Archive For The “Blogs” Category

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…

How Improper Credentialing Can Impact Your Claim Submission

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 with numerous dental practices to ensure claim submission accuracy and proper credentialing. Forgetting to Recredential How…

Are You Ready for Recredentialing?

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 sound straightforward, the recredentialing process can be surprisingly tedious and complex. Every year, we…

What Is Insurance Negotiation?

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 line, get more from insurance companies and continue to meet…

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…

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