Archive For The “Blogs” Category

HIPAA Certification Matters for Every Dental Practice

HIPAA Certification Matters for Every Dental Practice

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…

What Is a National Provider Identifier (NPI) in Dentistry?

What Is a National Provider Identifier (NPI) in Dentistry?

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…

Major Changes to Patient Dental Care Payment Options

Major Changes to Patient Dental Care Payment Options

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…

Avoiding UCR Fee and Insurance Provider Fee Confusion

Avoiding UCR Fee and Insurance Provider Fee Confusion

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…

Understanding PPO Fee Schedules for Your Dental Practice

Understanding PPO Fee Schedules for Your Dental Practice

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…

What Every Dentist Should Know About Union Dental Benefits

What Every Dentist Should Know About Union Dental Benefits

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…

What Your Practice Needs to Know About the Amalgam-Free Era Starting Soon

What Your Practice Needs to Know About the Amalgam-Free Era Starting Soon

The Environmental Protection Agency (EPA) deadline for compliance with new amalgam standards is approaching on July 14, 2020. This places pressure on many practices who were waiting for the ruling before determining what to do with their current usage of amalgam. What does every practice need to know about the amalgam-free era that will be…

Reducing Accounts Receivable Is Essential to Your Practice’s Success

Reducing Accounts Receivable Is Essential to Your Practice’s Success

Does your dental practice double as a bank? Your accounts receivable (A/R) holds the answer to this question. While your dental practice was created as a place to help people in your community and improve the oral health of your patients, it was also created as a business. Unfortunately, many dental practices end up unwittingly…

5 Common Credentialing Mistakes

5 Common Credentialing Mistakes

Credentialing is necessary for every dental practice participating in insurance networks, whether you are looking to work with a new provider or a new graduate preparing to start your own practice. Unfortunately, the credentialing process can be complex, and small mistakes can lead to your application being incomplete or denied. Every dentist should know how…

Does Under-Coding Put Your Practice at Risk for Compliance Problems?

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 fraud in the same fashion that over-coding is. Failing to accurately state what services were performed…

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