It is key for dental practices to maintain their fee schedules via practice management software to ensure that the fees in the system are generated correctly. Fee schedules from insurance companies come in different formats, and therefore, it can be challenging to make sure that the fees are uploaded correctly in the system. Throughout this guide, we’ll give you all the information you need to overcome this obstacle.

Fee Schedule Maintenance: The Basics

PPO fee schedules can have a major impact on your dental practice. They determine payment collection methods and affect your financial plan. Does your practice utilize a fee-for-service model? Great! That means you only need to focus on your individual fee schedule. With that being said, most dental practices have to collaborate with insurance companies.

Ultimately, fee schedules are determined by factors like TIN, provider, zip code, county and state. However, every carrier has a unique set of strategies when it comes to fee schedule maintenance.

Can PPO Fee Schedules Be Modified?

Attempting to modify fees is a long, arduous process. In most cases, you won’t be able to tackle this on your own. Operating a dental practice is tough work, and you have plenty of other responsibilities to handle. At APEX, our specialists are here to assist you. We can help you find a cost-efficient, effective system for your fee schedule maintenance needs. Furthermore, our experts are able to evaluate your current system, communicate with your insurance carriers and lower your expenses.

Using automation, we offer a fee schedule maintenance and audit product that will review your fee schedules in the practice management software (PMS) system. Some of our other services include:

  • Confirming the accuracy of your current fee schedules for each carrier and location
  • Consulting with insurance carriers to attain higher reimbursement levels
  • Offering a thorough proposal of increases for each code schedule
  • Activating your fee schedules on the effective date

Can Multiple Offices Benefit from a Fee Schedule Review?

Yes! A review would be highly beneficial if your practice includes multiple locations or you are considering purchasing more practices. There are offices that share fee schedules and others that do not, and this can make managing fees more complicated. Speak with one of our experts to determine whether or not a review is right for your practice.

At APEX, we can assist you with a variety of services in addition to fee schedule maintenance. These include fee negotiation, coding and compliance, network optimization, credentialing management, and more. Contact us today to find out what we can do to support your business.

APEX Reimbursement Specialists Can Help With Fee Schedule Maintenance  

Whether you’re preparing for the recredentialing process or looking for assistance credentialing with a new provider, APEX Reimbursement Specialists is here to help. Contact our team today by calling (410) 710-6005. We look forward to working with you to make your practice a more profitable place.