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Message Board (37850)
Dentaltown Magazine (455)
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Message Board
Views: 282 | Replies: 1
I feel like we dentists get hammered from every direction. License renewal, DEA license, disability insurance, etc.... Well, I have all three due this year (not to mention association fees which are now no longer tax deductible). I just got my Great West renewal for insurance and on the back
April 21, 2020
Disability Insurance
Message Board
Views: 69 | Replies: 1
What is the best time to start insurance renegotiations? Should I do it now at the end of the year or wait until 2021? Will the insurance companies increase the amount allowed for fees in the new year? That's a good question and one I've been wondering too. If I start now, will they be negotiated on the 2020 rates? If I wait to January, is there a chance the rates will have improved slightly?
November 12, 2020
PPOs and HMOs
Message Board
Views: 121 | Replies: 2
In the fourth quarter of the year we begin to see more patients whose dental insurance benefits have maxed out. My front office manager routinely checks eligibility and maximums prior to a new patient coming in to the office. During this time of year we are more vigilant about checking maximums
December 21, 2017
Claims Processing
Message Board
Views: 155 | Replies: 3
Is there a cost effective way to keep the soon to be independent contractors previous owner's spouse on the companies health insurance plan? The owner is on Medicare and does not need coverage. Ideally it'd be for 2 years, to the end of 2022, until they are eligible for Medicare. Anyone have plan
October 13, 2020
Practice Acquisitions
Message Board
Views: 182 | Replies: 5
The school districts in Washington State are switching from their current plan and are going to offer DeltaCare (HMO), Willamette Dental, and Uniform Dental (PPO). What do you think of me mailing patients a letter that says the following? Your dental insurance is changing in 2020. At this time
July 22, 2019
Ask a Dental Consultant
Message Board
Views: 113 | Replies: 0
Are clear aligners considered a cosmetic form of braces, and if so are we obligated to offer the treatment at the insurances price for standard wire/brackets braces. I am a participating provider for ppos do I have to follow their fee schedule for d8090,d8040, ect., if I do clear correct? If I do need to follow their fee schedules it may not be worth it to do clear correct. thanks
July 23, 2014
Orthodontics
Message Board
Views: 743 | Replies: 10
So 4th year in practice as an associate, I receive a letter from my malpractice insurance that my premium is going to go up to $1900 because I place implants?! how much do you pay for malpractice insurance? Mine doubled last year..........I don't place implants.........In Florida, if you place
August 31, 2015
Legal Issues
Message Board
Views: 379 | Replies: 10
I am considering hiring a part time associate. I assume that they have to be a provider for the insurance companies at my location even though they are a provider already at another location. Does this make the PPO/FFS status the same? What if they come from a hmo mill at their other job? Do
August 11, 2014
Partnerships and Associates
Message Board
Views: 499 | Replies: 23
Since I live in California I have had Anthem Blue Cross Health Ins. through the California Dental Assoc. A few months ago they sent me a notice saying that due to Obamacare my insurance would be cancelled and I could get a new Anthem Insurance that would be just as good and would qualify
March 24, 2014
Just Plain Bitching and Moaning
Message Board
Views: 167 | Replies: 3
Hi all. I have an LLC in Texas and am doing a startup in the next few months. I want to hire my wife and get health insurance through the LLC for both of us. I have no idea what to do. Any help would be appreciated! Speak to your accountant or dental society. They should know of an insurance broker
December 01, 2018
Practice Management & Administrative Forum
Message Board
Views: 95 | Replies: 6
I have a new teen driver and the car insurance is rising fast. What limits do you guys suggest for liability, PIP, and uninsured motorist? It ranges from $10k/$10k to $1M/$1M, with considerable cost difference. For liability I've heard conflicting views. Some say keep it low because a lawyer
November 02, 2017
Personal Finance
Message Board
Views: 13 | Replies: 0
I recently read a little about AHP - Association Health Plans - does anyone know if there is one that involves dental businesses - I thought maybe the ADA or some dental group organization might offer something like this. Some kind of combined health insurance option for small businesses. We have
October 03, 2018
Practice Management & Administrative Forum
Message Board
Views: 445 | Replies: 15
Pediatric dentist here. Have been on DT for a decade as a lurker but this would be my first post. Having a lot of time in my hands, I got to thinking. What purpose does insurance serve in dentistry? My sister is a radiation oncologist and I see how catastrophic medical events can lead to enormous
March 29, 2020
Practice Management & Administrative Forum
Message Board
Views: 99 | Replies: 5
with this? Was this a marketplace online enrollment for the patient, not through an employer? These lousy plans are common for direct purchase insurance. If that is the policy that is purchased, there is nothing you can do as the office. Insurance will only pay for what the patient's plan provides. Lower premium
October 11, 2021
Coding Q&A
Message Board
Views: 185 | Replies: 3
be treated the same, like family BS!). If insurance companies can lower fee schedules, why cant I lower my tolerance for those patients. Thoughts? I dont see an issue just letting new patients know that you are not accepting any new delta patients at this time. just curious, what are your bottom
October 12, 2021
Going Out of Network
Blog
In this interview with Kinzie Broxson of PK Performance, we cover the legal and technical issues arising when you offer employee discounts and the employee has PPO insurance. We also delve into handling patient objections in an OON or FFS practice. We round the interview out by discussing a patient that wants a refund after being absent from the practice for over two years and how to handle those situations and prevent them from happening.
September 19, 2021
by Christopher S Hoffpauir DDS
Message Board
Views: 141 | Replies: 5
Hi, Townies I have one patient whose dental insurance was terminated at 08/04/2021 (Wednesday). For me, it looks very strange that insurance was terminated in the middle of month or week. I think dental insurance should be terminates on the last day of month if it was paid by month
September 02, 2021
Claims Processing
Message Board
Views: 114 | Replies: 1
It looks like it is time to start an office health insurance plan. It keeps coming up in interviews. I dont know where to even start on this subject. Any ideas? for all your hr needs
September 26, 2021
Practice Management & Administrative Forum
Message Board
Views: 505 | Replies: 20
I have a part time FD whose duties are to confirm appointments, verify next day insurance, and screen for covid the next day. I give her THREE hours in the morning to get it done. We have had several direct conversations about my expectations and everytime it ends in tears and how this is too hard
December 17, 2020
Ask a Dental Consultant
Message Board
Views: 24 | Replies: 0
Can someone with Dentrix tell me how to figure out currently how many Delta and Horizon patients I have ( either total number or as a percentage)and what percentage of my revenue comes from those? Those two are my only in net companies. Thanks.
January 05, 2021
Front Office Discussion
Message Board
Views: 187 | Replies: 3
bill for reline or rebase. If doing that doesn't cover your costs maybe charge one of those 999 codes. If the pt doesn't have ins I usually charge a global fee for denture stabilization no matter how many minis I place.Thanks for the response. I typically charge a global fee, also, and that seems to be the easiest way to do it, but when the patient has insurance, they of course, need a code. Thanks so much, Mike
July 10, 2017
Mini Implants
Blog
When talking to patients about their needed dental treatment and financial arrangements, one of the first things we notice is whether or not they have dental insurance. It is very good if they do, of course, and this makes our job easier. However, if they do not have insurance you can make
May 19, 2014
by Sandy Pardue
Message Board
Views: 117 | Replies: 3
My wife and I are both dentists, and will be acquiring a practice in mid January 2021. My question is whether or not we need to purchase the full amount of business overhead insurance that the agent is suggesting or only a portion of that since we are 50/50 partners and if one of us gets disabled
December 08, 2020
Disability Insurance
Podcast
Podcast Episode #306:David Phelps - Your Best Insurance Policy Episode #306: Dentist Freedom Blueprint Podcast David Phelps - Your Best Insurance Policy So much in life is built on false promises, limiting beliefs, and ideas that are not rooted in the truth. We can set ourselves up financially
December 11, 2020
by drdavidphelps
Message Board
Views: 73 | Replies: 2
We have a patient with double insurance. He wants 4 cleans per year because he says they each cover two per year. My OM says we have to bill each cleaning to both insurances each time so they will probably only cover 2. They asked us to bill to just one at a time. Is that insurance fraud? y I can
December 13, 2020
Practice Management & Administrative Forum
Message Board
Views: 71 | Replies: 2
Anyone have a contact to set up health insurance for a company/office?I got a friend not on DT that is asking so I figured Id ask for him.Thanks Truss. Website Thanks I'll pass it along. Anyone else have any contacts or someone that they used and liked?
January 11, 2021
Medical / Health Insurance
Message Board
Views: 2883 | Replies: 125
a filling, they're pleasantly surprised and I've gained credibility with the patient and avoided the drama of selective memory. Kind of an aside, is there any way to get an insurance company to pay for a build up if they bundle it with the crown? I'm constantly catching crap from my office manager
June 14, 2015
Claims Processing
Message Board
Views: 210 | Replies: 3
Hi all. I've been comparing rates for all three typical insurances required to own a practice (disability, office overhead, malpractice, love, etc,). The rates offered by the ADA seem to be significantly lower than all the private companies. The only difference is that the ADA's insurances may have
November 14, 2017
Disability Insurance
Message Board
Views: 108 | Replies: 1
I currently am in network with just 3 PPO's, do a lot of elective cosmetics, but on all OON pts we still file on their behalf and collect their portion. I currently have 2 people up front. My question is should a DEDICATED person handle ALL insurance issues; claims, AR accts audits, insurance
March 24, 2021
Front Office Discussion
Message Board
Views: 220 | Replies: 7
I have not provided health insurance to employees before. If you are in Massachusetts and provide staff health insurance please share your thoughts - how/ where to get info and estimated costs associated - basically whatever you have to share I'd like to know. Thank you in advance! Anyone offer
April 02, 2021
Staff Management Issues
Message Board
Views: 165 | Replies: 3
I'm looking for suggestions on a script to have staff tell patients now that we have dropped most of our insurance plans. I know a small hand full of patients will leave since they will only go to an in network provider Below is a script I was thinking about. Any changes or suggestions would
April 02, 2021
PPOs and HMOs
Message Board
Views: 234 | Replies: 10
Delta, I knew I had to take action. My action was to build an in house savings plan where I was in control of the fee schedule, look for another insurance company that was willing to negotiate, and get ready to terminate my Delta contract. The plan all came together in 2018 and I won't say I went
February 08, 2021
Going Out of Network
Message Board
Views: 61 | Replies: 0
I am considering purchasing a practice in Northern Virginia and wanted to see if new Dentists can get credential for Detla Dental Premier or not ? Also after the transition does the insurance companies (all) usually keep the same reimbursement for new dentist or does it drop ? Also the seller
February 11, 2021
Practice Acquisitions
Dentaltown Magazine
Life Insurance The purchase of life insurance is to replace lost income that the family is dependent upon after one's death. Period. Charles
April 2013
by Douglas Carlsen, DDS
Message Board
Views: 774 | Replies: 47
I started to work for a private office and their insurance checks are coming to my house. I took it to the owner and he said I will be getting many of these. I was wondering why. Today, I got over 10 mails from Detal, Cigna and other insurance companies. I don't understand this. I worked at other
July 06, 2018
Associates Corner
Message Board
Views: 2192 | Replies: 45
Hi All, I am going into my 3rd year of private practice and I need to pick up good disability insurance. I currently have a plan through the American student dental association that I got when I was a student and obviously need to change that as coverage is absolutely minimal. I did meet
November 03, 2014
Disability Insurance
Message Board
Views: 224 | Replies: 16
I am working through negotiations with my current employer to buy his practice. We agreed upon a 1M purchase price. It turns out he is a C-corp and is facing double taxation as an asset purchase. Here is our current position... 350k goodwill 550k stock - tail insurance policy to cover
January 31, 2016
Practice Acquisitions
Message Board
Views: 2550 | Replies: 84
just a hunch, right? that's not what she says Um yeah. I have a small office (FFS 70%/PPO 30%) with around 1000 pts. I bought a CEREC about a year ago and haven't looked back. I had about 4 years experience with CEREC at my previous office. I bought this office in April 2015 and worked about a...
March 08, 2017
CEREC Forum
Message Board
Views: 74 | Replies: 4
Hi, towniesPt have crown done in our office. On the day of crown preparation, pt was covered by insurance A, but on the day of crown delivery, pt was covered by insurance B. Which insurance should the claim be sent to ?Thanks Do these insurances pay on prep or seat date? Most pay on seat date..some
November 15, 2021
Claims Processing
Message Board
Views: 484 | Replies: 21
With the amount of student debt these days it seems like an injury during dental school that removed our ability to practice would be devastating. Should students have disability insurance? Can they even buy it and if so I would imagine it's for a very small amount? Any thoughts would be helpful
January 20, 2017
Disability Insurance
Message Board
Views: 803 | Replies: 16
I here dental insurance companies are planning on opening dental offices. To me, that seems like a conflict. Has anyone here heard about that and what are your thoughts I doubt they would open up dental offices. Their current gig is easy money so why venture out to something like this. If anything
August 04, 2017
Legal Issues
Message Board
Views: 392 | Replies: 13
sending pre-estimates for 7 months and apparently had no clue what she was doing, just copying the code numbers down (sometimes incorrectly) and sending to the insurance companies lol. Wow, 7 months and doesn't know what a bridge is. How many bridges did you do in those 7 months? Now can I just pay
December 08, 2021
Claims Processing
Message Board
Views: 991 | Replies: 21
Is anyone else seeing a problem with patients on Medicare purchasing dental insurance that is worthless? $3000 max, but it only pays $28 on a filling? These individual insurance plans are costing the patient more than they will ever pay out. How can you help a person who is used to having dental
May 10, 2019
Delta Dental
Message Board
Views: 431 | Replies: 10
I recently saw a practice for sale that looked decent on paper ( retiring dentist, 40 years goodwill, all PPO/cash etc.) collecting 500k, net 175k. So here is the kicker; the owner was committing insurance fraud for many years, in that he would charge out SC/RPs and osseous surgeries to insurance
March 29, 2017
Practice Acquisitions
Message Board
Views: 484 | Replies: 6
Does insurances required preauthorizations for invisalign? If ortho is covered, does this also apply to invisalign? Does insurance pay the whole amount upfront or does it pay a part of it each month? please enlighten me on ortho insurance please Aligners are simply a method of treatment. It's
January 21, 2015
Orthodontics
Message Board
Views: 171 | Replies: 2
Hi all...I'm hoping someone can give me some advice. The insurance company has repeatedly refused coverage for a build-up and crown on this tooth (#15). Despite having a very large existing/initial occlusal amalgam filling, mesial decay and photo evidence of two distal fractures, United
January 16, 2014
Claims Processing
Message Board
Views: 61 | Replies: 1
I just realized that I do this procedure quite often but am only billing for a sedative restoration and then monitoring the tooth for apical closure and then placing a definitive restoration. I'm sure medicaid is too cheap to cover it, but I am just curious if private insurances do? bump Does Insurance cover apexogenesis?
March 19, 2014
Endodontics -- The ENDO Files
Message Board
Views: 99 | Replies: 4
My wife is the dentist and we have a hygienist in our office. I am not in the dental industry but help out at default lol. So my job has dental coverages. Since we now have a hygienist, can we actually bill out cleaning, xrays to my dental insurance . Her as the patient, her as the billing provider
May 16, 2019
Ask a Dental Consultant
Message Board
Views: 98 | Replies: 0
Tom Limoli Jr is a legend in the world of insurance. Thanks for reading! Tom
September 15, 2015
September 2015
Message Board
Views: 1581 | Replies: 17
I am about to submit my application for disability insurance with guardian. The price is >$175/month more than Principle for basically the same coverage (See below). Over 30 years that equates to $63,000... Is it REALLY that much better? If so I have no hesitation - I know these are the sort
July 02, 2015
Disability Insurance
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