Patient Finances, Staff & Your Perceived Value

Have you recently had a staff meeting dedicated just to handling of Patient Finances? I’m deadly serious here. If you are struggling in private practice I can bet you haven’t recently, honestly and openly discussed with your staff your fees and patient care options. And this of course is a huge error in any business and of course in practice growth and development.

But don’t make this difficult! Simply by practicing with clinical excellence first, no matter what your specialty is believe it or not is the best way to demonstrate the value of your care to your patients and  staff alike. Just by doing this you’ll make any discussion on patient finances self-evident to your staff making their job a whole lot easier.

When you are the absolute best, patients always find a way to get the real help you can offer them.

But for many of us today’s private practice has added services and the support products patients demand, and would rather get from physicians rather than anywhere else. If you are not already providing added services for nutrition, pain and even appearance have you considered this option? By simply learning and then implementing each step of private practice mastery by learning  The 12 Secrets  you could easily double or triple your return on investment for the entire YEAR, sometimes in less than a week!!! Now, try that performance in your portfolio of investments.

The rest is up to you. You see, in private and direct practices we are in total command of our destinies both personally and professionally.

I can’t think of a better way to stay sane in today’s healthcare.


Patti Hayes is CEO of Perfect Practice Web, and has 30+ years experience in practice management.

Our team may be reached for a free 15 Min “Strategy Session” by texting 339-793-8610 – just be sure to leave your name and time zone and we’ll get back to you 9-5 EST Monday-Thursday.

For further information join us anytime on Facebook and Instagram

To subscribe to our newsletters and private practice updates go to our website Perfect Practice Web

#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign


How Your Staff Answers The Phone

In private practices especially you can tell so much about a doc and their practice, based just upon how staff answers the phone. Now of course, this is something you should check regularly and do with kindness.

Timing, attitude, how questions are handled are all simple keys.

You as a patient would ask are they organized? Are all their tools obviously at their fingertips? Do they know the docs scheduling and policies, preferences and style?

In fact, if your practice is not doing great at the moment, ask three friends to anonymously call your office. Two as new patients with no health insurance.

You should listen in. You may however be shocked.

When it comes to collections at the counter is it “Here’s your options Mrs. Jones…?” Or more like “Oh that’s OK don’t worry about it…”

Here’s my point.

Those who have profitable and fun practices, and indeed personal lives continuously aim to master each area of private practice!

No, it’s never perfect, and always requires measurement and attention, but none-the-less the all of this can be simplified and ensured it’s in place via policies, procedures and some very basic training.

Clinically, it’s also very important to your patients!

This is also why your staff must be darn good on the phone, so patients know to expect clinical excellence, which is not as common as you would think.

Every day your patients should be saying, “That was the best exam I have ever had in my entire life!”


Because on each patient visit insist on a thorough pre-exam presentation by support staff,  yes even interns, so you can without distraction perform the best physical examination and most attentive physicians visit they have ever had, hands down.

To learn more about this style practice and get your free “Fast Track Guide” go HERE



Patti Hayes is CEO of Perfect Practice Web, and has 30+ years experience in practice management. Our team may be reached by calling or texting 339-793-8610

For further information join us on Facebook and Instagram  and to subscribe to our newsletters and private practice updates go to our website Perfect Practice Web

#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign

Are Poor Staffing Issues Killing Your Private Practice?

Are poor staffing issues killing your private practice? Quite possibly. Here’s exactly what to do about it.

Much of what we see creating unneeded stress in private practices today is a direct result of the owner physician not having an adequate staffing plan in place.

Specifically, it’s the absence of a clear, frequently updated, written staffing, compliance and HIPAA plan every staff person reads, signs, and then redoes this periodically.

The best staffing plans have significant added details by you then reviewed by counsel before you ever present to your team. You must take the time to add what’s important to you on a day to day basis. This includes things like promptness, attire, time off, dishonesty and often forgotten issues like office cleanliness.

Despite your best intentions, when dealing with staffing issues it’s not a question of if they’re going to occur but when.

I can cite numerous examples, and you can too. Some can tank your career and your future as a physician. Implementation of staffing and compliance plans is your first line of defense when it comes complete satisfaction in private practice. The more proficient you become as the CEO of your practice the simpler it becomes. It also becomes easier to spot prospective employees who may ultimately become trouble.

It’s very important for you as the practice owner never to turn this responsibility to anybody under you.

It’s perfectly okay to have a subordinate help you in the hiring, staffing and training processes, but it’s ultimately your responsibility to make sure that all the systems that you need are in place. You must also be sure that all steps are taken explicitly and completely to make sure the best team members are hired.

You, as the private practice owner must always have the final say. It is up to you to decide how to run your office in your practice. Never forget that these basic but key decisions are likely to determine your long-term success or failure in private practice.

If you need help with this, our team is here for you, including the legal and policy development colleagues to help you put all of this into place. Just let us know!


Patti Hayes is CEO of Perfect Practice Web, and has 30+ years experience in practice management. Our team may be reached by calling or texting 339-793-8610

For further information join us on Facebook and Instagram  and to subscribe to our newsletters and private practice updates go to our website Perfect Practice Web

#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign

Life Is A Checkerboard

“Life is a checkerboard…”

One recent morning while rereading Napoleon Hill, I came across this quote. Now, he has it in quotations too, but does not attribute it to anybody else.

Life is a checkerboard and the player opposite you is time. If you hesitate before moving, or neglect to move promptly, your men will be wiped off the board by time. You are playing against a partner who will not tolerate indecision”.

So, why then, in the face of numerous challenges in practice today do so many doctors just back away from essential decisions and allow their own futures to be jeopardized or their livelihood and professional futures held hostage?

Quite simply, I believe its fear, and most especially, not knowing what to do first. So many just shut down, and take the path of least resistance.

The good news is, with appropriate tools, you too can develop the learned skill of making rapid and more effective decisions. That’s what I see from focused doctors. That is why focused doctors are or learn new ways to become true care givers, and not insurance pawns. In the process, they fall in love with their profession once again. Their practice blossoms, financial security and fulfillment ensue. This can be you too.

So, how can you get results? Start by taking a hard look at where you are right now. Have you drifted off course? More importantly, are your daily actions and attitudes moving you closer to your targets or not?

Focused people know what they want to achieve, in specific, detailed terms.

Don’t forget, your life right now, is a product of the decisions you have made (or failed to) so far. This of course includes your professional practice. The first step in getting back on track is to acknowledge this fact. Take responsibility as paramount!

Since decision making is a skill, it can be learned. But it has to be specific to the situations at hand. This is where asking for the council of others with the business training and experience can really help, especially in a complex arena like today’s private practices.

And remember, real success is built upon strong foundations. What better way to achieve it than by working with those who have already mastered the skills you may need to acquire.

So, start by being a better asker! You will be glad you did.


Patti Hayes is CEO of Perfect Practice Web, and has 30+ years experience in multidisciplinary practice management. She may be reached by calling or texting 339-793-8610

Let us help. For further information join us on Facebook and Instagram  and to subscribe to our newsletters and private practice updates go to our website Perfect Practice WebPatti

#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign

You may also enjoy…

It is time to take a real hard look.

Right now, more than ever, it is time to take a real hard look at the foundations upon which you have built your practice, and your future

Sure, you’re well aware, that if any key components of practice are on shaky ground, it will be sooner rather than later that you are liable to find out the hard way.

In any event, let’s take a look at some key, but too often overlooked daily issues one by one.

Let’s start with staffing. Likely, your staff is having a more challenging time during the sheer volume of change taking place in the outside world than you are. If you are not regularly engaged with them in intelligent discussion and leadership, and being completely supportive, you are missing an enormous opportunity in long-term practice growth strategy right now.

Have you taken the time, to have open discussions about how you can better work together as a team, to accomplish common goals?

If not, let us help.

Patti Hayes is CEO of Perfect Practice Web, and has 30+ years experience in multidisciplinary practice management. She may be reached by calling or texting 339-793-8610

Let us help. For further information join us on Facebook and Instagram  and to subscribe to our newsletters and private practice updates go to our website Perfect Practice WebPatti

#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign

Harry Truman

Harry Truman’s Way

What’s in Your Library? What’s in Your Head? How about Harry Truman’s Way.

Probably tons of books, videos, audiotapes and CDs, if you are like most docs.

A bigger question is which ones have the biggest impact on you and why?

For the last few months, one of my recreational reads has been “Truman”, by David McCullough. All 996 pages. Now, biographies can be laborious, but this one captures the detailed essence of one of the men to make multiple landmark decisions that changed the face of the planet forever.

The thing that is perhaps most striking to me is that he embraced a very simple lifestyle, despite everything else, even while in the White House. He never lost his sense of values of family, focus, true friendship and physical fitness. In fact, today, we might call him a fitness freak, (except for the shot of bourbon following each mornings exercise session).

He frequently retreated, much to the chagrin of the Secret Service to hideaways, really cherishing his time in Key West. Loved his time off.

And then in the office, hit it hard, often accomplishing way more than those around him thought possible. Worked incredible stints. Pissed a few people off with his habits, more than once, usually those who couldn’t get out of their own way.

He was doggedly persistent, blowing away entire teams of staff with his energy, purpose and convictions. “Give ‘em hell Harry!” was way more than a slogan.

The chapter on the 1948 presidential campaign is worth reading by itself. This was a very driven man, who despite incredible odds, and adversity, brutal media swipes at him, pulled off one of the biggest upsets in history, while Dewey his opponent destroyed himself, little by little each week.

So what’s my point? Several takeaways here. First of all, he knew what he wanted. Never stopped till he got it. NEVER! He stayed incredibly fit, well into later life. Knew when to back away, and frequently mentally retreated to refresh his mind and spirit. Incredibly organized, scheduled, focused.

Sound familiar? It should, as these are the same characteristics of the happiest, most successful men and women throughout history.

And of course the very same philosophy Perfect Practice continually asks its members to learn and adopt.

What exactly are the steps? Here’s how Harry would do it in the perfect practice platform.

  1. Find out FIRST exactly what you want. And this of course changes throughout life. Regularly seek the guidance of your coach, and your soul.
  2. Unshakeable data management and retrieval systems. Use all the most modern and fastest tools available to the biggest advantage, to save tons of personal time.
  3. Staffing. No BS here. Only hire appropriate staff members. Lovingly guide those around you with vision and purpose, eliminate those who can’t or won’t.
  4. Let everybody know just what you are about, and why. Gently describing benefits of doing things your way. Not paying attention to those who reject your philosophy.
  5. Austerity. Accumulating eventual wealth, even having miserably failed or bankrupt (like Harry).
  6. Continually reassess, adjust and fine tune. On a regularly scheduled basis.



Patti Hayes is CEO of Perfect Practice Web, and has 30+ years experience in multidisciplinary practice management. She may be reached by calling or texting 339-793-8610

Let us help. For further information join us on Facebook and Instagram  and to subscribe to our newsletters and private practice updates go to our website Perfect Practice WebPatti

#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign

About That MBA

About That MBA For Physicians

About That MBA For Physicians. Lets face it; most of us do not have or want MBAs.

Time after time direct care practices have proven an MBA is not necessary. Yet modern practice demands business skills sets. The reality is if physicians simply adopt this mindset first, then use sound business strategies there would be many more successful and direct primary care doctors.

The most important focus in our experience is systems management and implementation. Key ones are staffing, finances and your practice platform. This is where the biggest breakthroughs in productivity as well as practice satisfaction (and sanity) really take place.

Every facet of systems management is key. Having a simple, proven practice design to start with though makes this far more simple than you may have been lead to believe.

The real greats in any business will make better decisions based upon the performance of their systems. This is readily observable in marketing, patient processing and human resources.

And you know what? It is a big job.

But also it is extraordinarily rewarding to orchestrate the entire process, and reap the emotional and financial rewards.

Why not find out if this style practice will make you thrilled to be and stay in medicine?

Common Courtesy

The Magnetic Power of Common Courtesy

Recently, I had the opportunity to travel to St.Louis. This really turned out to be a fantastic trip! I got to mingle with other docs and to spend additional time developing plans for the future of Medicine. Now, I spent four years in the Midwest, but admittedly it’s been some time. I had forgotten how common courtesy seems to permeate the entire culture of the Midwest, in stark contrast to those of the Northeast.

Again, I don’t think this is just perception, because last week when I related my experiences to various colleagues they reported similar encounters. One even called us Yankees the “Grunt Society”.

Upon arrival at my hotel, I asked the concierge if Busch stadium was within walking distance. Fortunately, not only was the stadium within walking distance, but so were the St. Louis Cardinals Hall of Fame, the famous Arch and National Park, and riverboat dock. Fortunately, it was a warm sunny afternoon so I ventured out for about two hours.

My first stop was the stadium. I spent considerable time admiring the architecture and how well it is cared for. As baseball stadiums go, this one is magnificent. While wandering through the stadium store, and wondered if my friends would consider me a traitor for bringing home an Albert Pujols T-shirt.

Next, I ventured down towards the river. Along the way, I had the opportunity to stop for a cup of coffee. Now, this was similar to any ordinary coffee shop in any city however the counter clerk could not do enough to make sure I was completely happy and satisfied. I was actually blown away by his full attention to sure that everything was just right.

I spent some time walking through the National Park along the river. Having not been to St. Louis in 17 years, I had forgotten what a nice place this is!

On the way back to the hotel, I stopped at a small city supermarket, and had a very similar counter experience. I’m beginning to think, “…is it just me? Am I more relaxed than usual, or is this place really special?”

The next day, hotel restaurants were naturally jammed during the breaks so I ventured outside and down the street once again. I stumbled upon a local restaurant in the business district, with the line almost all way out the door. I decided this would be a great place for lunch. Not only was the lunch fabulous, but also the service was absolutely impeccable. Everybody from the front counter down to wait staff wanted to make sure everything was just right, and I was completely comfortable.

In retrospect, it seems like the entire five days was magical. Not only did I get to spend some time with very special people from 20 different countries, but also was made feel right at home everywhere I went.

There is of course, a message here. People remember how they are treated at a more emotional level than they do the actual product or service they are seeking.

Therefore, it is no secret that this type of attitude, a feeling from the top down in your office has substantial impact on patients to return, refer their family and friends. and take care their finances.

This of course is a key element of Living and Practicing by Design. As much as possible, procedures must remain patient friendly. They must be easy for the staff to execute. They must be clear, and easy to understand. Patient benefits must be stressed, but above all they need to be conveyed and delivered with exceptional courtesy.

So, I would recommend that you share this message with your staff as I have. This would be a good opportunity to review point of contact systems and procedures, especially telephone and front desk procedures. Spend some time here, watching for tone of voice, and attitude etc. Anybody who is not completely focused on the patient in front of them needs to be reminded that a simple courteous attitude of service forms the basis of every encounter.

It is of course extremely important to hold your ground on policies and procedures but to convey them with genuine passion. Again, by making the benefits obvious to your patients, your entire practice benefits.

Needless to say, this is an extremely powerful time a year to reinforce these concepts with your entire team. We suggest you weave this through all holiday events you may have planned for the rest of the year.

Also, this is the perfect time to examine your own management systems, to measure their own user-friendly characteristics. Ask staff for input in terms of fine-tuning communications with the entire team for better execution.

Really take some time with this. Incorporate some of these simple ideas into policies and procedures, and regularly check to make sure they are being completely implemented. You will reap the benefits many times over.

What CAN You Control?

What Can You Control?

As the tendency towards overwhelm occurs in so many areas of modern life these days, building a compelling future, no matter what the past, has certain fundamental requirements of you as an executive and architect of your own future. You and I cannot control what’s going on in the outside environment, but we can control what’s going on between our own two ears.

All of us can take a very proactive stance with our own head space. We can educate our patients. Better train our staff. Fully educate our communities.

But in order to do really do this, you cannot come from fear. You cannot come from lack. You must make sure that you are coming from your highest purpose when you enter the office every single day.

One of your highest purposes has got to be your own financial freedom and your own unique prosperity.

It’s important that you take steps now to make sure that you’ve solidified the financial income to your office and the amount of personal savings from your practice.

I recently spoke to two docs back to back from similar parts of the country. They were in the same age group. One doctor had been in practice about 15 years and the other about 12 years. One doctor was doing extraordinary well. The other was absolutely going down the tubes.

What could possibly account for the major differences?

I investigated a bit further. What was happening was that the doctor that was having a difficult time had failed to respond to warning signals many months earlier. Certain third parties came in and basically said, “There is no more coverage for X, Y and Z.” His entire practice, which at one point in time was an enormous practice, was suddenly shut down because he had nothing to fall back on. He had no other pathways.

To bulletproof your practice and future in any economy, you have to maintain a very close and diligent watch on your vision. Along with this, you must also make sure that you have developed the personal time to reflect and investigate, and the necessary administrative time in your office to deal with all these things.

It does take time to implement and perfect real world procedures and train your staff, but unless you actually build this development time into your practice, you’re going to have a difficult time with what’s coming down in the future, regardless of whether or not you participate in insurance.

If you have been at this a while, you, as well as I, need to continually remind ourselves when we hit some of these frustrations that practice is radically different now.

I continuously remind my team to come from a position of acceptance, calmness, recognition and figuring out new and better ways, and to how to help private practice prosper. This type of approach makes an enormous difference.

The doctors that have taught themselves to engage in this behavior have restructured their personal lives and office hours, so they have the needed admin time. They have found it enormously beneficial.

There are just some things you need to be fully cognizant and aware of what it’s going to take to continue to bulletproof your practice, and indeed your private life.

To that end, remember it’s a work in progress.

Let us help.


For further information join us on Facebook and Instagram  and to subscribe to our newsletters and private practice updates go to our website Perfect Practice Web


#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign



I think one of the most powerful but sometimes scariest things we do as physicians caring for patients, but also mentors to students and younger docs is help them create a compelling future life, and then actually watch it start to unfold right before our eyes.

Think about it. As a doc, you did this too, first as a student at several levels. In reality, many times. In fact, at one point it was probably term-to-term.

Then, you began to practice. Still way more changes. Lots of excitement, new ways of doing things, patients that challenged every skill you thought you forgot.

So, in reality, you know you have the power to create magnificent changes.

Getting Stuck…

After a while, what was once magnificent and exciting can seem dull, boring, and very routine. We sometimes so easily forget the sacrifices we made to get where we are. High school, under-grad, and on and on. If we allow it, the daily grind can become just that. If it’s not practice stress, it’s kids, family, etc.

Then sometimes we build fences, stop communicating with past friends, we can also become very rigid in certain habits, most especially mental habits and sometimes getting really, really stuck.

Before we know it, seems like years have passed.

If things did not turn out like you thought, it’s easy to just give in, and say, “…Oh well…” We in fact, can start to live by default.

That’s when its not pretty…

So what is the most simplistic solution? Respectfully, our role must be to maintain our own health and happiness first. This is the only way we will be able to carry forward our roles as physicians, on our own terms. As long as we choose.


Decisions & Plans Create Reality

The Decision To Move Forward

The decision to move forward. This, unfortunately, still remains a major stumbling block of many. Indeed, the slowness or lack of making even simple decisions, but most especially putting off critical decisions sometimes slows forward progress by weeks, months, and in some very unfortunate circumstances years.

But I believe that the reason this most frequently occurs is a lack of clarity, a lack of vision. All too often, in general people, even ourselves as highly intelligent doctors, are unaware of the vast opportunities that wait in our personal and professional lives, simply for the asking.

Those who are happiest, most prosperous and effective realize that it is this willingness to take action in meaningful directions on moment-to-moment basis is the ultimate in accomplishment.

Doctors, the decisions you make today will have profound impact on next year. And the direction that you take professionally as well as personally next year will also have very significant impact not only on the rest of your professional career, but as well on the quality of your personal life.

Right now, is simply the very best time to reflect very carefully on what this past year worked right, what needs to go, what needs to stay.

The reason for these rapid and effective decision-making skills set is frankly is that the speed of change is ever accelerating.

There has never been a better time to be in private practice, but only for those who possess clarity, a phenomenally well written game plan, remain strong, effective communicators, capable and willing to provide only the very best in health care services.

But there’s something that’s extraordinarily important to clarify first, and that is your personal vision.

First, (not last) the quality of life you want for yourself, as well as those closest to you.

Reality dictates, that this future style of private practice will require breaking with the rank and file. Future practices will require blending all the best technology has to offer, the very best in cost effective systems and procedures all combined with time tested humanistic skills, and compassion.

It will simply not be enough to have pieces of this puzzle. Rather, all pieces must fit together with exact precision.

Therefore, I respectfully suggest that you start assembling your puzzle now.

And in doing so, carefully consider all ramifications of your decisions. This is where exercise, quiet time, reflection as well as inspirational reading and study while developing fully your game plan, all carefully written out and diagramed on paper will make a tremendous difference not only in how you feel, but how you act.

Once you have clarified this new vision, it is essential that all the steps you wrote as necessary to actually pull off its execution are first set into motion, and put into written timetables.

Then, perhaps most importantly choose your support system.

In my experience, it is those doctors who fully utilize great support systems, accomplish far more throughout the year than those who do not.

The best support systems provides you with all the information you will need, the personal as well as professional associations, camaraderie and affiliations that supply the building blocks, systems, plans and tools necessary to complete your puzzle.

But only YOU can reach out and grab it.


Changing Spaces: Time to Really look outside your practice?

Let’s look outside your practice.

Last week we talked about the key parts and your accomplishments in creating a compelling future. Let’s continue that though today with an eye on reality.

Having just spent the better part of the week working with aggressive entrepreneurs in private healthcare I can tell you that everything we have been saying since 2005 about technology integration into daily practice  is being accelerated at an even more rapid pace.

Here’s a fact. Patients ages 55-90 are now the biggest social media and internet “geeks”.

They love someone, they post it. But piss them off, and look out. And you need to exactly how to protect yourself and what to do if this happens to you.

So, I URGE you right now to get your copy of “Google Bomb“, from Amazon, or locally and devour it.

Doctors, the future in private practice (like I warned in 2005) are implementation of advanced technology, and affordable staff to help get it all done.

Period. That’s why I founded PPW, llc. And that’s why we work with docs like you every day.

Have a great day, let’s talk soon!


For further information contact us at Perfect Practice Web

Creating A Compelling Future

I think one of the most powerful but scariest things we do as achievers is create a compelling future life, and then actually watch it start to unfold right before our eyes.

Think about it. If you are a doc, you did this as a student at several levels. In reality, many times. In fact, at one point it was probably term-to-term.

Then, you opened your practice. Still way more changes. Lots of excitement, new ways of doing things, patients that challenged every skill you thought you forgot.

So, you know you have the power to create magnificent changes.

And Then Getting Stuck…

After a while, what was once magnificent and exciting seems dull, boring, and very routine. We sometimes so easily forget the sacrifices we made to get where we are. High school, undergrad, and on and on.

The daily grind is just that. If it’s not practice stress, it’s kids, family, etc.

Then sometimes we build fences, stop communicating with past friends, we can also become very rigid in certain habits, most especially mental habits and sometimes getting really, really stuck.

Before we know it, seems like years have passed. If things did not turn out like you thought, it’s easy to just give in, and say, “…Oh well…” We in fact, can start to live by default.

That’s when its not pretty…. (more next time)


REMINDERS: Living & Practicing by Design Trainings are uploaded for you.

Have a great day!


I have been asking myself much more…

Recently, especially as the private healthcare environment harshens, I have been asking myself much more often about the real differences between those who are wildly successful, and those who struggle, year after year in practice.

This really hit me hard after I re-listened to our most recent webinar on Living and Practicing by Design for prospective members. Frankly, I sometimes wonder what makes those who take our programs, implement and follow them and become wildly successful different than those who don’t.

Frankly, It hit me again just this morning after a fabulous weekend, why anyone would even expect to be successful, or better yet become truly independent, without careful attention to every aspect and area of business, success and personal achievement.

First, I thought about this at some length on my way home early this morning, put it aside until a little later on, then the differences became readily apparent. The answers came to me with blinding simplicity. So, I made a list of the top three reasons for failure to thrive in practice.

And you know what? It’s just three things!

Can you guess what these might be? I am going to discuss these in detail next time!

You can also join us 24/7  HERE

#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign


Avoiding KEY Reasons for Failure

I have a short list of reasons for failure, when a prospective client comes to me. I have to tell you that the vast majority that ultimately become clients are successful because I personally vet all my clients on some really key issues.

There are reasons for failure. Number one on my list is something I hear all the time.

I tell Kerri, “If you ever hear this from a doctor, you have to tell them that we just can’t help them.”

That is when a prospective doc  says  “All I want is the marketing”.

I can’t tell you how many times I hear from prospective doctors, “Nope, I have everything else down. All I want to know about is marketing.”

I will tell you right now that when I hear that, virtually without exception, I can predict that the doctor will go down, usually in a ball of flames within a relatively short period of time.

It’s not just about the marketing.

It IS KNOWING how to IMPLEMENT SYSTEMS. And Keep them all running just like we teach you how.

Getting every step of private practice to run like a Formula One Racer…

The fact of the matter is frequent, relevant communications and contact with patients, the community and your referral professionals is paramount to your success, and will be even more so in the next 9 months!

Will YOU be part of it???

It’s as I said when I did my first live event in Boston many years back. If your patient takes out their handheld or and you don’t come up on the first page, you don’t exist in the minds of at least two generations of patients. Too many doctors still fail to come to grips with this!

So, with all that said, here’s how two of our clients talked to us about HOW they are getting it all done…

From Dr. Mark Giust, of Brookhaven, Mississippi

“My biggest challenge was just trying to take some action steps. What you helped me with the most was just realizing that you don’t have to take humongous steps. You can take some small steps to help you move in that direction and not just sit still. Everyone knows sometimes what they need to do. It’s just a matter of getting out there and doing it and doing it the right way that can help them be successful.

I think sometimes we have a lot of choices to make. There’s a lot of information out there to sort through. Before working with you, I was overwhelmed with the amount of information out there. There’s webinars and CDs. I think sometimes I was afraid I was going to miss something. I’d try to listen to all of it, but then I’d almost get overwhelmed and think, “What do I do?” I’d jump from one thing to the next and maybe not stay on the right thing.

We talked about practicing by design. You need to have that base to start with and build upon. You need to do the most important things first. You’ve helped me a lot with staff issues, part-time help and utilizing my time more efficiently.

The biggest point you made that I want to make sure to emphasize is that the very first thing you did was take our Core Module 1 and literally redesign how you wanted your practice. We spent the rest of the year working toward that goal.”


Next, Dr. Robert Cole & Jennifer, Monroeville, Pennsylvania talked about Priorities…


“It is better when you’re constantly implementing and taking action steps, but they’re smaller and more comfortable. You gain confidence by doing things like newsletters and health talks.

Action steps is one, and confidence with patients is another. It was one of your newsletters, or it might have been an audio CD where you talked about how sometimes you have to fire a patient. You may have to say, ‘You’re not doing what I asked you to do. It’s a health risk for you. It’s a liability for me. We need to terminate this.” A lot of times, it’s a relief. It’s like cutting out the poison from your practice. If they do stay, it invigorates your relationship with them, and sometimes the whole practice overall.

I don’t know if most of you are aware of the movie out called “The Blind Side.” The author goes back and forth explaining things about football. They put various quarterbacks in when Joe Montana and Steve Young got hurt. That system was so effective that they could put almost any quarterback in there and turn him into a star because the system worked.

It instantly reminded me of what you teach and talk about. Once you have the systems in place, you can walk into that scenario and have it work effectively in an ethical and moral way.

I think organization and self-confidence were really big issues. What we’ve been doing with you walking us through the steps has helped us to regain our confidence. It was always there, but we had to build it back up. We definitely did that.

It’s comforting to know that we have somebody in our court. We have a cheering sections. One of the big things is consistency, whether it’s working out or eating right or working on your practice. It’s doing the right things consistently. It’s planning out ahead of time for short and long-term stuff. It’s sticking with a plan and continuing to keep your head in the game

“We’re all in the same boat. You offer some real-world solutions. It’s not that much of a struggle to implement them. I’ve worked with some people and it was such a shift in what we normally did that it’s a real stressor. This isn’t a stressor. This is getting your ducks in a row.”


Thank You Doctors. I could have not said it any better.


You can also join us HERE

#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign

Common Courtesy

Private Practice Mandates

Private practice mandates an entirely additional set of skills today. More so than any other time. Not instead of but in addition to your healers skills and instincts.

And honestly, failure to realize this, or especially educate our students creates every unpleasant and often painful experiences ranging from unrest to bankruptcy.

Interestingly, with patients we tend to be extraordinary analytical, follow algorithmic, logical sequences, and frequently just one or two steps at a time.

It’s this thought processes that lends itself to accurate diagnoses and rapid, critical action.

But private practice demands an entirely different set of skills, especially when marketing, finances, and staffing are concerned. Let alone technology, human resources, your web-facing efforts, and wealth building.

In fact, modern private practice demands an entrepreneurial mindset. The days of just being a great doc without , marketing and management and exceptional business skills is, with rare exception, over.

This is why despite everything else you may do, you have got to have an excellent business training to fall back on again and again.

This is exactly what we have been doing for those of us in private practice since 2007.

For further information including a free “Fast Track Guide” leave your info at at Perfect Practice Web


#privatepracticebuilding #lovinghealthcare #livingpracticingbydesign

Let’s take a look at these skills…


Let’s take a look at these skills so essential to phenomenal success but so often overlooked.

Number one on my list is the ability to organize and sort incoming “stuff” and data.


A messy desk (or home or personal life quite frankly) makes for a clouded mind. That’s why extreme and easy organization is the first lesson in Living & Practicing by Design

Along side of this skill, you also need to be able to organize, focus and direct output and productivity. This includes everything from processing new patients to getting the income to run, gwo and market your  #privatepractice, and especially build long-term security.

Think about this one. There is not one area in practice where the rule of this skill set does not apply.

The second skill set is just as critical.

And that is developing a CEO/CFO mindset that you’ll have to use right along side the Dr. before your name.

This is perhaps the one that takes the longest to develop for docs. But like everything else, just a little regular study leads to mastery.

And if you do this right, an incredible professional and personal life and career.

For further information on exactly how we teach these skills leave your info at Perfect Practice Web

You can also call or text the main office at 781-659-7989

Let’s talk.


Are your patients getting mixed messages?

Are your patients getting mixed messages, and you don’t even know it?

Most especially, might there be an incongruence or two with regard to office policies which might not only be slowing you down, but could be like driving your car with the brakes on?

Well, if you have more than one staff person, the answer might be yes. It’s so important to try and head this off with the policies and procedures covering every little detail.

Even in our practice, I discovered this quite by accident last week. The problem began with a newer staff person getting into encounters for the first time by herself.

It seems like everything has broken in our office in the last 3 months. Computers, phones, credit card swipe machines, and even a diagnostic unit. Stay in practice long enough and stuff just happens to fail eventually.

Anyway, last week it was the card swipe machine. This can really hurt the income for a day or two as you know.

Now my staff is very bright, and they know our policies on collections. So why did the failure of one simple device cause chaos at the front desk?

It was simply because the basic “fix” that is in the office manual was not referred too. Once I pointed this out, we were back to normal quickly.

Once again, a smooth running private practice is all about congruent policies and procedures. This is where Living and Practicing by Design membership can help you accomplish and then stay on top of this each week.

For further information please contact my team HERE or shoot us a call or text to 781-659-7989


Decisions & Plans Create Reality

Make A New Plan

If things aren’t working for you in any area of life, make a new plan!


Remember, the definition of insanity is doing the same old thing in the same old way expecting different results. And as the world changes, our plans often need to adapt or change as well. Realize, this is exactly why I repeat our Core Modules for members, every six months. Because the pace of change is now so rapid.

And, remember Future Shock? Remember how easy it is to be mesmerized in the face of rapid changes, and the tendency to shut down and do nothing, rather than taking on a new game plan.

Now, here’s the really good news. These are behaviors, and learned choices!

If you are capable of reading this, you can fix any of the issues I discussed here today.

So, here’s a simple plan you can act upon right now to be happier, more successful and fulfilled:

1. Be a better and bigger asker! Jim Rohn said the problem with most of us is that too many metaphorically go to the ocean to gather water with a thimble, instead of a bucket. Be a better and bigger asker and life rewards in kind!!!

2. Continually engage and learn! Not just practice, but all of life’s most important skills. Be willing to pay the price of success and then reap all its joy.

3. Make sure you know what you want, and continually move towards it!

Lastly, burn all your bridges to past failures. You will be glad you did.

Join the most progressive group of private practice owners learning daily these exact business and personal strategies HERE


#privatepracticebuilding #perfectpracticeweb #livingpracticingbydesign

A Doctors Natural Gifts

A doctor’s natural gifts. That’s what you possess as a healer. You can put patients at ease; physically and quickly abolish their pain and discomfort. Restore hope, and actually save their lives by doing what seemingly is very natural for you.

Healers have commonalities in backgrounds and life experiences. Actually, our pathways as doctors of all disciplines is remarkably similar, often times being touched at a young age by illness or death. Doctors minds and hands posses the unique ability to alleviate mental and physical anxiety, and often time anguish.

Beatte and Beck among others have written on this, and it’s helpful to look at this is you’ve never done it.

However, private practice mandates an entirely additional set of skills. Not instead of but in addition to your healers instincts.

In today’s new world, you must blend all your clinical skills with excellent judgement and powerful business and social skills. All of these are taught by our team daily in simple, easy to use formats.

Our team is ready to help you Live & Practice by Design, not default! You can even call or text our team for personalized help 781-659-7989

It’s Time For A New Vision Of The Future. Read More HERE

#privatepracticebuilding, #perfectpracticeweb, #lovinghealthcare, #livingandpracticingbyddesign