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Checks & Balances

As the founder and president of Genesis Chiropractic Software, Dr. Brian Capra now serves as the President of the Professional Services Division of ClinicMind. Dr. Capra is passionate about improving healthcare service performance and efficiency using technology. He speaks frequently at live events, podcasts, and webinars about using the cloud, AI, big data analysis, automated workflow, and the "network effect" to improve offices.

In this of TechTalk Podcast, Brad Cost, Dr. Jay Greenstein, and Dr. Brian Capra sit down to discuss:


  • The trajectory of Dr. Capra and how he went from Chiropractor to CEO.

  • The formation and future of ClinicMind.

  • The value of billing in real time.

1:35 Chiropractor to CEO. It's crazy how story after story and situation after situation leads you to that place. I went to school at Life in Marietta, and I was going to graduate to save the millions of lives. There was no way in hell I thought I would be in the software or billing service. I had a nice practice in Princeton, New Jersey inside of a Gold's gym and I was going to franchise that model, so I was looking for financing. I met with the gym’s bookkeeper, and she offered to help do my books. She eventually asked what I was doing for medical billing, and, at the time, I was outsourcing to a company, and I didn’t know if I was making the money I should’ve been making. She introduced me to friends of hers that were building technology in the cloud. One was a computer science graduate from Princeton, and his father was a technology guy. He worked on Wall Street, was a CIO at Lehman Brothers, worked in Bell Labs, PhD, had patents in workflow automation and all this stuff. The odds of meeting those guys were very small. They explained to me what they were doing for the medical billing side of things, and I thought, it can't be worse than what I got, so let's give it a shot. We did and my collections went up 40%. From there, I realized that it was a great business, but when I learned about the workflow automation, I knew that could be applied in many parts of a practice, like the patient experience, retention, and cash collections. I knew a lot of people needed what they had, so we partnered and started with just billing. We needed to build an end-to-end solution, but they were reluctant to that in the beginning for probably a year and a half, two years. Eventually, they started building little pieces of a system. I told them, if you can build this list of items, I can get rid of that $700/month software that I'm using. If it's good for me, there's a lot of people on that software. They started building it, then we started going to shows to show it off. It was not as robust as other systems, but it was free at the time. That's the Genesis of Genesis.

5:54 Transparency & accountability in the office space. The doctors are so caught up in everything, like what it takes to find patients, teach their team what to do, process patients, give great care and all that stuff, that they forget the simple things like submitting the claim at the end of the day. You would be shocked! You need to have checks and balances. One of the ways we do that is by making it part of the process of seeing your patient. You're seeing the patient, they check themselves into the table, and you see what you've done the previous time. You should make it very easy to do the documentation and submit the claim in real time so that it's done. At worst, at the end of the day, there's a short list of patients that you have to do that for rather than the entire stack of patients you've seen that day or week. You whittle it down, so it will give yourself a fighting chance to actually get it done.

9:07 Billing in real time. First of all, do yourself a favor by realizing how much time and energy it's costing you to stay where you're at and extrapolate that over the rest of your career. It's one of the things my team does well in the call of sales processes. We show them where they're going to be more efficient and how their insurance collections or patient retention will improve. If they don't, extrapolate that over the length of time you’ll continue to practice. It's astronomical how much money and time it costs you. If you wrap your head around that, you’ll have some motivation that will push you over the edge. The other side of it has been a big focus of ours. Over the past couple of years, we've built a white glove service where we're able to go into the software you're using to do all the grunt work and focus you and your team on just training on the system. Being able to do that has been a game changer because doctors are able to move much faster with a better understanding of the system. Like any system, what you learn in the first month or two is most likely going to be around 80% or 90% of what you'll ever know, so it's important for us to make sure they get the most from the start. When it comes to claims and enrollments, we leverage automation. Once the doctors get on the system, they can function like a fully functioning practice.

16:54 Connectivity of the cloud. It's interesting to me that some of the software companies that have been out there for years are now trying to get into the cloud. My perspective is their motivation is wrong and that's why you see them having so much difficulty. Software companies that are SaaS models, recurring monthly revenue, sell for way more money than non-SaaS companies. They figured out they can take their thousands of clients and get that into a recurring revenue model, we will make a lot more money. When that's the motivation, it's really hard not to screw it up. Where we started 20 years ago, people were objecting to being in the cloud, but we knew it was the future. We knew the capabilities it would give us in the future were going to be game-changing. We knew you needed the cloud to have workflow automation, artificial intelligence, transparency, control, all those things. It was a prerequisite to get the most value to the customer. When you do it the other way around, you're going to fall on your face. The cloud is very important, but just because a software is in the cloud doesn't necessarily make it good.

23:06 Creation of ClinicMind. "When we started our partnership all those years ago, we kept it two separate companies for all this time. It just got to the point where we realized there were a lot of inefficiencies and redundancies, and we were just flushing money down the toilet. The one company, when we started, was called Vericle. Billing Precision was our original company that turned into Genesis and Vericle turned into ClinicMind. We had all this disjointed functionality, although our service has always been great. It was getting to the point where we couldn't innovate and produce fast enough to make real good use of what we already had. In December, we merged ClinicMind and Genesis into the main company, ClinicMind. We also have a credentialing company called CredEdge. You're going to start seeing new functionality and features have come out, so we're really cranking out a ton of new stuff and adding more services. We're really excited about it. This year has been great so far."

34:29 Future of ClinicMind. "There's a lot of things under the radar people don't know about that we have coming out. We're going to really broaden our offering quite a bit. I have to keep it on the low down a little bit, but there is a lot coming. It's really been a long journey and we're doing great, but we're also in a position to really take the market on strong. I'm just excited about where we are, how long it took to get here, and truly see it all come to fruition. I know you know what it's like to build something and just get the first generation out. It takes a lot of hard work, focus and concentration. I'm grateful."


35:24 Satisfaction of success. "My personal life is not changing so much - maybe more satisfaction. We're not grinding like we were in the beginning when we were just starting to try to make something happen. There’s a light at the end of the tunnel, which we didn't even know if it's ever going to come up, but now we can actually see it. It just it gets more exciting and enjoyable the more you go on."

35:55 Content creation. "I've started recording just a few thoughts off the top of my head on a podcast, but I've also done a lot of these type of interviews where people were asking me to come on as a guest to cover different topics. A lot of those are going on my personal Instagram. On the other side of the fence, Dr. Paris, who's on the Genesis team, is doing the external-facing webinars, which is going on the Genesis Instagram. All my content's getting disseminated out onto TikTok, Instagram, LinkedIn and all those social channels. These days you got to do something, right?"





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