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 […]
Read MoreAvoid Accidental Insurance Fraud
Insurance fraud costs Americans more than $80 billion per year in higher premiums, according to the Coalition Against Insurance Fraud. Insurance fraud happens when an insurance company is deceived in order to collect money for someone who is not entitled to receive the money. This is against the law in every state, and health care fraud also falls […]
Read MoreLooking for a Permanent Dental Jobs in Michigan?
If you are hard working, dependable, and professional, and looking for a career to greatly impact your income and livelihood, the dental industry may be right for you! The team at SPS Dental Academy in Shelby Township, Michigan, provides the very best training at the lowest possible cost to you. Their students are sought after by many […]
Read MoreHow Does Negotiating Dental Fees Impact Your Business?
Due to the effects of the COVID-19 pandemic, dental offices are increasing infection control standards. The American Dental Association (ADA) has issued recommendations to control the transmission of infection, which closely align with the guidelines from the Centers for Disease Control. As a result of the new infection guidelines and the need for additional personal protective equipment, […]
Read More