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Hey guys, welcome to Podiatry. 
Practice Mastery. 

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Don here. 
Want to share about a little 

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experience. 
I don't know if you guys know on

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the side. 
I don't know if it's on the 

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side, but I, I use a Thena for 
my EMR and occasionally I get 

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asked to help people with their,
what their EMR. 

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And that's why I kind of put all
the templates together that I 

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use, and I kind of give them 
out, let people use them and 

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things like that, they're all, 
I'll put them underneath. 

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Eat this episode. 
If you want basically it's a 

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Google Google drive folder with 
all the templates and things 

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like that that you might find 
beneficial. 

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And and then I did a few. 
There's a few videos that I've 

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done as well on that topic but I
was talking to someone the other

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day. 
She's kind of a lot of newer 

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practitioners. 
She's been in practice for about

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seven or eight years. 
And kind of similar I have two 

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kids, she has four kids and she 
is switching from a Private 

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Practice Group to her own thing.
And she had a lot of questions 

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about Athena. 
And I just because other people 

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might have these questions, I 
wanted to go over those one of 

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the main questions was about 
billing and do you need your own

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billing person in my experience?
Some of the emrs are trying to 

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include their own billers and we
do not, we have we still have 

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our own in-house billers. 
That we use. 

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We thought that by switching to 
what some of these emrs that 

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they would do all the billing 
for us and I want to clarify 

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they will for like an extra 
percentage point or something 

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like that. 
I think her initial percentage 

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point is like eight percent and 
I don't know billing is included

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with some to figure that out but
if you think about it if they're

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really good it might be good. 
But if they're doing every 

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single specialty it's a little 
bit more challenging and it's 

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probably better to have in-house
billing and what I mean by it. 

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House, doesn't mean you have to 
be at your office, they can even

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be a virtual person. 
Because, in our office, we have 

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one in-house Miller, and we have
one person that she works from 

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Florida and she works virtually 
because she can log into our 

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Athena, and she can do all the 
billing and pushes things out 

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very, very well. 
Her name is Jess and the reason 

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we do that is we found that 
doing it in-house. 

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There's more of an incentive to 
run after the claims. 

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So for example, if things aren't
covered They get kicked back, 

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we're more incentivized to do 
that versus maybe someone else. 

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And, you know, because also, you
have to look at what the value 

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and time value is, because 
within Athena or any any of 

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these billing companies they get
a percentage, right? 

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So you're already paying a 
percentage for your EMR and then

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you're also paying another 
percentage for your billing 

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software. 
So it, so for the biller, so it 

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kind of goes up, we don't pay a 
percentage to them, we just pay 

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them like their salary or 
whatever their their amount is 

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that Get paid. 
So another thought maybe as I'm 

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just thinking about it is the 
same way where I'm starting to 

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use a scribe. 
To do. 

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Like, scribing you could even 
find someone I guess you could 

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train someone from another 
country to do that. 

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As long as they kind of know 
what to do when you have a 

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training, a training process for
that. 

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So that was one of the questions
was, does it come included? 

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Another question that she had 
was do, they get all your 

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credentialing and this is what 
kind of a little I guess snafu 

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that happened. 
Is she thought that they came on

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before you got credentialed and 
really they don't help at all 

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with credentialing. 
I don't think any emrs do you 

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Pay someone to do credentialing 
or you can just do all the hard 

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work to switch. 
Everything over to your new 

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address, and your nose, and your
new insurance wherever you're 

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going to be at then that, and 
that's what's really delaying. 

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This this doctor that starting 
her own practice. 

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Is that aspect? 
So you have to remember, if you 

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are switching from one practice 
to another, you have to switch 

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all your all your billing 
information and that the third 

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thing that we're kind of arguing
back and forth about not 

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arguing, but just talking about 
is a dislike that I have. 

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I think it's not just specific 
to to Athena. 

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I think it's any Mr. Unless they
can do a carve-out is that there

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are a lot of cash to pay things 
that we do in our office. 

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For example or talking carry 
Flex on a fix Shockwave 

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Orthotics, things like that. 
And that's a substantial amount 

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amnio substantial amount in the 
office and and even though 

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they're not billing it through 
the Clearing House, they're 

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still getting a percentage of 
it. 

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So this is kind of one of our 
qualms with an item and found to

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anyone that kind of does a 
carve-out, it would make sense. 

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They would do a carve out of 
that. 

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Meaning all the, I don't know 
the stuff you sell, you would, 

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you could just have for 
yourself. 

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So that was another. 
Another question that we were 

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talking about last night on the 
phone. 

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And, and I guess the, and we're 
talking a little bit about like,

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online scheduling. 
She asked why I did only new 

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patients via the website, not 
the follow-up patients in the 

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reason for that is on our 
website. 

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If you go there, which is 
Central Mass Podiatry.com, you 

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can make an appointment for a 
new page. 

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Patient. 
But the follow-ups you can't. 

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And the reason for that is in 
our schedule, we have new 

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appointment blocks, depending on
the day, there's like three or 

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four in the morning and then 
three or four in the afternoon 

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and those are fixed. 
But the follow-ups, the follow 

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patients, don't always know 
where to schedule depending on 

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the procedure. 
So for example, if they schedule

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and they they're seeing for one 
thing and they don't really know

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what it's for. 
Let's say they have to come in 

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for a shock wave and they don't 
know what Shockwave. 

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They're just making a follow-up 
appointment and they're in 

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there. 
There's always already two or 

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three Shockwave there or 
something else like that, or 

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they want to come in for a loony
line. 

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They No, that, that is for a 
medical assistant appointment 

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and not for a doctor 
appointment. 

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So that's the reason we don't do
follow-up, I guess another 

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option. 
We could allow them to do 

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follow-up, and then just call 
everyone, okay? 

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And then the last thing which 
she actually helped me with this

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other doctor is verifying 
coverage for all DME fryer. 

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We don't have a really good 
system for that. 

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I want to be clear, maybe I 
should, I just don't, but I 

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liked the idea that she gave and
what it was is is you you 

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certainly for all new patients, 
you check and then you put that 

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in a little sheet and you save 
that in the EMR in a certain 

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section under like documents so 
you can make a section for like 

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DME checking and or something 
like that. 

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So you, at least know when they 
come in, you can check that what

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their deductible is, how much of
that they've met thing, things 

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like that. 
So, those are kind of the, the 

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highlights of our talk. 
I'd love to know what you guys 

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do, if you check coverage for 
every patient, if you have a 

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really good system, Where do you
put that in your EMR? 

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Do you put it somewhere? 
Do you like do a PDF? 

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Or if you have like a Word 
document and kind of what your 

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workflow is? 
Let me know. 

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Send me an email at Don at 
Podiatry, practice Master e.com 

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and then let me know any like 
I'm other thoughts or things 

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that are working for you. 
One thing I was I did an 

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interview yesterday from it's 
called a sub kit s UB ki ta Ki T

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and what that is it's a 
subscription service. 

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I don't think it's gonna really 
work for. 

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Podiatry of trying to figure out
a way that would work for 

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Orthotics. 
I've been kind of thinking about

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this for a while but their whole
thought was if a patient's let's

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say they get the Orthotics and 
then like four messages. 

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For example, it's not covered by
insurance so some are covered 

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others aren't most people 
aren't. 

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So they get it for 550. 
We, you know, and then they pay 

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us monthly for that. 
Let's say it's like 15 bucks, or

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20 bucks a month and included 
with the monthly thing. 

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They could they They get some 
type of like an insurance or 

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outgrowth or something else that
that they could get in addition 

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to it. 
I still like this idea of a 

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thought I could subscribe button
but the thing is, let's say they

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stopped paying how are you going
to get the rest of the money, 

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right? 
If they stop paying for that 

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subscription, another way that 
might be a little bit better and

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I'm just kind of throwing it 
out. 

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Here is doing not so much a 
subscription, but having a 

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insurance plan and I'm just 
calling Get an insurance plan. 

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So instead of the orthotic 
company ensuring the Orthotics 

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you could ensure the Orthotics 
and my thought is let's say that

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cost them the insurance let's 
say a cost them a dollar a month

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okay I'm just throwing out a 
dollar a month. 

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The main reason for the 
insurance plan isn't so much for

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the insurance. 
It's more as a way that we can 

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keep getting paid. 
Let's say a dollar a month or 

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something else, like that are 
five dollars a month but more 

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importantly that then we can 
Market other. 

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Stu these patients. 
So if they have your, I don't 

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know your orthotic Club. 
Okay? 

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We could make an orthotic Club 
in our office or maybe it is 

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this not or thought a company 
specific. 

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So all the orthotic companies 
could could participate in this.

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And then with this, they would 
have, let's say, protection 

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against theft. 
You would have protection 

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against breaking protection 
against. 

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I don't know other things and 
then you could add add other 

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benefits, kind of as, as 
add-ons, that we get their 

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monthly. 
Letter about Orthotics, they 

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would get there. 
I don't know. 

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Healthy healthy orthotic Club 
tips about foot foot issues. 

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So basically it's a way that the
podiatrist could use to get in 

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front of their patients more 
frequently. 

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It's almost like a, you're 
charging them and then they're 

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automatically getting a 
newsletter that's specific to 

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the podiatrist sent directly to 
them. 

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Let's say once a month or once a
quarter, so I think that's kind 

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of a neat anyway. 
Do it. 

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And the other good idea that 
some kid had was this thing 

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about, they have this thing 
called go solo Geo Sol. 

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Oh, and what I liked about that 
is they sent me an e-mail. 

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You may have got it from them as
well, or maybe not, maybe 

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because I'm on their list. 
But the neat idea about go solo 

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is, they send out basically, 
it's a Google form and they ask 

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you to put your information in 
there. 

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So if you look up, go solo.com. 
And the neat thing is is they 

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say well, we're going to ask you
these questions. 

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It's about your business and we 
are going to publish this on our

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website and we're going to put 
backlinks to your site's and all

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your socials. 
So the neat thing is is it's 

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providing a benefit to me, okay?
Or other entrepreneurs. 

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Basically, this is for 
entrepreneurs, it gets their 

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name out there and it also is 
going to give good content for 

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their blog. 
So the kind of the conversation 

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in my head is twofold one within
Podiatry. 

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Practice Mastery all these That 
I've interviewed or companies, I

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could do a Google doc or a 
Google form, they could fill it 

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out with their socials. 
I could do backlinking and put 

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it in a blog section under, I 
don't know, the best of Podiatry

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companies, it would be good for 
them. 

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They would get backlinks and I 
would get more content for the 

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blog and you could also do that 
with practitioners. 

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So for practitioners, they could
share their best tips or 

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something like that or even 
within my Central Mass Podiatry 

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website. 
You could do the same thing. 

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With local businesses kind of as
a, you know, as a kind of a 

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thank you giving backlinks to 
the local shoe store, physical 

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therapy places, other people 
that are I'm already referring 

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to, but it would it would kind 
of create Goodwill for them and 

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then they could, they could use 
this in sometime somehow in 

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their marketing. 
So I just thought that was a 

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kind of a neat approach. 
It's a weight one to produce 

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content for your blog. 
It's also a way to give Goodwill

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to other people that need that. 
By giving them backlinks. 

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Anyway, those are the ideas for 
now. 

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I'd love to know your thoughts 
on that. 

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If you guys haven't downloaded 
the the patient, presentations 

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tool, go to Podiatry, practice 
Mastery and download that, 

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subscribe to these podcasts and 
let me know what you think. 

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Okay, thanks guys.