When “No C.A.” Makes Sense

As the cost of living continues to skyrocket, it is not unreasonable to look for costs to cut.

Unfortunately, most D.C.s cut practice expenses before slashing their personal ones and often and inaccurately eliminate practice expenses that should not be eliminated.

Personal expenses are a true cost:

• depreciation
• maintenance
• space

Personal acquisitions can get us in trouble, especially when financed.

Business expenses are deductible and allow you to delegate, automate, and outsource.

They are an investment and allow you to operate and “make money”.

Business is a game of spending money to make money.

Obviously, a C.A. is a business expense.

A good C.A. (front desk) adds a ton of value:

• phones answered
• patients greeted, intaked, guided
• appointments booked
• money collected
• phones answered

So when does “No C.A.” make sense?

When at least 3 out of 5 of the following apply to you:

• You have a simple practice—”by appointment” & adjustments only.
• Your financial goals aren’t too ambitious and your personal and office overhead is low.
• You just started a practice from scratch and/or are ambitious but you don’t have the confidence and capabilities yet, regardless of how much money that you may have earmarked for the practice.
• You outsource your billing.
• Your phones are answered live, 24-7.

At the end of the day, all that matters is results.

If you can create what you want while giving patients what they want, then you are winning.

Skills vary from D.C. to D.C. so one size doesn’t fit all.

Accept who you are, what you want, and what is reasonable, realistic, and achievable.

If no C.A. works for you and that’s what you want, then great!