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Searching: insurance denials
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Page 1 of 6
Message Board
Views: 523 | Replies: 34
I'm sure this will be a useful scenario for colleagues who will face similar undertaking. I'm selling; the closing is scheduled 4 weeks from now.. The new owner won't be credentialed in time to start billing under her own insurance provider ID. My broker suggests to have the new owner bill under my
May 26, 2026
Practice Sales
Message Board
Views: 393 | Replies: 23
to post payments to patient accounts. If im the seller I dont want to be chasing down collections following up with insurance claims and denials after Im retire/ out of there. If im the buyer I dont want the seller agressivly chasing down collections/ sending patients to collection and from a practice
September 12, 2024
Practice Sales
Message Board
Views: 388 | Replies: 11
and is totally independent of insurance participation. Over the years, my role has naturally evolved away from heavy clinical production and increasingly toward diagnosis, comprehensive treatment planning, patient communication, and case acceptance. At this point, those may actually be my strongest
May 15, 2026
Practice Sales
Message Board
Views: 132 | Replies: 14
of all vendors like security, marketing and website, IT, pest control, yard maintenance, dumpster, telephone, med gas, internet.....anything with a regular charge to your account. Keep a list of account #s and phone #s. Contact your insurance providers, content, building, malpractice. Ask about a tail
May 16, 2026
Practice Sales
Message Board
Views: 220 | Replies: 13
restorative). The equipment is functional but aging. Only technology is digtal xrays and trios scanning. Practice uses opendental 2024 collections 1.4m 2025 collections 1.47m 2026 on track for 1.5+m 50% in network with delta and paramount. 25% no insurance, 25% OON insurance. Is 70 to 75
May 12, 2026
Practice Sales
Message Board
Views: 2130 | Replies: 48
practice, the only difference was the office we bought participated with most insurances. These practices are hard to find as a buyer so I would think that you should be able to find a private buyer. The previous owners of my practice were also pressured to sell to a DSO from their broker but they held
May 03, 2026
Practice Sales
Message Board
Views: 134 | Replies: 9
are purchasing a property as an investment and it has an income stream attached. Does that make sense? I had my building appraised in late 2024 . Came in at 1.2. I pay myself 6000/mo. My insurance ( hi in NJ) $800 and taxes are 800, property care 300, so say I net 4000. Is that a cap rate of 4%? If I
May 06, 2026
Practice Sales
Message Board
Views: 219 | Replies: 15
I'm going to sell my practice to my son. I'm a PC(professional corp) currently. Can he buy the practice and put the PC in his name? I'm trying not to get a new tax ID number because the thought of re-credentialing with insurance companies gives me an ulcer. Jim I am not sure exactly the answer
April 13, 2026
Practice Sales
Message Board
Views: 217 | Replies: 10
What is the law when it comes to insurance claims and submission post sale? The seller is not credentialed and claims it will take a couple of months. I know it's "nice" to let them keep filing under your name but what is the legal? Anyone know the answer to this? Thanks ! Not my area of expertise
January 08, 2026
Practice Sales
Message Board
Views: 6 | Replies: 0
what lease terms create the best value for your real estate? Here are the ideal lease terms that you should push for: Long term lease - ideally a 10 year initial term if possible (the longer the lease, the more valuable the building) NNN - tenant should cover all taxes, insurance, and maintenance
April 09, 2026
Practice Sales
Message Board
Views: 2027 | Replies: 116
bid for a house in CT. Their mortgage/property tax/insurance for the property? Right around 8K/month. You're fine. Control spending. Increase payments to your debt. How many years do you have left on your mortgage? This is excellent. 12 more years on mortgage but whatever is left owing when I sell
May 24, 2026
Practice Sales
Message Board
Views: 108 | Replies: 3
I know that when buyers purchase a/r there is a format for of percentages to pay depending on the age of receivables. does this include outstanding insurance payments? i know some of my ppo's will take even longer than 90 to pay, or delay asking for different radiographs, etc. does that just get
February 02, 2026
Practice Sales
Message Board
Views: 444 | Replies: 19
experience (sellers, brokers) and details/numbers of the transaction. I have more and more patients who only care about if we take their insurance and want discounts off of their in-network copays or don't want to pay their in-network co-pays (despite agreeing and signing the estimated amt before tx), even
March 06, 2026
Practice Sales
Message Board
Views: 2454 | Replies: 87
, when you're hiring you work extra, going over resume, interviewing, training, trying multiple people to get the right fit.....it takes over personal life because you work on your personal time. If you don't have it under control, your personal life suffers for sure. . . Lately its been denial due
January 31, 2024
Practice Sales
Message Board
Views: 213 | Replies: 1
i have a question regarding purchasing a practice that already has a bulk of patients from various insurance companies. I know it takes time to credential with insurance companies so do the new owners usually wait until they are credentialed or do people buy the office then apply and waste a month waiting? Do people generally just see patients and bill out of network for the time being? It depends on your transaction and who your advisors are.
February 23, 2016
Practice Sales
Message Board
Views: 321 | Replies: 21
the transition. This is more important when buying a FFS practice than an insurance practice. Remember that patients are choosing to go to that FFS dentist for a reason and once he/she leaves, they take that opportunity to look around. Insurance practice is stickier. If I buy a mainly PPO office
February 01, 2026
Practice Sales
Message Board
Views: 103 | Replies: 2
there? How many Hygienists? It says military patient base. Is the 50% of revenue from PPO's/insurance all Tricaire and retiree fedvip plans with low fees? Gives us more details.
March 05, 2026
Practice Sales
Message Board
Views: 466 | Replies: 6
I am sure there are many topics on insurance credentialing but I can't seem to find the ones I need. I am in the middle of a sales (I am the buyer). I am already credentialed as an individual when I worked as an associate with a couple of insurance companies that the seller takes at the current
March 11, 2019
Practice Sales
Message Board
Views: 8914 | Replies: 246
enough to get a permanent RDH, but her RDH salary jumped too from where she was at. RDH's salary EACH jumped $15/hr and each DAs $7/hr (and front $8/hr) enough to propel staff overhead alone close to 50%. That's right, just staff OH, and this number doesn't even include health insurance premium increases
February 28, 2023
Practice Sales
Message Board
Views: 4 | Replies: 0
OK Docs, I am trying to get reimbursement for this patient. She paid cash for the lip repair. She has no dental coverage. I want to know how to submit this to her medical insurance. I think I need a diagnosis code and a treatment code. Any help would be most appreciated. Thanks in advance,
March 23, 2024
Practice Sales
Message Board
Views: 600 | Replies: 13
I am selling my practice privately. The buyer needs to get credentialed by several insurance companies as we take PPO's.How is this normally done? If the buyer submits paperwork and waits for credentialing before closing it could take 4-6 mos or more...and we risk staff finding out about the deal
November 15, 2024
Practice Sales
Message Board
Views: 311 | Replies: 13
more. And then there are people playing the narrative that patients choose the office because it's beautiful and looks like a pottery barn advertisement. But the winds are blowing change. Crappy fees from insurance and a finite number of patients willing to pay ffs or out of network, soonet or later
February 05, 2026
Practice Sales
Message Board
Views: 189 | Replies: 2
. Heres a quote from sellers new account (apparently they switched after the sale?) checks continue to come with the prior owners information until the insurance company has completed their credentialing process and should be deposited by the old owner and a check immediately issued to the new owner
May 12, 2021
Practice Sales
Message Board
Views: 886 | Replies: 47
for hygiene, which as of 2025 we are 3.5 hygiene days per week. Although very cramped it is working for now. I should also mention there is no room for expansion. We are now doing aprox 600k collection and only in network with 2 insurances, My op is booked for about 1 month with and we try to get
July 21, 2025
Practice Sales
Message Board
Views: 524 | Replies: 15
will be higher under another owner...Omni might do addbacks, however, there's more to normalizing cash flow then just adding back the obvious...I just looked at one of their valuatoons and they failed to subtract addl expenses every new owner will have like insurance, marketing/advertising, website
May 06, 2025
Practice Sales
Message Board
Views: 2365 | Replies: 92
posted his schedule C. I guess people like to see 1+ million collections with the often quoted 65% overhead to net the same or slightly higher amount this DDS is making. Let's see how quick this gem... 105k on wages for 2 asst, 1 front desk, 1 part time insurance person, 4.5 days a week. Does not add
April 19, 2026
Practice Sales
Message Board
Views: 19531 | Replies: 903
challenged. I do a fair amount of expert witness and consulting work for various law firms. I've been grilled numbers of times in deposition. I better be able to back up what I say 100%. Okay, ask yourself this. Who benefits from you being in denial or ignorant about rampant out-of-control dental
September 08, 2020
Practice Sales
Message Board
Views: 730 | Replies: 17
As the title says.As part of their routine audit, insurance is requesting few charts (from 2020-2021) of patients I have seen before I sold the practice at the end of 2021. The charts are now owned by the buyer/new ownership since the sale. Insurance wants the information of the buyer whos only
December 07, 2023
Practice Sales
Message Board
Views: 4966 | Replies: 228
From my front porch at 5:55. I see how people can have different views on things but dang, how could you not love this? Mark I condensed into 2 days/week when we went OON with a lot of shit insurances (before it was cool, like 8 years ago) Made as much as I made on 4 days/week. Very tough to staff
February 13, 2026
Practice Sales
Message Board
Views: 147 | Replies: 6
I never sold a practice before and I am getting ready to sell mine. I have little info about the process and I have some questions please. I appreciate the feedback on the following questions: 1- If you sell your practice and you have insurance payments deposited directly to your business account
August 31, 2021
Practice Sales
Message Board
Views: 902 | Replies: 32
-winter. Also the state employees have some abysmal insurance making it hard to make a living on treating them. But there are worse places! Yes, I stayed there a couple years ago. Nice restaurant on site too! I dk much about the fingerlakes..but perhaps there aren't many dentits/physicians because
April 09, 2026
Practice Sales
Message Board
Views: 161 | Replies: 4
, the owner dentist also does consults/exams/etc - many of them, in fact, and many hygiene checks. Obviously, insurance is reimbursing at specialty rates for everything billed out under the owner dentist. How does this get reconciled or accounted for, when making an offer to purchase? Not exactly sure what
August 02, 2025
Practice Sales
Message Board
Views: 250 | Replies: 16
requirement Number and length of renewal option period offerings Initial base rent requirement Rent inclusions and exclusions Structure for payment of operating expenses (NNN charges such as common area maintenance (interior and exterior), real estate taxes, fire and casualty insurance) Initial term
June 28, 2024
Practice Sales
Message Board
Views: 359 | Replies: 9
Hi, I am planning on selling my practice pretty soon and am not going to be able to stay. I participate with a few insurance companies as a provider and I assume the buying dentist will want to continue that participation, at least in the short term. It seems that the consensus is that, while
April 28, 2014
Practice Sales
Message Board
Views: 363 | Replies: 5
the no no list with out the extras.Heres a few No Nos:1. Dont trust your broker with everything. Get multiple expert valuations. Trust but verify2. Dont assume insurance companies will do what they say. Designate someone to be on top of the insurance transition. 3. Dont be short sighted and get emotional
May 12, 2021
Practice Sales
Message Board
Views: 533 | Replies: 5
system - mumbles when he talks, shakes, cloudy comprehension. He is probably in his early 60s. I was able to talk with his wife who I think is in some kind of shock as she hasn't taken the lead in calling disability insurance, transiition experts, financial resources etc. She says she is just
April 27, 2022
Practice Sales
Message Board
Views: 727 | Replies: 20
after having my own fee for service practice for years, I started taking insurance plans; partly b/c of moving my practice, partly b/c of trying breakaway, partly b/c of bringing in an associate so I can get a break occasionally. breakaway didn't work out for me and now I'm stuck betw deciding
September 14, 2017
Practice Sales
Message Board
Views: 155 | Replies: 4
Starting to look to purchase or partner in San Antonio TX.Any advise or training, opportunities or broker/real estate lawyer/dental CPA referrals would be appreciated!Thanks! DM me, this is my home town. . I took a Breakaway seminar in San Antonio, its a really nice area. But there does seem to be an abundance of dentists lol. Im sure its a fast growing area, youd probably do okay taking lots of insurances and marketing heavily. .
December 18, 2024
Practice Sales
Message Board
Views: 1576 | Replies: 96
Could you not say the same of any dental insurance? Isn't this why so many doctors are afraid to drop delta? Becuase they have no patient loyalty and would just go up the street? What you are pointing out is the problem with ALL insurances. My practice is so valuable rite now....its not on fire
June 11, 2020
Practice Sales
Message Board
Views: 541 | Replies: 17
Whats an ideal practice size for a younger doc? I am trying to decide on dropping an insurance that will likely involve losing most of those patients. Its about 24% of my recall program and 18% of my revenue. However I am running triple hygiene and I dont like it. For me its busier than I want
June 18, 2024
Practice Sales
Message Board
Views: 794 | Replies: 38
I sold my Practice recently (Assets and Goodwill) and in 2 weeks they came back and asked me to sell them my tax ID. I negotiated a different special fee schedule with most insurances and the new owners (DDSO with 20+ offices) are trying to convince me to sell my Tax ID to get these benefits
July 16, 2023
Practice Sales
Message Board
Views: 693 | Replies: 25
mentioned aligners, I am doing them already but thanks for the suggestion. I hope we hit a million this coming year. If your patient base doesnt have a lot of dental needs, mainly preventive, you need to make preventive visits profitable. Start the process to go OON with insurances (if you
December 20, 2023
Practice Sales
Message Board
Views: 1824 | Replies: 77
. Not to be a Debbie Downer but, a couple of observations: one dentist in town takes Medicaid/most insurances, another dentist's website "implies" they take PPO (not sure) and also has an in house membership plan. I'm very anti-membership plans in every situation but, if I went to the proverbial middle
October 27, 2025
Practice Sales
Message Board
Views: 357 | Replies: 17
without paying rent in the beginning. I am in the 500K SL club so this idea sounds appealing especially psychologically not having to take out a loan to purchase an office. Also i personally think in an area like nyc that many people are educated, people tend to value their insurance benefits. I
September 19, 2023
Practice Sales
Message Board
Views: 8914 | Replies: 246
have a practice almost the exact same as you. This is what I did when I was starting out. Fired the FD. Hired EAssist. EAssist was cheaper per month. I walked the patient up to the front while the assistant turns the room over. I checked the patient out, make sure the insurance was in the computer
February 07, 2023
Practice Sales
Message Board
Views: 195 | Replies: 4
Hello friends, I have office in CT and looking to sell medicaid part of the business. Practice will continue to cater private insurance and fee for service customers. I wanted to check how should I determine price of medicaid patient/charts as compared to insurance based patient. I
September 22, 2016
Practice Sales
Message Board
Views: 96 | Replies: 2
I am in the process of selling my office. The buyer is buying AR. The closing just got pushed out a few more weeks. Is it work me trying to have all my electronic payments from insurances changed over to checks? Would that make life easier? Rather than having to cut the buyer a check for anything
September 04, 2024
Practice Sales
Message Board
Views: 274 | Replies: 2
on adjusted production, which is the production after insurance markdowns are done. I'd really appreciate your thoughts. Also I think 35% is fair - again what has been your experience?... I would say 30% of collections with no lab bills reduction or anything, as new owner needs more cash flow to pay
June 10, 2015
Practice Sales
Message Board
Views: 196 | Replies: 2
to the doctor's family members. Life and disability insurance is pulled out as well. While you will also draw a salary and have insurance, the amount and type is going to be different for you. Automobile expenses is another example. I can't get down into the weeds here, but there is something called
July 08, 2017
Practice Sales
Message Board
Views: 289 | Replies: 20
of the calcs with approximate numbers? So they are paid on their unadjusted production initially. So they are being paid for money that will never be collected. As insurance checks come in and the adjustments and write offs are done those are calculated and they subtract it from their checks. The writeoffs
November 12, 2018
Practice Sales
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