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Message Board
Views: 69 | Replies: 0
i would like some pointers on what sort of business insurances etc. need to be taken care of for a practice acquisition. I find this is one area of practice acquisition that is not discussed much. thanks!
June 05, 2018
Practice Acquisitions
Message Board
Views: 401 | Replies: 8
the remaining balance would be fraud, is there another way to discount their balance? Same day payment or something? Thanks Hey, we all do family and friends discount in the world of private practice. Technically fraud - probably. Worry about it - not so much. Most of the time insurance not involved
October 28, 2016
Delta Dental
Message Board
Views: 491 | Replies: 13
I am currently in the process of purchasing a practice and had a question regarding insurance. The practice I'm purchasing is FFS so I would need to end my agreement with all PPOs I am contracted with at my associateship. How do I go about doing this? Do my agreements with the companies end once I
April 18, 2017
Practice Acquisitions
Message Board
Views: 755 | Replies: 11
Office I am at is thinking about switching to Fortress for malpractice insurance. Anyone have opinions of them? Thanks. I looked into them about 3 years ago. They ended up being 3x more than my current carrier Pharmacist...Wow I have Fortress, I need to make sure I am not...REALLY EXPENSIVE. I
October 23, 2018
Malpractice Insurance
Message Board
Views: 2875 | Replies: 130
I am trying to get my financial act together and really buckle down on savings for retirement. After meeting with a financial advisor from Mass Mutual, they are recommending I put a portion of my retirement savings in a whole life insurance plan. My only prior knowledge with whole life
June 25, 2017
Personal Finance
Message Board
Views: 674 | Replies: 15
I've seen a lot of people shooting down the ADA GW disability insurance plan on the forums here because the terms of theplan can technically be changed at any time. Well why not go with ADA and justchange plans if this ever happens? Maybe I'm missing something but I'm a new dentist
March 28, 2017
Disability Insurance
Message Board
Views: 364 | Replies: 22
to continue to use my cosmetic lab and see if their is a way to charge the patient to off set the write off in a legal way. Can I charge a consultation fee or such. I have explained to the patient that my lab fee is higher thus the cost is higher and I require the 1200. I just dont want the insurance
January 28, 2015
Cosmetic Dentistry
Message Board
Views: 229 | Replies: 2
Hello just wanted to check if the fee quote gor my makpractice insurance serms in line with what prople are paying in WA state: 1mil/5mil first year $760 month srcond year $1400/month third year $1800/month fourth year $2200/month Occurrence or Claims-Made?That looks ridiculously high. I was paying for occurrence $2500-$3200 a year. And was quoted for claims made $950/year. This is in NY and CT. But I cannot imagine your numbers
February 23, 2019
Dental Liability Insurance
Message Board
Views: 143 | Replies: 3
Can a FQHC receiving a HRSA grant and 330 grant. IE serving the underserved; sign up to be a preferred provider for insurances? My understanding would be that the underserved are not those with insurance and that by signing up to be a preferred provider they are then in direct competition
February 16, 2016
Public Health Dentistry
Message Board
Views: 367 | Replies: 14
Which of the two health insurances would you choose through your employer? Why? Let's say you are a single young and seldom see a doctor (no chronic meds), but you may see a few (elective) specialists, such as for routine eye exam or do blood work.. What would you look for in deciding? Plan
June 25, 2020
Medical / Health Insurance
Message Board
Views: 268 | Replies: 5
like this, but it's a win-win. Am I breaking any rules? JC I don't know about the insurance rules on this so no help there. I would just add my $.02 that the patient requested the cheapest possible restoration, trying to do favors for this kind of person is often a disappointment. Zi can fracture
November 15, 2016
Coding Q&A
Message Board
Views: 136 | Replies: 4
For everyone out there that performs biopsies routinely, what code are you billing out for most of them? And do you find that most insurance companies are covering the... Are you talking about dental or medical insurance? CPT or CDT codes?I'm talking about dental codes. Do most biopsies get billed
June 29, 2017
Oral Pathology
Message Board
Views: 943 | Replies: 22
I have a request from Principle indemnity for a sizable refund. Root canal and two crowns were done in 6/09 and the insurance paid around $3000. Now, end of April 2010--10months later--they are requesting their money back due to the fact that the patient's coverage lapsed at the end of 4/09. I
July 23, 2014
Dental Insurance for Dentists
Message Board
Views: 46 | Replies: 0
Lots of great ideas and advice...
April 14, 2017
April 2017
Message Board
Views: 60 | Replies: 0
There's far too little regulatory oversight relating to dental insurance. Here's a report aimed directly at the public. Independent dentists are well-positioned to give patients advice. Even on a one-on-one basis, we can impact a positive difference for the public welfare. Michael W Davis, DDS Santa Fe, NM
July 27, 2016
Legal Issues
Message Board
Views: 153 | Replies: 0
Hello everyone! I have a general question. I am in the process of purchasing a practice. The practice in which I am interested takes basically no insurance but Aetna (0.5% actice patients have this). I am a young dentist and will be taking over a practice in a saturated area. I am not naive enough to think that I will be able to be FFS as well. Any advice on the top insurance providers to take? I am thinking Delta Premier. Any others? Thanks...
November 16, 2015
Medical / Health Insurance
Message Board
Views: 827 | Replies: 10
Hi all, didnt know where to post this question. Does anyone know if business insurance cover loses if we are forced to shut down because of this coronavirus scare? Thank you. Was just discussing this. In the past there has been such a thing as overhead insurance. What I have no clue about is what
June 26, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 67 | Replies: 1
Ok, so I know this topic has been writen about tons, but I'm in Canada, and I have not come accross anyone from Canada sending one of those letters everyone has posted on here in response to insurances request for refund. We had a patient come in. We called her insurance to make sure she had
March 16, 2017
Dental Insurance for Dentists
Message Board
Views: 184 | Replies: 2
Got a letter today from my bank that a Cigna payment check bounced, so I am charged a fee of $10. How do I claim that $10 back on top of the original check amount? Really wow..I suppose it doesnt surprise me. It is illegal to bounce a check. Should the proper authorities be notified?
December 16, 2014
Personal Finance
Message Board
Views: 179 | Replies: 0
What I found in the Obamacare facts website: s Dental Insurance Worth it? Should I Get Dental Insurance? In general dental insurance isn’t a smart buy for individuals simply buying it from an insurer themselves. With dental insurance not everything is covered, maximum amounts
July 05, 2015
Claims Processing
Message Board
Views: 228 | Replies: 7
the PPOs around. However, I have only been able to locate 1 OMFS locally that takes Delta and haven't been able to find any others that are in any insurance plans. I believe there are a few endodontists in the area that may take a few others, but I am mostly concerned with referring to perio
August 02, 2015
GP / Specialist Communication
Message Board
Views: 225 | Replies: 5
We are in network with delta and Cigna. Delta is the primary and Cigna is the secondary. I am doing a crown. do I have to file both insurance?. Filing the secondary is painful as we have to wait for the primary EOB and then few weeks to get... What is best way to handle this situation...Did you
January 14, 2017
Claims Processing
Message Board
Views: 269 | Replies: 3
I worked at an office as an independent contractor. Now the office is being audited by the workers comp. and they are asking me to provide proof of worker's comp insurance , or a waiver. I never carried the insurance so I think I will waive my rights for now. For future reference, is a worker's
July 25, 2014
Practice Management & Administrative Forum
Message Board
Views: 852 | Replies: 21
I feel like it's groundhog day again. We are looking at our health insurance options for 2019. We currently have BCBS through our state dental association. It's over $2100/mo. Thinking about MediShare/Liberty etc? Anyone have any good options for 2019? I am signed up for liberty, haven't had to use
November 27, 2018
Medical / Health Insurance
Message Board
Views: 558 | Replies: 15
I have a 22 year old practice. Things have been slower this year. My manager since March this year wants me to hire someone to do insurance verification and work on recall. She says in the past my employees were not verifying as accurately and we need a full time person to work on this. I already
December 28, 2017
Practice / Family Management for Women Dentists
Message Board
Views: 126 | Replies: 5
Hi, this is the 2nd time I submitted my weekly claim for unemployment insurance. It says failure to report # of hours you worked last week is fraud and you can get penalty for lying. I looked at all the questionnaires before I submitted to make sure I don't submit any false information. The only
April 19, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 131 | Replies: 1
I am looking for a good *medical* insurance code to use for the NTI when it is being used as a temporary deprogrammer before definitive orthotic therapy. With medical insurance, I have patients waiting weeks or even months for pre-authorization to do a definitive appliance (B splint, Gelb, Farrar
March 18, 2016
TMD and Occlusion
Message Board
Views: 100 | Replies: 1
I got a letter from metlife stating I have to refund money that was paid to me in 2018. I read somewhere in DT that there is a form you can fill out and send to insurance basically telling them they can't recoup money that was paid when it is their error. The insurance company is saying patient
April 27, 2020
PPOs and HMOs
Message Board
Views: 167 | Replies: 4
I should know this by now, but I don't. Please help. I am doing a 3 unit bridge 7x9. Teeth 7 and 9 are getting RCT cast posts. I submitted the bridge codes as follows Teeth 7 and 9 - 6060 Tooth 8- 6211. Insurance company sends back claim stating that the codes are implant codes. What codes would
April 09, 2014
Fixed Prosthodontics
Message Board
Views: 158 | Replies: 3
My current medical insurance plan (COBRA from my previous job) is terminating Nov 30th so I needed a new plan. My Broker found a plan which he thinks is best for me; HSA plan with a higher deductible. We set it up as a group plan through the practice. Right now since I fired my assistant and my OM
November 18, 2014
Personal Finance
Blog
it’s going to cost and understand what is covered by insurance. Are there co-pays or deductibles? Have they already maxed out? Can they afford to see the dentist? This confusion (and the stress that comes with it) is something I see a lot in my practice. So does my wife, Dr. Michelle Katz, who
September 22, 2016
by JRappaport
Blog
I watched it again last night and felt compelled to make this meme. Each and every person under my command owes me 100 denied claims every day. And I want my denied claims. And all y'all will get me 100 denied claims, taken from the pockets of 100 dentists. Or you will die trying!
August 31, 2021
by Bill Hiltz
Message Board
Views: 71 | Replies: 0
to bill under his EIN . The selling dentist is relocating after sale , and has direct deposits set up for his insurance checks .Whats an easy way to receive a 1099 from him for the procedures that would have been performed by me .Any other suggestions to go around it . Delta takes almost 120 days , some others also do take anywhere between 6-12 weeks.
September 03, 2021
Practice Acquisitions
Message Board
Views: 113 | Replies: 1
I worked in a private practice, and at that time I paid for my mal-practice insurance (occurance ) Couple of years back, the owner sold her practice to a DSO and they told us that we had to be on their insurance policy ( claims made) Now I am quitting the DSO job What do I need to do? Some
September 08, 2021
Legal Issues
Message Board
Views: 1274 | Replies: 23
company you coukd inquire with them. Be sure that your enployee handbook has the details about who gets offered insurance. For example: the employee must work 32 hours a week to be considered full time. Most dentist pay for a plan that has a high deductible which is mainly for something major
September 29, 2021
Ideas To Make Your Practice Grow
Message Board
Views: 185 | Replies: 3
! I would only code as comprehensive and save yourself and staff any confusion. I have never had an issue with a contracted fee being lower than what I charge, but I am only in-network with Delta Premier. I think most insurance do not give you a ortho limit that you can charge even if you
November 09, 2021
Orthodontics
Message Board
Views: 61 | Replies: 2
If preventive dental care actually lowers needed treatment why not create a new dental insurance. preventive coverage at 100% with a twist. Incentivize patients with a reward system like credit cards. Earn points that they can choose how to spend, if they want cash back, pick something else, etc
November 10, 2021
Alternatives to Dental Insurance
Message Board
Views: 299 | Replies: 5
What is the BEST service available to get a breakdown that does not involve your staff calling (limited staffing) and does not break the bank? I would want a FULL breakdown which I assume needs a human call as opposed to the instant ones which always have missing info. Have you tried doing it...
December 18, 2020
PPOs and HMOs
Message Board
Views: 116 | Replies: 7
Hi All Due to various reasons the patient management system doesn't have all patients insurabce info accurately. We are an assignment office. Currently we are losing a lot of revenue when insurance doesn't cover. Staff not very efficient and careful. Solving staff issues but need your help to have
April 10, 2017
Front Office Discussion
Message Board
Views: 242 | Replies: 10
I'm moving to Oregon from the east coast. Can anyone suggest an agent/ company that I can get dental malpractice insurance from? Thank you. Pacific Underwriters they do WA and I think Oregon have been reasonably priced from what I have seen.A lot of Oregon docs use...Ricklin, what does ods stand
April 10, 2017
Malpractice Insurance
Message Board
Views: 91 | Replies: 2
We are looking at offering a membership discount option to help build the practice for those without insurance and also promote current in network patients to become a member rather than purchase new insurance next year. Please share your feedback and any ideas for questions for our survey we
November 14, 2017
Patient Communication / Education
Message Board
Views: 115 | Replies: 0
Has anyone come across an Insurance Processor? Just had a lady walk in the office introducing herself as one. Asking if we had backed up claims. Basically, she works with the front desk/biller to organize claims that need a second pair of eyes. I don't know how I feel about this. I wonder What
August 19, 2014
Front Office Discussion
Message Board
Views: 182 | Replies: 3
I've been debating whether to hire experienced insurance biller or to do billing on my own. And I decided that it would be for my best interest to learn how to bill before hiring someone or a company down the road. Is there any courses or videos that walk you through ABCs of insurance billing
February 27, 2021
Practice Management & Administrative Forum
Message Board
Views: 190 | Replies: 12
Took over an office. The month before i took over, the 30 year assistsnt got moved to the front. Bless her heart she lacks the training. Lets call her front 1. We would like to put the easy work on her while shes being trained. So we are trying to train her on insurance verification. My other
January 31, 2021
Front Office Discussion
Message Board
Views: 353 | Replies: 6
Hello! I am wondering if anyone can recommend a better way to keep track of EFT payments from insurance companies? We use Tesia bridge and Open Dental. We are not able to see when a payment goes in through EFT until we see our bank statement or go on each insurance website and check the inbox
October 18, 2014
Marketing
Message Board
Views: 247 | Replies: 7
Hi, I handle all of the insurance at our office and have a few questions re: dual insurance. 1. If we are in network with both primary and secondary, which writeoff do we take? I have asked coordinators at other offices and get different answers. 2. When I get payment back, it seems
December 15, 2017
Claims Processing
Message Board
Views: 390 | Replies: 5
I'm pretty sure I'm going to start a Progressive Ortho course in the near future but I'm concerned about insurances not covering because I'm not a specialist. For GPs out there doing Orthodontics - is this a problem? Or do you just charge insurance and usually it's not a problem? Or are you
August 23, 2016
Orthodontics
Message Board
Views: 265 | Replies: 5
Good morning all, I know we are supposed to pay disability insurance with after tax dollars so the benefit is not taxed. Does anyone know if it's the same for life insurance? Thanks, JJ Depends...if its personal you pay personally...if required by a business loan and lender is beneficiary
December 17, 2019
Taxes
Message Board
Views: 160 | Replies: 2
We filed our first insurance claim, called the insurance company prior to filing and did everything that we needed to for our predetermination. We just received a response and the insurance company stated that they would only pay $1000 and that we could not charge the patient for the remainder
January 23, 2015
Medical / Health Insurance
Message Board
Views: 182 | Replies: 3
I was wondering do insurance companies pay more to a specialist? For example if anins companyis paying $150 for asurgical extraction done by a general dentist is it going to be higher for a specialist? Thanks Yes, as far as I...Yes. Certain plans do.Yes most of the time just make sure you have selected the right taxonomy for yourself that is associated with your...
July 24, 2015
Oral & Maxillofacial Surgery
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