Category: Uncategorized

  • The most important things get the least attention.

                      Of the important business processes in any practice, two routinely have substantially less time invested than they should: marketing and receivables.  Practices tend to shy away from marketing because putting yourself in front of a new audience is a challenge for many people.  Plus, the expense has a degree of variability that allows it…

  • Common errors in practice analysis.

    To know where a practice stands, any analysis must include quality information assessed over a period.  For a new practice, the second part can be a challenge, but that can be overcome with experience metrics used to gauge whether or not the practice is off to a good start or not.  Whatever the analysis, please…

  • How do I know if my practice is struggling?

    So many times, we hear practice owners say things like “things are a little slow right now, but we’ll be fine” or “we had a good day yesterday, so we are set.”  That reasoning tends to be anecdotal and based on feel rather than hard facts.  So, how can you tell if your practice is…

  • The strange history of revenue recognition

    When we first started our company in the late 80’s, the focus was on managing orthodontic practices. One key question was how to properly account for revenue in a way that matched the actual work being done on the contracts that provided the income for every serviced practice. The original system developed in the early…

  • Margins: How high can they go?

    We hear nearly nonstop discussion about where orthodontic profit margins should be. For a mature practice of at least 2 years old, that number has generally been quoted as 50% before any associate or owner docrtor compensation. For a general breakdown of that, the cost percentages might be along the lines of: employee costs –…

  • The fallacy of per patient metrics

    So many analysts and sales people have made the fatal mistake of basing computations and pitches based on per patient metrics. The speech goes something like this: if you use our product on a patient, you’ll use 20% less staff time for that patient. On its surface, that sounds great. Who wouldn’t want to reduce…

  • Here we go…

    Welcome to Marshmallow. We are here and ready to help your practice operate and grow!