All About Hygiene
At what age are adult prophys/fluoride to charged out?
What are specifics insurances look for as far as xrays go?
Entire apex and crown of tooth
How often should you be sending claims?
Every day
Who is responsible for filling the schedule?
Everyone!
What is the goal of patients per day per hygienist?
7-8
How often should a patient's PAs be updated when scheduling treatment?
Within 3 months
Accurate ___ ensures accurate Treatment Plans.
VOIs
What information can be shared in a transfer to make sure we have accurate Treatment Plans?
Crowns/bridges/removables - Initial or replacement? How long ago was it done?
Is this for cosmetic purposes or is there decay?
Patient's DISC type
What is the purpose of 2 week calls?
-To introduce yourself (if they are a new patient)
-Verify any changes they've had since last visit (med hx)
-Reminder of upcoming day/time appt
Describe the process for an implant placement and restoration.
1. CBCT Scan
2. Implant placement (bone graft, sinus lift, etc if needed)
3. Allow a few months for healing
4. Scan for restoration
5. Place abutment and crown on implant
What systems do you use to fill the schedule?
2x2x2
ASAP
Recare overdue and not scheduled
In what order do we send treatment to VA?
-Pain management
-Disease management (SRP, scaling)
-Fillings/extractions (based on order Dr. Tran wants them)
-RCT/Crowns
-Implants/Partials/Dentures (immediates go with ext and permanent sent out when ready to restore)
What are some benefits to following the PDS blocks?
-Create a mixture of procedures
-Higher production
-Allows room for conversions (SRP)
-Ability to get NP in quicker
What information should be included in the clinical note?
-Date
-What we are doing/did today
-Consent for treatment with note about any discussion
-Medical history reviewed
-Diagnosis- why are we doing this procedure? -BP/Pulse
-Amount of anesthesia and type if used
-Supplies used- type and brand
-Type of restoration
-What lab case going to (if applicable)
-Personal comments
-Next visit
-Clinical team initials/ signature
-Doctor signature
NEA or CHC#
What is PCSB and who is responsible for it?
Problem
Consequence
Solution
Benefit
Dr. Tran - although the team should be following up with patients using similar verbiage/sense of urgency
What overall % contribution (production) should hygiene be at for the office?
30%
What role do DAs play in the 13 dots?
-Preheat patient on possible diagnosis
-Transfer patient to Dr
-Transfer patient to BA
How does a patient pay on their account once it is sent to collections?
They need to contact the collections company and pay them. Any exception of patient paying in office instead has to be approved by PMO.
Why are collections so important and who is responsible?
We can produce everything we want, but without collections we are not getting paid. Also, collections are what determines our bonus.
Everyone is responsible by ensuring each patient is walked to the front (or verified with BA that patient is does not need to check out)