Are You Eligible For PPO Negotiations?
Take our PPO Revenue Assessment to determine which of your PPO contracts
may be eligible for negotiations, and a estimated revenue increase.
We Level The Playing Field Between Dental Practices and Insurance Companies
Types of Practices We Help
Start-Up Practices
Are you looking to build a practice? During the discovery session, we learn your business plan and demographics of the area you are looking to build the practice. We not only assist you in establishing the UCR fees, but also assist you in determining which networks to join and which not to join, and educate you as to the reasons why.
Fee For Service Practices
Are you considering to join or add additional PPO participation to your practice? We evaluate the reasons behind your interest in joining or obtaining more PPO participation. We evaluate potential participation options so you can make informed decisions.
Established PPO Practices
Is your practice participating with 2 or more PPO groups? Are you currently writing off 35% or more with the PPO groups you are currently in network with? Do you have multiple Dental Associates and uncertain if they have the same level of participation with PPO groups? Are the EOB’s showing your dental providers are being reimbursed at different fees? We assess your current fee reimbursement and Identify a strategy that will increase the practices claim reimbursement by a minimum of 23%.
Practice Looking To Add An Associate
Do you have multiple Dental Associates and uncertain if they have the same level of participation with PPO groups? Are the EOB’s showing your dental providers are being reimbursed at different fees? Are you looking to add another dentist to your practice? Credentialing with PPO’s can be a huge burden, especially if not done and monitored correctly. Incorrect & incomplete application; not to mention an associates participation levels from previous employers, can make the process even more challenging. Outsourcing the credentialing process can not only be a huge time saver but also reduces the risk of errors and reduce the risk of an associate being assigned reduced fees.
Looking To Purchase A Practice
Is your current practice “ Fee for Service” and looking to purchase a 2nd practice that has “in network” status, and you need assistance in understanding how to leverage participation with various PPO groups to increase fee reimbursement? Do the associates of the practice you are looking to purchase writing off over 32% due to their participation with various PPO Networks? In either scenario, learning how to leverage and optimize a practice’s participation with various PPO networks and terminating participation with others in order to increase a practice’s claim reimbursement can be confusing. It definitely requires a high level of understanding and knowledge of how PPO networks work and outsourcing the process to Strategic Practice Solutions can be not only a huge time saver but also would yield a more favorable and profitable outcome.