Dr. David is a practicing dentist in Vail Colorado. Yes that's Vail where the famous Vail ski resort is located. Not only does Dr. David live the good life, he hosts a very popular podcast called the Relentless Dentist Podcast (www.relentlessdentist.com). Dr David is known for his giving attitude as evident through the free information he shares on his podcast. In this episode, Dr David shares his experience in dealing with PPO's. We also has him for advice for dentist who are struggling to get by. Dr David introduces us to a powerful episode on the Relentless Dentist Podcast given by Dr. Steven Rasner. To listen to Dr. Rasner's interview please visit this link:http://relentlessdentist.com/steverasner/
To contact Dr. David with questions please feel reach out to him at [email protected]
For comments or feedback about this episode or to make a suggestion about topics or guests for future episodes please email our hosts at [email protected]
During this episode Tessina and Angie discuss the following issues:
1. How to run reports to track if procedures have not been billed to insurance
2. Billing procedures that are not covered to increase utilization and influence coverage on the part of insurance and employers who design benefit packages
3. A discussion of non-covered service laws across the country
4. How to best initiate an appeal for a denied claim/service
By popular request Tessina and Angie make their 3rd appearance on our show to discuss common insurance related issues in the dental practice. The items discussed have been requested by the listeners and we invite you to submit a question related to dental insurance that we can discuss on future podcasts. To submit a request simply email [email protected] Thank you!
Dr. Tanya Brown has worked in ALL ASPECTS of dentistry for over 25 years-from chair side dental assistant, to practice administrator, to owner dentist. She is still practicing dentistry & understands what it takes to HELP YOUR PATIENTS SAY YES!
During this episode Dr. Brown helps us CONNECT THE DOTS so patients can say “YES”, and from a dentist who is fee for service. Case presentation in a community that is “managed care” (insurance) driven is much more difficult when you are out of network. Dr Brown gives her insight on how she presents treatment while being out of network.
To ask Dr Brown a question please email her directly at [email protected] Check out her website www.tanyabrown.com. She is a full time dentist, coach, and a speaker. She can be a great resource to you and your team!
Tessina Barney is a high powered dental office manager in Salem Utah. She co-operates the Utah Chapter of the Academy of Dental Office Managers. Tessina explains her experience in policing unethical and illegal insurance practices by a particularly large national insurance carrier. In this day and age when insurance carriers tend to make up their own rules many dental practices feel hopeless and helpless. When insurance tells you to write-off hard earned money many feel lost in getting insurance carriers to comply with the same rules as you do. If you can't up-code why do insurance carriers get away with down-coding? This interview will open your eyes to new opportunities in policing unethical and illegal practices by insurance carriers. It's time more offices take action in intelligently fighting insurance carriers in battles you can win!
If you wish to speak with Tessina or chat with her about potential opportunities to help police unethical practices please send an email to [email protected]
Tessina Barney is our first repeat offender. If you go back to Episode 5 you can listen to her explain how she polices illegal and unethical practices by insurance carriers. During this episode, Tessina explains the basics of Primary and Secondary Insurance. She also explains her system of COB (coordination of benefits). Tessina also talks about strategic ways to get claims paid the first time around and outlines what you need to know about billing for crowns, onlays, composites, and other dental services. We learn from Tessina that collecting money from patients is a relationship game and she shares great stories of collecting money from patients who were in bankruptcy proceedings. Patients pay Tessina before other bills because of the relationship Tessina built with them.
To contact Tessina with more questions you may call her at 702-496-9532 or at [email protected] Please be respectful of her time as she has a full time job and is a mother of beautiful children.
For feedback regarding this podcast please send your comments to [email protected]
Melissa discovered a mistake within the United Concordia contract and online publication on how the dental plan should be administered to military dependents. This is a must listen! Enjoy!
Link to read the DOD contract for Tricare Dental:
Information regarding Access to Providers and non-par status zones is on page 26 of J-5/Attachment 5
To view the Dentists DRG (Dental Reference Guide): Login with office credentials here and select Dental Reference Guide: View page 32 section 13.
To view the Patients Version: Dental Benefits Guide , (COB scenarios are on page 53 and 54)
Here is the link to all provider contracts, you do not need a login to pull the information.
To contact Melissa email her at [email protected]
Naren Arulrajah is a well-known medical marketing entrepreneur, an accomplished author, speaker and consultant, and the founder and CEO of Ekwa Marketing. Naren hosts a popular Podcast show for practitioners and professionals in the dental industry.
Naren has established the Ekwa Growth Club and the Ekwa Institute to help doctors in the US and worldwide achieve their goals through digital innovation.
In recognition of his industry innovation and leadership, Naren was conferred the “2014 Leadership Initiative Award” by AceTech Ontario, a pre-eminent nonprofit promoting global technology entrepreneurs.
During this episode, Naren talks about his process of imagineering unique marketing concepts that others are not even contemplating. Furthermore, he discusses unique ways to leverage online reviews to your advantage as well as building a unique type of social proof that places you on a pedestal in your own community. We are so impressed with what Naren has to share that we've even listened to this recording twice before even posting it. Enjoy the show!
To contact Naren please email [email protected] Or visit one of his websites listed below:
To contact our hosts please email [email protected]
Alan Hollander began consulting healthcare professionals as an individual in 1985. Nine years later, with a team of over 50 and a roster of thousands of clients, the company had become one of the largest healthcare consulting entities in the US. Alan sold the company in 1995.
Alan then developed Practice Optimizer™ an online suite of services with over 2000 pages of practice management content and material. These were licensed to Enserve of Houston, TX and became a valuable part of their online array of resources for over 20,000 doctors in the US. The international medical waste company, Stericycle, then acquired Enserve in 2010.
Alan has taught and lectured on every facet of practice management, from executive skills and personnel management to the effective selling of treatment and development of new patient flow. He has done presentations in all of the 50 states and every major city in Canada. Alan is a graduate of Hofstra University and New York University.
During this episode Alan discusses eliminating the insurance driven mentality during case presentation. It is no secret that insurance has crept in and taken over treatment conversations and that can often not serve the best interest of patients. A good example is an onlay. When patients need treatment that is something between a filling and a crown and onlay may be the best form of treatment. But because dental insurance does not cover onlays patients end up receiving alternative treatment dictated by their insurance that may be more aggressive than conservative options. Each doctor has their own opinion on how to handle the clinical aspect of these cases but what rings true among most is that insurance can interfering with the appropriate care the patients may need. This episode is to provide some insight on how to overcome the insurance driven mentality.
Jordon is famous for quoting his story building a pipeline. The model for most successful businesses is building a reoccurring revenue stream. Costco, Amazon, Sirius, and many other organizations have figured out how to retire the old "transaction" businesses and replace them with a reoccurring revenue stream called memberships. In this episode Jordon Comstock shares his insight on the 7 most common mistakes in building an in-house dental membership program. Jordan and Ben both believe that the future of business is a reoccurring revenue stream model and you as a dentist can accomplish this by building a successful in-house membership program.
For questions or comments regarding this episode please contact Jordon Comstock at [email protected] or by calling him at 801-753-8586. Check out his Dentistry IQ article regarding this topic at http://www.dentistryiq.com/articles/2016/10/6-mistakes-to-avoid-when-creating-an-in-house-membership-program-for-your-dental-practice.html
During this episode Tessina answers several of the most common insurance related quetions sent to us by the listeners. Per popular request Tessina has been asked to make a 4th appearance on the podcast to address certain key issues dental offices face.
If you have a question or would like to make a suggestion about a future topic on this podcast please email Ben or Jordan at [email protected]
During this Episode Tessina and Angie give insight on the efficacy of billing your UCR's to insurance. Many practices only bill their contracted PPO rates to insurance and this episode will explain why billing PPO fee is not good for the industry. Insurance carriers will look for any excuse to lower reimbursements and we collectively believe that billing PPO fee to insurance not advised. In addition to talking about the important of UCR billing, Tessina and Angie talk about key clearing house issues that may be causing unnecessary delay in claim's payments.
To contact Tessina you can email her at [email protected]
To contact Angie you can email her at [email protected]
Christine Taxin is the founder and president of Links2Success, a practice management consulting company to the dental and medical fields. Prior to starting her own consulting company Ms. Taxin served as an administrator of a critical care department at Mt. Sinai Hospital in New York City and managed an extensive multi-specialty dental practice in New York. With over 25 years’ experience as a practice management professional she now provides private practice consulting services, delivers continuing education seminars for dental and medical professionals and serves as an adjunct professor at the New York University (NYU) Dental School and Resident Programs for Maimonides Hospital.
During this episode Christine explains how day to day dental procedures and services can be covered under medical insurance. In her experience if practices learn how to cross code they would capture hundreds of thousands of dollars on procedures that are normally written off.
To contact Christine please visit her website www.links2success.biz.
This episode provides pure education on how or when a dental office can drop certain PPO networks. In no way does this podcast support or promote PPO boycotting in any way. The intent of this podcast is to provide education on how doctors can identify if they are ready to drop any PPO network and how to properly prepare themselves for a transition to out –of-network.
Our Guest, Bill Rossi, has over 35 years of experience in dental practice management. He and his associates are actively involved in the ongoing management of over 250 practices. They deliver more results to more clients in the upper Midwest than all other consulting firms combined. Bill says, “Each month we monitor over 30 million dollars worth of dental activity. Each year we do over 600 on-site consultations. This gives us a deep and wide frame of reference. Our clients expect straight talk and good results and that is what they get. We know how to bring out the best in you and your staff to get things done. We promise we will never pressure you or ask you to pressure your patients. You will never be locked into a contract. You will not be subjected to boring meetings and canned programs. You will receive top-notch management support. You will be in control of what happens in your practice.”
To contact Bill please call him at 952-921-3360. His website is www.advancedpracticemanagement.com where you can find a number of articles and references about his work with offices nationwide.
Dr. Jason Campbell is a practicing general dentist in Prescott Arizona. Over the years and through personal experience, Dr Campbell discovered an extremely under-served area of dentistry. He refers to it as “biofunctional disorder” where patients have an array of systemic problems associated with poor oral health. In this episode Dr. Campbell explains biofunctional disorder and how you can get involved in this area of dentistry that is not being served. While most dentist are looking for ways to build their practice, we firmly believe Dr. Campbell has discovered an area of treatment that could easily increase your bottom line in a matter of months. He refers to biofunctional disorder as the “blue ocean” of opportunity, meaning, this area of dentistry is untapped and extremely under-served.
To learn more about Dr. Campbell’s curriculum on biofunctional disorder please visit the following site:
View & register for available courses
Save $150 with code: notoppos2017
Register for 2 courses & Save 10% on both. Discount Code: api10for2
Download your FREE “Blueprint to Becoming a Dental Blackbelt” article and learn more about API’s courses at www.AdvancedProstheticsInstitute.com.
To contact him or his team please feel free to call them at 928-776-0239.
Gary Kadi is the CEO of Next Level Practice (www.nextlevelpractice.com). Known for his positive contributions to the lives of dentists and dental teams across the globe, Gary Kadi has been a devoted advocate for the whole of the dental community, their families, and their patients for over 19 years.
Gary is a pioneer in leading the Oral Systemic Health Movement. His ground breaking documentary Say Ahh… is a go -to educational source for dental and medical practices, and hygiene, nursing, medical and dental schools.
His mission is to have the public equate dentistry with over all health and for dentists and their teams to be a vital component of sustainable health and longevity. His trainings, educational workshops, and annual implementation coaching programs provide dental and medical teams a systematic process for team engagement and patient treatment acceptance.
Gary and the teams he collaborates with are on a mission to get 30 million people healthier by the year 2020.
During this episode, Gary explains his 5 key ingredients to help dentist get off of the PPO treadmill. After years of studying the reoccurring challenges of team, finance, and patient issues facing dentists for years he had a breakthrough. It came in understanding the business model dentists were fighting to fix was created by a non-business practitioner who could throw up a shingle and be successful. He discovered the source of getting dentists off the drill, fill and PPO treadmill.
This is an informative webinar filled with tons of great education and information. For those seeking to learn more from Gary please email him at [email protected] or call him at 212-388-1712.
Dr. David Eshom is a general dentist with twenty years of experience in the art and science of cosmetic dentistry. Dr. Eshom has his undergraduate degree in business and his Doctor of Dental Surgery from the University of Pacific School of Dentistry. He is constantly continuing his education so that he can provide the most advanced dentistry for his patients. In the past twenty years, he has taken more than 1,500 registered hours of continued education through the California Dental Association in endodontics, orthodontics, oral surgery and his passion, cosmetic dentistry.
He has achieved category II laser certification from the Pacific Laser Institute, and is a graduate of the Seattle Institute of Advanced Studies, the Blatchford Coaching Program, and the Pride Institute Leadership Program. His studies have allowed him to incorporate lasers into his treatment modalities, making his procedures minimally invasive and reducing the need for needles.
During this episode Dr Dave shares his unique experience in purchasing a practice that was heavily PPO driven, to a complete fee for service model. It took him about 3 years to exit all PPO participation agreements and 20 years after exiting the shackles of PPO contracts, Dr Dave continues success at a very high level.
He credits his ability to enjoy a fee for service practice to great practice management training, and the use of extra-oral photographs. Dr Dave’s camera techniques have become increasingly popular over the years that he has published his training curriculum on these two websites:
For questions regarding this episode or to contact our hosts please email [email protected]
Lately we've received a lot of emails from young doctors who are struggling to make ends meet. Jordan and Ben share their stories about when they opened their own businesses and the struggles they went through before they achieved success. This episode is dedicated to the listeners who are early in their careers or listeners who may be struggling with their businesses in general. We believe business ownership is meant to be tough and firmly believe that all of you have the ability to see far more success than you've dreamed of. Here are some motivational videos to lift your spirit:
https://www.youtube.com/watch?v=VrEiQZDpCH0 (Buster Douglas defeating Mike Tyson)
https://www.youtube.com/watch?v=AC3bs9abjQ0 (Dr. Carl Metz turning his practice around and winning a Lamborghini Contest at the Scheduling Institute)
https://www.youtube.com/watch?v=LZe5y2D60YU (Your Why by Michael Jr.)
https://www.youtube.com/watch?v=ACxwq77wD4k (The law of the harvest by a cute chick named Tiffany Peterson)
Wow where do we start. Darren is a rockstar and you will love this episode! Darren has spent a great deal of time studying human interaction and human behavior. With his experience, both academically and professionally, Darren has learned unique approaches to how dealing with the natural human tendencies when it comes to making purchase decisions. During this episode, Darren discusses several techniques designed to influence patients to focus first on their oral health while steering patients away from making treatment decisions based upon insurance coverage. This is a must listen episode so stop reading and start listening!
To contact Darren visit his website: www.acceleratemypractice.com
Send him an email: [email protected]
Call him: 877-910-9960
To contact our hosts please email [email protected]
Happy FunDay HumpDay!
While this is not a dental insurance related episode, you gotta listen to this episode about the other evil industry that takes your money, the tax industry (or government for those of you in Tooele UT).
We understand that talking about dental insurance can be depressing at times. So, we've decided to incorporate an extra episode each week dedicated to talking about something non-related to dental insurance. Please allow us to introduce yet another depressing topic: taxes!
Our Guest today is Craig Cody. Craig S. Cody is a Certified Public Accountant, Certified Tax Coach, Business Owner and Former New York City Police Officer with 17 years experience on the Force. In addition to being a Certified Public Accountant for the past 17 years, he is also a Certified Tax Coach. As a Certified Tax Coach, Craig belongs to a select group of tax practitioners throughout the country who undergo extensive training and continued education on various tax planning techniques and strategies to become, as well as remain, certified. With this organization, Craig has co-authored an Amazon best seller book, Secrets of a Tax-Free Life and recently authored 10 Biggest Tax Mistakes That Cost Business Owners Thousands.
During this episode Craig talks about ways to minimize your tax liablity by communicating with your CPA often and regularly. He emphasizes the need for a certified tax coach as a professional that can help you plan your business so you don't get caught writing off a ton of crap you shouldn't be writing off the gets you in trouble with the IRS.
To request a copy of Cody’s book go to www.craigcodyandcompany.com/ppo or please contact him at [email protected] His website is www.craigcodyandcompany.com. His office number is 516-869-4051.
To contact our hosts please email [email protected]