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Blog
Are You Worried About The Future of Private Practice? ________________________________________ 5-Key Strategies to Position Your Practice For Success! Presented by: Wes Jankowski / President, CEODentist ________________________________________ Invest 3 hours and CEODentist will teach you how...
September 16, 2015
by wmjankowski
Message Board
Views: 294 | Replies: 7
I'm a new graduate and am a novice to insurances/etc. Feelin like I just got thrown in the real world real quick haha..so I'm entering residency which offers cheap benefits/disability/life insurances etc. I've been told by some that most residency offers are not the best and it would be good
June 28, 2019
Disability Insurance
Blog
Click here to listen! In Episode 6, we discuss how dental insurance is changing dentistry today. How does dental insurance affect: a patient's treatment decisions? a dentist's treatment presentation? a practice financially? What are the benefits and downsides of dental insurance
April 06, 2016
by DentalRealist
Message Board
Views: 7532 | Replies: 346
to pay for all those other people the don't have a job, are not able to work, or just refuse to work because they don't want too Congratulations Myself I am 50 years old and I have NEVER filed an insurance claim...EVER! I was paying $900 a year with a $2500 deductable before now I am paying $8000
October 09, 2017
Politics - DO NOT Enter if easily offended
Message Board
Views: 261 | Replies: 6
I'm struggling with trying to understand how to set up my business name/address with the insurance carriers. I have setup a S-Corp with a name as Name, D.D.S., Inc. per California law and my practice name as a DBA. Now, do I set up my S-Corp with the insurance carriers and have the address set
October 15, 2014
Claims Processing
Blog
I have noticed an increase in the number of cases involving theft of patient and insurance refunds over the last 2 years. Bill Hiltz Here are are a fewsuggestions to help when processing refunds: Secure your merchant terminal so employees cannot issue a refund to a credit or debit card without
April 23, 2019
by Bill Hiltz
Message Board
Views: 1393 | Replies: 64
I'm interested to see what people are doing out there. I'm losing a front desk person in part because they are getting health insurance elsewhere (not a dental office). If you do offer it, how do you do it, what do you pay? I pay 50% of the premium. This can get very expensive if you don't put
December 26, 2019
Practice Management & Administrative Forum
Message Board
Views: 372 | Replies: 1
I'm writing, in short, to ask if any OMS on Dentaltown has had the PLEASURE of ever getting rid of insurance from their practice and still was able to put food on their table?? I practice in PA where reimbursement is about 50% of my dentalveolar practice and implant reimbursement is 85%. I find
April 20, 2014
Oral & Maxillofacial Surgery
Message Board
Views: 227 | Replies: 7
Hi, townies I have one patient with dental insurance BCBS Texas. we did deep cleaning for this patient and sent paper claim with printed x-ray and perio chart to BCBS Texas 3 month ago. BCBS did receive claim but sent letter saying it did not receive x-ray. It looks very strange for me (I sent
November 26, 2018
Claims Processing
Message Board
Views: 41 | Replies: 0
Delta Dental of Virginia stopped doing realtime estimates for procedures. They are by far our largest portion of patients. We are a premier provider so we dont have a set fee schedule. We use remote lite for our insurance submissinos. I now found out on delta dental of virginia websites you can go
June 16, 2017
Claims Processing
Message Board
Views: 466 | Replies: 10
Lately we have had a few patients complain about all sorts of insurance issues. Things like What I have a deductible or copay? Or get upset that they have to pay the difference between the downgraded amalgam fee when we do composite. Had I know I would have done the silver filling As much as I
February 12, 2018
Practice Management & Administrative Forum
Message Board
Views: 107 | Replies: 2
Do dental insurances pay for super numerary teeth extractions? Do they need narrative? Yes. Write a narrative and add 50 for the appropriate tooth number. So a supernumerary next to #12would be tooth 62Thank you so much!
January 16, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 127 | Replies: 3
Looks like Independent Contractors can apply for CA PUI at this point. As an independent contractor, I already applied for PPP but have not heard back from SBA as of yet. I am assuming: All PPP funds used to pay myself the average of my last year's weekly income for 8 weeks will be forgiven...
May 01, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 81 | Replies: 2
In your experience, does medical insurance cover the extraction of erupted wisdom teeth? Medical insurance will sometimes (not often) cover the extraction of impacted wisdom teeth but I wonder it there are any medical insurance plans that will cover erupted 3rds? We check with medical insurance
March 20, 2019
Claims Processing
Message Board
Views: 404 | Replies: 16
2 doc practice w/ 3 hygiene. We always have one check in and two checkout. The secondary checkout person does all the followup with insurance. She struggles to get everything done. We have tried to get some dedicated time where she goes to a private area to just work on collection calls
September 28, 2016
Front Office Discussion
Message Board
Views: 88 | Replies: 0
I'm looking for a 3rd Party Insurance Credentialing Company for a dental practice with multiple locations. Any recommendations? Thanks
April 15, 2020
Practice Management & Administrative Forum
Message Board
Views: 345 | Replies: 11
I was hoping to get some opinions on an informed consent letter that allows a provider to NOT accept insurance write offs. Basically, a doc sends out a informed consent letter to a patient who is about to under-go some major work. The letter states the proposed treatment, risks and complications
February 02, 2018
Legal Issues
Message Board
Views: 1342 | Replies: 58
We were at the New Orleans Dental Conference last week and I spoke to several companies that verify insurance. All were a bit pricey but I suppose if I don't want to be on the phone all day or requesting faxes every minute then we will just have to pay. Some were more expensive than others but I
May 17, 2019
Front Office Discussion
Message Board
Views: 148 | Replies: 3
office ( the previous owner and one associate ) is in network. I was wondering after my acquisition, can I maintain the associate ( Assume she likes me and will stay) in network status, and I do not participate. In that sense, all preventive and operative procedures can be done through insurance
June 13, 2018
Ask a Dental Consultant
Message Board
Views: 160 | Replies: 2
Anyone had any luck with getting insurance reimbursement for a natural tooth pontic with Ribbond (Carolina bridge)? Anyone?...bump, it is not clear what code to use. Luckily the patient that I am planning it on does not have insurance so I am thinking of just using the unspecified restorative code
September 23, 2017
Coding Q&A
Message Board
Views: 148 | Replies: 6
Hello all. My Front Desk and I were discussing how best to handle this scenario. You get a new patient who has insurance. They need some work done. We use I/O cameras, and appropriate verbiage to impart the value of the treatment needed and everyone is on the same page. How best should you go about
December 13, 2019
Ask a Dental Consultant
Message Board
Views: 167 | Replies: 1
What criteria or system or narrative are standard to be used in getting insurance approval for tongue frenectomies in children ranging in age from 4 and... Hi Allen, I use the Hazelbaker’s assessment tool for lingual frenulum function. I look for ranges of movements of the tongue both
February 18, 2016
Laser Dentistry
Message Board
Views: 94 | Replies: 1
Does anyone have recommendations or experience using a service that files and follows up with insurance claims? We are looking for a reputable outside source to assistance a busy orthodontist with 2 offices in San Diego. He's had 3 'experienced people in 2 years doing less than adequate work
April 21, 2014
Orthodontics
Blog
Introduction The insurance industry is one of the oldest in the world. Having started more than 5000 years ago, insurance has helped people protect their property from unexpected risks and accidents. However, this industry falls behind when it comes to the adoption of technology. Most insurance
April 05, 2019
by drmmills
Message Board
Views: 126 | Replies: 1
So I received a letter on my desk today that one insurance company had overpaid on a patients file and now they are requesting the $274.20 back. My records also show that he has a credit of this much on file so obviously I owe the money back. I have become jaded working with insurance companies
June 15, 2016
Claims Processing
Blog
Health coverage and insurance schemes, both public and private, such as Medicare, Medicaid and Dental Insurance, have dramatically affected healthcare professions since their introduction. It has been a real education for me, being a firsthand witness to many of these changes.
March 27, 2019
by drchrisbaker
Message Board
Views: 820 | Replies: 15
I'm currently in the process of acquiring an existing practice with mostly PPO and some Dentical. If everything goes well, it seems like we can close the dealat thebeginning of next month. My question is when do I reach out to the insurance companies that the seller is signed up with? WillI be able
March 29, 2019
Practice Acquisitions
Blog
How protected is your family against the unexpected? It's no secret that health insurance is expensive and often complicated in the U.S. A startlingunder the age of 65 are uninsured. The costs of being uninsured are steep. Despite no longer having to stick to the individual mandate requiring
July 08, 2019
by muhammadtahir
Message Board
Views: 244 | Replies: 6
Gosh, the paperless office has so many scanning needs! We already have an old flatbed and a sheetfed duplex scanner, but I would like a compact dedicated scanner up front just to scan the front and back of insurance cards, as well as driver's licenses. I have seen these at physicians' offices
August 11, 2015
Computer Hardware
Message Board
Views: 239 | Replies: 4
I've got a question I'm hoping more experienced folks can weigh in on. I am in the process of purchasing a Solo practice, and I am working on getting credentialed for the carriers that the selling doc is PPO. However, a practice transition consultant told me that insurance companies will not pay
January 24, 2018
PPOs and HMOs
Message Board
Views: 177 | Replies: 13
My wife and I have 7 rental properties, I'm trying to decide if I should set up LLC for the properties or just get umbrella insurance for them. I think doing both is too much. I'm trying to cover our asses/assets in case something happens. I'm not sure how much your umbrella insurance costs
March 14, 2019
Personal Finance
Message Board
Views: 282 | Replies: 2
by the Wonderbox Technologies Enterprise System, allows member dentists to enter their credentials into a securely designed portal through. This information will be available by request to all payers, including insurance companies, federal agencies, hospitals and employers. The joint project replaces
July 06, 2016
Practice Management & Administrative Forum
Message Board
Views: 132 | Replies: 2
Patient came in for an emergency at the office I work at the other day. She brought insurance, but she didn't understand that HMO means you're assigned a primary dentist, so she just saw us for the emergency work and will go back to her HMO dentist after that. I understand that every plan
March 21, 2020
PPOs and HMOs
Blog
September 16, 2016
by JustinMoodyDDS
Message Board
Views: 392 | Replies: 10
what? are you serious? What is the guarantee per patient. When I did DHMO, like 10 years ago, cigna gave I think 2.30 per month per patient whether they showed up or not. Routine treatment 100% covered with no insurance payment and no copays, so prophys free, unlimited exams are free, all
October 07, 2020
PPOs and HMOs
Blog
It goes without saying that disability insurance companies would prefer not to pay out disability claims. This is particularly true if the disability policy is a high paying policy belonging to a dentist. If a dentists' policy is not paid, or his or her benefits are denied or terminated
September 25, 2015
by Karla Thompson
Message Board
Views: 510 | Replies: 5
. They give everyone the run around and ultimately who loses the most is the patients, who think they have decent insurance through their employer. I could go on and on. You can lump UH with UC, they are equally bad. First we dropped! Delta is starting to gain on my dislike meter though
February 06, 2016
Restorative Dentistry
Message Board
Views: 99 | Replies: 0
Checkthis extract and place implant on a young girl who had a fractured root below the gum line. It was a sports injury meaning it's covered root to crown @100%, whats cool is Dr uses the extracted Tooth as the healing temp and the bone comes back perfect 2 months post op....
November 16, 2016
Implantology
Message Board
Views: 478 | Replies: 11
that they will cover it, but this is getting to be a PIA with all these narratives. Looks pretty good to me. What are you going to tell your patient when they ask about the letter? Gee Mr. Patient, I think your insurance company was correct. I did a terrible job with this one and you
September 18, 2019
Implantology
Message Board
Views: 707 | Replies: 16
to steal the idea. From now on, I am on a mission to collect laughable insurance checks. I will hang them in the treatment planning room. A whole wall of them. I'll call it the Insurance Advantage Wall. Oh man I've got one hanging on my wall I'll have to get a photo of when I'm back in the office
December 28, 2019
PPOs and HMOs
Message Board
Views: 327 | Replies: 5
Hi All Starting a scratch start up after a few years of associating. I m completely embarrassed , but I have no idea where to begin on an education in dealing with insurance. How does one begin to learn the basics, insurance 101 ? ( classes , anything- not concerned about price either). I
January 27, 2015
Claims Processing
Podcast
episode 54 During this episode Jen discusses the stress that comes with insurance management and provides key tips on how to reduce those headaches. Jen is a professional and certified stress coach that has engaged in saving lives of those who are overburdened by the business or practice
April 30, 2019
by Jordon Comstock
Message Board
Views: 158 | Replies: 5
Hi. I have a new employee that is new to the dental field and I would like her to learn how dental insurance works and how to properly estimate patient portions. Are there any good webinars or courses that anyone would recommend? I am not a good resource to teach her myself. Any recommendations
September 11, 2020
PPOs and HMOs
Message Board
Views: 28 | Replies: 1
How would I go about looking to see what other patients in our practice have a certain insurance plan? We are only in network for 2 plans, so we have to guesstimate a lot on what insurance will pay if we are out of network. I know it's possible to run a list of patients who all have the same
November 13, 2015
Dentrix
Message Board
Views: 151 | Replies: 10
pictures of EOBs and checks and email her that info? Or can she access all the info from the insurance portal? thank you Theres many factors in taking insurance out of the office. As an owner of one of the largest billing companies, the person working remotely must be hipaa compliant, have hipaa
June 12, 2020
Claims Processing
Message Board
Views: 73 | Replies: 0
Hi Townies!! I am an associate and need health insurance for my family...myself, spouse and child. The owner doc doesn't offer anything in regards to health benefits. I looked online and the plans are overwhelming. I must admit that I'm pretty uneducated in this department and don't really know what I'm looking at. Can someone please point me in the right direction? Thanks!
January 25, 2016
Medical / Health Insurance
Message Board
Views: 71 | Replies: 4
Are people entering the interest payments from insurances into the PMS? I'm wondering because if we enter it into the patient's ledger, it'll show as a... Yes, we enter it into the pts ledger. I have an adjustment code that says it was from insurance interest. But then yes, you do need to adjust
November 14, 2017
Practice Management & Administrative Forum
Message Board
Views: 315 | Replies: 10
I have an on going issue of ringing in my ear not 'cause from dentistry. I was recommended to see an acupuncture. My health insurance covers my initial visit. I'm worried if I use my health insurance it'll go into my health record which could affect my disability insurance coverage should I choose
September 25, 2018
General Health
Message Board
Views: 430 | Replies: 21
First of all, forgive my ignorance. I am so clueless when it comes to health insurance. So I used to be on a school health insurance plan for four years while in dental school. Was on my parents plan before that. After I graduated, I had until September to find new insurance. I signed up for some
November 30, 2018
Medical / Health Insurance
Message Board
Views: 833 | Replies: 24
So we have a hygienist, who just asked for, and received a raise (yes, during the time of a pandemic....). She now tells me, about 3 weeks later, that her husband has been laid off and is asking about the office health insurance plan. We have 3 staff on the plan now. For each, the office pays 60
August 14, 2020
Medical / Health Insurance
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