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Stay ahead of insurance reimbursement trends with Limoli & Associates.
Do Any of These Scenarios Hit Home?
In Our Practice…
- We take way too many plans.
- We take no plans.
- Patients don’t stay with us if their plan changes.
- We have available chair time.
Our Existing Patients…
- Accept only the treatment that is covered by their plan.
- Expect us to know exactly what their plan is going to pay.
- Hold us accountable when something goes not as planned.
- Come in only once or maybe twice then disappear.
Our New Patients…
- Want to know if we are part of their insurance.
- Expect to have their teeth cleaned on the first visit.
- Only want x-rays if the insurance pays for them.
- Are emotionally driven by their insurance benefits.
Our Administrative Support Team…
- Spends hours on the phone chasing down benefit information.
- Feels the need to tell patients everything about their plan.
- Wants stock narratives to satisfy requests for additional information.
- Keeps the doctor owners away from the daily EOBs.
- Has and wants nothing to do with the clinical team.
Our Clinical Support Team…
- Thinks auto-notes are the solution to everything.
- Wants the doctor to stop talking and simply run on time.
- Tells the patient that insurance is not part of what they do.
- Has and wants nothing to do with the administrative team.
- Want to do more dentistry.
- Want to get paid for what they do.
- Want to get paid now.
- Want the insurance to not be such a big deal.
And As The Owners…
- Have to keep everybody happy.
- Hear that the administrative team wants another employee.
- Knows that the clinical team wants another employee.
- Fears that the hygienists want more time with new patients.
- Realizes the actual cost of doing business.
- Frustrated that dentistry is not the team’s top priority.
Here's Your Solution...
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Tom Limoli is the prevailing expert on proper coding and administration of dental insurance benefit claims, with over 30 years of experience. Limoli & Associates, LLC has, over the past quarter century, assisted dental offices in streamlining the insurance reimbursement process and ahead of reimbursement trends.
Tom’s no-nonsense approach to the management of third-party reimbursement has been implemented in thousands of dental practices across the United States and Puerto Rico.
The free Resources Area offers a vast selection of additional information to assist you in simplifying and streamlining the challenges associated with all the various forms and formats of dental reimbursement.
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Limoli’s Original Dental Insurance Today – Blog
Three Parts to Consider — You Can’t Have One Without the Others
No greater dichotomy exists in all the professions of healthcare than that of the love/hate relationship between doctors and the fiduciary responsibilities of today’s Insurance Benefit industry. One provides the loving compassion expressed in the art and science of prevention and healing, while the other coldly enforces contractual financial provisions established by both themselves and their clients.
How much time and effort do you spend fighting with the patient’s insurance? It seems that an entire sub-culture within the various facets of dentistry is focused on not only creating but also fostering conflict. For example, just this month alone, one glossy publication depicted Joan of Arc battling dental insurance, while another portrayed the benefit industry as a masked bandit attempting to circumvent the long arm of the law. Either way, it’s easy to see the love/hate relationship dentistry has with insurance.
There are many perspectives as well as objectives when considering what to do with and about the patient’s plan. No matter how you, individually, want to interpret the patient’s insurance whether you’re in or out of network, you must acknowledge the three separate phased functions of the patient’s plan. They are:
- Before the patient visit
- During the patient visit
- After the patient visit
Now look in the mirror and ask yourself, as well as the other members of the team, what are the roles of the patient’s insurance in your practice? …