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Searching: insurance denials
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Message Board
Views: 36 | Replies: 0
potentially be additional victims. The story hit a nerve inside dentistry because almost every practice owner immediately recognizes the vulnerability. Most dental offices are small businesses built heavily on trust. A longtime employee often has access to deposits, refunds, insurance checks
May 13, 2026
Accounting / Bookkeeping
Message Board
Views: 177 | Replies: 19
I am a one-doc practice looking to outsource entering insurance payments and verifying insurance. A friend recommended Edge, but their employees only do full-time. I am looking for a part-time remote employee. Does anyone know of a tried-and-true agency that helps dentists find part-time remote
March 09, 2026
Accounting / Bookkeeping
Message Board
Views: 633 | Replies: 16
The monthly premium for disability insurance, can this be categorized as a business... it can, but then you will have to pay income taxes on the benefit in the event you become...Yes, but you don't want to do this as you would then have to pay taxes on the... Thanks, now I know why it is not doneI
February 03, 2018
Accounting / Bookkeeping
Message Board
Views: 228 | Replies: 7
I have been receiving PPO checks dated December 2017 but I received and deposited them in 2018. Accountant would like to report them as 2018 income but obviously that would not be possible because I am pretty sure those will be reported on the PPO 1099s as 2017 income. So my question is should I...
January 29, 2018
Accounting / Bookkeeping
Message Board
Views: 740 | Replies: 8
that doesn't get talked about enough, even though it directly affects profitability. This is what we are having problems with... the insurance companies (EVEN THE ONES WE ARE IN NETWORK WITH) make it ridiculously difficult to get the check and not the virtual credit card. This just happened yesterday
February 15, 2026
Accounting / Bookkeeping
Message Board
Views: 212 | Replies: 13
The practice that I purchased has an accounting nightmare that I just realized. There are over $80,000 of insurance overpayments in the system, some real and some due to overwrite offs. When insurance companies have been refunded, the payments are not posted correctly to the procedures they just
November 10, 2024
Accounting / Bookkeeping
Message Board
Views: 614 | Replies: 30
strange but the larger the organization the greater the likelihood that no one is truly minding the "till" Somehow I believe I would have missed 76k/month missing a whole lot sooner. Something similar happened to me. Long term employee embezzled >$30k plus committed insurance fraud for all her
December 01, 2025
Accounting / Bookkeeping
Message Board
Views: 124 | Replies: 9
Subject says it all. I've given up and accepted quite a few VCC payments from insurance companies (i know i know). I'm wondering if those payments show up on both the insurance company's 1099, and the credit card processor's 1099. Hoping not, but unable to find any confirmation thus far. TIA
May 10, 2023
Accounting / Bookkeeping
Message Board
Views: 172 | Replies: 6
if there is a legal workaround here, I suspect there is not. Doesn't mean you can't get away with it if you don't get caught, but I suspect insurance would see this as insurance fraud.
May 13, 2025
Accounting / Bookkeeping
Message Board
Views: 168 | Replies: 5
found myself in a unique situation. I had previously covered for 10 days as an independent contractor at a dental office, and things there have taken a rather interesting turn. The former associate dentist is facing a lawsuit for insurance fraud, and the owner is entangled in a malpractice case. As you
December 15, 2023
Accounting / Bookkeeping
Message Board
Views: 1106 | Replies: 44
. This July has been our best month ever as far as daily average. Makes no sense to me, but I'm not complaining. I will say we get quite a few patients who say their old offices no longer take their insurance, so that's been great for us. I will say we get quite a few patients who say their old offices
July 29, 2024
Accounting / Bookkeeping
Message Board
Views: 370 | Replies: 9
... I just took over a practice that never billed a Pt (or even tried collecting Pt portion) until after insurance had paid. (I use the paid term very loosely when it comes to insurance) What this has caused is a LOT of patients just not paying (probably due to the OUT OF SIGHT OUT OF MIND phenomenae
January 19, 2024
Accounting / Bookkeeping
Message Board
Views: 193 | Replies: 3
insurance, CPA, dental and office supplies, workers comp insurance, general liability insurance, life insurance, disability insurance, CE fees, licensing fees, and malpractice insurance. Am I missing anything?While we are at it, any advice? If you check out the resource section of DT I believe you'll find the financial info you're looking for Dumb question, where would I find that?
April 03, 2021
Accounting / Bookkeeping
Message Board
Views: 77 | Replies: 1
I honestly have no idea what to do since I never got this money. It is a 1099 from a small insurance company that is extremely hard to contact. It's a corporation that must do their own dental insurance plan because everyone I contact from their company doesn't even know they really even do dental
July 13, 2020
Accounting / Bookkeeping
Message Board
Views: 482 | Replies: 16
will lag behind sending the claims in. The old owner may have practiced for many years so if the production was similar each month, collections would appear similar. Even with electronic claims it doesn't happen immediately. A lot of insurance companies will also withold payment until they get a tax
November 01, 2018
Accounting / Bookkeeping
Message Board
Views: 592 | Replies: 26
ok so my UCR fee for surgical extraction lets say is 200 dollars insurance company ppo fee is 150 dollars. in the patients ledger, it shows 50 dollars left due to PPO discrepancy. my first year as a business owner I have been simply adjusting the 50 dollars as a misc adjustment with a note abt
February 11, 2022
Accounting / Bookkeeping
Message Board
Views: 738 | Replies: 35
can buy them for $30 from a supplier by not using my insurance. When I used another supplier through my insurance they billed $600 (20 times more) for the same thing. My copay was less then $30, but I still stopped using them.This is why healthcare cost is astronomical and no one in the government
October 22, 2020
Accounting / Bookkeeping
Message Board
Views: 299 | Replies: 13
these PPO lowered fees, try sending an adjusted supply check to your supplier- then watch them scratch the earth you walk on to gain the amount back that you owe them. You should be billing your UCR amount to the insurance company, even if you are participating. The fee schedule that the insurance company
December 02, 2020
Accounting / Bookkeeping
Message Board
Views: 584 | Replies: 11
I sold my practice but the new owners have not done anything about changing the insurances under the new doctor. The bank is asking me to sign a form so that they can keep depositing checks under my name. It makes me nervous to do this since any conflicts arising through this period can involve me
November 10, 2020
Accounting / Bookkeeping
Message Board
Views: 247 | Replies: 10
We are thinking about keeping patient credit cards on file for patients with insurance. We are having issues getting patients to call back or respond to mailedstatements when insurance doesn't cover all of their procedures. Most of them are smalll balances but wanting to keep their card on file
May 15, 2018
Accounting / Bookkeeping
Message Board
Views: 121 | Replies: 3
What category do I report the following categories of Refunds in QB 1. Insurance requesting us refunds for services rendered due to retro termination In this scenario insurance paid us first then request refund. Patient pays for services later and we refund insurance In QB .in chart of accounts
September 04, 2019
Accounting / Bookkeeping
Message Board
Views: 1080 | Replies: 22
significant savings go for it.But more importantly enjoy your success. Be less dentist and business and create a personal life that you always wanted unless you are completely satisfied with that too.All the best.Laz More money by being honest?Do tell Do you take insurance...I think that is your
January 07, 2020
Accounting / Bookkeeping
Message Board
Views: 2393 | Replies: 72
or check we are starting the 3% cc surcharge today, i pay 30k in fees per year. Only in one of my offices where there arent enough dentists and im the only holdout still taking insurance. I would probably not do it quite yet in my other office where there is dental saturation. Going to also look
January 05, 2026
Accounting / Bookkeeping
Message Board
Views: 1513 | Replies: 61
They like to spend money or their spouse likes to spend money. I know one whose spouse is such a problem he keeps a secret account. Sure. Disability insurance, Home insurance,utilities, taxes,life insurances, car payments, maintaining website costs, ongoing office software support, maintenance
June 21, 2020
Accounting / Bookkeeping
Message Board
Views: 426 | Replies: 18
-30 days Once A/Rs get to 90 days or more the chances of collecting are somewhere around 20% at best. Run and work your Insurance Aging Report daily as you don't want those going past 30 days. Many practices now start collecting after 20 days. I hope the above is what you were looking
June 25, 2020
Accounting / Bookkeeping
Message Board
Views: 157 | Replies: 3
patient might sting, but you are obligated to refund him. Just be sure to bill for everything you did do (example diagnostic waxup etc if thats what you did) and REMOVE all of the cash discount that you DID provide. Insurance claims gets billed at full office fees. No cash or prepay discounts
January 16, 2021
Accounting / Bookkeeping
Message Board
Views: 111 | Replies: 2
, and occupancy expenses in their checking account. The reasoning is that a short-term disability would be the worst (well not the worst) thing a practice would have. This way you have one month of cash and likely followed by one month worth of A/R to come in to float the practice until the insurance kicks in. I'm all for keeping more than that, but I would move the excess into a money market that is earning some interest.
July 10, 2025
Accounting / Bookkeeping
Message Board
Views: 308 | Replies: 9
What is the best way to to pay for employee health insurance and simple ira as a benefit to them and write it off?Thanks With a check/EFT thru the business?Is it that simple? Can I set it up through my payroll company ? How should it be logged ? Also if we open a simple ira for her can we deduct
November 18, 2019
Accounting / Bookkeeping
Message Board
Views: 2556 | Replies: 61
-wise to manage a practice after paying wet gloved employees to work for them. (15-20% max) There is only so much that can be squeezed without actually seeing patients, and that number is dropping. Due to increased loan and staff expense, insurance reimbursements, cost of insurance, etc. Definitely
July 30, 2024
Accounting / Bookkeeping
Message Board
Views: 234 | Replies: 4
this, however, the more I know, the more I can make an educated guess! Bro, way too many variables. Who are these investors? If accepting insurances, 1-3 months. I was lucky I had enough copay/cash patients to cover from the first month. Project $300K first year, $600K second, so on. Calculate accordingly
July 11, 2022
Accounting / Bookkeeping
Message Board
Views: 744 | Replies: 25
ofYOURoffice Just like accepting insurance is no guarantee you will be paid and you must learn to play the game and all the rules and even then you can still get burned, it is the same with credit cards. 1. You must verify that the card belongs to the patient......just like accepting insurance 2
March 10, 2022
Accounting / Bookkeeping
Message Board
Views: 141 | Replies: 7
show them as 2019 income... That's the thing. Checks that were issued in 2019. will be reported by insurance companies as part of 2019 1099-form. So it will be part of my 2019 tax return as well no matter what I do. For bookkeeping purposes and to simplify possible future audits, should I back date
January 03, 2020
Accounting / Bookkeeping
Message Board
Views: 798 | Replies: 29
, but if this is a 'benefit offered to all their employees then it wouldn't be fraudulent at all. All employees is probably just their own family, Is this any different than having health insurance paid by the corporation? It seems to me that rather than tax fraud, this is the direct reimbursement without
December 09, 2020
Accounting / Bookkeeping
Message Board
Views: 666 | Replies: 20
raised my fees for first time since 2008.... wasn't 275 percent If a patient shows me that. I will be like I wish I could. It is still about 12% per year, even corrected. 275/23=11.9 I don't believe that either. Not with insurance companies depressing costs. I would guess Cash fees have gone up maybe 2
May 26, 2023
Accounting / Bookkeeping
Message Board
Views: 634 | Replies: 20
procedures are now going to double in cost. We had five lakes run an analysis. They can tell you what people are charging around you. Somehow. A quarter of his/my patients dont use insurance so I bet hes lost a fair chunk the past decade. Thanks everyone for the advice. And thank you for the lesson to never
January 06, 2021
Accounting / Bookkeeping
Message Board
Views: 42 | Replies: 2
Hi everyone. I'm just wondering how to pull the right report for my annual production including all insurance and patients' payment. I am confused by the end of the year reports and not sure which number is the correct one! Thanks! I use the Daily Production/Collection Summary and select Other
January 07, 2020
Accounting / Bookkeeping
Message Board
Views: 42 | Replies: 0
bank. Now BBVA has been acquired by PNC and they are telling me I will have a new routing number and account numbers. This is a pain for all of my auto payroll, insurance deposits, bill pay, ect. I'm leaning toward just opening up a business account with Bank of America to avoid this hassle in the future. I'm hoping to have a bank with multiple locations and have stability Any recommendations on Banks to use?
September 24, 2021
Accounting / Bookkeeping
Message Board
Views: 154 | Replies: 0
While reviewing the P&L I looked at bank charges. I use Chase and I am paying a bit more that I want to in monthly fees for banking. We do a fair number of deposits with paper checks and cash, additionally we have A LOT of online deposits with all the PPO insurances we accept. I am going to look at a few banks in the area and see if I can get lower banking fees. What does everyone else use and why? What are the things to look for?
July 23, 2018
Accounting / Bookkeeping
Message Board
Views: 259 | Replies: 1
About to bring on my first associate and can use some guidance! What percentage are most giving to their associates? Lab fee percentage? Anything that is a must to include in the contract?? Since we are in a PPO office, how soon typically can another doctor get added to insurance? Thanks
July 24, 2017
Accounting / Bookkeeping
Message Board
Views: 247 | Replies: 4
prepay for next year) 2. Scrubs 3. Cell phone 4. iPad 5. Insurance 6.License fees and dues 7. Vehicle related Any other things that may be worthwhile? Mark.mark...You're welcome to read my blog post describing deductible expenses for associate dentists paid as 1099 independent contractors: Mark
November 30, 2018
Accounting / Bookkeeping
Message Board
Views: 1513 | Replies: 61
etc. Almost all dentist keep 90 days emergency funds, due to their disability insurance not kicking in until then. Young dentist are the exception...they dont have the funds..they live paycheck to paycheck. I had rent, some purchasing of supplies to prepare for reopening, bought a new washer and dryer
June 11, 2020
Accounting / Bookkeeping
Message Board
Views: 151 | Replies: 3
regulated by the government, such as publicly traded corporations, banks, insurance companies, non-profits, and others. The CTA does not apply to sole proprietors or general partnerships in most states. But it does apply to single-member LLCs, even though the tax code disregards such entities and taxes
December 14, 2023
Accounting / Bookkeeping
Message Board
Views: 1110 | Replies: 24
retirement plan administration and bi-weekly contributions - Group health insurance benefit administration(we ended this benefit due to not enough people being interested in it) - Oversee business accounts payable - Monthly bank statement reconciliation - Annual Form W-2 and Form 1099 preparation
June 15, 2018
Accounting / Bookkeeping
Message Board
Views: 301 | Replies: 6
. Happy Holidays and a healthy productive new year for all! I understand that concern, especially when you've been paying much more in wages the last couple of years and providing health insurance too. Since you're asking the question, I'm assuming you're not feeling an abundance of cash or success
December 29, 2022
Accounting / Bookkeeping
Message Board
Views: 82 | Replies: 2
, and EFTs. More and more, I've been moving towards just investing in the Vanguard 500. This insurance plan stuff feels like an unnecessarily complicated thing.I have a SIMPLE plan for my employees and me. Everything is run through Vanguard. No fees for me, employees can choose which funds to invest
August 06, 2019
Accounting / Bookkeeping
Message Board
Views: 327 | Replies: 14
McGuire approach to their business. Fewer customers, better service, higher fees. The model of doing things on volume may not be sustainable without a robust labor market. Specifically for dentists I think they'll have to really review their insurance contracts and see if it's still worth it to stay
September 20, 2022
Accounting / Bookkeeping
Message Board
Views: 1795 | Replies: 36
a small business owner? Most dentists are not trained to run a business. If you were once passionate about your practice but now feel like the office and patients stress you out, you are not alone. Many factors are affecting dentists nationwide: lower insurance reimbursement, corporate growth, and more
April 08, 2025
Accounting / Bookkeeping
Message Board
Views: 190 | Replies: 9
an expensive year for his family out of pocket would be 1000 since he has insurance. Would you cut him a check or allow him to get the skinny side of the trade? Bartering is an taxable transaction, isn't? :+) Bartering is reported as income. I have done it occassionally. Value for value
September 05, 2019
Accounting / Bookkeeping
Message Board
Views: 2321 | Replies: 46
. Income of the taxpayer is a major factor as well. dont forget the one who was just so greedy that even though he had 15million in assests->shot wife in africa for 5million insurance payout. also from colorado. Yes, but one of those states IS texas. IF there were no financial benefit to being
May 05, 2023
Accounting / Bookkeeping
Message Board
Views: 504 | Replies: 15
hygiene patients and benefits for the hygienists (they're both part time but they get full health insurance))-Its truly a break even or a loss. Some offices I've worked in have cut out hygiene completely. Other offices use the hygienists more for numbing surgery patients or for SRPs for LANAP
November 14, 2020
Accounting / Bookkeeping
Displaying 1-50 of 78
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