The Dental Truth Project

We Pulled Insurance Duty From Our Front Desk - Revenue Jumped 30% (E.15)


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Francesca Pregano's 30% Growth Formula: Remove Insurance Drama From Your Front Desk + AI-Powered "Wheel of Retention"

 

Francesca Pregano, COO with 19 years in dental, discovered the real reason multi-location practices bleed patients: It's not bad dentistry - it's front desk staff drowning in insurance conversations they can't win. Her radical solution? Strip all financial chaos out of the office entirely and give the team one job: make patients feel welcome and collect the right data.

 

Key Revelations:

The Wheel of Retention That Doubled Profitability

  • Created remote RCM team to handle ALL financial conversations outside the practice, tracks Day Sales Outstanding and audits the entire revenue cycle
  • Training front desk staff to explain complex insurance processing was impossible with high turnover. Front office now focuses solely on: collecting patient data, creating happiness, and guiding patients through the visit
  • Insurance companies' post-rollup data disasters were destroying collections, patients don't care whose fault billing errors are - they just leave
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    💡 The "Ask Ken" Question:

    "When is it the right time to hire a fractional CFO?"

    Ken's answer: It depends on your trajectory, not just your size. Planning to grow from 1 to 3-6 practices? Get a fractional CFO NOW - rapid growth needs serious financial guidance to avoid expensive mistakes. Growing slower? You can wait, but by 5-10 locations, you NEED a financial heavy hitter making sure everything runs smoothly.

     

    Francesca's brutal truth: She spent years in operations before realizing she didn't truly understand it until she mastered finance. Working alongside a CFO taught her to read P&L statements and understand profitability drivers. Without the finance piece, you're just looking at numbers without knowing WHY they matter - especially dangerous before you start to scale.

     

    Got a burning question about dental finance?

    Submit your question, and it could be featured in a future episode.

    Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project

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    The Dental Truth ProjectBy The Dental Truth Project