Important Changes for GEHA Patients Starting January 2025

As of January 1, 2025, GEHA and Cigna will no longer allow the communication of Cigna’s fee schedules. This change could significantly impact how you serve your GEHA patients, especially if you’re not part of other lease agreements that facilitate communication with GEHA plans. Why does this matter? If your practice relies on Cigna’s fee ...

Filed Under: PPO Advisors

Navigating Insurance Credentialing During a Practice Transition: A Guide for Dentists

Transitioning into ownership of a dental practice is an exciting yet challenging journey, especially when it comes to navigating the complexities of insurance credentialing. If you’re acquiring a practice that is contracted with multiple Preferred Provider Organizations (PPOs), understanding the credentialing process is essential for a seamless transition. One common question dentists often ask is, ...

Filed Under: PPO Advisors

What to Expect from Your Risk-Free PPO Analysis – A Simple Guide by Shelley DeGroff, CEO of PPO Advisors

At PPO Advisors, we offer a risk-free PPO analysis to help dental practices understand how their insurance contracts are impacting their business. In this blog post, Shelley DeGroff, CEO of PPO Advisors, explains what you can expect from your risk-free PPO analysis and how it can help improve your practice’s profitability. What Is a PPO ...

Filed Under: PPO Advisors

How Does a Dental Provider Negotiate Higher Fees? A Simple Guide by Shelley DeGroff, CEO of PPO Advisors

As the busy summer season ends, many dental offices start thinking about their goals for the following year. One important task should be reviewing your PPO contracts and UCR (Usual, Customary, and Reasonable) fees. In this blog post, Shelley DeGroff, CEO of PPO Advisors, shares simple steps to help dental practices negotiate higher fees with ...

Filed Under: PPO Advisors

Dental Network Leasing Changes Explained: A Simple Guide by Shelley DeGroff, CEO of PPO Advisors

This year has brought a lot of changes in the way dental insurance networks work, especially with leasing. You might wonder why these changes happen and if it’s something unusual. The short answer is no – it’s actually quite normal. In this blog post, Shelley DeGroff, CEO of PPO Advisors, will explain what network leasing ...

Filed Under: PPO Advisors

Podcast: “A New Era of Dentistry”

Welcome to this week’s episode of “A New Era of Dentistry.” We’re thrilled to have “Shelley DeGroff”, founder and CEO of PPO Advisors, with us today. Our company specializes in credentialing, negotiating, and all insurance-driven matters to help dental practices navigate the complexities of PPO solutions. We aim to secure the best possible reimbursements for ...

Filed Under: PPO Advisors

Understanding the New Two-Way Agreement Between MetLife and Guardian Effective June 1, 2024

Starting June 1, 2024, a significant shift in network agreements will take place between two major insurance networks, MetLife and Guardian. This blog post from PPO Advisors delves into the specifics of this new two-way agreement and its implications for providers. Whether you’re directly contracted with MetLife, Guardian, or associated with umbrella companies like Connection, ...

Filed Under: PPO Advisors

Podcast: Work Smarter, Not Harder: Boost Your Dental Practice’s Profit with PPO Management

In this week’s episode, I’m joined by “Shelley DeGroff”, Founder and CEO of PPO Advisors, to share her expertise in managing Preferred Provider Organizations (PPOs) for dental practices. Shelley cultivated strong relationships with insurance companies and their representatives, allowing her to provide listeners with a comprehensive understanding of the big picture, identify opportunities for dental ...

Filed Under: PPO Advisors

Podcast: Cracking The PPO Code – Shelley DeGroff

On today’s episode of the Dentalpreneur Podcast, Dr. Mark Costes interviews “Shelley DeGroff”, Founder and CEO of PPOAdvisors. Shelley’s extensive experience and expertise in negotiating PPO contracts have helped numerous dental practices increase their revenues by securing better terms. As a former office manager, Shelley understands the challenges practices face when dealing with insurance providers, ...

Filed Under: PPO Advisors

Podcast: The PPO Playbook – Shelley DeGroff

On today’s episode, we are joined by a remarkable entrepreneur who has reshaped the dental landscape with her unwavering dedication to helping dental practices thrive in the realm of PPO negotiations. “Shelley DeGroff”, the founder and CEO of PPO Advisors, has an inspiring journey that stems from her experience in a dental office, and she ...

Filed Under: PPO Advisors