UAC Chiropractic (00:02 .83)

Hey everyone, welcome into the UAC Best Practices podcast. I'm Dr. Alan Miner and I'm here today with my co-host, Dr. Brian Capra. you know, Brian and have interviewed close to a hundred people now at this point. But today we thought we'd actually never interviewed each other. So I'm gonna interview Brian. He'll interview me sometime in the near future. So Dr. Brian, welcome.

Dr. Brian Capra (00:29 .311)

Thank you.

UAC Chiropractic (00:29 .388)

You've been in UAC as long as I was early from the early days. You were just launching. just stepped out of your practice and were ramping up. I remember with Maximized Living Docs were kind of your initial niche as you're starting the software program. you started your own practice working out of a gym and then you met some patients and that was the early seed of what became Genesis Software. Take us through, particularly here's why.

Dr. Brian Capra (00:33 .362)

I don't know how many years. Yeah, it's a long time.

UAC Chiropractic (00:59 .31)

The average person in UAC is attracted, you know, UAC to be really clear is not coaching. It's a group of chiropractors who are thinking really big. There's a lot of people, people to come into UAC, you've got to have a successful clinic because the minimum revenue is a million dollars. And you don't even have to be a chiropractor to be in UAC. You have to have a business that serves chiropractors. But most people come in, they are serving, you know, in their practice, but they're wanting to go bigger.

Dr. Brian Capra (01:04 .969)

Wait.

UAC Chiropractic (01:29 .774)

And whether that's starting a software company or a staffing company or opening multiple clinics or maybe even just growing their clinic as big as they can, it's where you've evolved past coaching. You've kind of figured out your core chiropractic business and now there's something else. So how did you evolve through that? You're cranking, you're in a gym, you're growing and all of a sudden something starts to creep in where you somehow now you've been running a software company for

more than well more than a decade so take us through that journey.

Dr. Brian Capra (02:01 .34)

Okay, yeah, it's kind of just a serendipity. Just a lot of things just kind of fell into place. One was I felt a real big desire to solve a big problem that I felt existed. Didn't have a solution for it, but that problem was that the technology for me that existed at the time wasn't helping me proactively identify attrition.

risks patients that were behaving in a way that was showing us that they were going to leave and we kind of do those things we did them when we had paper we did them you know things got better with more automation and the software at the time but for example a patient that leaves without a future appointment for me or misses an appointment

and doesn't proactively reach out to your practice to reschedule it. It's a big giant red flag, right? Like, wait a minute, you didn't come. And like the analogy I always used in the past when I would do the, the on stage or whatever is they never miss their chemotherapy appointment and forget to reschedule it. Right. And that's poison. So what are they telling you is they forgot the value of your care? most likely.

UAC Chiropractic (03:10 .822)

Yeah.

Dr. Brian Capra (03:22 .75)

Things happen, people get busy, then maybe they call you the next day, my god, I can't, but if they ghost, it's a big problem. So what would typically have to happen in another software would be, you know, you run your missed appointment, you know, report, and maybe you call them, and maybe your staff calls them, and then if you don't reschedule them, you know, pretty quickly, they go into a black hole. And you know, you lose them until you remember.

at some point later, you you wake up in the morning, like whatever happened to so and so and you go back to the office and we, you know, they missed a visit. They never came back in. They, didn't present the new care plan with 10,000 different reasons why you find that problem and you address that problem through training your team and your huddles and your whatever. And they get better at that one thing until another procedure falls down.

UAC Chiropractic (04:16 .236)

Yeah.

Dr. Brian Capra (04:18 .12)

because they can't do everything, right? So usually it's kind of like a management by fire methodology. it's ironically in the past, practice management technology I felt was built that didn't actually help you manage your practice. It helped you do some things better. You know, check in people and see their x-rays on the screen and that was all better. It was definitely better. But so I'm in practice and I...

Long story short is I got introduced to two guys that were building technology for medical billing. That's even longer story, but that's the short of it. And what I realized with the technology is, well, first of all, I became their first customer because I had the same billing company as my coach that, you know, who was very well known and they sucked. They were awful.

I couldn't collect. I didn't know what I was collecting, what I built. was a disaster. So I implemented this technology, methodology really, it's people, process and technology. And my collections went up by 40%. And the secret was automated workflow, artificial intelligence, not like we think about it today, but the rudimentary form of AI and automated workflow and identification straight through processing of claims and identification of

UAC Chiropractic (05:33 .28)

Now.

Dr. Brian Capra (05:41 .042)

what claims need to actually be followed up on today before the end of the day to get me paid, everything I deserve. And transparent, online, in the cloud, 20 plus years ago, right? So I saw that workflow methodology and how that would apply to my patients, my retention or my patient relationships. And my collections went up. So I said to them, hey guys, you know, this is really awesome. I know a lot of docs that need it.

And we formed a partnership. So our first hack at this was actually called Billing Precision because it was the only billing service at the time. But my vision was if we can both build on top of that a full practice management platform, we'd have something completely unique and different in the cloud using AI 20 plus years ago, But before I met them,

UAC Chiropractic (06:20 .247)

Yeah.

Dr. Brian Capra (06:39 .472)

I was gonna franchise practices in gyms. That was my big vision, right? When I saw this, I knew I could make a bigger impact on the profession and patients ultimately. So we went for it and you're young and you just go for it.

UAC Chiropractic (06:52 .064)

How long did you how long did you? Yeah, how long was that period where you were now doing billing precision and then Genesis but still in practice? How long did you do both?

Dr. Brian Capra (07:02 .666)

That was only a couple of years. I had only been in practice. I graduated 2002. We started in 2004. That's how fast it was. And then within a couple of years, I was completely out of practice, just too busy with with billing precision at the time. And it evolved from there. Yeah.

UAC Chiropractic (07:11 .06)

Wow.

UAC Chiropractic (07:21 .29)

Yeah, that's awesome. So, um, what have you learned along the way? I mean, you're a business to business person, you know, selling to chiropractors, which is different than business to consumer B2C where you're selling to patients. Uh, how did you evolve? I call it like your, your CEO, you know, almost your PhD as a CEO, you know, it takes some time. You're, you're a practitioner.

who is still pretty new and running that business now. You're literally a CEO of a software company. There's an identity shift that has to happen there. There's a knowledge base that has to happen there. mean, you know, can you talk just a little bit about what helped you make that transition or some of the stumbles or pitfalls you made that would help somebody else avoid that transition or people or books you've read that had influence that also made that easier for

Dr. Brian Capra (07:55 .647)

Yes.

Dr. Brian Capra (07:59 .741)

Yeah.

Dr. Brian Capra (08:14 .6)

Yeah, well, a lot of it was just by necessity. you just, you have this great idea and you're, you know, luckily one of my business partners was a CIO at Lehman Brothers before he left Lehman and started to develop a software company, ultimately became, initially the software was actually built for hedge fund trading.

UAC Chiropractic (08:37 .482)

Mm.

Dr. Brian Capra (08:38 .484)

Then it evolved into medical billing. Then I came into the picture, but he had a ton of corporate experience. So one of the things was I learned a lot from him, just understanding the nature of business, how it actually is run with quantifying work, delegating work, verifying it's completed. It's actually built into the methodology. A lot of it though is like you said, you just kind of got a...

read a lot of books, talk to a lot of people. What can I tell people to, it's, I don't know, to be perfectly honest with you, what I can tell people is, at the end of the day, every business is three things. It's people, process, and technology. Over and over and over a