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The Power of Solo Dentist With PPO Negotiations

Errors:
Sandi Hudson, The Power of Solo Dentist With PPO Negotiations
Speaker: Sandi Hudson
Category: Practice Management
Format: MP4 Video Released: 4/27/2016
Running Time: 1 hour Expiration Date: 7/2/2019
  4.8 (6 Reviews)
Review Date: 7/2/2016
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CE Details

Credit Details
This electronically delivered self-instructional program is designated for 1.5 hours of CE credit by Farran Media.
AGD Code: 550.

The fee to view this course is $36. This cost includes the fee to take the exam and claim your CE credits.

Synopsis:


This course is meant to prepare the solo practitioner to take back control of insurance participation/contracting by understanding which companies may be negotiable, which ones are not and how to tailor negotiations to best fit your specific practice. We explain how individual negotiations can be just as good, if not better, than corporate negotiations and how to look beyond direct contracting to shared network agreements to capitalize on the highest paying options. Learn why it’s important to have your full/cash fees set appropriately, how to focus negotiations on the top codes in your practice, how shared network agreements have changed the game and how to work them to your advantage instead of against you.

We encourage you to remain optimistic about the power of the solo practice and to not buy into the idea that corporations are all getting better deals than the solo practice. Learn how to continue to position yourself for strong fee schedules focused on the most relevant codes for you personally. Learn how to analyze hard numbers comparing what the true cost is with your participation which allows you to add or drop plans based on real numbers relevant to your bottom line. There is no right or wrong amount of insurance participation, it’s finding what’s best for you and creating a plan that allows you to practice dentistry with the business model most likely to make dentistry enjoyable.


Description of Speaker:
Sandi Hudson is co-owner of Unlock The PPO with Lisa Weber. Sandi has a business degree from the University of Iowa, is married to a dentist and spent 15 years having hands-on experience working in a dental practice before beginning Unlock The PPO. She is passionate about advocating for the solo practice business model to continue and working hands-on with dentists to find the right fit of insurance participation, which often varies at different stages of a dental career. She and Lisa work exclusively with established solo practices looking for renegotiations and with start up practices.

Educational Objectives:
Upon completion of this course, participants should be able to achieve the following:
  • Understand the importance of having appropriately set, well balance UCR fees and how they can impact negotiations
  • How to identify your practice's top codes to create a strategy for higher fee schedule negotiations
  • Know how often insurance companies typically negotiate, which ones are usually non-negotiable and how to compare the side by side in spreadsheet format
  • Clear understanding of what a third party administrator is and how they work, especially in comparison to direct contracts
  • How to handle Opt Outs to close down shared network agreements when it is most beneficial to the doctor.

Disclosure:
The speaker discloses that she has a financial interest in consulting dental professionals in the subject matter that she is lecturing on.

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CE Reviews

Overall

4.8  (6 Total Reviews)
5 people would recommend this course to a friend.
Instructor spoke clearly and was easy to understand 4.8
Course material was informative, organized, and up to date 4.6
Course objectives were consistent with course as advertised 5.0
Game Changer
Daniel J Kim Daniel J Kim
2/20/2017 3:36:19 PM
Instructor spoke clearly and was easy to understand 5
Course material was informative, organized, and up to date 5
Course objectives were consistent with course as advertised 5
Extremely informative. Definitely a must for anyone participating with PPO plans.
Follow-up to November 2015 presentation?
DianaDental DianaDental
10/11/2016 7:40:16 PM
Instructor spoke clearly and was easy to understand 4
Course material was informative, organized, and up to date 3
Course objectives were consistent with course as advertised 5
Informative presentation. Thank you for extending this education. I see that the presentation was from November 2015. Will you be or have you created a year follow-up to tie on to this presentation? As you know, insurances and 3rd party administrators/consolidators/shared networks are changing daily and constantly continues to confuse dental practices and their insurance operations. In addition, our industry is waiting on the response to possible acceptance of mergers between Aetna and Humana and Cigna and Anthem. Depending on the decision pushed forth, we are talking a whole other shift in insurances within practices. Looking forward to your response. Diana Thompson Dental Performance Institute
Very good info on PPO third party administrators
Bill Rossi Bill Rossi
10/8/2016 2:38:37 PM
Instructor spoke clearly and was easy to understand 5
Course material was informative, organized, and up to date 5
Course objectives were consistent with course as advertised 5
As someone who has wrestled with PPO's on behalf of Dentists for many years I am delighted to see the quality of this presentation. She is helping level the playing field for Dentists dealing with this often confusing and costly issue. I don't think anyone in the country has a better handle on third party PPO networks. Bill Rossi
Good course
clementsdds clementsdds
8/16/2016 8:28:29 PM
The app was messing up.. Makes it hard to select 5 stars. Good course. Question 2 in the exam has the wrong answer that you have to select to get a passing grade.
extremely useful! A most see for all dentists
Bruce Stephenson Bruce Stephenson
7/8/2016 10:27:59 AM
Instructor spoke clearly and was easy to understand 5
Course material was informative, organized, and up to date 5
Course objectives were consistent with course as advertised 5
every practicing dentist and admin person should be aware of what Sandi discusses in this course. the information she presents about how ppo's actually work thru third party administrators is not understood by the vast majority of dentists. thank you, Sandi!
Wow. must view for FD team
tiger cub tiger cub
5/19/2016 3:34:03 AM
Instructor spoke clearly and was easy to understand 5
Course material was informative, organized, and up to date 5
Course objectives were consistent with course as advertised 5
I think Sandi HITS an important point at the one hour 4 minute time in this course. Non Corp offices MUST use their legal(PPL, Legal Shield, private attorney) to file complaints to PPO director, HR dept heads and their state reps on the listing o15-40 dentists in Corp locations that do not file claims for one year.... Great job... Sandi and Lisa are your double deep Strong Safeties in the game of dentistry.... haha doug
American General Dentistry (AGD), Program Approval for Continuing Education (PACE) approved, FAGD / MAGD CreditApproved PACE Program Provider
FAGD / MAGD Credit
Approval does not imply acceptance by a state or
provincial board of dentistry or AGD endorsement.
1/1/2016 to 12/31/2018
Provider ID# 304396
American Dental Association (ADA), Continuing Education Recognition Program (CERP) provider
Farran Media is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
This activity meets the educational criteria required for verifiable Continuing Professional Development under the General Dental Council Lifelong Learning scheme and represents 1.5 hours of verifiable CPD.

Legal Disclaimer:
The CE provider (Farran Media) uses reasonable care in selecting and providing content that is accurate. The CE provider, however, does not independently verify the content or materials. The CE provider does not represent that the instructional materials are error-free or that the content or materials are comprehensive. Any opinions expressed in the materials are those of the author of the materials and not the CE provider. Completing one or more continuing education courses does not provide sufficient information to qualify the participant as an expert in the field related to the course topic or in any specific technique or procedure. The instructional materials are intended to supplement, but are not a substitute for, the knowledge, expertise, skill and judgment of a trained health care professional.

Licensure:
Continuing education credits issued for completion of online CE courses may not apply toward license renewal in all licensing jurisdictions. It is the responsibility of each registrant to verify the CE requirements of his/her licensing or regulatory agency.

Computer Requirements:
Click here to see a list of computer requirements before taking the course.

State CE Requirements:
Click Here for CE requirements by state. Please note that this information is current as of the time of listing. This information is subject to change at any time from the state boards. For the most up-to-date information, please contact your state board directly.

Refund Policy
There are no refunds for Online CE courses. Please contact technical support if you run into technical difficulty.

For any questions, please contact Howard Goldstein, DMD, Director of Continuing Education at hogo@dentaltown.com
To reap the full benefits of this CE course, the presenters (Howie Horrocks and Mark Dilatush) have agreed to create a marketing plan specifically tailored to your practice and your specific market area. Having your marketing plan printed and open while you view the course material, will greatly individualize your learning experience.
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