Read e-book online Dental Benefits and Practice Management: A Guide for PDF

By Michael M. Okuji

ISBN-10: 1118980344

ISBN-13: 9781118980347

Dental advantages and perform administration: A consultant for winning Practices is a pragmatic software that is helping you deal with your place of work in music with the realities of contemporary dental practice.

  • Written via either dentists and coverage professionals
  • Practical reasons to successfully and legally strategy claims
  • Describes the alterations in dental perform administration to make your perform sufferer centered
  • Competitive innovations for dentists and organizations

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Additional resources for Dental Benefits and Practice Management: A Guide for Successful Practices

Sample text

It is important that each agreement is read and understood, as cringeworthy as it is to do. No two agreements are entirely the same. Participating provider agreements are binding contracts. Features of a participating provider agreement revolve around fees, billing policy, submitted fee, allowed fee, paid amount formula, covered service, frequency, adjudication, and the appeal process. There are features on the timely filing, predetermination of services, assignment of benefit, and coordination of benefit.

Explain your point of view respectfully. This is not a platform to display superior knowledge in a condescending tone. Being passive aggressive doesn’t work. You’re trying to convince not the needle. In the end, consider other points of view and, within this framework of understanding, propose a solution. If you prevail, a sincere thank you; if you fail, don’t sulk and threaten. In addition to the narrative, other attachments to the dental claim are indicated for a number of procedures to support payment of a dental claim.

In many cases, a predetermination is returned in a matter of days when submitted electronically. Box 3, Dental Benefit Plan Information, is where the dental benefit company address is entered for the initial submission of the claim. Be alert that some benefit companies have different billing addresses for related companies or separate ­subsidiaries, that is, a benefit company may have different plans with different billing addresses. To send the claim to the right company at the wrong address needlessly delays claim payment.

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Dental Benefits and Practice Management: A Guide for Successful Practices by Michael M. Okuji


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