Dental Insurance & PPO Strategy

By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs If you have felt for years that Delta Dental’s reimbursements don’t add up, you’re not imagining it, and you’re not alone. There is now significant litigation moving through the courts on exactly that issue, and as a practice owner you should understand what’s happening, what it could mean for your collections, and how to handle the patient questions that are starting to come up. I want to

The Calm Way to Drop Unprofitable PPO Plans The backbone of a great dental practice is a full hygiene schedule and getting paid at a fee for service rate. I’ve spoken with many dentists who accept bad paying PPOs and many attempt to renegotiate reimbursements. These dentists do prophies themselves because a hygienist costs $70 per hour but the PPO only pays $50. The dentist is now chained to an unending prophy hamster wheel, the consequences of which are: · The opp

The Pros and Cons of A Subscription-Based Model for Dental Practices and DSOs As the dental industry evolves, many practices and Dental Support Organizations (DSOs) are exploring new ways to enhance patient care while maintaining financial stability. One model that has gained popularity is the subscription-based model, often referred to as a dental membership plan. While this approach offers several advantages, it also comes with potential drawbacks. Below is a comprehensive

Unlocking Fair Compensation: A Guide for Dentists Renegotiating Fee Reimbursements with Dental Insurance Companies In the evolving landscape of dental practice management, dentists face the dual challenge of providing exceptional patient care while ensuring their practice remains financially sustainable. One critical aspect of this balance involves negotiating—or renegotiating—fee reimbursements with dental insurance companies. While this process can seem daunting, it’s a piv