While the new year isn’t here yet, it’s never too early to start preparing for the CDT 2020 additions, deletions and alterations at your dental practice. The Code Maintenance Committee reviewed existing codes and developed 37 new codes, 5 revised codes and 6 deleted codes that every practice should update. Remember that while insurance providers…
The dental industry continues to grow, and many dental practices are reaping the benefits. Alongside the growth of DSOs and third-party networks, PPO insurance carriers blossomed, but now appear to be on the decline. How Many People Are Covered? According to the National Association of Dental Plans, 77% of Americans currently have dental benefits….
Whether it’s modifications to the Affordable Care Act (ACA) or changes to what insurance will and will not cover, government reforms can have a radical effect on the healthcare industry. The future is uncertain, but taking stock of how recent changes have shaped the healthcare industry can help you to prepare for the future. The…
If you are like most dental practices, you have a wealth of experience working with preferred provider organizations (PPOs). However, you might not have as much expertise when it comes to working with third-party networks. Before you enroll your dental practice in a third-party network, you should carefully consider the pros and cons of doing…
HIPAA compliance is never something that should be taken lightly in a healthcare practice or dental practice. Data from the American Dental Association shows that the number of dental practices in the United States is increasing, and the size of the average practice is increasing as well. As the number of Americans with access to…
Every dental practice needs a National Provider Identifier, or NPI, to transmit any health information electronically. These HIPAA-mandated numbers require an application process but offer convenience to your practice once they are set up. NPI 101 Every healthcare provider that transmits health information in an electronic form is required to have an NPI. A National…
In June, the Department of Health and Human Services established a new rule that will greatly expand the approved uses of health reimbursement arrangements (HRAs). Now, HRA users will be able to use those accounts to cover the cost of out-of-pocket dental expenses. The expansion of patient dental care payment options is great news for…
At APEX Reimbursement Specialists, we work with many dental practices to complete audits and identify areas for improvement. Some of the most common errors we find involve UCR fees and insurance provider fees. If you’re like many dental practices, your UCR fee confusion might be leading to a lower bottom line and lost income. What…
PPO fee schedules are one of the most mysterious parts of running a dental practice. They are a requirement to work with insurance providers, but every provider is working from a different one. Things get more complicated when you realize that every provider also has a different method for calculating a fee schedule and that…
Every dentist hopes that patients are organically attracted to your top-quality work and great bedside manner, but many dentists get a large percentage of patients due to dental benefits. As with employer dental benefits, union dental benefits are a deciding factor in which practices some patients will decide to give their business to. For many…
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