How Customer Service
Impacts Your Bottom Line
Your Hosts Today…

Rochelle Glassman
President, United Physician Services, LLC
www.upshealthcare.com

Terry Douglas
Marketing Team, Kareo

PAGE 2

KAREO | CONFIDENTIAL
How to Participate Today…

Follow us on Twitter
@GoKareo
We’ll be tweeting live using
the hashtag #KareoTip
Join our other social media channels for
constant updates!

PAGE 3

KAREO | CONFIDENTIAL
Our Schedule for Today…

1

Introduction & Welcome Rochelle

2

How Customer Service Impacts
Your Bottom Line

3

Discover Kareo’s Role

4

Answer Questions

PAGE 4

KAREO | CONFIDENTIAL
Rochelle Glassman

•

Nationally-recognized healthcare consultant

•

Former executive-level consultant for Cigna

•

Healthcare business entrepreneur

•

30 years of healthcare business experience

•

President/CEO United Physician Services, LLC

•

Physician Advocate

•

Trauma-trained RN

Rochelle@UPSHealthcare.com
www.UPSHealthcare.com
602.685.9500

PAGE 5

KAREO | CONFIDENTIAL
Our Schedule for Today…

1

Introduction & Welcome Rochelle

2

How Customer Service Impacts
Your Bottom Line

3

Discover Kareo’s Role

4

Answer Questions

PAGE 6

KAREO | CONFIDENTIAL
Customer Service in Healthcare
• Traditionally non-existent in the
healthcare field—except for certain
specialties:
 Concierge practices
 Elective/plastic
surgery practices
 Medical spas

PAGE 7

KAREO | CONFIDENTIAL
Customer Service in Healthcare
Did you know?
Providers and practices with
great customer service skills are

LESS likely to be sued for
malpractice—irrespective of the
treatment provided to the patient
and the outcome!

PAGE 8

KAREO | CONFIDENTIAL
Customer Service in Healthcare: The Issues
• Wait times and poor schedule management
• Rude or inattentive staff
• Disorderly or unkempt practice
• Not using active listening skills
• Poor administrative follow-up

PAGE 9

KAREO | CONFIDENTIAL
Wait Times and Poor Schedule Management
• National average wait time: 23 minutes
• Neurosurgeons have highest average wait: 30 minutes

• Optometrists have shortest average wait time: 17 minutes
If your wait time is too long, it encourages your patients to
book appointments during inconvenient times (evening and
lunch times) and reduces the practice’s ability to maintain
steady patient flow throughout the day. This creates a system
that ‘feeds’ on itself and makes wait times even longer.

PAGE 10

KAREO | CONFIDENTIAL
Wait Times and Poor Schedule Management
• Extended hours—schedule
should be based on patient
convenience, not employee
convenience.
• Today, even some banks stay
open 6-7 days a week from early
morning until evening hours.
• Make sure you maintain
appointment slots for urgent care
and same day appointments.

• Allow patients to schedule at their
own convenience online.
PAGE 11

KAREO | CONFIDENTIAL
Wait Times and Poor Schedule Management
• Manage your schedule and staff to reduce wait times:
 Manage your MAs. They must work at a reasonable pace.
 Manage appointments according to estimated time to treat (ETT):
• Is this a patient with a cold? (8-10 minutes) or a yearly checkup? (15-30
minutes). Make sure you differentiate the types of visits you have an block
off time accordingly.

• If you are running behind, split the wait time between the
waiting room and the examination room—patients will feel
like they’re waiting less.
• Notify the patient if you are running more than 30 minutes
behind schedule and offer to reschedule.

PAGE 12

KAREO | CONFIDENTIAL
Inattentive and Rude Staff
• Often happens in healthcare—it’s a stressful environment.
• Staff tend to be assigned conflicting job responsibilities
such as answering the phone, performing data, AND
greeting patients.
• Communication is often not personable.
• Patients are not always feeling well.
• Hire the right personality—usually a biller does not make a
great greeter.

PAGE 13

KAREO | CONFIDENTIAL
Inattentive and Rude Staff
• Define and separate your staff roles:
 An employee who is assigned to greet patients can not
effectively answer the phone at the same time.

 Patients on the phone, and in person, feel like they don’t
have your attention.
 Make sure you separate the responsibility either by person
or by time.

• Have providers practice active listening skills.
• Do not discuss financial situations with patients when
other patients can hear.
• Do not allow your staff to gossip in front of patients.

PAGE 14

KAREO | CONFIDENTIAL
Inattentive and Rude Staff
• Implement a customer service program.
 Have your staff smile when they answer the phone. The act of smiling is
conveyed in your voice.

 Greet the patient by name.
 Have your staff keep eye contact with patients.
 Your receptionist is your first point of contact. Make sure he or she is
trained to make patients feel comfortable.
 Answer the phone on the second ring. Do not have an ‘auto attendant’
answer the phone if you have the resources to do so.
 Ask patients if they don’t mind being put on hold instead of announcing
that they will be put on hold.
 Set policies that all patient calls are returned by the end of the day.
 Make sure patients are not put on hold for more than two minutes.
 Maintain a zero-tolerance policy regarding rudeness to patients.
 Call patients back when you say you will.
PAGE 15

KAREO | CONFIDENTIAL
Customer/Patient Feedback
• Implement a customer feedback program
 Send your patients a feedback form via email for new visits.
 Send a feedback form thereafter every year.
 These feedback forms can be the eyes of ears of your practice.
Patients can describe the problems they see with your practice
from an important viewpoint—the customer’s!
 Send a survey to patients you have not seen for a year. They may
have left and you don’t even know it yet.

PAGE 16

KAREO | CONFIDENTIAL
The Unkempt Practice
If your waiting room or practice is busy or messy, it tends to
create a stressful environment for patients. It also portrays
disorganization. The office must be clean at all times.
Maintain a policy for picking up the waiting room every day.

PAGE 17

KAREO | CONFIDENTIAL
Customer Service

Increased
Patient
Retention
Increased
Patient
Satisfaction

PAGE 18

KAREO | CONFIDENTIAL

Increased
Revenue

Customer
Service

Increase
Clinical
Outcomes
What is the Value of a Patient to a Practice?
Let’s assume a patient has at least one physical per year, and
a few sick visits. That equates to about $500 per year or
$25,000 over the lifetime of the patient. But this is a pretty
conservative estimate.
If the patient has a disease, let’s say diabetes, heart disease,
or obesity, then that amount can easily exceed $100,000.

PAGE 19

KAREO | CONFIDENTIAL
But You Can’t Please Them All
• Sometimes, having the best customer service isn’t
enough. You may have a disruptive patient who
causes problems for your practice:
 Non-compliant patients can become a liability—EVEN IF
YOU HAVE DOCUMENTED THE NON-COMPLIANCE. A
lawsuit can still occur that ends-up being cheaper to
settle, but happens to your liability premiums?
 Patients who are lewd or rude to you and your staff
should not be tolerated:
• Take issues of sexual abuse from a patient to your staff very
seriously. You could be held accountable if you don’t handle
the situation correctly.

• You may lose the revenue, but it’s not worth the
liability.
PAGE 20

KAREO | CONFIDENTIAL
How to Terminate a Patient
• You need to avoid a claim of
patient abandonment.
• This can’t be done during a critical
stage of treatment.
• You can not refuse a patient if they
owe money and show up for an
appointment. You can reschedule
a preventative visit but must treat
an acute visit.
• Some offices terminate a patient
over a $25 copay—but look at the
big picture—it’s not worth losing a
patient over $25.
PAGE 21

KAREO | CONFIDENTIAL
How to Terminate a Patient
• Giving the patient written notice, preferably by certified mail,
return receipt requested;
• Providing the patient with a brief explanation for terminating the
relationship (this should be a valid reason such as noncompliance or failure to keep appointments);
• Agreeing to continue to provide treatment and access to
services for a reasonable period of time, such as 30 days, to
allow a patient to secure care from another person (a physician
may want to extend the period for emergency services);
• Providing resources and/or recommendations to help a patient
locate another physician of like specialty; and
• Offering to transfer records to a newly-designated physician
upon signed patient authorization to do so.
Source: American Medical Association
PAGE 22

KAREO | CONFIDENTIAL
Additional Resources

•

Job Description
–

•

front desk / check-in position with focus on customer care.

Patient Satisfaction Survey
–
–

•

Paper form to download and use for your patients
Let us know if you would like us to help with online survey you can email to your patients.

Value of a Patient Calculator
–

Easy tool to help you calculate cost

Visit www.upshealthcare.com/store
PAGE 23

KAREO | CONFIDENTIAL
Our Schedule for Today…

1

Introduction & Welcome Rochelle

2

How Customer Service Impacts
Your Bottom Line

3

Discover Kareo’s Role

4

Answer Questions

PAGE 24

KAREO | CONFIDENTIAL
Discover Kareo’s Role

“…Make Your Practice a Best Practice!”

PAGE 25

KAREO | CONFIDENTIAL
Discover Kareo’s Role

• Cloud-based
• Medical Billing
• Patient Payment Services
• Insurance Billing & Remittance
• Scheduling & Practice Management
• Electronic Health Records
• Patient Portal
• Medical Billing Services

20,000 Providers Nationwide
PAGE 26

KAREO | CONFIDENTIAL
Discover Kareo’s Role
• Scheduling
– Multi provider

– time allocation
– Reason code
– Reminders!

PAGE 27

KAREO | CONFIDENTIAL
Discover Kareo’s Role
• Scheduling
• Manage
Patient Calls
– Put in tasks
– Track, audit

PAGE 28

KAREO | CONFIDENTIAL
Discover Kareo’s Role
• Scheduling
• Manage
Patient Calls
• Reports
– Patient Account
Ledger
– How much did we
sell to this patient
this year? ($4K)
– Since we first saw
the patient?

PAGE 29

KAREO | CONFIDENTIAL
Discover Kareo’s Role
• Scheduling
• Manage
Patient Calls
• Reports
– Patient Account
Ledger
– Itemization of
Charges

PAGE 30

KAREO | CONFIDENTIAL
Discover Kareo’s Role
• Scheduling
• Manage
Patient Calls
• Reports
• Online
Appointment
Request

PAGE 31

KAREO | CONFIDENTIAL
Discover Kareo’s Role

PAGE 32

KAREO | CONFIDENTIAL
Our Schedule for Today…

1

Introduction & Welcome Rochelle

2

How Customer Service Impacts
Your Bottom Line

3

Discover Kareo’s Role

4

Answer Questions

PAGE 33

KAREO | CONFIDENTIAL
Let’s Answer Your Questions

888.775.2736 x1
sales@kareo.com
Live Chat @
http://kareo.com/chat

PAGE 34

KAREO | CONFIDENTIAL
How Customer Service
Impacts Your Bottom Line
Thank you for attending!

PAGE 35

KAREO | CONFIDENTIAL

Customer Service

  • 1.
  • 2.
    Your Hosts Today… RochelleGlassman President, United Physician Services, LLC www.upshealthcare.com Terry Douglas Marketing Team, Kareo PAGE 2 KAREO | CONFIDENTIAL
  • 3.
    How to ParticipateToday… Follow us on Twitter @GoKareo We’ll be tweeting live using the hashtag #KareoTip Join our other social media channels for constant updates! PAGE 3 KAREO | CONFIDENTIAL
  • 4.
    Our Schedule forToday… 1 Introduction & Welcome Rochelle 2 How Customer Service Impacts Your Bottom Line 3 Discover Kareo’s Role 4 Answer Questions PAGE 4 KAREO | CONFIDENTIAL
  • 5.
    Rochelle Glassman • Nationally-recognized healthcareconsultant • Former executive-level consultant for Cigna • Healthcare business entrepreneur • 30 years of healthcare business experience • President/CEO United Physician Services, LLC • Physician Advocate • Trauma-trained RN Rochelle@UPSHealthcare.com www.UPSHealthcare.com 602.685.9500 PAGE 5 KAREO | CONFIDENTIAL
  • 6.
    Our Schedule forToday… 1 Introduction & Welcome Rochelle 2 How Customer Service Impacts Your Bottom Line 3 Discover Kareo’s Role 4 Answer Questions PAGE 6 KAREO | CONFIDENTIAL
  • 7.
    Customer Service inHealthcare • Traditionally non-existent in the healthcare field—except for certain specialties:  Concierge practices  Elective/plastic surgery practices  Medical spas PAGE 7 KAREO | CONFIDENTIAL
  • 8.
    Customer Service inHealthcare Did you know? Providers and practices with great customer service skills are LESS likely to be sued for malpractice—irrespective of the treatment provided to the patient and the outcome! PAGE 8 KAREO | CONFIDENTIAL
  • 9.
    Customer Service inHealthcare: The Issues • Wait times and poor schedule management • Rude or inattentive staff • Disorderly or unkempt practice • Not using active listening skills • Poor administrative follow-up PAGE 9 KAREO | CONFIDENTIAL
  • 10.
    Wait Times andPoor Schedule Management • National average wait time: 23 minutes • Neurosurgeons have highest average wait: 30 minutes • Optometrists have shortest average wait time: 17 minutes If your wait time is too long, it encourages your patients to book appointments during inconvenient times (evening and lunch times) and reduces the practice’s ability to maintain steady patient flow throughout the day. This creates a system that ‘feeds’ on itself and makes wait times even longer. PAGE 10 KAREO | CONFIDENTIAL
  • 11.
    Wait Times andPoor Schedule Management • Extended hours—schedule should be based on patient convenience, not employee convenience. • Today, even some banks stay open 6-7 days a week from early morning until evening hours. • Make sure you maintain appointment slots for urgent care and same day appointments. • Allow patients to schedule at their own convenience online. PAGE 11 KAREO | CONFIDENTIAL
  • 12.
    Wait Times andPoor Schedule Management • Manage your schedule and staff to reduce wait times:  Manage your MAs. They must work at a reasonable pace.  Manage appointments according to estimated time to treat (ETT): • Is this a patient with a cold? (8-10 minutes) or a yearly checkup? (15-30 minutes). Make sure you differentiate the types of visits you have an block off time accordingly. • If you are running behind, split the wait time between the waiting room and the examination room—patients will feel like they’re waiting less. • Notify the patient if you are running more than 30 minutes behind schedule and offer to reschedule. PAGE 12 KAREO | CONFIDENTIAL
  • 13.
    Inattentive and RudeStaff • Often happens in healthcare—it’s a stressful environment. • Staff tend to be assigned conflicting job responsibilities such as answering the phone, performing data, AND greeting patients. • Communication is often not personable. • Patients are not always feeling well. • Hire the right personality—usually a biller does not make a great greeter. PAGE 13 KAREO | CONFIDENTIAL
  • 14.
    Inattentive and RudeStaff • Define and separate your staff roles:  An employee who is assigned to greet patients can not effectively answer the phone at the same time.  Patients on the phone, and in person, feel like they don’t have your attention.  Make sure you separate the responsibility either by person or by time. • Have providers practice active listening skills. • Do not discuss financial situations with patients when other patients can hear. • Do not allow your staff to gossip in front of patients. PAGE 14 KAREO | CONFIDENTIAL
  • 15.
    Inattentive and RudeStaff • Implement a customer service program.  Have your staff smile when they answer the phone. The act of smiling is conveyed in your voice.  Greet the patient by name.  Have your staff keep eye contact with patients.  Your receptionist is your first point of contact. Make sure he or she is trained to make patients feel comfortable.  Answer the phone on the second ring. Do not have an ‘auto attendant’ answer the phone if you have the resources to do so.  Ask patients if they don’t mind being put on hold instead of announcing that they will be put on hold.  Set policies that all patient calls are returned by the end of the day.  Make sure patients are not put on hold for more than two minutes.  Maintain a zero-tolerance policy regarding rudeness to patients.  Call patients back when you say you will. PAGE 15 KAREO | CONFIDENTIAL
  • 16.
    Customer/Patient Feedback • Implementa customer feedback program  Send your patients a feedback form via email for new visits.  Send a feedback form thereafter every year.  These feedback forms can be the eyes of ears of your practice. Patients can describe the problems they see with your practice from an important viewpoint—the customer’s!  Send a survey to patients you have not seen for a year. They may have left and you don’t even know it yet. PAGE 16 KAREO | CONFIDENTIAL
  • 17.
    The Unkempt Practice Ifyour waiting room or practice is busy or messy, it tends to create a stressful environment for patients. It also portrays disorganization. The office must be clean at all times. Maintain a policy for picking up the waiting room every day. PAGE 17 KAREO | CONFIDENTIAL
  • 18.
    Customer Service Increased Patient Retention Increased Patient Satisfaction PAGE 18 KAREO| CONFIDENTIAL Increased Revenue Customer Service Increase Clinical Outcomes
  • 19.
    What is theValue of a Patient to a Practice? Let’s assume a patient has at least one physical per year, and a few sick visits. That equates to about $500 per year or $25,000 over the lifetime of the patient. But this is a pretty conservative estimate. If the patient has a disease, let’s say diabetes, heart disease, or obesity, then that amount can easily exceed $100,000. PAGE 19 KAREO | CONFIDENTIAL
  • 20.
    But You Can’tPlease Them All • Sometimes, having the best customer service isn’t enough. You may have a disruptive patient who causes problems for your practice:  Non-compliant patients can become a liability—EVEN IF YOU HAVE DOCUMENTED THE NON-COMPLIANCE. A lawsuit can still occur that ends-up being cheaper to settle, but happens to your liability premiums?  Patients who are lewd or rude to you and your staff should not be tolerated: • Take issues of sexual abuse from a patient to your staff very seriously. You could be held accountable if you don’t handle the situation correctly. • You may lose the revenue, but it’s not worth the liability. PAGE 20 KAREO | CONFIDENTIAL
  • 21.
    How to Terminatea Patient • You need to avoid a claim of patient abandonment. • This can’t be done during a critical stage of treatment. • You can not refuse a patient if they owe money and show up for an appointment. You can reschedule a preventative visit but must treat an acute visit. • Some offices terminate a patient over a $25 copay—but look at the big picture—it’s not worth losing a patient over $25. PAGE 21 KAREO | CONFIDENTIAL
  • 22.
    How to Terminatea Patient • Giving the patient written notice, preferably by certified mail, return receipt requested; • Providing the patient with a brief explanation for terminating the relationship (this should be a valid reason such as noncompliance or failure to keep appointments); • Agreeing to continue to provide treatment and access to services for a reasonable period of time, such as 30 days, to allow a patient to secure care from another person (a physician may want to extend the period for emergency services); • Providing resources and/or recommendations to help a patient locate another physician of like specialty; and • Offering to transfer records to a newly-designated physician upon signed patient authorization to do so. Source: American Medical Association PAGE 22 KAREO | CONFIDENTIAL
  • 23.
    Additional Resources • Job Description – • frontdesk / check-in position with focus on customer care. Patient Satisfaction Survey – – • Paper form to download and use for your patients Let us know if you would like us to help with online survey you can email to your patients. Value of a Patient Calculator – Easy tool to help you calculate cost Visit www.upshealthcare.com/store PAGE 23 KAREO | CONFIDENTIAL
  • 24.
    Our Schedule forToday… 1 Introduction & Welcome Rochelle 2 How Customer Service Impacts Your Bottom Line 3 Discover Kareo’s Role 4 Answer Questions PAGE 24 KAREO | CONFIDENTIAL
  • 25.
    Discover Kareo’s Role “…MakeYour Practice a Best Practice!” PAGE 25 KAREO | CONFIDENTIAL
  • 26.
    Discover Kareo’s Role •Cloud-based • Medical Billing • Patient Payment Services • Insurance Billing & Remittance • Scheduling & Practice Management • Electronic Health Records • Patient Portal • Medical Billing Services 20,000 Providers Nationwide PAGE 26 KAREO | CONFIDENTIAL
  • 27.
    Discover Kareo’s Role •Scheduling – Multi provider – time allocation – Reason code – Reminders! PAGE 27 KAREO | CONFIDENTIAL
  • 28.
    Discover Kareo’s Role •Scheduling • Manage Patient Calls – Put in tasks – Track, audit PAGE 28 KAREO | CONFIDENTIAL
  • 29.
    Discover Kareo’s Role •Scheduling • Manage Patient Calls • Reports – Patient Account Ledger – How much did we sell to this patient this year? ($4K) – Since we first saw the patient? PAGE 29 KAREO | CONFIDENTIAL
  • 30.
    Discover Kareo’s Role •Scheduling • Manage Patient Calls • Reports – Patient Account Ledger – Itemization of Charges PAGE 30 KAREO | CONFIDENTIAL
  • 31.
    Discover Kareo’s Role •Scheduling • Manage Patient Calls • Reports • Online Appointment Request PAGE 31 KAREO | CONFIDENTIAL
  • 32.
    Discover Kareo’s Role PAGE32 KAREO | CONFIDENTIAL
  • 33.
    Our Schedule forToday… 1 Introduction & Welcome Rochelle 2 How Customer Service Impacts Your Bottom Line 3 Discover Kareo’s Role 4 Answer Questions PAGE 33 KAREO | CONFIDENTIAL
  • 34.
    Let’s Answer YourQuestions 888.775.2736 x1 sales@kareo.com Live Chat @ http://kareo.com/chat PAGE 34 KAREO | CONFIDENTIAL
  • 35.
    How Customer Service ImpactsYour Bottom Line Thank you for attending! PAGE 35 KAREO | CONFIDENTIAL