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Dentaltown Magazine
that establish these goals ensure fiscal sustainability, even if competitive pressures, changes in reimbursement, or unforeseen business challenges affect the business for a short time. Reaching these goals requires a holistic approach to improving collections and reducing claims denials—the two factors
April 2015
by Richard Moore, MBA, CPA
Dentaltown Magazine
and less restrictive than traditional insurance. In fact, with QDP, there are no claims, down-coding, or denials. Brands attract consumers. QDP and OPT-In help drive them to their dentist members' brand.
May 2015
Dentaltown Magazine
the rationale behind an SRP denial when a patient has signs and symptoms of inflammation and periodontal pathology. What qualifies as “medically necessary”? Why is insurance benefit reimbursement for SRP claims so challenging and seemingly complicated? While periodontology instruction
September 2023
by Dr. Dominique Fufidio, FAGD
Dentaltown Magazine
Not all disability policies are created equal, and if you’ve got one from 2000 or after, chances are you may not have the coverage you think you do by Edward O. Comitz, Esq., and Derek R. Funk, Esq. As dentists, you probably have at least one disability insurance policy. But do you
March 2019
by Edward O. Comitz, Esq., and Derek R. Funk, Esq.
Dentaltown Magazine
business with a practice. Improves existing patient loyalty. Attracts new patients who are committed to the practice. Increases case acceptance. Differentiates dental practices. Kleer enables dentists to take back control by cutting out the insurance middleman
October 2019
Dentaltown Magazine
by Charles Blair Each day dental practices must file dental claims for the procedures performed there. Selecting the proper dental code is important when filing any dental claim, and proper insurance
June 2015
by Dr. Charles Blair
Dentaltown Magazine
Narratives and the right photography improve insurance acceptance for indirect restorations and restorative foundations by Part 1: SRP In Part 1 of this series, Dr. Dominique Fufidio, FAGD, covered how to improve your chances for insurance reimbursements for scaling and root
October 2023
by Dr. Dominique Fufidio, FAGD
Dentaltown Magazine
Insurance Practice Section at Comitz Beethe in Scottsdale, Arizona. Comitz primarily represents medical and dental professionals in overturning denials of their disability claims, and therefore has much experience in disability insurance coverage and bad-faith litigation. To learn more about
September 2015
by Edward O. Comitz, Esq. and Patrick T. Stanley, Esq.
Dentaltown Magazine
number into a form on the Internet. No, not denial forest, you stupid phone. I meant dentally incorrect. Answers: 1.Pawns 2. Casbah 3. August 4
August 2014
Dentaltown Magazine
and inventories the contents), would prevent embezzlement. This question is an example of denial of opportunity strategies for controlling embezzlement, because its goal is to block a specific embezzlement pathway. While we don
July 2014
by David Harris, MBA, CMA, CFE and Pat Little, DDS, FAGD, CFE
Dentaltown Magazine
by Dr. Olya Zahrebelny There has been an upsurge in interest in medical billing by dentists and many have eagerly jumped on the bandwagon, only to find it's nothing like they imagined and they're receiving only denials and rejections, with maybe a bone thrown to them once in a while
January 2018
by Dr. Olya Zahrebelny
Dentaltown Magazine
Townies discuss whether it's possible to free themselves from the shackles of PPO insurance plans and how doing so might affect the number of patients they see, as well as their doctor-patient relationships. to join this conversation.
April 2017
Dentaltown Magazine
In the December, 2012 issue of Dentaltown Magazine, I wrote an article about personal disability insurance for dentists. I spoke about personal disability coverage to protect your most valuable
June 2014
by Ivan M. Kirshner, DDS
Dentaltown Magazine
bought a small home instead of buying the “dream home.” Wish I bought life insurance and disability when I was younger and healthier. Wish I didn’t buy that swanky car
2014 New Grad Edition
by Douglas Carlsen, DDS
Dentaltown Magazine
with more than six different PPOs! Here’s why joining a PPO sounds good at first: Americans who have dental benefits are nearly twice as likely to go to the dentist at least annually as those without dental benefits. Lack of dental insurance is the most common reason
June 2021
by Dr. Howard Farran
Dentaltown Magazine
. Another common cause of tooth erosion results from stomach acid in the mouth, such as that experienced by bulimics. This can, of course, be a challenging issue to raise with patients because shame and denial are common features of an eating disorder, which means patients may not readily admit
June/July 2019 - UK Edition
by Andrew Eder, dean and professor at the University of Buckingham Dental Institute
Dentaltown Magazine
step called, What should we tell the insurance company? don't do it. The patient deserves for you to tell the insurance company the truth. Anything other than the truth treads the path of insurance fraud. Evaluation vs
September 2015
by Tom M. Limoli, Jr.
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
Dentaltown Magazine
Welcome to the new world of dental insurance. The days of being able to contract only with the insurance company directly are gone. With the exception of Delta, every major insurance company now
June 2014
by Sandi Hudson
Dentaltown Magazine
to get where you are. Because of this, you need to consider disability income insurance to protect your most valuable asset: your ability to earn income as a dentist. The disability income insurance marketplace for dentists is changing at a rapid pace. Just 15 years ago, perhaps two carriers would
New Grad Edition 2019
by Jeff Kirshner
Dentaltown Magazine
he took over a practice that focused heavily on Medicaid patients and molar endo treatments. In the first few months, he had to navigate a nightmare involving insurance credentialing. Following that, he learned to develop endodontic protocols while juggling the administrative nuances of a startup
December 2024
by Kyle Patton
Dentaltown Magazine
Processing dental insurance claims is key to a practice’s success, and an in-house insurance coordinator can serve as your patients’ trusted ally. Here’s how to define the job and set expectations for the role by Sandy Pardue Abstract Most patient issues
March 2021
by Sandy Pardue
Dentaltown Magazine
by Teresa Duncan, MS Oftentimes the insurance coordinator is expected to be aware of all plan types and every benefit clause, while the patient will be unaware of the plan's intricacies—this is a certainty! Now, our job as health care providers has shifted to include affordability
August 2017
by Teresa Duncan, MS
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 I’m always looking at the threads you post on Dentaltown’s message boards, and a recent one exemplifies something I
March 2020
by Dr. Howard Farran
Dentaltown Magazine
of revenue, including insurance reimbursement and private grants. Today, almost 80% of CHCs have dental programs.1 These are also known as “safety net clinics.” You might have thought that all community health centers are similar, but each has similarities, differences, challenges
October 2024
by Dr. William Jacobson
Dentaltown Magazine
by Howard Farran, DDS, MBA, publisher, Dentaltown magazine For years now, my practice has offered an in-office dental savings plan for patients who don’t have insurance. Right now, we’ve probably got 350–400 people attached to it, and they’re impressed
April 2019
by Dr. Howard Farran
Dentaltown Magazine
or scanned copy on file. In order for your systems to remain consistent, the following guidelines and policies should be in writing: Payment options for patients with insurance Payment options for patients without insurance
August 2015
by Sandy Pardue
Dentaltown Magazine
to become an expert sleep dentistry practice: in-depth education on OSA; how to best identify, diagnose and treat the disorder; and how to maximize medical insurance reimbursement. A Seminar Unlike Any Other
February 2013
Dentaltown Magazine
to and financing for health care, the economics of both medical and dental practice have become dramatically different. Patients who pay all of their own dental bills, as well as those with insurance who are increasingly
January 2014
by Robin Gelburd
Dentaltown Magazine
, the treatment is considered a success. Even more astonishing, the treatment does not need to be successful at all for the physician and DME to get paid by insurance! Can you imagine dental insurance allowing this? But medical insurance
February 2013
by Larry Twersky
Dentaltown Magazine
in America complain about debt, yet continue following a 1970s-era U.S. business model of big staff-expanded duties and taking new age PPO dental insurance plans for which the fee for the cleaning barely covers the cost of the registered dental hygienist. Dental insurance is virtually nonexistent
April 2016
by Howard Farran, DDS, MBA, MAGD
Dentaltown Magazine
;A, the Alabama dentist discusses how she and her staff explained the logistics of the conversion to their patients—“We do accept insurance—we just do not sign contracts that are not in the best interest of our patients”—and managed to grow the business too. Office
May 2022
by Arselia Gales, assistant editor
Dentaltown Magazine
Dr. Ivan Kirshner explains why you must have protection, why details are secondary and what basics you should look for in your policy. ...
December 2012
by Ivan M. Kirshner, DDS
Dentaltown Magazine
? And, at the same time, deliver a predictable rate of return plus the possibility to structure a tax-free income stream? All of this is possible thanks to the powerful blend of life insurance and investment products that form a cash balance plan—a type of defined benefit plan. Cash balance
November 2017
Paul Danziger
Dentaltown Magazine
(Fig. 9), and also his oral condition at the time (Fig.10). He may not have wanted to get anything done, or may have been in denial that things needed to be fixed, but his canted and limited full smile spoke volumes to me. For years he never had a full
October 2014
by Michael J. Moroni, DDS
Dentaltown Magazine
to tune their ear and really listen to the patient. Patient says: How much of the treatment does my insurance cover? What treatment coordinator hears: I want to do only what my insurance covers. So
August 2016
by Kevin Tighe
Dentaltown Magazine
by Howard Farran, DDS, MBA, publisher, Dentaltown magazine For decades, we experienced little to no inflation, so when you got out of dental school, it was normal to sign up to be an in-network provider with several insurance companies. Sure, their reimbursements stayed pretty much
November 2022
by Dr. Howard Farran
Dentaltown Magazine
and insurance companies, handling accounts payable and receivable, and becoming proficient on dental software programs. All of these duties have a negative impact on both the time dentists are available for their patients, and the profitability of the practice
September 2015
by Kevin Brady
Dentaltown Magazine
99 percent of this Townie’s existing uninsured patients signed up for his practice’s new monthly payment plan by Dr. Richard M. Yarbro Insurance issues One of the goals for my dental office is to financially accommodate patients who don’t have insurance. In the past
April 2019
by Dr. Richard M. Yarbro
Dentaltown Magazine
for a dental insurance company that owned its own dental offices. Cigna Dental had hundreds, maybe thousands, of dentists around the country who were serving Cigna patients as “in-network” providers. In hindsight, this was the dental insurance version of dogfooding. If they had all
March 2023
by Dr. Thomas Giacobbi
Dentaltown Magazine
for Social Security COBRA optional health insurance continuation (mandatory if you have 20 or more employees—fewer in some states) Compensation and paycheck deduction of taxes and Social Security Election Day accommodation if needed, so all employees
September 2016
by Paul Edwards
Dentaltown Magazine
the scheduling team to handle appointments, billing staff to field financial and insurance queries, and freeing clinical team members to address care concerns. Information: Tennessee Dental Association Endorses Bento Bento, an alternative to traditional dental insurance, has received an endorsement from
February 2021
Dentaltown Magazine
a fellow practitioner may unexpectedly lose the ability to practice due to an unexpected injury or illness. Weeks or months of lost practice time will affect patients, staff and cash flow. Moreover, disability insurance has a waiting period before benefits will be paid—typically three months
March 2016
by Frederick E. Heppner
Dentaltown Magazine
. In this special section, we asked Townies to share their biggest office-related challenges, then asked the dental industry’s top practice management consultants for solutions and suggestions. Here, Laura Hatch, Heidi Mount, Sandy Pardue and Penny Reed tackle the best ways to address insurance
September 2019
Dentaltown Magazine
; awareness, so all you 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
June/July 2019 - UK Edition
by Howard Farran, DDS, MBA, publisher, Dentaltown magazine
Dentaltown Magazine
prevailed—after thrice-weekly physical therapy he returned to work after only three months—but he still faced a significant financial challenge during the days he was unable to work. After he moved to Arizona, Hoyner had dropped his overhead disability insurance because he no longer
January 2019
by Dentaltown special projects editor John Lannon
Dentaltown Magazine
. Before the pandemic, how many of your patients visited your practice only because they had dental insurance? Our services are favored by people who have heavily subsidized dental insurance, but 20?million people just lost any employee-paid insurance coverage they might have had. Plus, about 20
June 2020
by Dr. Howard Farran
Dentaltown Magazine
augmentation. PERIODONTICS New Course Part II: What Every Dentist Needs to Know About Filing a Disability Insurance Claim by Ed Comitz, Esq. & Derek Funk, Esq. In this second part of a disability insurance claim series, attorneys Ed Comitz and Derek Funk answer common questions from dentists
November 2024
by Dr. Nareg Apelian
Dentaltown Magazine
accreditations, DiBona has transformed herself into an implant expert and is one of three general dentists under the practice roof. In our exclusive Q&A, she lays out common implant mistakes and how to avoid them, explains why she ditched insurance, what to plan for in a remodel or new build, and more
January 2023
by Kyle Patton, associate editor
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