Sunday, January 11, 2015

Sustainable Advantage

Every business wants a sustainable competitive advantage; something they have that customers want that another firm cannot easily produce and sell.  Most firms play the leap frog game.   Firm A makes a great smartphone and firm B makes a better one.   Sushi restaurant A makes Crazy Roll and sushi restaurant B makes a Really Crazy Roll.  In health care, this happens as well.
One doc does anti-aging and then gets copied.   A plastic surgeon does a breast augment and another one does them for less.  So what is the way out?
You must acquire a sustainable advantage: something so hard to do, so expensive or something that requires so much expertise or better yet a really hard to get license, that very few doctors can ever do it.  
Think about what that can be for you. 

Sunday, November 16, 2014

What's Been Happening

I have not posted for also a year.  Why?  Busy.  Nothing to say.  I don't know.  So what has been up?

I've done 19 vas reversals in the office under local anesthetic with excellent results.  

Long Island Vasectomy Centers is the gift that keeps on giving with over 500 vasectomy leads delivered.  

I have attained a tissue banking license from NY State DOH and plan to start tissue banking in the next few weeks.  

I see over 1000 new patients per year.  

I am on the BOD of the Nassau Suffolk IPA.   

I developed the LIVC. into a separate LLC and am exploring offering memberships to eligible vasectomists.   

I developed a prostate fusion biopsy program in Suffolk county in association with ZP RAD.  

Kids are good

Wife is good

I am playing tennis well

Miss my dad who died exactly 2 years ago. 

Monday, December 30, 2013

Year in review for the IU

It was a great year professionally.  My practice grew substantially. 

I added over 1000 new patients.  
I did almost 300 vasectomies. 
I upgraded my office procedure room substantially. 
I invested in a high quality, high optics OR microscope.  
I started a microsurgical training lab. 
I did 10 vasectomy reversal surgeries in the office.  
I was elevated to the board of directors of my IPA
I upgraded my andrology lab.   
I enhanced my offices electronic infrastructure. 
I streamlined check in, check out, and billing processes.  
I successfully enhanced my office to be compliant under Omnibus HIPAA. 

And more.  All in all a good year.  Personally I mourned the loss of my father but thanks to my family and friends, I got though it.  
Here's to 2014. 
The IU

Thursday, December 12, 2013

I am looking for beta testers for my ICD-10 search program. Contact me now.

For a limited time, I will be giving away for free the ICD-10 search program I developed.  Why?  I need beta testers.

If you are interested, please complete the form: 

Dr Schoor

Monday, December 09, 2013

Dude, my ICD-10 Search Program Totally Works.

It works.  And it works well.
Shout out to my programmer.  Nice job Ben Barret.

I am looking for beta-testers.  Please contact me if you are interested.  Use this email:

Dr Schoor

Sunday, December 08, 2013

5 things you should do today to advance your practice

1: post to your blog (don't have one, start one). 
2: learn 2 things about ICD10
3: write a script for a 2 minute video
4: post to your Facebook practice page (don't have, get)
5: set one professional goal to accomplish by end of year

You ready.   Go.  

Monday, December 02, 2013

From the Official ICD-10 Rule book

P. Encounters for general medical examinations with abnormal findings
The subcategories for encounters for general medical examinations, Z00.0-, provide codes for with and without abnormal findings. Should a general medical examination result in an abnormal finding, the code for general medical examination with
ICD-10-CM Official Guidelines for Coding and Reporting
Page 105 of 117
abnormal finding should be assigned as the first-listed diagnosis. A secondary code for the abnormal finding should also be coded. 

For example: patient is referred to me, the urologist, with an elevated PSA.

Problem With No-Shows? Try An ACP approach.

No shows can cost a practices thousands of dollars in lost revenue.  People no show for a variety of reasons but the most common is that they simply forget.  When ever your no show rate exceeds 10% for any given day, your confirmation process did not work.  Happens to me as well.

In November I started a new approach to no shows.  I call it the the ACP--Aggressive Confirmation Protocol.  My no-show rates has since plummeted to essentially zero.

Here's how it works:

  • Monday and Tuesday confirmation begin to happen on Wednesday of the previous week and continue through Friday evening. 
  • Tuesday continues through Monday.
  • Wednesday starts Monday and continues through Tuesday.
  • Thursday starts Monday and continues through Wednesday.
  • Friday starts Tuesday and continues through Friday. 
Confirmations attempts come by phone and elecronic communication.
We don't stop until we get a live person.  

A bit aggressive?  Yes.
Potentially annoying to clients?  Maybe.
Effective at reducing no shows?  Absolutely.  
Expensive?  Nope. 

Try it out and let me know how it goes.

The IU.