Diligence Services For Your DSO

There are 125 DSOs in the USA - as of Q1 2025

MORAL OF THE STORY: WHO AND WHAT YOU BUY MATTERS – THEREFORE, DILIGENCE MATTERS

I am proud to help lead the DSO Strategy team that is chock full of retail healthcare talent and true operators that have faced and persevered the day-to-day operations of a successful enterprise, building a database of lessons learned as well as keys to success. We know what it takes to build a successful retail healthcare company. We understand the challenges of scaling and have faced many, but persevered through them and thrived.

We have worked with numerous private-equity funds and investor groups, and we are a rarer breed of talent that can empathize with clinicians, speak to operating executives to build processes, speak to IT professionals to help optimize technology, and then speak to a board of directors to help them understand how all of these moves will create shareholder and enterprise value.

Clinical Diligence Services

We see things normal assessments don’t know to look for:

Providers that are treating subsets of normal populations (i.e., heavy pedo, heavy Invisalign, heavy complex reconstruction, etc.)
Providers that are missing diagnostic opportunities.
Providers that have abnormal coding behaviors.
Providers that have abnormal risk due to billing procedures. (High ratios of core buildups to crowns and surgical extractions to simple bone loss that isn’t being treated)

Typical PE Fund Questions:

Am I getting a great deal or buying a nightmare?
Have you ever wondered how much ACTUAL disease and potential exist in a practice?
How good are the existing clinicians at diagnosing and treating disease?
How easy would the existing clinicians be to replace?
How much specialty potential exists in this practice?
Have you ever wondered what would happen if you purchased a practice and simply elevated them up to the standards of your average practice?

We know exactly what will occur and how much additional revenue you will find. Have you ever wondered if a new acquisition outperforms your existing ones in certain areas?

Operations Diligence Services

Creating Operational Work Streams and Systems that Drive Revenue:

Ensuring that the clinical and operational technology provided to teams is being used most productively to encourage continued practice growth.
Creating cross-functional workflows and communications to limit redundancy across departments and support the organization’s business strategy.
Understanding company core values and incorporating them into team communications and initiatives.

Questions that Optimize Operations:

What are the performance indicators and accountability measures that create a culture of execution?
How frequently is field leadership reporting on their performance?
Are the tools meant to measure performance being used and are they working as planned?
What are the modes of communication from HQ to the Field to ensure streamlined implementation of operational initiatives?
Conversely, what are the Field to HQ communication workflows to identify opportunities and provide feedback?
How does the actual patient experience differ from the one that is designed and intended?
Are team members informed of business goals and do they have the tools and systems to achieve them?
Are cross-functional teams working in lock-step toward the organization’s North Star?

Revenue Cycle Diligence

Key Steps of Dental RCM for Analysis:

Patient Registration
Insurance Verification
Treatment Planning & Case Acceptance
Submission of Claims
Insurance Payment Posting
AR Management
Patient Collections
Key Metrics

Typical RCM Questions:

What are the questions being asked during registration?
How thorough is the insurance verification process prior to the appointment? What are the steps and questions involved?
Is there proper training and guided conversations for treatment presentation and financial options?
How easy is claim submission and the review of dirty vs. clean claims?
What is the payment and adjustment posting process? Is there a balance audit process?
How often is AR managed? What is the AR follow-up process?
How are patient balances collected? Frequency?
What are the key performance metrics that are currently tracked for dental RCM? Are these metrics shared with the office teams? If so, how often?

The full dental revenue cycle needs to be analyzed through discussions and metrics from start to finish. Finding the gaps for areas of improvement and creating a process to help the continued success of the business.