Dental Insurance

Did you know that most state and federally regulated insurance plans have an “all in” or “all out” clause?   If the doctor owner is out of network yet hires an associate who wants to sign up for a PPO the payer may insist that the...

Making a profit doesn’t come easy when you are trying to provide the best state-of-the-art technology while being held by the limits of the PPO discounted network fees.  When PPO network fees are not updated yearly but costs to dentist go up it makes it...

The EPA or Environment Protection Agency has come to finalize its standards for pretreatment of amalgam under the Clean Water Act.  Dental practices that still use amalgam will now have to reduce the discharges of mercury and other heavy metals into the municipal sewer systems.The...

March 07, 2017Excerpts from the article by Jennifer Garvin“The ADA Health Policy Institute unveiled new data March 6 showing that 7.4 percent of all practicing U.S. dentists are affiliated with dental service organizations. But for new dentists ages 21-34, that number more than doubles to...

In the year 2013, the ADA began publishing the CDT codes on an annual basis. There are new codes, revised codes and deleted codes in each annual edition and dental professionals must update these codes to maintain compliance with HIPAA regulations. In addition, payment to...

Sometimes there are complications in insurance billing that take time and research to solve.   Insurance billing has challenges that often need a team to solve.  The following is a communication between two insurance billing experts at eAssist.   This is a real scenario but the names...

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