DSOs and mid-size dental groups have leverage single-location practices don’t. Most don’t use it — and it costs them millions. A dental group with 5, 10, or 20 locations has structural advantages a single-location practice cannot access: Combined patient volume across geographies Multiple provider footprints in carrier networks Ability to selectively participate by location Negotiation […]
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The ROI of PPO Negotiation: What to Actually Expect
Practices ask us what ROI to expect from PPO negotiation. The honest answer requires some math — and some honesty about what the ceiling actually is. Before hiring a PPO negotiation firm, most practice owners ask a version of the same question: “What’s the ROI?” It’s a fair question. It’s also a question with a […]
Read MoreHow to Audit EOBs Against Your Negotiated Fee Schedule
Your fee schedule is only worth what the carrier actually pays on it. A regular EOB audit is how you know. Signing a PPO contract with a negotiated fee schedule protects you against underpayment — in theory. In practice, carriers make mistakes, apply the wrong fee schedule to specific procedures, or misroute claims through leased […]
Read MoreHow Write-Offs Are Calculated and Where the Leaks Happen
Every dental practice has write-offs. Not every dental practice knows where they’re coming from — or which ones were avoidable. A write-off is the difference between what you billed and what the carrier allowed. On paper, that’s straightforward. In practice, write-offs come from at least six different sources, each with different implications, and lumping them […]
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 MorePPO Layering vs. Direct Contracting: True Cost
Introduction: Two Ways to Be in a PPO Network — One Costs Far More Most dental practices participate in PPO networks because it makes business sense: access to a larger patient base, predictable payment structures, and a straightforward relationship with major insurance carriers. What many practice owners don’t fully understand is that there are, effectively, […]
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