Blog
Does Under-Coding Put Your Practice at Risk for Compliance Problems?
Compliance is essential to the short-term and long-term success of any dental practice. While most dentists are concerned about the risks that over-coding and over-billing can create, under-coding is also a serious issue. In fact, under-coding is considered dental...
How Improper Credentialing Can Impact Your Claim Submission
Credentialing and recredentialing are vital to claims approval for every dental practice. If you try to cut corners when credentialing or recredentialing, you could run into serious claim submission denials in the future. At APEX Reimbursement Specialists, we work...
Are You Ready for Recredentialing?
According to Benjamin Franklin, the only two certain things in life are death and taxes. In the dental industry, there’s one more certain thing—recredentialing. This process occurs every 2-3 years for every insurance provider at every dental practice. While it might...
What Is Insurance Negotiation?
There are often two camps in the dental industry: those who don’t understand the power of insurance negotiation, and those who are too intimidated by the process to try. However, PPO negotiation is an invaluable tool for practices of every size to improve their bottom...
Could the DSO Market Be a Good Thing for Your Dental Practice?
Dental Service Organizations, or DSOs, are rapidly expanding and showing no signs of slowing down! However, many older dentists are concerned about the DSO market and its impact on the industry as a whole. One survey found that 61% of dentists were “highly concerned”...
The Importance of Clinical Due Diligence
Whether you’re drilling in a patient’s mouth or making notations in their chart, accuracy matters a great deal. When editing patient records, it is vital that dentists always accurately record what was done, even if the results were not notable. Clinical due...

Insurance Companies Can Benefit from Working with a Dental Consultant
While many dental practices hire dental consultants to maximize their reimbursement potential, boost their bottom line and protect themselves from audits, every insurance provider is not enthusiastic about cooperating. In reality, the relationship between dental...

The Surprising Side Effect of a TIN Change: Lower Fee Schedules
Did you know that when your practice undergoes a tax identification number (TIN) change, some insurance companies will offer you a lower fee schedule? Paying close attention during your transition is essential, whether you’re purchasing a new practice and wanting to...

The Numbers Every Dental Practice Needs to Know
It’s time for a pop quiz. What was your 2018 revenue? How much profit did you make? What is your current overhead? If you’re like many dental practice owners, the answers to those three questions start with, “Just one second, let me open my spreadsheet.” Every...

Why Are My Providers on Different Fee Schedules?
In 2010, preferred provider organizations (PPOs) made up 74% of the dental benefit market. Numerous dental practices are contracted with more than one PPO. Sorting through all of the contracts and fee schedules can be confusing for your billing professionals and your...
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