Are you losing revenue and profit because your patients are not in the right bands?

While every practice is unique, the distribution of patients between bands A to E on your Full Care Plan should fall approximately in line with the following guidelines:

12% in band A
29% in band B
39% in band C
16% in band D
4% in band E

When I conduct Full Care Plan audits I often come across practices where the majority of patients fall into Band A and Band B, and when we look at the amount of clinical time spent with these patients, it’s clear that many should be in higher value bands.

You should be able to quickly establish your practice distribution by referring to the latest monthly summary report your plan provider prepares for you.

If the distribution of your patients differs from the guidelines shown above it may be because:

• You inherited the patient list and have assumed patients had previously correctly banded
• The dentist assessing the patient prior to them joining the plan may have lacked confidence in placing them in the most appropriate banding due to financial concerns – can they afford it?
• Patients have never undergone reassessment which may have required moving to an alternative band as their dentition changes

What to do:

1. Establish the distribution of your patients between your plan levels
2. Carry out an audit on a representative sample of Band A and Band B patients
3. Where required note to reassess patients who appear to be incorrectly banded at their next scheduled visit
4. Put a policy in place to reassess all patients on a regular basis – at least every 24 months is recommended.