Professional PPO Negotiators

The field of dentistry is continually evolving, becoming more competitive daily. Small and private dentists are forced to compete with corporate dental offices and multi-doctor practices. Dentists are often at the mercy of insurance companies as they drive down the price of coverage for insured patients. In order to remain viable, it is necessary for Dentists to accept a variety of insurance plans and find high reimbursement rates. Since every insurance plan operates a little differently, you need to know where to turn to effectively negotiate with insurance companies in order to get the best reimbursement rates. Negotiating the details with PPOs can be complex and overwhelming. As professional PPO negotiators, our experience will simplify the process for you, eliminating guesswork and potential mistakes.

What Many Dentists Don’t Know About PPOs

If you belong to one or more PPO, you’ve likely experienced insurance companies telling you what costs are covered for specific procedures and services. Many small and private dentist offices are unaware that these fees are often negotiable. If you’re expecting the highest possible revenue for your clinic, your fees and coverage plans should be negotiated competitively, in order to get the highest possible reimbursement. It’s important to have the right skills and tools to negotiate a fee schedule prior to contracting as a preferred provider. You’ll need to understand where there are opportunities to get better prices. In most cases you can only renegotiate your fees every 24 to 36 months, so you want to make it count when you have the chance.

 

What You Will Learn

Working with eDental Market, you will learn invaluable information on conducting successful negotiations including:

  • How the insurance companies work and work together
  • Why insurance companies negotiate
  • Case Studies and successful examples
  • Strategy behind the 80th percentile
  • How third-party leasing is affecting your reimbursement rates
  • Guidelines on proper billing fees and preventing denied claims
  • Making the most of downgrade policies
  • Answers to common billing questions

Our friendly staff is here to increase your knowledge and fully educate you for your office’s next PPO negotiation project. Click here to schedule a no-obligation PPO consultation today.