Payor mix is one of the most useful numbers in a dental practice. Most owners don’t track it. Even fewer evaluate it strategically. Two practices with identical production can have wildly different futures depending on payor mix. The number behind that difference isn’t on most monthly reports — but it should be. Here’s how to […]
Read MoreThe Hidden Cost of Waiting to Renegotiate Your PPO Fees
The longer you wait to renegotiate, the more it costs you — but the cost isn’t visible until you finally calculate it. PPO renegotiation is one of those tasks that’s easy to defer. The practice is busy. The numbers feel acceptable. The carriers aren’t sending reminders. Six months turns into two years turns into five. […]
Read MoreDropping a PPO Without Losing Patients: A Strategic Approach
The fear that dropping a PPO means losing patients is the single biggest reason practices stay in unfavorable contracts longer than they should. We hear it on almost every consultation call: “I’d love to drop them, but I’m afraid of losing patients.” It’s a reasonable fear. It’s also, in most cases, an overestimated one. Dropping […]
Read MoreCredentialing Timeline Mistakes That Cost You Revenue
Credentialing isn’t paperwork. It’s revenue protection — and the timeline mistakes cost more than most dentists realize. Credentialing is one of the least exciting parts of dental practice operations. It’s also one of the most expensive areas to get wrong. A single timeline mistake can mean weeks of patients seen at out-of-network rates, claims paid […]
Read MoreHow to Read a PPO Contract Before You Sign
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 […]
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