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T-Bone Speaks: How to Negotiate Insurance Fees with Sandi Hudson from Unlock The PPO
                           Join me on this week's episode of T-Bone Speaks for my discussion with Sandi Hudson from “” about how to negotiate with PPO insurance companies.Sandi is the co-owner and founder of “Unlock the PPO,” which specializes in analyzing the relationship between dental practices...  Read More
Doctors, it's time to push back on PPO's part III
What can you expect?  We’ve helped many Doctors through this process, and most are surprised at how smoothly it goes.  Yes, there always is some loss of patients.  If patients have zero out of network benefits, you will lose them.  If they’re young and cash strapped with multiple family members,...  Read More
Doctors, its time to push Back on PPO's part II
So how and when do you go about dropping a PPO?  Contrary to what you might have heard, you don’t necessarily start with the PPO’s with the lowest fee schedules.  There are other factors involved such as; the size of the PPO in your practice (smaller is better if you’re learning how to go through...  Read More
51: Perio Coding, Supervised Neglect, and ****ing Capitation Plans with Debbie Seidel-Bittke, RDH
DebbieDebbie Seidel-Bittke, RDH, BS is a dental consultant, coach, speaker and author. She is also CEO of Dental Hygiene Solutions, powered by Dental Practice Solutions. Debbie is a world-class leader in creating profitable hygiene departments. She is well-known as a former clinical assistant...  Read More
48: Insurance audits (internally) produce tens of thousands of dollars with Hilary Tien
Hilary TienHi folks, this is Ben Tuinei & Jordon Comstock and it’s our pleasure to introduce today’s topic. Today, Ben audited a client office and found over $150,000 money they should be collecting from insurance payments! I’m amazed at how many dental offices are leaving on the table when it...  Read More
Categories: dental insurance
Break Free From Dental Insurance - Webinar
For all the Dental professionals out there, Come hang out with me and Gary Takacs and learn how your practice can break free from the shackles of dental insurance. We discuss how Gary's practice went full fee for service and how he has used a membership program to attract and retain an uninsured...  Read More
How to Education Patients on Insurance with Dr. Yolanda Mangrum
How to Education Patients on InsuranceYolanda Mangrum, DDS, MAGD has been a practicing dentist since 1997 and practice owner since 1999. She is the founder of Plan For Heath (PFH), co-founder of Virtual Training Innovation (VTI) and the owner/CEO Petaluma Dental Group (PDG). Plan For Health is a...  Read More
Pre-Authorization vs. Predetermination
Ever wish a tech company would develop an app like Mapquest or Waze to navigate your dental staff and your patients through the maze of insurance claim complexity? Even the terminology is challenging!  PREAUTHORIZATION. PREDETERMINATION. PRE-ESTIMATE OF BENEFITS.These terms are very confusing to...  Read More
The Reality of US Dental Healthcare
As dentists, we tend to be well aware of many of the problems that exist within dental healthcare across the country.One of the key issues is accessibility to care. This doesn’t necessarily mean how close the person lives to a good dentist, but factors in whether or not they can afford the care...  Read More
Mind The Gap!
Actually, mind the 2 gaps!First, the gap between whatyou produce and what you collect. The average gap between production and collections is almost 2 months-worth of work! This isn’t due to patients not paying their bills, it is due to PPO write-offs. If you are collecting less than 80%...  Read More
Predeterminations
Advantages to submitting a predetermination: Everyone knows the score. Committed patients will still do the work if denied. You weed out the "shoppers".Disadvantages to submitting a pre-d: Many patients, if they have to wait, will never schedule.Recommendations:1. Thoroughly educate the patient on...  Read More
Categories: dental insurance
10 Things You Need to Know About You and PPOs
1.You have more power than you think.2. Practices with little or no PPO participation generally do get fewer new patients. However, practices deep into PPO participation do not get proportionally more new patients as they take on more and more programs and more discounts.3. Each practice has to...  Read More
Subscription Dentistry: A Win-Win for Patients and Dental Practices
Subscription Dentistry: A Win-Win for Patients and Dental PracticesHave you ever considered that there has to be a better way than relying on dental insurance plans?A frequent question we’re asked is, “Why should we make the switch to offering subscription plans?” Practices are...  Read More
Episode 86: How To Create, Organize, And Automate Your In-House Dental Practice Membership Plan With Jordon Comstock
How To Create, Organize, And Automate Your In-House Dental Practice Membership Plan Episode Originally Appeared on  Read More
Episode 85: Mastering The Art of Dental Insurance, Negotiation, And Carrier Relationship Management With Harold Gornbein
Episode 85: Mastering The Art of Dental Insurance, Negotiation, And Carrier Management Relationships Episode Originally Appeared on  Read More
Who Are Your "Underserved Patients"
It can be tough getting dental care these days.If you put yourself in the shoes of patients for just one minute, what do you see? For some (the ones with great insurance) there are few worries associated with dental care. For others, you’ll see expensive, inaccessible treatment because...  Read More
Episode 34: Fee For Service Model Versus PPO Model with Jonathan VanHorn CPA
Vanhorn Jonathan created DentistMetrics to solve the problem facing many dentists – they have a complicated business and their time is stretched way too thin. Most dentists spend 15,000 hours learning to be a dentist but ZERO hours...  Read More
Episode 33: Common Insurance Questions answered by Tessina Barney
tessina 33 During this episode Tessina answers several of the most common insurance related quetions sent to us by the listeners. Per popular request Tessina has been asked to make a 4th appearance on the podcast to address certain key...  Read More
Categories: dental insurance
Episode 8: The ProCare Insurance Replacement System – No Claims Necessary!
procare-replay The Revolution is here folks! Imagine a future that reduces the need for you to submit claims. Imagine a future where you don’t have to be on hold for hours each day to fight claims. For years many though that such a...  Read More
Categories: dental insurance
Episode 6: A Replay of the 7 Steps to Negotiating PPO Fees by Ben Tuinei
Ben Tuinei 3rd party payor negotiating, more specifically Dental Insurance Fee Negotiations, is still a foreign concept to dentists nationwide, and worldwide. Mr. Tuinei has spent the last 10 years improving and perfecting this relatively...  Read More
Categories: dental insurance
Episode 5: Policing Unethical and Illegal Practices by Dental Insurance Carriers with Tessina Barney
Tessina Barney is a high powered dental office manager in Salem Utah. She assists in managing the Utah Chapter of the Academy of Dental Office Managers (UDOLLS). Tessina explains her experience in policing unethical and illegal insurance practices by a particularly large national insurance...  Read More
Categories: dental insurance
Episode 2: Eliminating the Insurance Driven Mentality During Case Presentation with Alan Hollander
Case Presentation with Alan Hollander Alan Hollander began consulting healthcare professionals as an individual in 1985. Nine years later, with a team of over 50 and a roster of thousands of clients, the company had become one of the...  Read More
Dentaltown Learning Online...."PPO Plays" By Bill Rossi
Dentaltown is pleased to present..."PPO Plays" By Bill Rossi.This CE course can be found here...We believe that private independent practice is the best way to deliverdentistry. It’s best for the patients, the Doctors and the staff.We further believe that sound management helps the Doctor...  Read More
Dental Provider Credentialing 101: Medicaid Management
Over the past few weeks, I’ve detailed the ins-and-outs of the dental provider credentialing process – a painstaking, time intensive, detailed, and necessary procedure for the modern 21stcentury dentist to stay competitive and offer dental care to an expanded in-demand patient...  Read More
Dental Provider Credentialing 101: Common Application Mistakes to Avoid
As discussed in part one and two of my dental providing credentialing blog series, it’s important to fully understand the implications of providing in-network vs. out-of-network care, allow ample time for the application process and take a detailed, thorough approach with the insurance...  Read More
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