Open Access. Powered by Scholars. Published by Universities.®
Business Administration, Management, and Operations Commons™
Open Access. Powered by Scholars. Published by Universities.®
Articles 1 - 2 of 2
Full-Text Articles in Business Administration, Management, and Operations
Negotiating Reimbursement Rates With A Ppo Plan, Dana Moss
Negotiating Reimbursement Rates With A Ppo Plan, Dana Moss
The Journal of the Michigan Dental Association
Dentists often struggle to negotiate reimbursement rates with dental insurance companies. This article discusses the importance of managing reimbursement from benefit plans and highlights the advantages and disadvantages of participating in insurance networks. It provides a step-by-step guide to negotiating insurance allowances effectively, emphasizing the need for preparation, data analysis, and communication skills. The article suggests ways to maintain profitability in practices with a significant PPO patient base. It includes recommendations for keeping fees balanced, choosing negotiation plans, and building relationships with insurance representatives. The emotional aspects of negotiation are also addressed, promoting a respectful and collaborative approach.
Dentistry And The Law: Network Leasing Arrangements And Their Effect On Fees, Dan Schulte Jd
Dentistry And The Law: Network Leasing Arrangements And Their Effect On Fees, Dan Schulte Jd
The Journal of the Michigan Dental Association
Dentists entering network leasing arrangements often face uncertainty about fees due to the lack of transparent fee schedules. While leasing companies aim to connect dentists with insurers and plans, the absence of clear payment information poses challenges. Dentists may receive varying amounts for the same services, impacting financial predictability. The article emphasizes the importance of understanding contract terms, obtaining fee schedules, and monitoring patient volume to assess the arrangement's overall benefit.