Archive For The “Dental PPO Management” Category

Is Under Coding a Compliance Risk?

Is Under Coding a Compliance Risk?

Most dentists understand that over-coding is a serious compliance risk. However, did you know that under coding can also be considered dental fraud? Deliberate under coding, or falsely stating what services were performed, puts your practice at risk for a steep fine or investigation from an insurance provider. Is Under Coding a Problem? Unfortunately, organizations…

Common Credentialing Application Mistakes

Common Credentialing Application Mistakes

Whether you’re a new dental graduate going through the credentialing process for the first time or a seasoned dentist starting the credentialing process with a new insurance provider, it’s easy to get overwhelmed. Many dentists make simple mistakes on credentialing applications that cause the process to be unnecessarily lengthy or come to a standstill entirely….

What to Look for in a PPO Negotiator

What to Look for in a PPO Negotiator

What if your practice could receive a couple of thousand dollars in additional reimbursement payments every month without needing to increase your chair time? PPO negotiation services aim to do just that. PPO negotiators will work with every insurance company you are in-network with to increase your reimbursement rates. However, it’s important to choose the…

To PPO or Not to PPO?

To PPO or Not to PPO?

Many dental practices rely on PPOs to keep patient chairs full and revenue high. However, your affiliation with PPOs doesn’t need to come at the expense of your practice growth. It’s time to ask yourself the age-old question—to PPO or not to PPO? You Don’t Need to Be in Every Network For new dentists and…

Making Your Dental Practice Profitable

Making Your Dental Practice Profitable

APEX Reimbursement Specialists offers an effective suite of services designed to make your dental practice a more profitable and stress-free endeavor. By removing tedious tasks like credentialing from your plate and taking over fee negotiation, your practice can focus on more important aspects of running your business and treating patients. Fee Negotiation  Many dental practices…

Credentialing Management 101

Credentialing Management 101

If your dental practice is overwhelmed with paperwork and timesheets are bogged down with checking boxes and submitting paperwork, you stand to benefit from credentialing management from APEX Reimbursement Specialists. We can take over every step of the credentialing process in accordance with the demands of each insurance provider so that your first-time enrollment or…

A Closer Look at Coding & Compliance Review

A Closer Look at Coding & Compliance Review

Is your dental practice properly billing the CDT codes for the services that you perform? How many thousands of dollars have you lost as a direct result of improperly submitted claims? If you are one of the thousands of frustrated dentists missing out on revenue due to denied or downgraded claims, a coding and compliance…

The Value of PPO Fee Negotiation

The Value of PPO Fee Negotiation

When was the last time you spoke with insurance companies about their reimbursement rate? If you’re like many other dentists, the answer is never. PPO fee negotiation allows you to make more money for every patient that sits in your chair.   Handing your PPO fee negotiation off to professionals, like APEX Reimbursement Specialists, allows…

DentistMetrics Podcast: Mastering The Art of Dental Insurance, Negotiation, And Carrier Relationship Management With Harold Gornbein

DentistMetrics Podcast: Mastering The Art of Dental Insurance, Negotiation, And Carrier Relationship Management With Harold Gornbein

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Apex Education Series Video 2: Steps to Prepare Your Negotiation

Apex Education Series Video 2: Steps to Prepare Your Negotiation

In our last video, I mentioned we would present a series of videos focused on educating you about some of the Steps that we take to negotiating with PPOs on behalf of our clients to get them paid more and ultimately becoming a more profitable practice. What’s our First step? – Create your insurance profile….

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