Does your staff see your production and think everything is great? Meanwhile, you have joined a variety of dental insurance plans and are left to review your lower reimbursements which make it a challenge to manage your dental practice. When you have joined several insurance plans, it is essential that you review the appropriate numbers. If you just look at production you will most likely be misled. Utilizing your software and setting up the system correctly can have a huge impact. Entering the fee schedule and identifying the correct claim format will save your office staff significant time as the negotiated fee will be entered on the patient ledger. This saves your office staff from manually entering an insurance adjustment for every patient, or even every code! Also, by setting up the proper tracking for the insurance plans, you will be able to run reports that provide information necessary to evaluate each PPO plan’s performance.
When you join several insurance plans, here are several item you should consider:
- Fee schedule – how to enter the negotiated fees into your practice management system
- How to enter insurance payments so your system improves its insurance estimates in the future
- How to train your staff to add patients with certain employers and insurance plans
- Number of existing patients with this insurance plan – some patients will suddenly change from out-of-network to in-network and you need to know the effect this will have on your collections
- Subscribers in your zip code – so you know how many potential new patients you could gain by joining
- How to compare the different PPO plans so you know which are the best and worst – and determine which you want to join.
Getting your system set-up properly from the beginning will save time and money and provide you the resources you need to evaluate each plans reimbursements.