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Going out of network with Confidence: Strategy- Risks and Considerations
Dealing wih dental insurance companies: Bewilderness to Clarity 4 Patients file a class action lawsuit against Delta dental for misrepresenting out of network reimbursements and paying a certain percentage of their set lower proprietary fees instead of Usual and Customary fees, forcing patients to pay more for seeing out of network providers. According to another survey, Delta Dental’s (which is one of the top 10 dental insurance providers) internal fees are approximately

Kathan Mehta
Jan 246 min read


Quantifying Insurance Reimbursements- Introduction
Dealing with Dental Insurance Reimbursements- Bewilderness to Clarity 3 Dental insurance reimbursements play a critical role in the financial health of a dental practice. While many practices focus heavily on clinical excellence and patient experience, the ability to accurately quantify and analyze insurance reimbursements often determines long-term sustainability and growth. Understanding how reimbursements are calculated, tracked, and optimized allows dental professional

Kathan Mehta
Jan 244 min read


Dealing with Umbrella Networks: Strategy
Dental insurance companies: Bewilderness to Clarity: 2 In the previous article, we realized how much healthcare firms are bleeding money and how some streamlining exercises can help protect revenue at various levels. We even saw how utilizing the correct umbrella networks can help increase revenue and, at the same time, in this PPO-driven market, you get the freedom from not relying yourself on Medicaid mix. According to one study by ADA , almost 50-60% of to

Kathan Mehta
Aug 31, 20253 min read


Maximising Insurance Reimbursements: Concept and Template
Dental Insurance Companies: Bewilderness to Clarity 1 It's been difficult times – industry-wide as well as economically. AI being questioned already with lawsuit over a major insurance company giving out denials inadvertently. Moreover, the overall need to compete in this ever-changing environment are encouraging and pushing investors to try more innovative ways to generate revenue with minimal spending. Healthcare industry stand at a tangent here. We all know that no matter

Kathan Mehta
Aug 8, 20234 min read


Ways to improve revenue cycle
Source: https://www.staffcare.com Any patient needs to pay for services utilized during and/or after the course of treatment to their...

Kathan Mehta
Feb 10, 20194 min read


Transforming revenue cycle using Artificial Intelligence and automation
Unearthing AI technologies and it's scope to uplift processes Courtesy: https://doi.org/10.1016/j.dentre.2024.100081 Its trending and...

Kathan Mehta
Feb 10, 20193 min read
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