By Shelley DeGroff, Founder of PPO Advisors If you’re feeling squeezed by your PPOs – you’re not imagining it and you’re not alone. Even as dental providers are struggling with the post-COVID labor shortage and high inflation rate, insurance companies are taking legally and ethically questionable actions in a bid to pressure providers into accepting lower ...
By Shelley DeGroff, Founder of PPO Advisors A growing number of dental practice owners are asking if it’s worth it to join PPOs versus going insurance free. Given recent actions by insurers to pressure providers into lowering fee schedules, the question is understandable. Unfortunately, the answer isn’t going to be the same for everyone. While some ...
By Shelley DeGroff, Founder of PPO Advisors To participate in various insurance networks, dental providers must be credentialed, a process that is cumbersome and requires copious paperwork, including proof of education, residency, training, work history, licenses and if applicable, specialty certificates and malpractice history. To stay in network, providers must repeat the process every 2-3 years, ...
By Shelley DeGroff, Founder of PPO Advisors In dealing with insurance companies, I believe in the trust-but-verify approach. I was reminded of this recently when we were onboarding some new clients. They shared with me similar stories about how, before coming to PPO Advisors, they’d worked with competitors who told them they’d negotiated higher fee schedules ...
By Shelley DeGroff, Founder of PPO Advisors As a dental provider, the more you understand about how your practice generates revenue, the better. With that in mind, let’s take a short walk into the weeds by talking about Current Dental Terminology (CDT) code and how it can impact insurance reimbursements. Purpose of the CDT Code A ...
By Shelley DeGroff, Founder of PPO Advisors It’s easier than ever for a well-intentioned dental practice owner to inadvertently commit insurance fraud. To avoid the problem, practice owners must know what’s in their PPO contract, or risk the repercussions. Too many practice owners these days don’t know what’s in their PPO contract. The complexity of ...
By Shelley DeGroff, Founder of PPO Advisors For dental practice owners, one of the best New Year resolutions you can make is to pay close attention to your PPO contract. Now more than ever, insurers are looking for ways to reduce reimbursements to providers. Find out what you should do now to avoid lower revenue ...
By Shelley DeGroff, Founder of PPO Advisors Many dentists today feel frustrated because they’re working harder than ever, but their revenues seem flat, and they can’t understand why. What they’re feeling is real and it’s most likely because their PPO contract is draining income from their practice. To explain what’s happening, I’ll share the story ...
When you pay a flat fee up front, how do you know what your return on investment will be? The answer is – you don’t. When we talk to dental providers about negotiating higher fee schedules in their PPO contracts, our free analysis tells them exactly what their return on investment will be. Find out ...
Insurers are always coming up with new ways to pay providers less than what’s listed in their fee schedule. Their latest strategy relies on data provided by Fair Health, an independent nonprofit that was created to help keep insurers in check. Find out how insurers are exploiting Fair Health’s massive database and creating an unfair ...