Blog

The reimbursement market is constantly shifting, and a new report is indicating that decreasing reimbursement rates are on the way. Now is the time to adjust your expectations for the coming year and explore how reimbursement negotiation could ensure that you end up...

While medical insurance will not cover most routine dental procedures like fillings or cleanings, there are cases where procedure codes can be submitted to traditional medical insurance for reimbursement. It’s essential that your practice understands what codes are...

The credentialing process presents unique challenges to dental practices and doctors who are currently in the process and not yet credentialed. How does the claim filing process work when you are waiting to receive credentials? Can you bill and collect payment for...

Every new year brings along with it changes to CDT codes, and 2019 is no different. This year, the Code Maintenance Committee reviewed a wide variety of codes related to new technologies, procedures and materials designed to improve oral health. In this blog, we are...

HIPAA compliance matters, whether you’re a private practice family physician or a dentist. As dental practices grow in size and collect patient information and payment data, the importance of HIPAA certification for every practice employee increases. Are you...

The Dental Service Organization (DSO) market is rapidly growing, and it isn’t showing any signs of stopping! With over 15% of dental practices in the United States currently participating in a DSO and benefitting from behind-the-scenes administrative benefits, many...

Today’s changing insurance landscape places a number of unique demands on dental practices. With over 85% of dentists belonging to at least one PPO and working with insurance carriers, maintaining the relationship between the practice and the carrier is essential....

According to the American Dental Association, the average dentist participates in 6 dental plans, and PPOs make up over 80% of that dental plan market. With a myriad of benefits available to dentists who choose to participate in PPO insurance networks, it’s...

Did you know that many insurance carriers have tiered networks and multiple plan options? When working with insurance companies, it’s important to understand what your practice is signing up for and the nuances of tiered options. What Are Tiered Networks? Tiered...

At APEX Reimbursement Specialists, we are proud to be a company centered around analyzing data to the benefit of our clients. As a data-driven company, we are committed to accurately evaluating the market and the fee portfolios of all of our clients to offer the right...