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Dentaltown Magazine
This document, anonymously sent to Dentaltown, reveals a once-secret inner workflow and confirms many of the suspicions dentists have held for years regarding the dark doings of insurance companies. Phase 1: The Never-Ending Phone Loop. When they call our customer service, they’ll
August 2023
Dentaltown Magazine
have to do is make sure you have the service available in your practice. We provide in-office bleaching at Today’s Dental, and patients absolutely love it. Many dentists cry, “Stop taking dental insurance.” Who are they kidding? The market—our patients—love their dental
May 2019
by Dr. Howard Farran
Dentaltown Magazine
quality of care for patients. Assisting diagnosis and treatment planning The world of dentistry will benefit from the use of artificial intelligence across three broad domains: diagnostics and treatment planning, office management, and dental insurance and documentation. We are already realizing
September 2020
by Dr. Seth Gibree and Florian Hillen
Dentaltown Magazine
you're down to $175,000. The bottom line is that when I got out of school 30 years ago, there was only indemnity insurance and only 5 percent of the dentists did not take it in their practices. The other 95 percent did. That was in 1987. Today, only 5 percent only
August 2016
by Howard Farran, DDS, MBA, MAGD
Dentaltown Magazine
and how they could affect how our patients expect us to deliver dental care at a lower price, and how we expect insurance companies to make that easier for us to do. First, as the United States becomes richer and richer, this bids up the price of luxury items: U.S. spending on health care has
February 2020
by Dr. Howard Farran
Dentaltown Magazine
report in your software. Work to collect on unpaid accounts by making phone calls and sending statements and letters. Verify statements are being sent. Make sure every patient has a financial arrangement before scheduling. Generate an insurance aging report
August 2022
by Sandy Pardue
Dentaltown Magazine
. “Do you accept blank insurance?” Most dental insurance providers cover at least a portion of any preventive treatments. In addition, it’s always a good practice to offer to acquire a breakdown of any patient’s insurance policy. The most successful practices get
October 2019
by Corey Johnson
Dentaltown Magazine
profit was outside the norms. In that case, there’s a clear indication you need to focus more on increasing production instead of lowering expenses. Revenue drivers include new patient flow, treatment acceptance, procedure mix, insurance makeup of the practice and conversion speed. To illustrate
July 2023
by Brittany Frazier
Dentaltown Magazine
of state health insurance exchanges. In theory, the oral-health EHB in the ACA would help ensure basic coverage for both preventive and restorative care for children who otherwise would not have dental insurance. According to initial projections, up to 8.7 million
June 2015
by Paul Casamassimo, DDS, MS
Dentaltown Magazine
with dental insurance, or those with complex medical, mental or intellectual disabilities, but instead only treat patients who can pay cash and fit comfortably into their practices. This, in itself, can create an inability for a large number of those
May 2014
by Jack Dillenberg, DDS, MA
Dentaltown Magazine
to keep its doors open? Or why a cosmetic office can be inundated with insurance-driven patients, trapped on the merry-go-round of seeing volume, while another office can provide bread-and-butter dentistry, but operate as fee-for-service, seeing one patient at a time
December 2015
by Evelyn Teague Samuel, DMD
Dentaltown Magazine
. As for profits, remember that you first must pay an associate dentist 30% commission plus the cost of hourly employee wages, rent and supplies. The challenges of insurance credentialing. If you terminate an associate dentist or they resign, a replacement will be costly because you need
November 2021
by Dr. Adrienne M. Hedrick
Dentaltown Magazine
Helping independent practices thrive With independent dentistry becoming more difficult amid the rising popularity of corporate dentistry, developing a thriving practice has proven to be daunting. With insurance negotiation, employee relations, payroll, patient care, overhead costs
January 2021
Dentaltown Magazine
between general dentists and their colleagues. The nature of these relationships is influenced by different factors, including geography, insurance participation and specialty. Geography is the most obvious; patients are reluctant to travel far unless there's a very good reason, and if you happen
August 2017
by Dr. Thomas Giacobbi, DDS, FAGD
Dentaltown Magazine
. Public Health Service, and in private practice ever since. In dental school, we had no formal business training, so we just went with the flow; if an office was a member dentist in insurance plans, we thought that was the norm. But the landscape has drastically changed, and we all face decisions about
November 2024
by Dr. Donald J. Roman
Dentaltown Magazine
New Financial Claims and Audit Service Opens Pacific Northwest Client Services, a new company offering U.S.-based doctors easier fi ling and faster payment of medical insurance claims, is now open for business. The company’s owner and operator, Sarah Durbin, says the company can handle
March 2022
Dentaltown Magazine
the trend of dentists quitting their PPO insurance contracts as one strategy to increase revenue. Releasing yourself from the restrictions of PPO contracts will increase your revenue but also shrink your patient base because some will choose to stay in-network. This may lead to a reduction in expenses
October 2023
by Dr. Thomas Giacobbi
Dentaltown Magazine
insurance and complete necessary forms. Develop a marketing plan for your practice. Make arrangements for the installation of utilities. Arrange for a telephone number and a listing in the telephone book as soon as a location is secured. Order and install a computer system, patient
April 2016
Dentaltown Magazine
and a business permit, if required. Apply for federal, state and local tax numbers. Confirm all equipment and supply orders. Explore hospital facilities and apply for staff privileges. Review requirements for unemployment and workers’ compensation insurance and complete necessary forms. Develop
New Grad Edition 2018
Dentaltown Magazine
? Features Dental Insurance and Patient Financing Are you a participating provider with any insurance companies? A. Yes B. No Correction
November 2012
Dentaltown Magazine
The Health Insurance Portability and Accountability Act (HIPAA) was enacted in 1996, and for the last 21 years has been ruining a lot of fun. Prior to 1996, dentists were legally allowed to talk about the gross stuff they saw with anyone! (Now they must do it in private groups
September 2017
Dentaltown Magazine
; Associates, Inc. Charles Blair, DDS I graduated from dental school in 1988. It seems like yesterday, but denial of the passage of time isn’t working for me. After
April 2014
Dentaltown Magazine
digestion takes 1,000 years. A few more comparisons: Emperor Palpatine = Dental Insurance Companies Both subtly manipulated others to further their own goals of unlimited power. Any time a dentist sends in an insurance claim, you can almost hear Admiral Ackbar exclaim, “It’s a trap!&rdquo
October 2016
by Ryder Waldron, DDS
Dentaltown Magazine
to insurance reimbursements, new competition, or loss of an associate will affect every practice at one point or another. Dentists are known for high incomes but even they can expect periods of tight cash flow. The key to weathering these cash flow droughts
May 2015
by Lance Jacob, EA
Dentaltown Magazine
Track Assess employee proficiency in setting up and entering financial transactions, managing accounts receivable, creating accurate financial reports, setting up insurance plans, verifying insurance eligibility and processing claims. Ideal
April 2015
by Tatia Meghdadi
Dentaltown Magazine
and collect money; they are a special breed of multitasking human who must be kind yet firm and able to de-escalate grumpy patients, explain the difference between a crown and a filling, deliver the bad news when insurance doesn’t cover a procedure, and keep up with everyone’s vacations
June 2018
by Kyle Patton
Dentaltown Magazine
insurance Another key to increasing profitability is to make sure you’re getting the most from your insurance provider partnerships. Are you adjusting off too much? Run reports to find the worst offenders and consider going out of network. You can also renegotiate with your providers to make
October 2022
by Angie Svitak
Dentaltown Magazine
offer. So why is it that many hygienists only suggest them for children, and only on first and second molars? Many adults are also prone to occlusal decay on all posterior teeth. Because many patients automatically decline preventive treatment if their insurance
October 2015
by Emilee Berger, RDH
Dentaltown Magazine
searches for specific topics or our Google reviews. Our limited external marketing and people who drive by and notice our office bring in roughly the same number of patients. And then lastly, those brought in by insurance searches make up the smallest portion of new patients. top 5 products Planmeca
November 2016
by Kyle Patton, associate editor, Dentaltown magazine
Dentaltown Magazine
each year, while the prices that insurance pays keep going down. Roll-ups versus rollouts This can be particularly tough for dentists who buy existing practices—doing a roll-up—because they're entering a situation where expectations about salaries have already been established
October 2017
by Dr. Howard Farran, DDS, MBA, MAGD
Dentaltown Magazine
Dental, Tucson, Arizona “Being a fee-for-service office has allowed me to treat patients according to my skill set and style,” says Dr. Joshua Nagao, “instead of being limited to what an insurance plan covers.” “I’m the kind
April 2023
by Kyle Patton, associate editor
Dentaltown Magazine
. Should I Be Insurance-Free? by Steve Anderson Continued drops in dental insurance company reimbursement fees and rule changes make the business of dentistry a constantly changing landscape. Learn how to make sense of this changing reality, its impact, how to reposition your practice in relation
May 2019
by Dr. Howard Goldstein
Dentaltown Magazine
by Thomas Giacobbi, DDS, FAGD, Editorial Director, Dentaltown Magazine Insurance today. It mystifies even the most brilliant among us. Dentaltown Magazine Editorial
June 2014
by Thomas Giacobbi, DDS, FAGD, Editorial Director, Dentaltown Magazine
Dentaltown Magazine
, something in their perception of your services has changed. What might that be? I'll give you a few suggestions here. As you read them, think about how you can counter each of them. An insurance plan changed and you
March 2013
by Tom Hopkins
Dentaltown Magazine
Reimbursement rates drop when insurance companies compete—so why do we accept so many plans? by Howard Farran, DDS, MBA, publisher, Dentaltown magazine In mid-February, the California Dental Association sent out a release that suggested dentists could really help their practices
April 2020
by Dr. Howard Farran
Dentaltown Magazine
lineup. Released recently on Dentaltown … Mastering Posterior Restorations by Dr. John Nosti This course is designed to increase proficiency in both partial- and full-coverage indirect restorations. It covers in detail topics related to insurance coverage and changing patient appointments
August 2017 - UK Edition
by Howard M. Goldstein, DMD, Director of Continuing Education, Dentaltown magazine
Dentaltown Magazine
, sit back outside and learn! by Dr. John Nosti This course is designed to increase proficiency in both partial- and full-coverage indirect restorations. It covers in detail topics related to insurance coverage and changing patient appointments from just a filling to indirect restorations. Produce
July 2017
by Howard M. Goldstein, DMD, Director of Continuing Education
Dentaltown Magazine
recently on Dentaltown … by Dr. John Nosti This course is designed to increase proficiency in both partial- and full-coverage indirect restorations. It covers in detail topics related to insurance coverage and changing patient appointments from just a filling to indirect restorations. Produce
June 2017
by Howard M. Goldstein, DMD, director of continuing education, Dentaltown magazine
Dentaltown Magazine
is standing there, but we all know there are times when a statement must be sent after insurance has been processed. Can you send statements electronically to the patient’s email or cellphone via text with a link to pay immediately? This isn’t just about saving a stamp
February 2023
by Dr. Thomas Giacobbi
Dentaltown Magazine
Orthodontics: Powerprox 6-Month Braces (Trouble Getting Started) A Townie asks for advice about insurance predeterminations and procedures when it comes to orthodontic work. to read or comment on this discussion on the message boards.
January 2017
Dentaltown Magazine
in all 50 states, onDiem eliminates staffing compliance burdens by offering prevetted employees who are covered by malpractice and workers’ comp insurance and have the option to participate in a group health care plan after working one shift. Designed to help practices resolve staffing shortfalls
December 2019
Dentaltown Magazine
. Coming to terms with production and overhead Production is the total amount of money charged for dental services for a particular period, such as monthly or yearly. Adjusted production refers to that same amount, but after the fees have been adjusted to reflect insurance participation, discounts
January 2022
by Dr. Claudia T. Le
Dentaltown Magazine
Periodontics: Teach an Old Guy About Perio Has insurance changed how dentists approach periodontal maintenance—and is periodontitis ever cured, or just treated? to read or comment on this discussion on the message boards.
January 2017
Dentaltown Magazine
landscape of medical billing for procedures—not only for private-pay patients but also those who participate in Medicare and PPO insurance. We recently sat down to discuss one of the most life-changing procedures and services that a dentist can provide. — Dr. Dan Grob, editorial director
October 2020
by Dr. Devin Croft, with Dr. Dan Grob, Orthotown editorial director
Dentaltown Magazine
), dentists, chiropractors, and radiology facilities to accept cash bids for health-care appointments directly from consumers. This helps bypass health-care insurance politics and give consumers a better price on health care, while filling providers' empty appointment slots
February 2016
by Arselia Gales, Assistant Editor
Dentaltown Magazine
construction company would have been the easy and obvious route, but I always loved smiles and teeth and never ventured from that desire. Give us an overview of your practice. I work and live in a small town in northern Utah. The area is heavily insurance-driven and has some of the lowest prices
June 2022
by Kyle Patton, associate editor
Dentaltown Magazine
, they're struggling … and yet staff members still expect a raise every year, based solely on the fact that Earth made it around the sun. No matter if your overhead went up, and insurance companies paid you less. How could your employees think that? Because
May 2016
by Howard Farran, DDS, MBA, MAGD
Dentaltown Magazine
. Khan: It's the disconnect between the patient and the insurance provider and/or the office created by the lack of understanding their insurance plans. The office has to work so much harder to explain to patients what they should expect from insurance. The subscriber should be educated. I also think
September 2015
by Arselia Gales, Assistant Editor
Dentaltown Magazine
Americans lost their jobs, about 30 million also lost their dental insurance, which means dentists really won’t be hiring new associates for a while. Now, instead of 1,000 dentists selling their practices and 5,000 posting jobs, we’ve got 2,000 dentists selling their practices and only 1,000
August 2020
by Dr. Howard Farran
Dentaltown Magazine
set the practice apart from your competitors? First, our team: From the first phone call, when you're greeted with a warm, friendly voice, to our clinical team and the person who explains your insurance benefits, you'll be treated as if you're part of our family. The next
June 2016
by Kyle Patton, associate editor, Dentaltown magazine
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