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Get results in days, not monthsResults in days, not monthsIn a bone and joint practice, a "lead" can be a phone call from a man with a swollen wrist, a fax from a primary care office, a portal message from a physical therapist, an attorney's request on behalf of an accident patient or a form from someone reading about hip replacement at midnight. Treating all of these as one pile of leads is how practices lose the best ones. This page is about getting them, answering them well and measuring the result. We do not sell leads.
Lead types
| Type | Arrives as | Right response time | Who handles it |
|---|---|---|---|
| Acute injury | Phone call or walk-in | Immediately, during clinic hours | Front desk or triage nurse |
| New consult request | Phone, form or online request | Same day, ideally within hours | New patient coordinator |
| Physician referral | Fax, portal, phone, email | Within hours, with feedback to the sender | Referral coordinator |
| Therapist or trainer referral | Phone or message | Same or next day | Clinical staff or liaison |
| Second opinion | Form or phone | Same day, with clear instructions on imaging | Coordinator |
| Workers' compensation or auto accident | Phone, employer, adjuster or attorney | Same day, with claim details recorded | A specialist in claims intake |
| General question | Chat, email or form | Within one business day | Front desk |
Speed
A practice can spend a great deal getting someone to call and lose them in ninety seconds. Common causes include long phone trees, calls that ring through to voicemail at lunch, new-patient callers who are put on hold behind prescription questions and scripts that begin with the insurance question before the person has said what happened. A person with a broken wrist wants someone to say "come in," and a surgery shopper wants a calm, informed person.
We recommend three habits. Give new-patient and referral calls their own line or queue so they are answered first. Train a script that begins with listening, then goes to availability and then to insurance. And measure it: how many calls were answered, how many resulted in a booked visit, how long it took to return missed calls. Our monthly report includes the numbers call tracking provides, and many practices find the biggest gain is there, not in more advertising.
Referral relationships
A patient referred by a doctor arrives with trust already extended. The relationship deserves care. Referring offices value quick appointments, clear instructions, complete notes sent back and a person who answers when they call. Many orthopedic groups employ a physician liaison to visit offices, learn what each referrer needs and bring feedback home. Others do it through the surgeons themselves. Both approaches work when someone owns them and tracks the activity.
Keep the relationship clean. Anti-kickback and related laws restrict what value can be exchanged around referrals, and professional guidance discourages paying for them. We do not design or manage referral programs with payments, gifts or favors, and we advise that healthcare counsel review any outreach program. What we can do is make the provider page, the intake path and the follow-up process easy to use, and help you see which offices are sending patients and how that is changing.
Sources
Often the first call
A strong profile with right hours and reviews.
Condition and procedure pages
Organic pages that answer questions.
Immediate injury and procedure demand
Scheduled to clinic hours and tracked to booked consults.
Existing patients and family
Helped by reviews and a good experience.
Schools, clubs, employers
Slow to build, loyal over years.
Mixed quality
Useful if tracked, expensive if not.
Marketplaces
Some online directories and appointment marketplaces send you new patients for a fee per booking or a subscription. They can be useful, especially for a new surgeon or a new office, but they are rented attention. If the platform changes its rules, raises prices or promotes a competitor, the flow stops. A practice that owns its search presence, listings and content keeps benefiting even if it stops paying.
Our advice is to keep whichever marketplaces produce booked, kept appointments at a price that makes sense, track them separately and compare their cost per completed visit against your own channels over a quarter. We never recommend buying exclusive "lead lists" or contact lists of people with injuries; these raise privacy and consent concerns, and many are sold for violating them.
Tracking
Calls from each source, requests for consults, referrals received, appointments booked and visits kept.
Call tracking numbers per channel, a source field at scheduling and a simple referral log, all without sending health detail to ad platforms.
Ask every caller how they found you and record it the same way each time.
Monthly, connect sources to completed visits and, where possible, to procedures.
Move budget and effort toward the sources that produce kept appointments.
Intake
| Ask for | Leave off | Reason |
|---|---|---|
| Name and preferred phone | Detailed injury description | A free-text box invites health information into email and analytics |
| A general reason such as "knee consult" or "walk-in question" | Diagnosis, imaging results, medications | Collect that by phone or in the secure portal |
| Best time to call back | Social security or full insurance ID numbers | Not needed to start and risky to send by web form |
| Which office is closest | Employer or claim details on the public form | Handle claims intake by phone with a trained coordinator |
| Referral source in a dropdown | Anything that identifies a referring doctor's patient without a secure channel | Use the approved referral channel instead |
After hours
Sprains, fractures and strained backs rarely follow office hours. If your practice runs a weekend injury clinic or an after-hours line, say so clearly on the site and the Google profile. If it does not, give honest guidance for what to do: when to go to an emergency department, how to call the office the next morning and whether you offer same-day or next-day injury appointments. A short, kind message on the after-hours line, with clear steps, converts frustration into a Monday morning call.
For web inquiries that arrive overnight, an automatic acknowledgment that sets expectations ("we reply within one business day; for emergencies go to the nearest emergency department") is better than silence. And make the first morning's callback list a routine, not a favor, because the person who submitted a form at midnight is often the most motivated patient you will see all week.
What we do not do
We do not sell, buy or broker patient leads. We do not purchase lists of injured people, pay for referrals or run campaigns designed to capture patients for third parties. We do not make claims about outcomes, and we will not set up tracking that sends protected health information to advertising platforms. Where your practice treats workers' compensation or auto accident patients, we help you describe your services honestly and recommend counsel review any arrangement with attorneys or employers.
Our work is to make your own channels visible, accurate and measurable, so that the people who need an orthopedic doctor can find you and the people who refer can trust you.
Reporting
A useful report for an orthopedic practice answers five plain questions. How many new people contacted us, and by which route? How many were answered and booked? How many came in? Which offices, surgeons and service lines saw the change? And what, specifically, are we doing differently next month? We build ours around those questions and we avoid vanity figures such as impressions or follower counts unless they explain something.
Where your systems cannot yet connect a call to a visit, the report says so and lists the single change that would fix it, such as adding a "how did you hear about us" field to the scheduling screen. Over a few months those small changes turn a hazy sense of where patients come from into a record you can use when you hire a surgeon, open an office or decide whether to keep paying for a directory.
Pricing
Details
The answer follows the channels you pick. Landing pages through RankGuarantee™ are $495 monthly, one managed ad platform is $895, and the Organic Growth search bundle begins at $1,495. The ad budget itself is paid to the platform. Nothing is due at signup.
A person who fits your services, insurance and geography, reaches the right staff quickly and keeps the appointment. A call from a person you cannot treat is not a good lead even if it was cheap.
For injuries, immediately during clinic hours. For consults, the same day. For referrals, within hours, with a message back to the sender.
We do not sell or send patients. We can help your practice describe what it accepts so those who need you can find you, subject to your state's rules.
Often for groups with a few surgeons and a heavy referral base. It must be tracked and compliant with referral laws, and counsel should review the program.
Track sources through to kept appointments and procedures for a quarter. Compare cost per completed visit, not cost per call.
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Get in Touch
Send us three months of new-patient data, even in a spreadsheet, and we will help you sort it by source and outcome. Call 610-825-4363 or write hello@getphound.com.
