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Bill Rossi: Advanced Practice Management
Bill Rossi: Advanced Practice Management
Bill Rossi and team are involved in the on-going management of over 260 practices and oversee more than $30 million of activity per month. Each year they do over 600 on-site consultations giving them perspective for giving practical, tactical advice.
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Bill Rossi
Bill Rossi

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DENTAL DOW 2022 WRAP-UP: “Kind of Normal”
Posted 3/3/2023 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 86
For the mature area practices sampled, Production was up 3% and Collections were up 2.9%. Total Patient Flow was about even for the year and New Patients were down about 8%. The Production per Patient Examined was up 2.3%. About 2/3rds of practices in this sample reported growth and 1/3 reported...  Read More
Categories: Cosmetic Dentistry, Ethics, Jurisprudence and Malpractice, Financial Planning and Investments, Marketing, Practice Management, HR and Accounting
How does dentistry do in a recession?
Posted 10/27/2022 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 301
The U.S. Economy has had 13 recessions since World War II. The Great Recession went from December 2007 to June 2009. Real GDP contracted about 4.2%. In 2000, at APM we created a “Dental Dow.” This collection of 36 mature area practices. We factored out variables such as major expansions, loss of...  Read More
Categories: Financial Planning and Investments, Practice Management, HR and Accounting, Practice Transitions
WHAT YEAR IS YOUR PPO IN?
Posted 5/26/2022 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 133
WHAT YEAR IS YOUR PPO IN?   All of us are aware that over the years, PPOs rarely give increases and those that do are rather meager. Meanwhile, reality marches on in dental offices where, especially post Covid, expenses like PPE, wages, etc. have gone up. But even before Covid, clearly PPO fee...  Read More
Categories: Ethics, Jurisprudence and Malpractice, Financial Planning and Investments, Practice Management, HR and Accounting, Practice Transitions, Restorative Dentistry
DENTAL DOW - Advanced Practice Management
Posted 4/8/2022 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 188
DENTAL DOW - Advanced Practice Management
 In 2021, the mature practices sampled showed increases of 22% in Production and 21% in Collections, compared to 2020. Patient flow was up 21%, new patients were up 31%, and Doctor production per hour increased 5%. Hygiene production per hour was even or down slightly.  Since 2020 was such an...  Read More
Categories: Cosmetic Dentistry, Financial Planning and Investments, Practice Management, HR and Accounting, Practice Transitions, Restorative Dentistry
When you are ready to sell, be ready to sell!
Posted 2/3/2022 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 50
Often, serious buyers are already looking for practices and will be responding to an ad or a mailing we send them or to our listings on our website. These potential buyers get involved quickly and it’s important they have access to your practice. Typically, the best response will come within the...  Read More
Categories: Marketing, Office Design, Practice Management, HR and Accounting, Practice Transitions
PPO Participation
Posted 12/6/2021 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 3  |   Views: 229
PPO Participation
Highlight from this years survey: More dentists are dropping PPOs. 13% said that they dropped a PPO in the last 12 months. Another 13% say they plan on leaving a PPO within the coming 12 months. Only 3% have joined a PPO in the last 12 months. We are helping dentists here and all across the country...  Read More
Categories: Cosmetic Dentistry, Hygiene, Practice Management, HR and Accounting, Practice Transitions, Restorative Dentistry
Words Matter
Posted 11/18/2021 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 67
Words Matter
Remember the old saying, “sticks and stones may break my bones but words will never hurt me?” Know that the opposite is true and that the words used in your practice have a profound and lasting impact in the confidence, productivity, trust and positivity of your team. Words are, indeed, the most...  Read More
Categories: Hygiene, Practice Management, HR and Accounting
First half 2021 compared to 2020 statistics
Posted 11/8/2021 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 30
Compared to the first half of 2020, Practice Production was up 53% and Collections were up 48% for the mature practices sampled. Total patient flow was up 43% with New Patients being up 72%. Compared to 2019: General practices have recovered from 2020 and then some. Production and Collections are...  Read More
Categories: Practice Management, HR and Accounting
Recovery statistics and how to handle staffing challenges/increased wage demand
Posted 9/29/2021 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 55
Compared to 2019: General practices have recovered from 2020 and then some. Production and Collections are up 13% over the 2019 averages with patient flow being up 2% and new patients being up 6%. Crown and bridge is up 11% and Doctor Production per Hour up 9%. Hygiene Production per Hour is up 5%....  Read More
Categories: Financial Planning and Investments, Practice Management, HR and Accounting, Practice Transitions
Building Trust
Posted 9/3/2019 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 131
Building Trust
BUILDING TRUST: Trust is the foundation of a private practice. Note I said practice, not “clinic.” It’s trust that will have patients want to stay in your practice even though you may not offer evening or weekend hours, deeply discounted services, free parking, or lots of PPO participation. A...  Read More
TOP 3 THINGS THAT CAUSE A PRACTICE TO RUN BEHIND, AND WAYS TO REDUCE THEM
Posted 9/3/2019 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 89
TOP 3 THINGS THAT CAUSE A PRACTICE TO RUN BEHIND, AND WAYS TO REDUCE THEM
TOP 3 THINGS THAT CAUSE A PRACTICE TO RUN BEHIND, AND WAYS TO REDUCE THEM: Every practice runs behind from time to time for numerous reasons that can’t be controlled, such as treatment gone wrong, late patients, and other situations that can’t be controlled. However, the following three areas,...  Read More
TOP 10 DENTIST's FANTASIES
Posted 3/24/2019 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 1  |   Views: 241
TOP 10 DENTIST's FANTASIES
THE TOP TEN DENTISTS’ FANTASIES OF ALL TIME:    I was looking through some old files and found this from over 15 years ago. Still worth a chuckle.  –Bill    10. Knowing you just got back from a seminar, the staff all get together and beg to try some more good ideas.    9. Insurance companies start...  Read More
Creating a Good Impression- Even when You are Not There
 
Posted 3/19/2019 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 132
Creating a Good Impression- Even when You are Not There
                                                                                                                                             CREATING A GOOD IMPRESSION – EVEN WHEN YOU ARE NOT THERE!                                                   As Aaron says, 33% of calls to dental offices are...  Read More
Keep a Good Team Together
Posted 10/8/2018 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 93
Keep a Good Team Together
KEEP A GOOD TEAM TOGETHER:  The market for Dental Team Members is tight. Finding good candidates, or any candidates can be quite a challenge anywhere in the Midwest.  It’s cheaper to keep her! · Has it been a while since you’ve done performance reviews and given raises?  If it’s been more than a...  Read More
Doctors, it's time to push back on PPO's part III
Posted 5/18/2018 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 151
Doctors, it's time to push back on PPO's part III
What can you expect?  We’ve helped many Doctors through this process, and most are surprised at how smoothly it goes.  Yes, there always is some loss of patients.  If patients have zero out of network benefits, you will lose them.  If they’re young and cash strapped with multiple family members,...  Read More
Doctors, its time to push Back on PPO's part II
Posted 5/11/2018 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 161
Doctors, its time to push Back on PPO's part II
So how and when do you go about dropping a PPO?  Contrary to what you might have heard, you don’t necessarily start with the PPO’s with the lowest fee schedules.  There are other factors involved such as; the size of the PPO in your practice (smaller is better if you’re learning how to go through...  Read More
"Doctors; It's time to push back on PPO's" part 1
Posted 5/3/2018 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 1  |   Views: 182
"Doctors; It's time to push back on PPO's" part 1
Over the past 15 years, Dentists have been signing up for more and more PPO’s. Write off’s have increased dramatically! For example, in the Upper Midwest, the average collection percentage is about 83% of gross.  That’s nearly two months a year Doctors are working for free because of PPO write...  Read More
THE DENTAL DOW:
Posted 3/12/2018 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 110
THE DENTAL DOW:
For the year, practice production was up 6.1%.  Collections were up 4.3%. Patient traffic increased 2.4%.  New patients were up 2.7%. Crown and Bridge was up 9.4%.  Production per patient examined was up 4.2%.   All in all then, 2017 was the strongest growth year since the “Great Recession”.      ...  Read More
TIMING FOR YOUR PRACTICE TRANSITION? Look to your lease!
Posted 3/12/2018 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 93
TIMING FOR YOUR PRACTICE TRANSITION? Look to your lease!
In order to get the best practice price, you want to be attractive to as many buyers as possible. In our market nowadays, practices are almost as likely to be sold to an existing practice (a practice merger) as they are to be sold directly to a practitioner who will take over the practice....  Read More
INCENTIVES GROUND RULES:
Posted 3/12/2018 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 115
INCENTIVES GROUND RULES:
Most incentives need to be “retuned” each year. They should be in line with practice goals and calculated so that it’s Win/Win.  That is, staff share in the practice’s success and wage overhead is kept proportional to collections.  Here are some important ground rules for any Incentive Program:...  Read More
How do you know if your administrative staff is under performing or over worked?
Posted 12/1/2017 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 111
How do you know if your administrative staff is under performing or over worked? How do you “right size” your administrative support to fit your practice production and patient flow?    We did a study of a representative selection of 38 of our client practices. This information gives us a...  Read More
Mind The Gap!
Posted 8/31/2017 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 1  |   Views: 170
Mind The Gap!
Actually, mind the 2 gaps! First, the gap between what you produce and what you collect. The average gap between production and collections is almost 2 months-worth of work! This isn’t due to patients not paying their bills, it is due to PPO write-offs. If you are collecting less than...  Read More
10 Things You Need to Know About You and PPOs
Posted 7/11/2017 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 148
10 Things You Need to Know About You and PPOs
1. You have more power than you think. 2. Practices with little or no PPO participation generally do get fewer new patients. However, practices deep into PPO participation do not get proportionally more new patients as they take on more and more programs and more discounts. 3. Each practice has to...  Read More
How Good is Your Hygiene Department?
Posted 6/30/2017 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 159
How Good is Your Hygiene Department?
We all know that the hygiene department’s performance has a direct bearing on the health of your patients and your practice’s bottom line. I’ve grown weary of rules of thumb for hygiene like “Hygiene should be 30% of practice production” or “Perio should be 30%...  Read More
How Many Collection Calls Has Your Admin Staff Made in the Last Month?
Posted 6/27/2017 by Bill Rossi in Bill Rossi: Advanced Practice Management   |  Comments: 0  |   Views: 122
If your administrative staff doesn’t know the answer to this question, it’s likely they have made very few collection calls. In small towns it can be especially tough. The front desk person knows everyone and it’s hard to “dun” neighbors and friends. That is why we...  Read More
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