grown into a full-sized enterprise now. It’s a lot of fun.Not just the doctors but I know for a fact, we had nearly 200,000 patients enrolled in care as a result of the service we provide.It’s been phenomenal so that’s again the thumbnail sketch of the creation of Cash Flow. Dr. Capra: I think it might be a good idea if we quickly reviewed some of the main features that you guys have in your system. Obviously it’s evolved and I know you have like the email and all that. So maybe you can just tell them quickly about the features you have and then we’ll go right into the top five tips that you have. Dr. Bodzin:The features of Cash Practice, the best way of thinking about it, there’s three modules.It’s one system as Cash Practice Systems implies.It’s a whole bunch of systems but it’s designed to all use together.And the three modules are as following: The first module is called the Careplan Calculator. What it provides is the ability to create customized payment plans. You know cash plans that people enroll and they have these compliant programs that basically it produces the actual agreement that you print off, the patient signs. It’s customized for your practice. It has all the services laid out, all the compliant discounts. The second system, the feature that it provides is the ability to do payment processing. One time payments, recurring payments, auto-debits are really the primary purpose of that as you’ll hear me talk about my top five tips about using auto debits, The third feature that it has the Drip Ed System which what it brings, that’s the name
Chiropractic Practice Management and Quality Time in Our Marriage – Kestner, DC
Hi, I’m Dr. Jason Kestner, my wife and I are currently in a practice in Nashville, Tennessee and I know a lot of people probably talk in terms of finances and what Billing Precision does for them. We’ve both been with Billing Precision now for about three years ever since we’ve opened our practice and in terms of truly understanding what it does for us actually in our adjustment base, you can actually do the notes in that right there you know while the patient’s in there. So that just makes it to where after hours you’re not having to sit down and spend hours doing this and when I look at it from you know not necessarily from a financial standpoint but from just what it’s done for our marriage because now we have quality time together, that’s just amazing. So you know I can almost thank Billing Precision for our marriage in a sense how great it is but with that said you know it’s just been really easy in terms of working a practice years ago and we had that note, the card notes, travel cards and just to have to try to keep up with those, it was just insanity. So now it’s just made my life easier, my wife’s life easier, and it’s just been great having Billing Precision on board. The Billing Precision software has been re-branded as Genesis Chiropractic Software.
Is Your Chiropractic Practice Management System Built Backwards? Part I
By Dr. Brian Capra In my experience managing billing operations for over 300 practices across the country seeing between 100 and 1500 patient visits per week, I have had the opportunity to see the best of the best chiropractic practice management systems. https://youtu.be/Ru04iTKFp3I The more I see the more I realize they are all built in the same way, however different they seemed on the surface. They all had the some or all of the following components. Scheduler Notifications SOAP Notes Custom X-rays Paperless Electronic Billing Component Care Plan Management While every good chiropractic practice management system should have all of these components, the above mentioned features are relatively easy to build. There are some much more complex issues that face today’s chiropractic office. If the doctor does not have a system, technology and people in place to handle them effectively it could cost him not only tens or thousands of dollars but possibly criminal investigation and jail time. These Issues are: Maximized Insurance Collections 100% Transparency into the billing process (weather in house billing or with an outsourced billing company) Audit Warning System (Post Payment Insurance Audit) Compliant SOAP Notes and documentation Practice automation in order to decrease staff overhead Today Insurance billing and collections is simply becoming infinitely more difficult with each passing year. Insurance companies are not only making things more complicated with copays, deductibles, coinsurance, allowables, medical necessity, etc. but they are also changing the rules as they go. They change diagnosis code hierarchy without warning. To top it off the changes are not the same state to state or in some cases region to region. They randomly change the allowable rate. Without technology in place to tell you when any one of these things occur any biller can and will be easily overwhelmed as changes occur faster than they can stay on top of them. The bottom line is decreased overall collections and an accounts receivable that spirals out of control.
Chiropractic Office – Billing Precision Building a Successful Practice – Dr. Troy Dreiling

A lot of doctors ask questions like why is growing a practice so hard? Why is taking care of patients so hard? And there are three things you really got to focus on. Number one, we got to focus on treating the patients. Number two, we got to focus on growing the practice well, how you do that; marketing and different things like that to grow the practice. And then lastly is getting paid and being in compliance. We love treating patients. As doctors we just love to treat patients; that’s why we got into chiropractic what we got into this profession to take care of patients. We don’t care if it’s hard. We love to serve the patients but there are some skills we’ve got to work on and focus on and develop so we can continue doing what we love. So growing your practice is a learned skill, you just don’t come out of school open the doors and patients flood to you. You’ve got to develop how to grow and how to focus on implementing and growing your practice. Getting paid, that’s a challenge in today’s economy and market, getting paid for your services. Some of the patients don’t want to pay; they don’t want to pay your full fee your full service. Insurance companies don’t want to pay. Well speaking of that, insurance companies make money on the float, meaning, you’ve taken care of the patient, you’ve provided services and if you’re billing insurance they get paid or they make money on floating the money that they owe you and, you know, the game is interesting. It’s stacked towards the dealer, meaning the insurance company, they do different things to help them hold on to their money so that they don’t have to release it to you, after you’ve provided the service, you’ve worked hard, you’ve taken care of the patient, the patient is satisfied, but yet they’re floating the money they owe you. That’s why if you want to succeed, if you want to save more lives, if you want to help more sick people get well in your office, we have to have the documentation system, that’s no nonsense, that’s fast, it’s compliance. Secondly, we have to have a scheduling system that can keep patients on track, that can help you see what people are missing. And then lastly, we want to level the playing field and at the end of the day know and rest assured that that billing is going to be taken care of and that check’s coming in the mail sooner than later, not on the float, not on the time that they send you paperwork to try to, you know, slow down the claim but you know you’re on top of your game. – Dr. Troy Dreiling
Cash Practice asks “When is the right time to collect money?”

Cash Practice As many of you know, it’s the little things that you do that make all the difference in your practice. Here is one of those little things we do in our office that make a big impact. Collect money first, schedule appointments last. This is set in stone in our office. Example: A patient has completed their first visit with Dr. Bodzin and now it is time for them to pay for their visit and schedule their Report of Findings visit. “Alright Jon let’s go ahead and take care of today’s visit and then we can schedule your next visit where Dr. Bodzin will review your x-rays with you. The total for today is $X.” Once you have done that, schedule for their next visit. This is so that when the patient leaves your office, they leave thinking about receiving care and getting better-not how much money they just spent. If the patient pays with a card, we store this card on file for them in the Cash Practice Systems. This means that the patient will never have to dig into their wallet for that card in your office again. This is just one more way of removing the interference that prevents people from staying well. If you would like to have a practice full of patients who want to be there and love what you do and are happy to pay you out of their own pocket, then you need it. Cash Practice integration could become a predicament with some software. However, Billing Precision solves it seamlessly, as demonstrated by Dr. Brian Capra: