Why the Money Isn’t Showing Up: Part 3

Building Financial Accountability Without Micromanaging
Did you miss Part 2? Catch up on Why the Money Isn’t Showing Up, Part 2

By: Dawn Patrick, COO and Dental Business Strategy Coach, IgniteDDS


Here’s the balance every dentist wants:

“I want accountability — not hovering.”

Good systems do exactly that.


1. Ownership vs. Delegation

You can delegate tasks. You can’t delegate ownership.

Team Handles:

  • Posting
  • Follow-ups
  • Conversations

Doctor Owns:

  • Reviewing numbers
  • Setting expectations
  • Asking questions

2. One Financial Coordinator or Shared?

Both can work poorly or well.

Best Practice

  • One primary financial coordinator
  • One trained backup
  • Clear division of duties

No overlap confusion. No finger-pointing.


3. Weekly Financial Huddles (15 Minutes)

This is where accountability lives.

Weekly Review:

  • Total A/R
  • Insurance over 30 days
  • Treatment acceptance
  • Adjustments made

Rules:

  • Numbers only
  • No blame
  • Clear next steps

4. Controls That Protect Everyone

Controls aren’t about distrust. They’re about protection.

Non-Negotiables:

  • Individual software logins
  • Segregation of duties
  • Daily deposit reconciliation
  • Monthly adjustment review

Good systems protect:

  • Your practice
  • Your team
  • Your peace of mind

Final Coaching Thought

Accountability doesn’t mean control. It means clarity.

When ownership is defined, systems are visible, and financial numbers are reviewed consistently, your practice runs with less tension, not more. You stop reacting to surprises and start leading with confidence.

Strong financial systems don’t just protect your cash flow. They protect your team, your time, and your peace of mind.


Final Series Wrap-Up Thought

If your practice feels productive but financially unpredictable, it’s not because you’re doing something wrong; it’s because no one ever showed you how to build financial control systems that actually support dentistry.

The practices that thrive aren’t working harder. They’re working smarter, with clear expectations, consistent systems, and accountability that doesn’t depend on memory or personality.

If you’re ready to stop guessing, reduce stress, and finally feel in control of your numbers, I’d love to help.

You can learn more and book a complimentary coaching call here:
👉 https://ignitedds.com/coaching/

Dawn Patrick

Dawn Patrick

Dawn has 30+ years of dental experience spanning all facets of dentistry including pediatric, cosmetic, complete health, and sleep. During her career, Dawn enjoyed 25 years in practice management including marketing, team training, and consulting. She joined IgniteDDS in June 2022 as Director of Operations. Dawn enjoys working directly with teams and customers to create a win-win. She is passionate about creating systems and processes that allow teams to excel. In her spare time, Dawn enjoys time with family, her two Goldendoodles, and traveling with her husband, Jon.