Most dentists sign their first PPO contract without reading it. Some never read the contracts they’re still bound to. PPO contracts are not negotiable in the way most contracts are negotiable. But that doesn’t mean they should be signed without scrutiny. The provisions inside them control your reimbursement, your termination rights, and your exposure to […]
Read MoreWhy Flat-Fee PPO Optimization Leaves Money on the Table
The cheapest way to “complete” a PPO optimization project is to pursue only the easiest gains. The most strategic way is something different. We get the same call several times a year. A practice tells us they already completed a PPO optimization project — through a flat-fee firm — and they want a second opinion […]
Read MorePPO Due Diligence Before Acquiring a Dental Practice
Buyers spend weeks on the patient list, the equipment, the lease, and the P&L. The PPO structure usually gets a paragraph. That paragraph is often the single biggest determinant of future reimbursement and practice value. If you’re acquiring a dental practice, the PPO contracts you inherit will affect your revenue for years. They deserve the […]
Read MoreHow Dental PPO Layering Quietly Drains Your Reimbursement
Most dentists know what a write-off looks like. What they don’t see is the structural reason behind the bigger ones — the ones the math never quite explains. Your write-offs creep higher. EOBs don’t match what you expected. Reimbursement on familiar procedures stops making sense. What’s almost always behind it is a problem that doesn’t […]
Read MoreWhat Rented Networks Really Cost Your Practice
You signed one PPO contract. So why are seven different payers using your fee schedule? Rented networks are one of the largest sources of unrecognized revenue loss in dental practices today. Most dentists have never been told the names of the networks accessing their fees. Many have never been told these arrangements exist at all. […]
Read MoreHow to Identify & Manage PPO Layering: A Step-by-Step Guide
Introduction: From Awareness to Action If you’ve learned what dental PPO rented networks are and you’re concerned about how they might be affecting your practice, the next question is a practical one: what do you actually do about it? This tutorial is designed for the office manager or insurance coordinator who is ready to move […]
Read More