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The Dental Billing PodcastAuthor: Ericka Aguilar
Welcome to "The Dental Billing Podcast" your go-to source for mastering the art and science of dental billing! I'm Ericka Aguilar, your host, here to guide you on a journey to conquer the complexities of dental insurance reimbursement. Dive deep into the world of dental billing with us, where we unpack compliance, share game-changing strategies, and reveal the secrets to maximizing your dental insurance reimbursements. We're not just about decoding the system; we're about empowering you to WIN at dental billing. Ever wondered why coding opportunities seem to slip through the cracks, especially in the hygiene department? We've got the answers! Join us as we explore the nuances of hygiene performance and unearth coding opportunities you never knew existed. This isn't just a podcast; it's your ticket to success in the world of dental billing. Learn how to navigate the twists and turns, overcome challenges, and stay ahead of the game. We're not just here to talk; we're here to inspire action.Ready to revolutionize your approach to dental billing and take your practice to new heights? Hit that subscribe button and join our community of dental professionals dedicated to winning at dental billing!Remember, it's not just about the codes; it's about the strategy. It's time to conquer, succeed, and thrive in the world of dental billing. Welcome to "The Dental Billing Podcast" where winning is not just a possibility; it's the only option. Let's redefine success in dental billing together! Subscribe now and let the journey begin. Language: en Genres: Business, Careers, Entrepreneurship Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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Episode 87: Stop Verifying Insurance Like It's 1995
Episode 7
Tuesday, 29 April, 2025
Got questions? Send Ericka a Text!Dental insurance verification is stuck in the 1990s, but insurance companies have dramatically changed how they operate—leaving dentists with surprise balances, frustrated patients, and a mess of accounts receivable. In this eye-opening episode, I reveal how insurance carriers are secretly leasing networks behind the scenes and potentially pulling your practice into networks you never directly signed with.Drawing from a recent consultation where a practice saw their AR spike by $70,000 due to inadequate verification, I walk through exactly why checking just the basics—deductibles, maximums, and coverage percentages—is no longer enough. The game has fundamentally changed. Through leased networks and umbrella plans like Connection Dental and DentaMax, carriers can apply completely different fee schedules than you expect, even when you think you're out of network.Most importantly, I share the specific questions you must ask during insurance verification to protect your practice: Are we in-network or out-of-network with this specific plan? Are we directly contracted or leased through another network? Which fee schedule applies to our office for this plan? Does this patient's plan fall under a specific PPO tier, group or level? These questions will transform how you set up patient accounts and present treatment plans.Ready to stop the bleeding and take control of your insurance verification process? Download my free verification checklist in the show notes and start mapping your complete network participation status today. Your billing department—and your bank account—will thank you. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)
