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Which is better to purchase, a PPO or FFS Practice?

Insurance Untangled

Release Date: 05/07/2024

Are You Using Influence Principles to Attract and Retain New Patients show art Are You Using Influence Principles to Attract and Retain New Patients

Insurance Untangled

In this episode, Naren Arulrajah shares how dentists can use influence principles to attract and retain patients. He explores the seven principles taught by Dr. Chinni, which will help increase patient compliance and case acceptance. Specific examples include using Google reviews for social proof, gaining awards for authority, and building relationships for reciprocity. Naren encourages listeners to visit influencefordentistry.com for additional training and resources tailored to dental practices. By leveraging these influence techniques, dental professionals can enhance their patient...

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What are umbrella networks, or leasing networks? show art What are umbrella networks, or leasing networks?

Insurance Untangled

In this podcast discussion, Ben Tuinei explains the concept and purpose of umbrella or leasing networks in the insurance industry. These networks allow insurance companies with smaller or less established networks to expand their in-network provider lists by partnering with other companies. This helps in attracting more employer groups by presenting a larger network of in-network providers. Ben emphasizes the importance of keeping track of these relationships through notices from insurance companies. He advises practices to limit their involvement to one or two umbrella networks to avoid...

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What You Need to Know to Get New Patients to Book Appointments show art What You Need to Know to Get New Patients to Book Appointments

Insurance Untangled

In this episode, Ben and Naren uncover the secrets behind converting potential new patients into booked appointments. With Naren's 17 years of experience in dental marketing, he highlights the importance of understanding call conversion rates. He emphasizes the need for practices to listen to calls regularly, address common mistakes such as assuming callers are price shoppers, and focus on building rapport and effectively handling inquiries about Insurance and pricing. With a healthy call conversion rate seen as a game-changer, this episode offers a captivating journey into the world of...

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Which is better to purchase, a PPO or FFS Practice? show art Which is better to purchase, a PPO or FFS Practice?

Insurance Untangled

In this episode featuring special guest Brian Hanks, we explore the decision-making process behind acquiring a dental practice, with a particular focus on whether to buy a PPO or a fee-for-service practice. Brian underscores the significance of ownership for career control and financial benefits, advocating for practice acquisition regardless of type but suggesting a bias towards fee-for-service practices if they align with long-term goals. We delve into patient attrition rates, noting lower attrition in PPO practices while stressing the importance of clinical fit and business acumen. Brian...

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Is it helpful to seek the assistance of a State Insurance Commissioner in situations where it's difficult to get denials overturned? show art Is it helpful to seek the assistance of a State Insurance Commissioner in situations where it's difficult to get denials overturned?

Insurance Untangled

Seeking assistance from a State Insurance Commissioner can be beneficial in overturning claim denials, particularly in cases of insurance bullying. These commissioners, both state and federal, advocate for consumers, ensuring insurance companies fulfill their obligations. Dentists can represent patients in appeals, emphasizing the patient's perspective. Despite challenges, seeking help from experienced sources like insurance experts can navigate the complexities of appealing denials, ultimately benefiting both practitioners and patients. Get expert advice on navigating the appeals process and...

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What are the top dental insurance-related issues practices are going through this year in 2024? show art What are the top dental insurance-related issues practices are going through this year in 2024?

Insurance Untangled

In this engaging podcast episode, join hosts Ben Tuinei and Naren Arulrajah as they explore the pressing challenges dental practices face regarding insurance in 2024. From a shortage of skilled billers to perplexing denial trends and mounting accounts receivables, we dissect the top five issues impacting dental offices today.

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What are the 5 Things Every Successful Dental Practice Does? show art What are the 5 Things Every Successful Dental Practice Does?

Insurance Untangled

In this episode, Naren Arulrajah explores the core practices driving success for dental practices. He stresses the significance of being metrics-driven, fostering accountability, prioritizing patient experience, mastering case acceptance, and excelling in marketing. Through candid discussions, listeners can gain invaluable insights into overcoming common challenges such as burnout and delegation. With a focus on actionable advice and real-world examples, this episode serves as a beacon of guidance for dental professionals striving to elevate their practices and achieve enduring success in a...

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Is it possible to detect claims processing errors on the part of insurance? show art Is it possible to detect claims processing errors on the part of insurance?

Insurance Untangled

In this episode, we talk about errors in the processing of insurance claims. We start by examining the staggering 19.3% error rate reported by the American Medical Association, with a focus on underpaid claims. Through real-life examples, we uncover instances where insurance companies downgrade procedures, leading to significant financial losses for healthcare providers. We discuss strategies for detecting these errors, including thorough insurance verification processes and the utilization of preauthorizations. Despite the complexities, we explore potential solutions, such as legislative...

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Take Aways from An Amazing Insurance Untangled Event show art Take Aways from An Amazing Insurance Untangled Event

Insurance Untangled

Tune in to our latest episode, where we recap an incredible three-hour event held on March 1st, 2024. Featuring insightful talks from industry experts Ben Tuinei, Jordon Comstock, Naren Arulrajah, Morgan Millett, Dr. Eric Block, Erica Aguilera, and Tessina Bullock, the event delved into avoiding common pitfalls in dental practice management. Highlights include: Strategies for negotiating fees with insurance companies. Mastering the dental patient journey. Optimizing collections. Harnessing the power of membership plans. Learn valuable tips on morning huddles, leveraging...

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The Biggest Lessons from Our Dental Clients show art The Biggest Lessons from Our Dental Clients

Insurance Untangled

In this episode, Naren Arulrajah explores the essential attributes of successful dental practice owners. Drawing from the guest's extensive experience working with dental practitioners, he delves into three key focuses: delegation, a win-win mindset, and a commitment to growth. The podcast hosts emphasize the importance of mastering delegation, fostering a positive, win-win attitude, and maintaining a growth mindset. Through anecdotes and insights, they highlight how these attributes contribute to sustained success and offer practical strategies for implementation.

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More Episodes

In this episode featuring special guest Brian Hanks, we explore the decision-making process behind acquiring a dental practice, with a particular focus on whether to buy a PPO or a fee-for-service practice. Brian underscores the significance of ownership for career control and financial benefits, advocating for practice acquisition regardless of type but suggesting a bias towards fee-for-service practices if they align with long-term goals. We delve into patient attrition rates, noting lower attrition in PPO practices while stressing the importance of clinical fit and business acumen. Brian offers valuable advice for new dentists, recommending gaining experience before buying and ongoing education in the dental business. Tune in for more information on navigating dental practice acquisitions and optimizing career success through this episode.