EPISODE · Mar 11, 2026 · 10 MIN
Managing VAs, Patient Recall, and Treatment Acceptance
from Don Pelto, DPM - Podiatry Practice Mastery · host Don Pelto, DPM
Managing VAs, Patient Recall, and Treatment AcceptanceDescriptionAre your virtual assistants actually producing value—or just filling hours?Many practice owners turn to virtual assistants for marketing and administrative help, but managing them effectively can be a challenge. When work is billed by the hour, tasks can expand to fill the available time, making it difficult to control costs or ensure meaningful results.In this episode, Don shares lessons from managing virtual assistants by shifting from hourly expectations to task-based assignments. He also discusses practical patient recall strategies, the role of automation in reactivating past patients, and a communication framework that improves patient acceptance for higher-value treatment plans like shockwave therapy.⸻Timestamps[00:00] The Problem With Hour-Based Virtual AssistantsWhy VAs often expand work to fill the number of hours allocated.[00:50] Moving to Task-Based ManagementAssigning specific deliverables with defined time limits to prevent time bloat.[01:50] Examples of Task Allocation for Marketing VAsWeekly newsletters, SEO page updates, ad monitoring, and call tracking.[03:05] Using Automation to Recall PatientsHow ModMed’s Clara helps follow up with patients who miss appointments.[04:05] Combining Clara With Additional Recall SystemsUsing automation tools to continue follow-up once the EMR recall system stops.[04:50] Identifying High-Value vs. Low-Value Appointment SlotsStructuring the schedule to prioritize higher-value visits.[05:40] Creating 10-Minute “Buffer Slots”Using shorter appointment slots for quick visits or patients likely to cancel.[06:20] Using Newsletters to Reactivate PatientsHow regular email communication occasionally brings former patients back.[06:55] Why Manual Recall Systems Are Labor-IntensiveStaff-driven recall processes require significant time and organization.[07:30] Exploring Automated Recall PlatformsHow tools like Banzai can automatically identify and contact inactive patients.[08:05] Improving Patient Acceptance With Better CommunicationUsing future pacing and good–better–best treatment frameworks.[09:00] Presenting High-Value Treatment PlansHow to introduce comprehensive treatment packages like shockwave, injections, and orthotics.[09:40] Avoiding Discounts While Adjusting Treatment PlansInstead of discounting, remove components from the treatment package.⸻Key TakeawayManaging systems—not just people—is critical in practice growth. Whether working with virtual assistants, scheduling patients, or presenting treatment plans, clear structure and automation help reduce wasted time while increasing practice revenue.⸻ConclusionWhat systems are you using to manage virtual assistants or reactivate patients in your practice?If you’ve implemented automation or structured workflows that improved efficiency, share your experience. Conversations like these help practice owners refine the systems that drive growth.
What this episode covers
Managing VAs, Patient Recall, and Treatment AcceptanceDescriptionAre your virtual assistants actually producing value—or just filling hours?Many practice owners turn to virtual assistants for marketing and administrative help, but managing them effectively can be a challenge. When work is billed by the hour, tasks can expand to fill the available time, making it difficult to control costs or ensure meaningful results.In this episode, Don shares lessons from managing virtual assistants by shifting from hourly expectations to task-based assignments. He also discusses practical patient recall strategies, the role of automation in reactivating past patients, and a communication framework that improves patient acceptance for higher-value treatment plans like shockwave therapy.⸻Timestamps[00:00] The Problem With Hour-Based Virtual AssistantsWhy VAs often expand work to fill the number of hours allocated.[00:50] Moving to Task-Based ManagementAssigning specific deliverables with defined time limits to prevent time bloat.[01:50] Examples of Task Allocation for Marketing VAsWeekly newsletters, SEO page updates, ad monitoring, and call tracking.[03:05] Using Automation to Recall PatientsHow ModMed’s Clara helps follow up with patients who miss appointments.[04:05] Combining Clara With Additional Recall SystemsUsing automation tools to continue follow-up once the EMR recall system stops.[04:50] Identifying High-Value vs. Low-Value Appointment SlotsStructuring the schedule to prioritize higher-value visits.[05:40] Creating 10-Minute “Buffer Slots”Using shorter appointment slots for quick visits or patients likely to cancel.[06:20] Using Newsletters to Reactivate PatientsHow regular email communication occasionally brings former patients back.[06:55] Why Manual Recall Systems Are Labor-IntensiveStaff-driven recall processes require significant time and organization.[07:30] Exploring Automated Recall PlatformsHow tools like Banzai can automatically identify and contact inactive patients.[08:05] Improving Patient Acceptance With Better CommunicationUsing future pacing and good–better–best treatment frameworks.[09:00] Presenting High-Value Treatment PlansHow to introduce comprehensive treatment packages like shockwave, injections, and orthotics.[09:40] Avoiding Discounts While Adjusting Treatment PlansInstead of discounting, remove components from the treatment package.⸻Key TakeawayManaging systems—not just people—is critical in practice growth. Whether working with virtual assistants, scheduling patients, or presenting treatment plans, clear structure and automation help reduce wasted time while increasing practice revenue.⸻ConclusionWhat systems are you using to manage virtual assistants or reactivate patients in your practice?If you’ve implemented automation or structured workflows that improved efficiency, share your experience. Conversations like these help practice owners refine the systems that drive growth.
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Managing VAs, Patient Recall, and Treatment Acceptance
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