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Searching: insurance denials
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Message Board
Views: 1576 | Replies: 24
with maybe 10-12 Pediatricians. FD apologized and told us they just have no staff to man the phones and help in the back. This is Madness. Then who handles the insurance denials. About 20% of all medical claims are denied the first time around for no reason. In my hospital practice we have 1
June 22, 2022
Future Planning General Discussions
Message Board
Views: 2874 | Replies: 54
from over ordering and theft, she quit when she didn't like the new checks and balances put in place....the book keeper was not re-filing insurance claim denials, just writing them off or depositing the money into the previous owners account. SIGN everything yourself, no signature stamp, deposit
September 07, 2014
Future Planning General Discussions
Message Board
Views: 3326 | Replies: 158
they? Make up pocket depths? Fake X-rays? Inquiring minds want to know. Hey I got a great idea, we should start a seminar The out-of-pocket paid upcharges probably cover the claim denials and bring in more than the insurance would have paid for an adult prophy. I interviewed at a Medicaid place
August 07, 2023
Future Planning General Discussions
Message Board
Views: 1181 | Replies: 37
spent more time in the beginning learning the front desk. How money comes in (via patient payment or insurance), adjusting insurance fees, and how it all is added to the ledger. I was so focused on being "busy" that I let the actual money take the sidelines. That caused me to keep a crooked front desk
April 06, 2026
Future Planning General Discussions
Message Board
Views: 756 | Replies: 10
to no options outside the clinic.....A friend of mine became a state employee, running various Medicaid dental plans. Exciting work.....Large labs, vendors and mid-sized distributors and insurance companies are the easiest. A lot depends on what you enjoy doing. Dentists like to hear things from other
August 29, 2019
Future Planning General Discussions
Message Board
Views: 4296 | Replies: 138
and make it worse in my head than it actually is. Something to remember- we all have our own journey and our own trials and tribulations production and collection :-).Thanks for sharing. If your practice is/was slow why did you drop insurances? I think you should participate with all insurances
January 27, 2020
Future Planning General Discussions
Message Board
Views: 15349 | Replies: 160
a Cerec. 3. Placing implants, getting CBCT. 4. Dropping all insurances (except Delta, Wellmark, yet). 5. Personally, moving back to my hometown was a great move. Decision to own sooner rather than later. For me, it was preparing for and taking the appropriate risks early and often. More
March 13, 2017
Future Planning General Discussions
Message Board
Views: 1165 | Replies: 103
to pull the tooth? Or get it fixed before it abscessed and they had insurance.... See critical thinking means you look at the story and analyze "yes this happened, but is the article using this event to drive home a point, or are their other factors that may have influenced this event" I bet $100 if you
April 03, 2026
Future Planning General Discussions
Message Board
Views: 871 | Replies: 9
he had been working with the adjustments for too long. My disability insurance is with Northwestern Mutual. Yeah Tim, timing. If this last med doesn't help the jerk then accordingto Mayo, it'llbe time to filea disability claim. Let's say Northwestern agrees with the claim. How is a practice
December 30, 2019
Future Planning General Discussions
Message Board
Views: 1165 | Replies: 103
on it. Had my oldest kid on a freakin Medicaid card because literally not a single private insurance company in NM offered maternity so the state put my wife on maternity Medicaid. I could go on but surmise it to say, the entire state is one huge welfare system and they better thank their lucky stars
April 02, 2026
Future Planning General Discussions
Message Board
Views: 4296 | Replies: 138
Today is the first time ever since I have had my practice going to be 10 years in May 2020 that I realized that I might be in complete denial. I love my work- my patients and my staff I actually can't imagine being anywhere else and doing something else but I think I have given my prime years
January 22, 2020
Future Planning General Discussions
Message Board
Views: 2346 | Replies: 58
are simply living in denial about the problem. Im trying to think of any industry that this does not happen too. Why would we be different. One thing humankind is good at is adapting to forces of nature that is out of our control. Are you all witnessing PE gobbling up all the residential homes
May 31, 2022
Future Planning General Discussions
Message Board
Views: 5144 | Replies: 305
as the attitudes, beliefs or personel changes occur.A few examples,New business assistant processing insurance checks sees two denials in one day for crowns. There could be any number of reasons, no x-ray attached, crowns not covered, no narrative----but she is new and doesn't understand. The next two
March 22, 2007
Future Planning General Discussions
Message Board
Views: 196 | Replies: 12
Hello everyone, I am a recent dental school graduate from Ireland (only have accredited BDS) and am a Canadian citizen. However, I am wondering about my future as a dentist in Canada, as there are less and less patients, low increases in insurance payments and so on. I have started to look
February 05, 2026
Future Planning General Discussions
Message Board
Views: 680 | Replies: 17
free time, what are some things I should try to learn from this office to prepare me to own a practice? financials? marketing? inventory? office organization? insurance? As a practice owner, are there any things you wish you could learn to help your office run smoother? Or wish you could've gone back
December 15, 2025
Future Planning General Discussions
Message Board
Views: 697 | Replies: 27
and materials. In short, my boss would have to be an absolute fool to put up with my shenanigans. Also, 600k after taxes are taken out. If I had all paid federal holidays, no weekends, paid vacation, matching retirement, pension,, great PPO health insurance offered to me, FSA, paid disability/etc
March 05, 2026
Future Planning General Discussions
Message Board
Views: 104 | Replies: 0
Has any one ever successfully collected on disability? If so for what condition. Like many in the dental profession , I have spine issues. my neck. Stuff like spondylosis, disc degeneration, disc bulging. Progressive. Anyways, this causes pain and funny bone like zaps in my hands. I get steroid...
September 02, 2021
Future Planning General Discussions
Message Board
Views: 5052 | Replies: 225
for the last few decades. The owners that take the worst insurance tend to think in general patients just want it fixed as cheaply as possible, I get it, its true that there are lots of pts out there like that, pts even showing up with horrible work from other countries to save money and lots of regrets, I
May 08, 2023
Future Planning General Discussions
Message Board
Views: 69 | Replies: 1
Hello All! First time poster. I will be needing a locum tenen to cover my office bc of an upcoming surgery. This is my first time doing this and need some insight on what I need to set up. Do they need to be credentialed with all of my in-network insurance companies? Any other dot my I's cross my T's I should be thinking about? Thanks! post replies here:
October 22, 2025
Future Planning General Discussions
Message Board
Views: 173 | Replies: 7
me out is the stagnant state of dental insurance payouts alongside the extreme rise in cost of dental materials, rising wages, services, etc.. over the years, overhead costs seem to continue increasing. Profits have become less. I spoke to a dental CPA who told me the office would bring in steady
June 10, 2025
Future Planning General Discussions
Message Board
Views: 4296 | Replies: 138
) with an expensive lease, employees, overhead, etc. I was in denial while running that business. Rather, I had blinders on and needed fresh outside perspective from someone that could get into the weeds on my personal and business financial, marketing, and operational situation. Over time I engaged certain
February 02, 2020
Future Planning General Discussions
Message Board
Views: 553 | Replies: 6
office wont change your participation at the old one. Get your ein from the irs and start credentialing at the new location Thank you I am going through the process right now. Many of the insurance companies will credential you faster if you participated with their insurance at another Office. Either
February 21, 2024
Future Planning General Discussions
Message Board
Views: 1981 | Replies: 129
on the owner, insurance profile, fee schedule, employee payroll, overhead, location, patient mix, and basic modernization. You do not control market multiples, but you do control these levers. The same changes that make a practice more transferable and valuable usually make it more profitable
April 01, 2026
Future Planning General Discussions
Message Board
Views: 230 | Replies: 10
Demographics can be hyperlocal and so discussions at the state-level revolve around Tort Laws (malpractice) and insurance reimbursement. So taking these two factors into consideration, Virginia seems like a nice state: Malpractice: Insurance: insurance reimbursement I know this can be very
November 07, 2024
Future Planning General Discussions
Message Board
Views: 3326 | Replies: 158
doctors...will result in us being a no hygienist practice) Most corporates make money with Arestin as it is not billed to insurance(mostly not a covered service) I have seen lot of treatment plans worth a couple of thousand dollars and more just with arestin. Sometimes these patient only need
February 19, 2024
Future Planning General Discussions
Message Board
Views: 2250 | Replies: 95
the pharmacy route. Have you guys noticed a trend in concierge medicine? Primary care physicians that you pay a monthly fee and they take zero insurance, but they are available almost anytime you need them during business hours. I have, professionals that can afford them prefer those doctors. My old OBGYN
March 29, 2025
Future Planning General Discussions
Message Board
Views: 18004 | Replies: 1305
don't know--what this whole thread is about. Cost of goods, cost of labor, labor shortage, decreasing reimbursements from insurance, consolidation of the market.......just minor things. Glad to hear it. 1) Costs rising significantly, especially hygienist wages in many areas. But every other category
July 28, 2023
Future Planning General Discussions
Message Board
Views: 1316 | Replies: 70
hire someone if it doesn't work out. I know several dentists who work alone, and also do not accept any insurance or new patients. One drives a BMW M6 so he must be doing OK. Perfect set up for an introvert In todays world? Sounds like a big big big liability. It only takes one crazy patient
July 12, 2025
Future Planning General Discussions
Message Board
Views: 251 | Replies: 6
a week?If you were to work full-time whats the health insurance like?What kind of schedule do you run like how many patients are you seeing a day.Again just having one of those days I am getting sick of practice ownership and it would be nice just to walk in and see the patients and leave.Really
November 08, 2022
Future Planning General Discussions
Message Board
Views: 229 | Replies: 3
Hey everyone, I've been out of dental school for four and a half years. I started out at an Aspen Dental clinic right out of dental school where I was signed up for every insurance possible. After 6 months I knew it wasn't what I wanted to do long-term. I moved out of state, and have worked
November 14, 2014
Future Planning General Discussions
Message Board
Views: 158 | Replies: 2
the office and working somewhere a few days a week without ownership hassle. Feasible? How much would I have to work somewhere to get help with health insurance? I would start with the dentist that buys your practice. Might be willing to keep you employed PT, cover vacations, etc.. AND provide health
June 14, 2021
Future Planning General Discussions
Message Board
Views: 634 | Replies: 17
started but transitioned out as soon as I had enough private patients to quit it. Today I have decided to join an insurance plan due to lack of a full schedule for some time now and needing to be busier. I don't market other than word of mouth but am at a cross roads about what to do. I have been
June 06, 2018
Future Planning General Discussions
Message Board
Views: 582 | Replies: 17
is going to be too tight for your living expenses and student loan debt. They dont look at what the income should be, they calculate based on what it is.It may take a few bank denials from other suitors though for that to happen. I will download and start reading tonight, thank you. Thank you all
December 23, 2020
Future Planning General Discussions
Message Board
Views: 77 | Replies: 4
. I did not own the building and the previous owner is using his insurance payment to help rebuild. The problem is the build out for the 4500 square foot building will be close to 1.7 million dollars plus the lot is valued at 300k, that puts this at 2 million. It will be a big enough building
March 16, 2024
Future Planning General Discussions
Message Board
Views: 303 | Replies: 7
doors to give notice to patients that my practice is closed? Also, how far back in time (their last visit at my office) do I go for generating a list of patients to send the notice of closing my office? My stated requires medical records be maintained for six years in my state. Some dental insurance
November 21, 2025
Future Planning General Discussions
Message Board
Views: 3326 | Replies: 158
to brainstorm how to move forward keeping the same preventative based model that we have known for 60 plus years. It is not dying, but it has to be tweaked. Here are ideas I have. Some I've implemented, some I have not. 1. Aggressive negotiation of insurance contracts. Hire firms that specialize
August 03, 2023
Future Planning General Discussions
Message Board
Views: 18004 | Replies: 1305
but the way we talk about money/insurance often limits us to staging incredibly slowly or waiting so long the patient becomes disinterested. I'm picturing a day when we run my practice as is with a second associate and I transition to a half day a week of consults/treatment presentations and a 3 day
August 02, 2023
Future Planning General Discussions
Message Board
Views: 734 | Replies: 19
to confirm and I think this is really tying up a lot of their time. My front desk ladies are a little older and therefore hesitant to bring in more technology. Other things eating up a lot of their time are: - insurance breakdowns - entering cheques Would it make sense to hire a part time person just
April 05, 2022
Future Planning General Discussions
Message Board
Views: 18004 | Replies: 1305
Family dentistry blossomed in the 1970s and 80s when dentists and families alike realized the appeal of insurance-covered hygiene appointments. Its very easy to provide a free service, and at the time this was profitable due to a favorable combo of wages and reimbursements. In 1975 the average
July 23, 2023
Future Planning General Discussions
Message Board
Views: 2353 | Replies: 96
and bells and whistles but if youre going to be accepting $700 for a crown, thats terrible margins.Dentists have been brainwashed to be afraid of insurance companies. If I had told you prior to Covid inflation (give or take 20%) is coming your and all that was going to be coming out of your take home, what
July 06, 2024
Future Planning General Discussions
Message Board
Views: 2511 | Replies: 97
back to being only me. It would probably involve dropping some insurance plans as well because there is no way that I could handle the patient load at this point. Perhaps once the new ops are finished I could hire an EFDA and increase production that way? rambling complete. Hire an associate
August 09, 2021
Future Planning General Discussions
Message Board
Views: 671 | Replies: 38
) and how the patients with delta leave in droves. So in that way delta patients are the same as medicaid patients....but nobody will say that. Same thing with audits. private insurance audits people too, but all you hear about is the 1 guy in texas who got ball-hammered for oral hygiene instruction
December 14, 2023
Future Planning General Discussions
Message Board
Views: 583 | Replies: 18
antiquated for modern use or in the declining part of town, often both. So they hold out for a few years in denial as their practice continues to decline. Eventually they sell their charts off and their building sits there for years until they eventually have to pretty much give it away. Tim, George
July 30, 2021
Future Planning General Discussions
Message Board
Views: 2511 | Replies: 97
, 575 Patients seen during this time frame: with insurance: 2690 without insurance: 356 Worst offending insurances: United Concordia: Gross: $702,045 Net: $391,248 Delta: Gross: $318,155 Net: $160,310 UPMC: Gross $214,477 Net: $113,859 Metlife: $206,977 Net: $105,785 Aetna: Gross: $176,422 Net
September 02, 2021
Future Planning General Discussions
Message Board
Views: 3326 | Replies: 158
). This includes the pre-insurance days and reasonable in-network fees insurance days. Unless something changes, we are exiting the golden age. You may have to actually be good at this job and try to be a good business person to be successful. Definitely possible, but you will actually have to do stuff beyond
March 16, 2024
Future Planning General Discussions
Message Board
Views: 402 | Replies: 8
will need to become his own entity. How is that done? We only accept Delta insurance everything else FFS. How does he get credentialed with them? Anything else I missed? Check with your accountant. I can only imagine what it takes to get rolling today compared to 40 years ago. Call Delta, they can
June 01, 2023
Future Planning General Discussions
Message Board
Views: 314 | Replies: 10
insurance. The design really intrigued me as the idea behind the business model was primarily reduction of overhead/expenses and not profit. Every practice could keep there name and add a tag to the name after joining the group. Minimal dues to run the group with all extra monies split evenly among
November 25, 2014
Future Planning General Discussions
Message Board
Views: 3844 | Replies: 83
up at least $45,000/month to make it. Just don't know if I will have the capital to last that long. Waiting on a SBA line of credit. Why do I want to get out? 1)Working longer, harder, and not making enough to support the family. 2)Staffing, fighting insurance has been exhausting. Finally hired
July 19, 2024
Future Planning General Discussions
Message Board
Views: 489 | Replies: 27
there will be. I have seen this happen with other doctors in my area over the years. Get life insurance to cover all debts and then some for the spouse...who cares, you are dead bruh. There is likely no foolproof way to have it go smoothly. Inevitably it will have a bit of chaos, disruption, stress
September 04, 2024
Future Planning General Discussions
Message Board
Views: 398 | Replies: 10
or an associate? 3) Are you an out of network provider or do you accept insurances/ do you see medicaid? 4) Which state are you in and are you rural or in a big city? 5) Was there ever a time when you felt very poorly compensated and what was your situation? Thanks. Very wellOwnerIn network with some
August 21, 2020
Future Planning General Discussions
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