PPO Optimization is the process of balancing PPO reimbursement with access to patients with dental benefits. Patients with dental benefits are more likely to see oral care and to follow their treatment plan.
Dentists are participating in more PPO networks than ever before. At the same time, payers are using more and more networks at the same time. For example, a common national payer has its direct network as well as leases 7 other networks. A dentist that participates in one of those networks will participate in an average of 4.62 of those networks. That gives the payer multiple price points to find the lowest and they only have that advantage through poor PPO participation decisions.
That leaves two choices:
PPO Optimization is specific to each practice based on individual objectives, local PPO fees, and available members with benefits.
Our experts will:
Our experts will:
For practices using Dentalogic’s Insurance Billing service, our team will ensure each PPO fee schedule is accurately updated in your practice management software.
This helps your practice collect the correct amount from your patients at the time of service.
Payers are continuing to make changes in the number of PPO networks used, as well as the order in which they are applied. For Dentalogic Insurance Billing clients, our team monitors your practices payments to identify those changes and make recommendations as necessary.
For Non-Billing clients, our team will monitor changes we are seeing that may affect your practice’s strategy and make recommendations as necessary. Your practice is continually receiving solicitations to join additional PPO networks. One wrong decision can completely negate all our efforts.
It’s an expensive mistake from the best intentions.
Each time your practice receives a solicitation, our team will research the network and make recommendations based on:
Make informed decisions on your PPO participation and fees.
Sit back back and relax. We have you covered!
A pricing structure you can understand.
Our approach is simple. Our experts will help your practice achieve and maintain PPO Optimization for a flat monthly fee.
There are no time requirements, and your practice can quit at any time. We keep our clients by delivering results for them every day!