Buyers don’t just buy your patients. They buy your contracts. Valuation Starts With What You Collect When a buyer or lender values a dental practice, they look closely at cash flow. Production is important, but collections are what pay the loan, the staff, and the new owner. That puts your PPO contracts at the center […]
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How to Choose a Dental PPO Consultant: 8 Questions to Ask Before You Sign
Every PPO consultant promises fee increases. The difference is how they get them, and what they leave behind. Hiring someone to negotiate your insurance contracts is a decision that shapes your revenue for years. Before you sign, ask these eight questions. 1. How are you paid? Flat-fee models have to protect their margin, which pushes […]
Read MoreThe Numbers Said Drop Four Carriers. The Strategy Said Start With One.
Client Profile Two-doctor general practice operating at full clinical capacity Engagement PPO Participation & Optimization Assessment Patient Base Analyzed 3,396 active patients across all payors Networks Validated Top 14 insurance networks The Situation The practice came in with a decision largely made. Reimbursement from several carriers had fallen to the point where mandatory contractual write-offs […]
Read MoreIs Your UCR Fee Schedule Undercutting Your Own PPO Contracts?
You negotiated the fee increase. Your own fee schedule may be quietly cancelling it. The Rule Most Practices Forget Dental claims are paid at the lesser of your UCR fee or your contracted fee. Always. If you negotiate a $1,150 contracted fee on a crown but your office fee for that crown is $1,100, the […]
Read MoreMedicare Advantage Dental Networks: Should Your Practice Participate?
Your patients are turning 65. Some of them are about to bring an insurance plan you don’t accept. The Shift Is Already Here In 2007, about 19% of eligible Medicare beneficiaries were enrolled in Medicare Advantage. By 2025, that number reached 54%, roughly 34 million people, according to KFF. The Congressional Budget Office projects it […]
Read MoreThe Practice Asked What Its Plans Paid. The Better Question Was What Its Chairs Were Doing
Client Profile Multi-provider general practice, Midwest metro suburb Engagement PPO Participation & Optimization Assessment Execution Window 6–8 months | Complexity: Level 4 Identified Opportunity $63,000 in projected annual gains The Situation PPO Negotiation Solutions had worked with this practice once before — during an ownership transition, handling the credentialing that established network participation and positioned […]
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