There are many reasons why dental insurance claims may be denied. Some claims tend to be more frequently denied than others. More information may be requested to decide whether the claim will be accepted or denied especially in surgical procedures. Whatever the reason may be, when a claim is denied, it can be very frustrating […]
Read MoreStrategies to Reduce Dental Patient No-Shows
Anyone whose job includes seeing clients or patients for a living understands that no-shows are one of the most difficult and irritating parts of the job. There are numerous reasons why a patient may be a no-show to an appointment. We all understand busy schedules, so it’s likely that a client may forget. Clients may […]
Read MoreDental Practice Business Plans
Creating effective business plans for your dental practice is essential for success! The plan should include detailed information on how to turn your goals into a reality, and should include market analysis, marketing, cash flow charts, competition analysis, and other such things necessary to achieve both short- and long-term goals. A business plan is an […]
Read MoreWhy Should You Outsource Credentialing?
The process of credentialing verifies dentists and those who assist them are properly trained and certified and have the experience to provide dental services to patients. It also ensures high standards of safety are met. If a dental office does not have the proper medical credentialing, it typically cannot obtain reimbursements from insurance services including Medicaid/Medicare. All […]
Read MoreHow to Choose the Best PPO Negotiator
If you desire to be an in-network (PPO) provider, it is of utmost importance to negotiate fees for your participation right from the beginning. Once you have made the decision to become an in-network provider, you want to negotiate your initial contract and fees as quickly as possible, as becoming credentialed and actually gaining in-network […]
Read MoreWhat is a UCR Fee Schedule?
The letters “UCR” in insurance stand for usual, customary, and reasonable. These are the fee guidelines by which an out-of-network dentist is allowed to charge a patient if the dentist is not a member of the patient’s PPO network. This does affect the patient’s claim payment and how much they are to pay out-of-pocket. You […]
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