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The appeal process is a practice system that is to be expected if you are doing any services other than diagnostic and preventive and even those are subject to limitations. In many practices patients with dental insurance make up the majority of the active patient...
Many dentists are in the dark about what is happening in the healthcare arenas surrounding their practices. As a dentist in a general practice, to remain cloistered in the “medical claims are not part of my practice” mindset is like still clinging to paper charts...
New Report of January 27,2016 from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) provides information that millions of children enrolled in Medicaid in California, Indiana, Louisiana and Maryland are not getting required dental care. This is due to...
No, they are not unless you have satisfactorily proven that they are contractually obligated to do so. Many dental claims are denied not because they shouldn’t be paid but because they are not submitted correctly. The insurance companies are not there to correct errors or...
The American Dental Association weighs in on defining the types of COB that affect payment of claims. Types of COB Coordination of Benefits takes place when a patient is entitled to benefits from more than one dental plan. The plans will coordinate the benefits to eliminate over...
One of the most trying areas of communication with patients is and continues to be about their dental insurance policies. None of us like to give bad news and it seems that is our lot because most patients’ perception of their dental policy is a...
A July 10, 2015 order from the Federal Communications Commission (FCC) calls for changes in how dental offices place cell phone calls. No one likes the annoying robocalls or the telemarketers and the hang up calls but no one wants to get collection calls or...
Most of the listed reasons below can be solved with improved practice systems and better communication Financial/Billing/Insurance The practice doesn’t accept the patient’s plan—not in network Billing error not resolved to patient's satisfaction. Repeated insurance or billing errors. Unexpected charge shows up on their bill. Patient feels the dentist's fees are...
Insurance Verification Nightmare Being placed on hold is just part of the day for those working claims in dental offices. The average wait time used to be ten to fifteen minutes which wasn’t good but my latest reports show that wait times have increased to two...
We received this compliment from Dr. (no name to protect privacy) office. Dione (Account Executive for eAssist) has worked very hard for them. Great job Dione! “I just wanted to sincerely thank Dione for her efforts. It is very re-assuring to have her support and I...
