Archive For The “Blogs” Category

Could the DSO Market Be a Good Thing for Your Dental Practice?

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” about the impact of DSOs, while only 42% of younger dentists…

The Importance of Clinical Due Diligence

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 diligence is essential to maintain a dental practice that is protected from…

Insurance Companies Can Benefit from Working with a Dental Consultant

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 consultants and insurance companies can be mutually beneficial. Greater Accuracy Insurance companies rely on accuracy from dental practices when credentialing,…

The Surprising Side Effect of a TIN Change: Lower Fee Schedules

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 stick to the last owner’s fee schedule or opening a new location and seeking…

The Numbers Every Dental Practice Needs to Know

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 successful practice owner should know their numbers without needing…

Why Are My Providers on Different Fee Schedules?

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 bottom line. Thankfully, there are ways to streamline your carrier contracts and make…

Be Prepared for Decreasing Reimbursement Rates in 2019

Be Prepared for Decreasing Reimbursement Rates in 2019

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 on the better end of the rate adjustments. Experts Are Projecting Decreasing…

Does Medical Insurance Cover Dental Claims?

Does Medical Insurance Cover Dental Claims?

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 eligible, and in which situations you should bill to medical insurance instead of dental insurance. “Medically Necessary”…

How Does Filing Claims Work When Credentialing?

How Does Filing Claims Work When Credentialing?

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 dentists who are currently waiting to receive insurance credentials? Here’s what your practice…

Code Changes Every Dental Practice Should Know About for CDT 2019

Code Changes Every Dental Practice Should Know About for CDT 2019

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 focusing on the notable CDT 2019 code changes every dental…

Go Top