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By: Angela Holland If youre a dentist or dental practice owner, youve likely encountered the term “insurance credentialing” at some point. While this process may seem daunting, understanding dental insurance credentialing is crucial for your practice’s financial success and the quality of care you provide to your patients.
Done correctly, PPO fee negotiations can significantly increase insurance collectionswithout requiring more patients, additional treatments, or increased marketing costs. Insurance fee schedules can vary greatly, and regular reviews and adjustments ensure that your practice is consistently receiving fair compensation for services rendered.
As a dental provider, a significant portion of your revenue comes from insurance reimbursements. Without a steady and sufficient stream of payments from insurance companies, it can be difficult to cover operational costs, invest in new technologies, or even pay your staff. However, these fees are rarely set in stone.
By: Angela Holland Dental insurance is a vital aspect of modern dental care, but for many dental practices, dealing with insurance claims can be complex and time-consuming. Heres a quick guide on how to navigate dental insurance in your practice. Heres a quick guide on how to navigate dental insurance in your practice.
By: Dawn Patrick , Dental Practice Coach + Director of Operations IgniteDDS Submitting dental insurance claims can be a time-consuming and frustrating process if not done correctly. Example Narratives for Common Dental Insurance Procedures Restorative Procedures 1.
By: Dr. Angela Holland Dental insurance claims are a fundamental part of any dental practices revenue cycle. In this blog, we will break down the process of dental insurance claims reimbursement , highlighting how it works and why including a proper narrative is essential for prompt and accurate payment.
One strategy that is gaining traction is the use of dental insurance waivers and upgraded fee agreements. Dental Insurance Waivers: A Smart Way to Optimize Revenue Dental insurance plans often have limitations, such as low reimbursement rates and coverage caps. This approach benefits both parties.
million adults in the United States do not have dental insurance, according to new data released recently by CareQuest Institute for Oral Health. million adults without dental insurance, an additional 8.9 million adults without dental insurance, an additional 8.9 An estimated 68.5 In addition to the estimated 68.5
A frequent topic of discussion on social media these days is whether to drop out of dental insurance plans. But it does mean that approximately 90% of dental practices participate in one or more dental insurance plans. How many patients are in any of the insurance plans accepted by the practice? The question is, should you?
Two aspects of case acceptance in particular often go ignored because they either seem too obvious or are just not as fun to dive into: offering individualized options and making sure patients understand insurance. Understanding Insurance for Case Acceptance The real role of insurance is a mystery to most patients.
Pearl, the global leader in dental AI solutions, today announced ClaimCheck , an AI-powered tool for optimizing the insurance claim submission process to reduce costly errors and accelerate revenue for dental practices.
This statute is designed to help dental healthcare providers and patients have a clearer understanding of the type of insurance plan before the billing process begins. The mandated disclosure will require insurance plans to openly specify whether their coverage is regulated by federal or state authorities. Rizkallah, DDS. “I
Solutionreach, a leading patient engagement and communication platform, is proud to announce the launch of its advanced dental insurance management capabilities, including Insurance Verification. Insurance verification is one of the most critical yet time-consuming and costly priorities in a dental provider’s revenue cycle.
Dental insurance billing is one of the most critical operations at a dental office. Despite your … The post 10 Ways to Ensure Successful and Ethical Dental Insurance Billing appeared first on Oral Health Group.
Aflac, a leading provider of supplemental insurance in the U.S., based, premier technology partner focused on dental and vision insurance plans, serving nearly 50 million members across all 50 states. 1 provider of supplemental health insurance products.¹ SKYGEN is a U.S.-based, In the U.S., Aflac is the No.
The “Global Dental Insurance Market Size, Share & Trends Analysis Report by Coverage (Dental Preferred Provider Organizations, Dental Health Maintenance Organizations), Type (Major, Basic), Demographic, Region, and Segment Forecasts, 2023-2030” report is now available on ResearchAndMarkets.com.
The fiery debate lasted nearly two hours and covered the ADA’s role in advocating for MLRs, the recent article co-authored by Vujicic on value-based dentistry (VBD) in the Journal of the American Dental Association ( JADA ) (June 2023) , as well as a myriad of subjects concerning the dental insurance industry.
A Pueblo West, Colorado dentist is raising concerns about the impact of insurance claim denials on patient care after a local elderly man was denied coverage for a critical dental procedure. The post A Dentist Fights for His Patient When Insurance Denies Care appeared first on Dimensions of Dental Hygiene. Click here to read more.
This guide will show you step-by-step how to achieve success by focusing on four key areas: enhancing your verbal skills to effectively communicate the value of your services, positioning your brand to attract the right patients, implementing […] The post No Insurance Participation? No Problem!
onDiem, the country’s first fully W-2 compliant and nationally-available dental staffing platform, will now also be the first to offer a PPO health insurance plan for temp dental workers. What growth is possible when you maximize production through a properly ‘blended’ staff of both complementary and permanent employees?”
Dental practitioners need support to ensure the treatment plans they recommend will be accepted by patients who want to know how much of the cost their insurer will cover and how much out-of-pocket expense they will incur. dental insurers using the company’s AI-based NovoHealth dental platform, which has been in commercial use since 2019.
What Is a Non-Covered Services State (NCS) in Dental Insurance? Understanding the ADA Guidelines By: Angela Holland Navigating dental insurance can often feel like deciphering a complex puzzle. These exclusions can vary widely from one insurer to another and can even differ within different plans offered by the same company.
These contracts, along with new Medicare Advantage and existing employer-sponsored dental insurance programs in California, will bring the total number of Californians served by Sun Life U.S. Beginning in July 2025, Medi-Cal beneficiaries in Sacramento and Los Angeles counties will have the choice of three dental managed care plans.
DentalInsurance.com , the leader in dental insurance comparison shopping, announced that their annual sales of high maximum benefit dental plans rose 122 percent in 2023 compared to 2022. A maximum benefit is the annual limit on insurance company spending toward a consumer’s covered dental care.
Emergency Dental Care Without Insurance: Affordable Solutions Explained We've all been there that shooting tooth pain that wakes you up at 2 AM, or that moment when you bite into something and feel a tooth crack. To Learn More Emergency Dental Care Without Insurance Contact Us Today! I'm now a patient for life. Severe Pain !
P earl , the global leader in dental AI solutions, has announced the launch of Precheck, a groundbreaking new artificial intelligence (AI)-powered insurance eligibility and benefits verification tool. With Precheck, Pearl gives users a powerful tool for extending Practice Intelligence benefits to insurance-based revenue cycle management.
Pearl , the global leader in dental AI solutions, has announced the launch of Precheck, a groundbreaking new artificial intelligence (AI)-powered insurance eligibility and benefits verification tool. With Precheck, Pearl gives users a powerful tool for extending Practice Intelligence benefits to insurance-based revenue cycle management.
BONE-TITE is the first over-the-counter supplement product developed in conjunction with prosthodontists, periodontists, and other dental professional experts in bone metabolism and bone growth, for use with patients that may require nutritional insurance before and after dental implant and bone graft procedures.
Doctors sometimes take for granted the need for disability income insurance. With one in four Americans becoming disabled before retirement age, income protection is important for anyone, but for those who undertake years-long educational tracks and face potentially heavy student debt, income protection is particularly important.
KeyCorp (NYSE: KEY) announced a strategic relationship, which includes a minority investment, with Zentist, a leading cloud-based insurance revenue cycle management (RCM) software provider for dental support organizations (DSOs) across the country. dental groups. This ensures faster payment posting into any practice management software.
This small oversight can lead to big problems, including incorrect billing, insurance claim delays, and lost revenue. His front desk team struggles to bill insurance accurately, and patients receive incorrect statements.
Dental insurance, which has allowed many patients to receive treatment they might not otherwise have, has created an incredible level of complexity. The number of insurance codes, varying rules, regulations, and reimbursements from different carriers, untrained staff, and a lack of systems have all contributed to this complexity.
APD is accepting of most insurances. That’s why APD partners with most insurance providers to make it easier for parents to get their children the care they need without facing unexpected out-of-pocket expenses. Dental care should be accessible to every family.
Dental care spending from government programs has been increasing steadily in recent years while spending from private sources private dental insurance and out-of-pocket spending has been declining slightly. From 2022 to 2023, private health insurance spending decreased by 0.4% while out-of-pocket spending decreased by 0.7%.
Renegotiate Contracts : Regularly review vendor contracts for supplies, equipment maintenance, and insurance reimbursements to ensure competitive pricing. Accounts Receivable (A/R) and Insurance Claims Aging : Aim to keep these both under 30 days. Hygiene Reappointment Rate : Target 80-90% to ensure steady patient flow.
The report also underscores the importance of dental insurance in motivating adults to make preventive dental visits. Visit deltadental.com for information on individual and group dental insurance plans. Notably, there has been a decline in unexpected dental visits among adults, from 41% in 2022 to 36% in 2023.
Avoid using insurance jargon or technical billing terms. Instead of saying: “The crown will be $1,200, but your insurance may cover 50%.” We can check with your insurance to see how much they will cover, and then we’ll talk about any out-of-pocket costs for you.” Try this: “The crown will cost $1,200.
Instead of relying on insurance reimbursements, fee-for-service dentists must foster a premium image that conveys value to potential patients. Marketing plays a critical role in the growth and sustainability of fee-for-service dental practices.
To do so, you may be required to provide the consumer reporting agency with information that identifies you, including your full name, Social Security number, date of birth, current and previous addresses, a copy of your state-issued ID, and a recent utility bill, bank statement, or insurance statement.
With 25% of Minnesotans lacking dental insurance, Hope Dental Clinic has been a lifeline for uninsured patients across multiple states. With a quarter of Minnesotans lacking dental insurance, the clinic has been a vital resource for those in need. For more than 60 years, Hope Dental Clinic in St. Click here to read more.
Additionally, the NOPAIN Act addresses insurance coverage for non-opioid treatments. The legislation advocates for policies that ensure insurance providers cover non-opioid pain management options. Medical insurance companies follow Medicare rules and eventually provide similar coverage.
Unlike insurance-based practices, fee-for-service dentists often face unique challenges when it comes to attracting and retaining patients. For dentists operating in a fee-for-service model, the way forward involves establishing a strong brand presence and effectively communicating the value of your specialized services.
What is the cost of oral tori removal, and does dental insurance cover it? Additionally, patients should check with their dental insurance provider to determine if the cost of tori removal is covered under their policy, as coverage may vary depending on the insurance plan. Insurance typically covers 0-50%.
Why Dental Practices Are Targets Dental practices are prime targets for embezzlement due to: High Cash Flow: Patient co-pays, insurance payments, and cash transactions can create opportunities for theft. Complex Revenue Streams: Multiple revenue sources, such as patient payments and insurance reimbursements, can be manipulated.
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