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Common Periodontal Questions Answered.

Periodontists have many questions, below are some of the most common. Just click on the question and it will take you to the answer. If you have further questions, please contact us by clicking here, or calling (877) 957-5390.

What should I do if...

  1

  A doctor has stopped referring and might be upset?

  2

  A sporadic doctor should be referring more consistently?

  3

  A doctor's referrals are decreasing and I don't know why?

  4

  A doctor has started referring & I'm not sure what to do?

  5

  A doctor lunch is coming up & I want it to be productive?c

  6

  My referral base is too narrow & I need to broaden it?

  7

  A doctor is a good friend of mine but doesn't refer?

  8

  My case acceptance rate is less than 90% on full cases?

  9

  A doctor doesn't recognize perio in his practice?

10

  I am in a competitive area?

11

  I would like to know if you give exclusivity?

12

  I would like to know how the Joint Venture works?

13

  I want to know more about "Confidential Relationships"?


1. What should I do if a doctor has stopped referring and might be upset?

Dr. Nolan's Referrals
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1 3 4 2 3 5 1          


It's now November and you haven't received a referral from Dr. Nolan since July.

John has always been a consistent referral source and it's a mystery why he stopped. What could have happened?

  Is he upset with you for some reason?
  Did a patient complain about your office?
 
Has he decided to do more perio himself?

You could go to John and say, "John, we haven't seen any referrals from you for several months. Is anything wrong?"

The problem is, unless you have a "Confidential Referral Relationship", he will just say "Nothing's wrong." Then if you still don't get referrals, you're stuck. He's already told you "nothing's wrong".

The first step is to build a confidential relationship. Then the GP will open up and confide to you about what has occurred.

Once you find out what has happened, we'll help you develop a plan to restore his referrals.

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2. What should I do if a sporadic doctor should be referring more consistently?

Dr. Gold's Referrals
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1 2     2 1       3    

Dr. Bill Gold is a busy local GP who should be referring a lot more. Bill seems to refer for a couple months, stop, and then start up again. You have a good relationship with him. How can you get him to refer more consistently? This could be a problem of visibility or motivation.

Visibility
 

GP's like Bill are busy and tend to refer when they are reminded of you. A patient comes back and raves about your office and you get two more referrals. A hygienist tells him he should look at the patient's perio problem and he refers.

The problem is how do you stay in his mind without pestering him. We will give you ways to improve visibility without pestering him.


Motivation
 

The other problem could be he just doesn't see enough reasons to refer. The first step is to draw him out and learn where he is really coming from regarding referrals. What will motivate him to send more? What are problems preventing him from referring more consistently? These are questions which need to be answered with specially designed questions.

Step-by-Step

Relationship building is a step-by-step process. You draw the doctor out a little and bring us the information. Then we help you plan the next step to improve the relationship. Gradually the relationship becomes more consistent.

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3. What should I do if a doctor's referrals are decreasing and I don't know why?

Dr. Jules's Referrals
Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
5 2 3 4 2 1 2 1 1 1    

Dr. Jules has consistently sent patients each month. Suddenly, he is sending less and you don't know why.

Dr. Jules could be upset with you for some reason, but more likely it is one of the following:

  He has begun using someone else more. (e.g. his own hygienist, an in-house perio, or a competitor.)
  He has taken his attention off of looking for perio.
 
He's found it in his best interest not to send.

Whatever the reason, the doctor plan is clear.

1. Use specially designed questions to find out the situation.
   
2. Do one or more of the following:
  A.
Solve the problem he has sending to you.
  B. Build a stronger relationship.
  C. Show him how it is in his best interest to refer more.
   
3. Finally, label him as a "priority doctor" and keep an active relationship enhancement plan going for him.

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4. What should I do if a doctor has started referring & I'm not sure what to do?

Dr. Donn's Referrals
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                1 2 1  

Dr. Donn has started to refer and you are considering doing a lunch with him. This is a good idea, IF you do it right.

The"draw out" lunch.
 

We have specially prepared questions to draw the newly referring doctor out on a number of key topics. This gets the relationship off on the right foot.


Follow up is important.
 

The purpose of the "draw out" lunch is to lay a solid foundation for your new relationship. It is also to give us information to help in planning the right follow up steps to take.

 

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5. What should I do if a doctor lunch is coming up & I want it to be productive?

The problem is many doctors feel comfortable talking about social topics but are hesitant to open up on referral issues
 

Thus a lunch can center around family, vacation plans, or the last few cases you have mutually treated. It's all very nice but your referral relationship has not improved and therefore your referrals will not increase.


The Answer
 

The answer is to introduce the meeting in an entirely different manner. Then have a carefully prepared agenda which is designed to get the GP confiding in you on issues relating to referrals. Together, we will work up the agendas for each lunch and practice them with you until they are natural.


The Follow-Up
 

The relationship you have started building in the lunch will not lead to a long lasting gain unless correct follow-ups are done. For example, if the doctor tells you he is tired of his patients "dropping through the cracks" in your office, then this must be solved.

We have programs to help solve the most common complaints GP's have. We also have programs to help fulfill their most common desires. These programs impress the GP and get results.

 

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6. What should I do if my referral base is too narrow & I need to broaden it?

Introduction
 

When the majority of a practice's income comes from a small number of doctors, the referral base is said to be "narrow". A narrow referral base puts the practice at risk because the loss of one doctor can have a severe impact on the practice. Narrow referral bases also tend to have highly fluctuating monthly referrals - way up one month and way down the next.


I'm too busy
 

One of the most frequent complaints we hear is, "I know I need to broaden my referral base, but I don't have time in my schedule to do lunches."


This is not a lunch program
 

First of all, our Joint Ventures are not "lunch programs" where you need to do huge numbers of lunches each month. The key is to make every interaction you have with a GP build a stronger relationship. We give you techniques so that you can build GP relationships through your day to day activities, (e.g. case acceptance, doctor calls, reports, staff interactions, etc.).


Your Relationship Coordinator
 

We will train a member of your staff to be your Relationship Coordinator and she will help you build relationships. She will ensure your day-to-day activities increase your referral relationships. She will also work with us to help you organize and implement marketing plans which build referrals.

Further, she can get to know the staffs of other practices and build professional relationships with them. These actions go a long way toward enhancing referral relationships.


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7. What should I do if a doctor is a good friend of mine but doesn't refer?

Dr. Solie's Referrals
Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
                       

The Answer
 

You can't just neglect the issue. That could jeopardize your social friendship. What is needed is a carefully thought out and scripted meeting where the issue is brought up in a non threatening, relationship-building manner.

If the preparation and scripting are done well, these meetings will result in the doctor telling you why he doesn't refer. Once we know why, we can work with you to turn him into a referral source


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8. What should I do if my case acceptance rate is less than 90% on full cases?

Failed case acceptance results in three major problems:
 


1. Each case which fails to start, or does SRP but doesn't go on to needed surgery, means a loss of revenue and also a loss of the time you spent presenting the case.

2. Also each is a lost opportunity to interact with the GP regarding the case and build your relationship with him/her.

3. Most importantly, failed case acceptance can have serious consequences to the doctor's motivation to refer. The GP spends time and energy referring the patient to you. He then can be disappointed when the patient doesn't go ahead or only does part of what is needed. He can lose confidence in your patient skills and get the idea that he should only send the "very motivated" patients as the others won't go ahead anyway. The overall result is decreased referrals.

 

Our program usually increases case acceptance by about 10-15%.

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9. What should I do if a doctor doesn't recognize perio in his practice?

This is one of the most difficult referral problems we encounter.

Most of the time, we neglect these types of doctors because of their difficulty.
 


In the Joint Venture you select the doctors that we develop referral plans on. Usually they have good potential and are the "higher quality" doctors.

If you select one of these types of doctors to work, then the doctor plan will start with a very thorough "fact finding" mission. Our job is to ask as many relationship building questions as possible and look for an opening. If we find an opening where periodontics can fit into his treatment philosophy; it may have a chance of success.

The wrong approach would be to try and educate him to refer.

 

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10. What should I do if I am in a competitive area?


If you are in a competitive area, then marketing becomes doubly important. There is a real danger in being too busy to build your referral relationships. Other perios will be building the relationships you wish you had.

The First Thing To Do
 

So the first thing you must do, even if you are busy, is have an ongoing program to build relationships. Our Joint Ventures build relationships through your day-to-day activities (e.g. Doctor calls, correspondence, and patient feedback.) We will show ways to make these build better relationships.


The Second Thing To Do
 

The second thing to do is to have someone on your staff help you in marketing your practice. See Answer #6 - Your Relationship Coordinator.)


Seeing you as different.
 

If there are several periodontists, GP's have several choices for their patients. A number of GP's will start to categorize the different perios when making their referral decisions. (e.g.: Perio #1 is better with sensitive patients, Perio #2 gets the patients back to me faster, and Perio #3 is comprehensive but slow.) On the Joint Venture we will impress the GP that you are the specialist who listens to his/her needs and wants, and you are the one that fulfills them.

 

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11. Do you give exclusivity?

 
 

Yes, this program can not be done with more than one periodontist in each area.

We will circumscribe an area of exclusivity equal to your major referral radius.

Also, you can rest assured that all information given to us is held in the strictest confidence under a contractual confidentiality clause.

 

 

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12. How does the Joint Venture work?

 

The best way to learn how our Joint
Ventures work is to request more information by
clicking here.

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13. How can I find out more about "Confidential Relationships"?

The best way to learn more about our "Confidential Relationship" approach is to discuss a doctor or two with us.
 


You can schedule a short consultation in one of four ways:


1. Go to the "Contact Us" Section and fill out the form requesting a 30 minute no charge consultation, by clicking here.

2. Call us toll free at (877) 957-5390
.
3. Fax us toll free at (877) 957-6879.

4. E-mail us by clicking here.

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